Violation Details: 00402764-AP-353712

Records Request Print
Date
5/19/2025
Report number
00402764-AP-353712
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about May 19, 2025, the Alleged Victim (AV) was found with 2 bruises on the left side of AV's spine of unknown origin. AV has a history of falls at the facility. Interventions in place were not progressive to ensure AV's safety from falls. Staff did not provide enough monitoring of AV to determine how AV was getting bruised, leaving AV at risk for harm. Respondent failed to ensure monitoring and progressive interventions to ensure AV's safety from bruises. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00170 $188.00 fine assessed