Violation Details: 00362495-AP-402955

Records Request Print Provider Details
Date
9/12/2024
Report number
00362495-AP-402955
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a known fall risk. Between September 6, 2024, and September 23, 2024, AV suffered 8 falls. On or about October 29, 2024, AV was found on the floor of his/her room on the fall pad next to his/her bed. AV did not suffer any injury; however, AV was placed at risk for harm. Respondent failed to implement meaningful interventions for falls, to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00101 $500.00 fine assessed