Violation Details: 00392643-AP-343245

Records Request Print
Date
4/1/2025
Report number
00392643-AP-343245
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: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) is a fall risk and care planned to have non skid socks on and a motion mat in place. On or about April 1, 2025, AV suffered a fall without injury. AV's motion mat was not in place, nor was AV wearing non skid socks. The facility's failure to follow the care plan is a violation of Oregon Administrative Rules.