- Date
- 6/26/2024
- Report number
- 00339325-AP-290203
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- According to documentation, Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim’s (AV) care plan to use a gait belt during transfers to prevent falls. The failure resulted in AV being left alone and experiencing an injury fall, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's care plan was followed, which is a violation of Oregon Administrative Rules.