Violation Details: 00270229-AP-225150

Records Request Print
Date
6/19/2023
Report number
00270229-AP-225150
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to answer call light in a timely manner
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A) and (G)
Findings
On or about June 19, 2023, the Alleged Victim (AV) pushed his/her call light for staff assistance to the bathroom. No staff answered AV's call light, so he/she took him/herself to the bathroom. When AV was done, he/she pushed the call light again. No staff answered the call light for almost two hours, leaving AV in the bathroom, unable to get him/herself up. Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) were both working that shift, and neither responded to AV's call light, leaving AV at risk for harm. AP2 and AP3's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to ensure the call lights are answered timely is a violation of Oregon Administrative Rules.