- Date
- 3/25/2025
- Report number
- 00391132-AP-344069
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) has a known fall history. On or about March 26, 2025, AV suffered a fall which caused unreasonable discomfort. The facility did not implement interventions after AV's fall on March 14, 2025. The facility failed to properly care plan for AV's needs and ensure AV's safety from falls. 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