Violation Details: 00307273-AP-260074

Records Request Print
Date
12/15/2023
Report number
00307273-AP-260074
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)(r)
External site: 411-054-0025(1)(a) and (b)
Findings
The Alleged Victim (AV) is care planned for two-person assistance with ADL’s. According to an investigation, on or about December 15, 2023, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan and attempted to change/toilet AV on his/her own, which resulted in a skin tear on AV’s arm. 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.