Violation Details: 00338909-AP-289727

Records Request Print
Date
11/27/2023
Report number
00338909-AP-289727
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) and Witness 1 (W1) rely on the facility to meet his/her daily needs. According to an investigation, on or about November 27, 2023, the Alleged Perpetrator 2 (AP2) failed to follow the care plan when he/she did not re-direct W1 out of AV's room, resulting in a physical altercation, placing AV at risk of harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure the care plan was followed, which violates Oregon Administrative Rules.