- Date
- 5/18/2025
- Report number
- 00402455-AP-353358
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to protect resident from verbal abuse
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) resides in a memory care facility and has a diagnosis of dementia. Due to behavioral concerns, AV requires a behavior support plan. Interventions outlined in the plan include; allowing AV space and reapproaching later, approaching with two staff members, explaining the intent to assist, engaging AV in conversation about their coin collection, offering to call AV’s family, or playing Gospel music on AV’s radio. On or about May 18, 2025, AV approached Alleged Perpetrator 2 (AP2) in the living room and began conversing. As this occurred, Alleged Perpetrator 3 (AP3) walked past AV and tapped the bill of one of the two hats AV was wearing. AV then followed AP2 to the counter area and continued the conversation. At that point, AP2 removed one of AV’s hats, placed it on their own head, and began teasing AV by withholding the hat. As AP2 walked away, AV removed the remaining hat and used it to swat AP2 on the bottom while continuing to follow. AV verbally requested the return of the hat. The interaction escalated when AP2 responded by cursing at AV. Both AP2 and AP3 continued to verbally escalate the situation, using profanities toward AV, and AP2 physically pushing AV to the floor. AP2 and AP3 had been trained to work with residents, their behaviors and following plans and protocols. AP2 and AP3's actions are a violation of resident rights, are considered neglect of care and constitute verbal/emotional abuse. The facility failed to provide a safe environment and protect AV from verbal/emotional abuse which is a violation of Oregon Administrative Rules.