Violation Details: 00271199-AP-226089

Records Request Print
Date
6/17/2023
Report number
00271199-AP-226089
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for h/h care and is a known fall risk. On or about June 17, 2023, an unknown Alleged Perpetrator 2 (AP2) did not ensure a tab alarm or nonskid mat was in place and AV fell out of their wheelchair. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.