Violation Details: 00299318-AP-252725

Records Request Print
Date
11/27/2023
Report number
00299318-AP-252725
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) and Witness 1 (W1) rely on the facility to meet his/her daily needs. According to an investigation, on or about November 27, 2023, the Alleged Perpetrator 2 (AP2) failed to follow the care plan when he/she did not re-direct AV out of another resident's room, resulting in a physical altercation, AV being pushed down and sustaining a bruise. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure the care plan was followed, which violates Oregon Administrative Rules.