Violation Details: 00284184-AP-238625

Records Request Print
Date
8/19/2023
Report number
00284184-AP-238625
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: 411-045-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for assistance with transfers with the use of a gait belt. On or about August 19, 2023, AV fell when Alleged Perpetrator 2 (AP2) did not follow AV's care plan and transferred AV without a gait belt, resulting in a bruise. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.