Violation Details: 00398145-AP-348813

Records Request Print
Date
4/26/2025
Report number
00398145-AP-348813
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 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) relies on the facility to meet his/her daily needs. According to an investigation, on or about March 26, 2025, the Alleged Perpetrator 2 (AP2) failed to follow AVs care plan when attempting to transfer AV without assistance, resulting in AV experiencing a fall with injury. AP2's actions are considered neglect and constitutes abuse. The facility failed to follow the care plan, which violates Oregon Administrative Rules.