Violation Details: 00391939-AP-342534

Records Request Print
Date
3/15/2025
Report number
00391939-AP-342534
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)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for his/her care, and is care planned to have toileting assistance. On or about March 26, 2025, Alleged Perpetrator #2(AP2) was assisting AV to the restroom and left AV unattended. AV fell off the toilet and sustained bruises on AV’s left collar and right/hip butt area and complained of pain in the right leg when moved. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.