- Date
- 12/3/2024
- Report number
- 00369807-AP-320096
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to answer call light in a timely manner
- Result
- Substantiated
- Findings
- On or about December 3, 2024, the Alleged Victim (AV) suffered a fall in his/her bathroom. AV is fully independent and is not care planned for checks. On this day, after the fall, AV tried to use the call system to call staff for assistance. AV pulled the cord in the bathroom, however, the call system was not working. AV was not injured in the fall and was able to get up on his/her own. The facility's failure to ensure the call system was working properly is a violation of Oregon Administrative Rules.