Violation Details: 00332108-AP-283336

Records Request Print Provider Details
Date
5/18/2024
Report number
00332108-AP-283336
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to address resident's behavior
Result
Substantiated
Rule(s) Violated
411-054-0028 (2) 411-054-0025(1)(a) and (b) 411-054-0027 (1) (g) and (s) 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility to assist with activities of daily living and provide cueing and direction related to cognitive loss. According to an investigation, on or about May 18th, 2024, the Alleged Perpetrator 2 (AP2) failed to provide the assigned one on one supervision of another aggressive resident, resulting in the AV being assaulted, pushed to the ground, and obtaining a head injury. AP2’s actions are a violation of resident rights, considered neglect of care, and constitutes physical abuse. The facility failed to provide a safe environment and keep AV free from physical abuse, which is a violation of Oregon Administrative Rules.