Violation Details: 00349310-AP-299668

Records Request Print
Date
8/17/2024
Report number
00349310-AP-299668
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility to meet his/her daily needs related to transfers and toileting assistance. According to an investigation, on or about August 17, 2024, the Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) failed to follow the care plan when they assisted AV to the toilet and did not return for more than two hours to assist AV off the toilet or provide frequent safety checks, resulting in AV experiencing unreasonable discomfort. AP2 and AP3's actions are considered neglect and constitutes abuse. The facility failed to provide appropriate services, which violates Oregon Administrative Rules.