- Date
- 5/4/2024
- Report number
- 00329737-AP-281015
- 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) relies on the facility for his/her care and is service planned for stand-by-assist for safety and to assist with bathing and total assistance with mobility. On or about May 4, 2024, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan left the AV alone in the shower. AV got out of the shower independently and fell, resulting in AV hitting his/her head. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.