- Date
- 10/14/2023
- Report number
- 00291634-AP-245573
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 (AP2) failed to provide appropriate services according to Alleged Victim's (AV) toileting care needs. Based on facility documentation and interviews, on or about October 15, 2023, AV was found wet, laying on top of three completely soaked through disposable chucks and two completely soaked regular chucks totally five wet chucks. AV was observed soaked from AV's buttocks all the way to the top of AV's head with urine. AP2 failed to perform the toileting activities as described in AV's care plan, including: frequency, duration, and monitoring effectiveness of the toileting activities which cased AV unreasonable discomfort. AP2's actions is considered neglect of care which constitutes abuse. The facility is responsible for the supervision, training, and overall conduct of staff when staff are acting within the scope of his/her employment duties. The facility's failure to provide oversight that AP2 followed AV's care plan is a violation of Oregon Administrative Rules.