Violation Details: 00278320-AP-233054

Records Request Print Provider Details
Date
8/2/2023
Report number
00278320-AP-233054
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
Findings
On or about August 2, 2023, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan for a two person assist with a mechanical lift for all transfers. Based on interviews and facility documentation, AP2 assisted AV without assistance causing AV to fall with injury. AV experienced pain and unreasonsible discomfort. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a failure of Oregon Administrative Rules.