- Date
- 7/21/2023
- Report number
- 00275699-AP-230305
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. AV is care planned for full assistance with toileting and incontinence care. On or about July 21, 2023, Alleged Perpetrator #2(AP2) failed to ensure necessary and timely incontinence care was provided to AV, resulting in AV found to be “drenched” in urine, causing a loss of personal dignity. 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.