Violation Details: 00349871-AP-300287

Records Request Print Provider Details
Date
8/2/2024
Report number
00349871-AP-300287
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) suffered multiple falls between August 2, 2024, and August 25, 2024. AV fell out of bed 5 times, complaining of hip and back pain after each fall. No meaningful fall interventions were put into place to reduce the risk of falls. Respondent failed to ensure interventions were put into place to reduce AV's risk for falling. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).