Violation Details: 00360395-AP-310720

Records Request Print
Date
10/12/2024
Report number
00360395-AP-310720
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0040(1)(d)(A) and (B), (2)(d)
Findings
The Alleged Victim (AV) relies on the facility to meet his/her daily needs. According to an investigation, on or about October 12, 2024, the Alleged Perpetrator 2 (AP2) failed to properly monitor AV's change of condition when he/she did not document administering PRN medication for pain and monitoring of AV's condition. AV was covered in feces and screaming in pain for several hours, resulting in AV experiencing repeated pain and unreasonable discomfort. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide oversight and monitoring of a change in condition, which violates Oregon Administrative Rules.