- Date
- 8/12/2024
- Report number
- 00347962-AP-298438
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is a resident of the facility who receives assistance with activities of daily living, including mobility and ambulation. On August 12, 2024, Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) were escorting AV with a manual wheelchair in the elevator. While in the elevator, AP2 and AP3 began teasing AV while playing with AV's spiked hair as AP2 and AP3 stood behind AV. AV repeatedly asked AP2 and AP3 to stop; however, AP2 and AP3 did not stop teasing AV while working in role of AV's caregiver. After leaving the elevator, AP2 and AP3, both staff members of the facility sat down on the couch by the elevator and told AV that he/she could move to his/her room without assistance. AP2 and AP3 said, "Do it yourself," while laughing. This caused AV to become angry, and AV demanded AP2 and AP3 to escort him/her back to his/her apartment. In frustration, AV punched the wall. AP3 then escorted AV to his/her apartment but pushed AV in his/her manual wheelchair toward the bed without proper safety, causing AV to almost hit his/her bed frame. Upset by the staff's member behavior, AV became distressed to the point of self-harming. AP2's and AP3's actions caused AV emotional harm. An investigation determined that AP2's actions is considered neglect of care and verbal/emotional abuse. Both allegations, neglect of care and verbal/emotional abuse constitutes abuse. An investigation determined that AP3's actions are considered neglect of care, verbal/emotional abuse, and neglect of care. All three allegations, neglect of care (2) and verbal/emotional abuse (1) constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.