- Date
- 3/7/2024
- Report number
- 00322573-AP-274312
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk, wears oxygen and is to be assisted by staff while ambulating and transferring. On or about March 7, 2024, AV was standing at his/her closet with Alleged Perpetrator #2 (AP2) and fell backwards, hitting his/her head, elbow and hip. AP2 was not holding onto AV, nor was AV wearing his/her oxygen at the time of the incident. AV was sent out to the hospital for evaluation and was noted to have discoloration on his/her left hip. 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.