- Date
- 12/15/2024
- Report number
- 00372056-AP-322517
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) was care planned to have staff ensure AV was using his/her walker. On or about December 15, 2024, AV was found on the floor in another residents room. AV did not have his/her walker with him/her. Staff failed to follow the care plan to ensure AV's walker was in use. The facility's failure is a violation of Oregon Administrative Rules.