Violation Details: 00391132-AP-341696

Records Request Print Provider Details
Date
3/25/2025
Report number
00391132-AP-341696
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
The Alleged Victim (AV) requires assistance with transfers, repositioning and ambulation, and is to be checked on every 15-30 minutes for safety. AV suffered two falls within a little over a week, causing unreasonable discomfort to AV. The facility failed to ensure staff understood AV's needs and ensure AV's care plan was updated with interventions to ensure AV's safety. The facility's actions constitute abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00011 $1313.00 fine assessed