Violation Details: 00358192-AP-308544

Date
9/5/2024
Report number
00358192-AP-308544
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility for his/her care. AV has a history of injuries of unknown origin. On or about June 15, 2024, AV was noted to have a cut on h/h chin. No investigation or interventions to prevent further injury were noted. AV was noted to have had an unwitnessed fall on June 27, 2024; no investigation or interventions to prevent further falls were noted. AV was noted to refuse care and medications frequently. No interventions noted other than multiple attempts. Respondent failed to provide service, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).