- Date
- 10/9/2024
- Report number
- 00359911-AP-310248
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk and has a history of agitation and refusing medications. On or about October 9, 2024, Alleged Perpetrator #2 (AP2) was assisting AV in his/her room with eating when AV became agitated and sat up on the edge of his/her bed. AV was yelling at AP2 and sitting on the side of his/her bed. AP2 left AV's side and went to the door to yell for help and AV stood up and fell, hitting his/her head. AV was sent out to the hospital where he/she was diagnosed with a facial fracture, skin tear and bruising. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse, as outlined in OAR 411-020-0002(1)(b)(A)(i). Respondent failed to ensure appropriate interventions for fall prevention, medication refusal and agitation, resulting in a fall with multiple injuries. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
- Sanction
- RCFCP26-00533 $1350.00 fine assessed