Violation Details: 00355619-AP-305983

Records Request Print
Date
9/19/2024
Report number
00355619-AP-305983
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for his/her care, is a fall risk, and is care planned for safety checks every 30 minutes. On or about September 19, 2024, Alleged Perpetrator #2 (AP2) did not check on AV for approximately 2 hours and AV was ultimately found on the floor with a head wound. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.