Violation Details: 00318088-AP-270106

Records Request Print
Date
3/10/2024
Report number
00318088-AP-270106
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) requires hands on assistance while transferring. On or about March 10, 2024, Alleged Perpetrator #2 (AP2) was assisting AV in the bathroom. AP2 took AV to the bathroom and while AV was turning to sit on the toilet, AP2 stepped back and allowed AV to turn. AV lost his/her footing and fell towards the wall, catching him/herself, causing pain, bruising and swelling to AV's fingers. AP2 failed to follow the care plan to keep hands on AV while assisting to the toilet. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.