- Date
- 6/23/2023
- Report number
- 00270188-AP-225086
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- According to the documentation, the Alleged Perpetrator (AP2) failed to follow the Alleged Victim’s (AV) care plan when s/he needed to get dressed. The failure resulted in the AV suffering a non-injury fall which is a violation of resident rights and is considered abuse. The facility failed to ensure the service plan was being followed which is a violation of Oregon Administrative Rules.