Violation Details: 00401897-AP-360239

Records Request Print Provider Details
Date
5/14/2025
Report number
00401897-AP-360239
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 25, 2025, AV sustained a fall. AV had six (6) falls, one on or about May 3, 2025, two (2) on or about May 14th, 15th, and 16th, 2025. Prior to May 2025, AV was reportedly more independent; however, following a medical diagnosis in late April or early May 2025, AV experienced a rapid decline. Respondent failed to provide a safe environment to AV, resulting in several falls. 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