- Date
- 8/23/2024
- Report number
- 00350446-AP-301009
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care. AV is known for not liking staff in his/her space and being resistive to care. According to an investigation, on or about August 23, 2024, while Alleged Perpetrator 2 (AP2) was changing AV in his/her bed, AV was screaming and being resistive to care. AP2 continued to perform cares, resulting in a bruise and skin tear on AV’s left hand. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes physical abuse. The facility failed to provide a safe environment which is a violation of resident rights Oregon Administrative Rules.