Violation Details: 00362527-AP-312818

Date
10/22/2024
Report number
00362527-AP-312818
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident rights
Result
Substantiated
Findings
On or about October October 22, 2024, Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) reported that due to Alleged Victim (AV) being combative during peri-care, they had to hold AV's arms and legs down to prevent AV from hurting AP2 and AP3. If AV is agitated during peri-care, AV's care plan involves giving AV space, re-attempting, and changing of face. AP2 and AP3 did not follow state guidelines for resident rights/treatment and no restraints, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the residents rights/treatment was being followed, which is a violation of Oregon Administrative rules.