Violation Details: 00348315-AP-298718

Records Request Print Provider Details
Date
7/1/2024
Report number
00348315-AP-298718
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV has dysphagia and is at risk for choking. Staff are required to sit with AV at meals and provide assistance in order to prevent AV from choking. AV has been seen with food or drink and no staff with AV to provide assistance. Agency staff don't always provide AV with the required assistance while AV eats. AV has in the past experienced choking episodes while eating. Respondent failed to provide service, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).