Violation Details: 00322286-AP-321508

Records Request Print Provider Details
Date
12/15/2023
Report number
00322286-AP-321508
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to protect resident from involuntary seclusion
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) is wheelchair-bound and requires full assist with mobility and transfers. On or about November 2, 2023, it was decided to keep AV’s wheelchair away from AV to keep him/her from attempting to self-transfer. Alleged Perpetrator 3 (AP3) decided to keep AV’s wheelchair away from AV, however, keeping AV’s wheelchair away from AV was a restraint. AP3 failed to protect AV from involuntary seclusion, which is neglect of care and constitutes abuse. The facility failed to assure AV was protected from involuntary seclusion, which is a violation of Oregon Administrative Rules.
Sanction
RCFCP25-00157 $500.00 fine assessed