Violation Details: 00282701-AP-237152

Records Request Print
Date
8/28/2023
Report number
00282701-AP-237152
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
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: 411-054-0036(2)(g)
Findings
On or about August 28, 2023, Alleged Victim (AV) reports calling for assistance with brief change in bed, Alleged Perpetrator #2 (AP2) insisted AV get out of bed to use the restroom, as a result AV fell to ground sustaining knee pain. AP2 did not respect AV rights to refuse care and failed to provide a safe environment which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure a safe environment and residents rights were being followed, which is a violation of Oregon Administrative rules.