Violation Details: 00398875-AP-362904

Records Request Print Provider Details
Date
4/30/2025
Report number
00398875-AP-362904
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings
Witness #5 was care planned to ensure he/she was keeping distance from other residents while using his/her walker. On or about April 24, 2025, W5 ran over AV's foot with his/her walker, causing a bruise and unreasonable discomfort. The facility failed to ensure staff followed the service plan and ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00010 $750.00 fine assessed