Violation Details: 00351036-AP-301360

Records Request Print Provider Details
Date
8/27/2024
Report number
00351036-AP-301360
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to protect resident from physical abuse
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(a)(b) and (g)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility to meet his/her daily needs. According to an investigation, on or about August 27, 2024, the Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) failed to follow the care plan when they did not stop trying to transfer AV, ensure safety and re-approach AV later when AV was resistive to care, resulting in AV having bruises to hands and wrists. AP2 and AP3's actions are considered neglect and constitutes abuse. The facility failed to protect AV from physical abuse, which violates Oregon Administrative Rules.