- Date
- 9/29/2024
- Report number
- 00358253-AP-308595
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) requires assistance to and from the bathroom and also requires stand by assist while toileting. On or about September 29, 2024, Alleged Perpetrator #2 (AP2) was assisting AV in the bathroom and left AV alone. While alone, AV attempted to stand by him/herself and fell backwards onto the toilet. When AV fell backwards, the tank to the toilet broke. When staff were checking AV for injury, they found a skin tear on AV's arm. AP2's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.