- Date
- 3/25/2024
- Report number
- 00321275-AP-273080
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Perpetrator 2 failed to follow Witness 1's care plan to provide 1 to 1 supervision. The failure resulted in W1 being left unattended and engaged in a physical altercation with AV causing injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure W1's care plan was followed which is a violation of Oregon Administrative Rules.