Violation Details: 00305507-AP-258458

Records Request Print
Date
1/4/2024
Report number
00305507-AP-258458
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0070(1)
Findings
The Alleged Victim (AV) was a known fall risk with a history of falls. On or about January 5, 2024, the Alleged Perpetrator 2 (AP2) was sleeping during their shift. The AV fell around 1:00 am and was assisted by a new staff in training, posing a serious risk of harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.