Violation Details: 00400374-AP-399162

Records Request Print Provider Details
Date
5/7/2025
Report number
00400374-AP-399162
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
On or about May 28, 2025, the Alleged Victim (AV) was found to have bruising on his/her hands, wrist and forearm. AV is impulsive, has a history of falls and is impulsive without safety awareness. AV had been observed by staff to bump into walls and corners. An intervention was put into place to reduce AV running into walls and corners on May 7, 2025, however, that intervention was closed on May 12, 2025, and staff were not aware of interventions in place to reduce AV's risk for bruising. Respondent failed to have interventions in place to reduce AV's risk of bruising. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00160 $750.00 fine assessed