Violation Details: 00385721-AP-336184C

Records Request Print
Date
2/24/2025
Report number
00385721-AP-336184C
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide inservice
Result
Substantiated
Rule(s) Violated
External site: 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) resides at the facility and relies on the facility to meet his/her daily needs. According to an investigation, on or about February 24, 2025, the Alleged Perpetrator 2 (AP2) failed to follow AV's care plan by implementing interventions for behaviors, resulting in AV's behavior escalating and requiring transport to the hospital and sustaining a skin tear. AP2's actions are a violation of resident's rights, are considered neglect of care and constitutes abuse. The facility failed to protect AV from abuse, which is a violation of Oregon Administrative Rules.