Violation Details: 00401897-AP-352780

Records Request Print Provider Details
Date
5/14/2025
Report number
00401897-AP-352780
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) relies on the facility for his/her care needs. On or about May 14, 2025, at approximately 5:10am, AV was found on the floor with his/her head against the bed frame after reportedly sliding from bed. AV was care planned for 15-minutes checks, however, staff failed to consistently complete 15-minutes checks. Respondent failed provide a safe environment to AV. This constitutes abuse by neglect as defined by OAR 411-020-0002(1)(A)(ii) and violates the following OARs:
Sanction
RCFCP26-00629 $1000.00 fine assessed