Violation Details: 00389883-AP-340456

Records Request Print Provider Details
Date
3/18/2025
Report number
00389883-AP-340456
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
Alleged Victim (AV) lived at Respondent's facility. On or about March 18, 2025, AV was found sitting on the floor across from the dining room door complaining that his/her head was sore as a result of the fall. Based on facility documentation and interviews, AV has history of having multiple falls. The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. Respondent failure to develop and implement suitable interventions to mitigate risk of harm for AV's fall risk, constitutes abuse by neglect as defined by OAR 411-020-0002(1)(A)(i).
Sanction
RCFCP26-00616 $375.00 fine assessed