Violation Details: 00380944-AP-331503

Records Request Print
Date
1/31/2025
Report number
00380944-AP-331503
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(b)
External site: 411-054-0027(g) and (s)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has history of frequent falls. AV's care plan indicates staff to ensure that bed alarm is working while AV is in bed. The facility failed to follow the Alleged Victim’s (AV) care plan. According to an investigation, AV experienced a fall with no negative outcome. The failure is a violation of Oregon Administrative Rules.