Violation Details: 00327651-AP-279016

Records Request Print
Date
4/28/2024
Report number
00327651-AP-279016
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)(r)
Findings
According to the documentation, the Alleged Perpetrator 2 (AP2) did not follow the care plan for the Alleged Victim to get a second person to assist with a Hoyer transfer. The failure resulted in the Hoyer lift to flip over, causing the AV to fall to the ground and sustained injuries, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.