- Date
- 12/19/2023
- Report number
- 00303234-AP-256202
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- According to the documentation, the Alleged Perpetrator (AP2) failed to follow the Alleged Victim’s (AV) care plan by using a gait belt when transferring. The failure resulted in the AV to fall and hit their head causing a bruise and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure service plans were being followed which is a violation of Oregon Administrative Rules.