Violation Details: 00406369-AP-357378

Records Request Print
Date
6/8/2025
Report number
00406369-AP-357378
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
On or about June 8, 2025, the Alleged Victim (AV) was found on the floor of his/her room in a pool of blood. AV suffered a head wound, requiring 7 staples to the back of his/her head. Ten minutes prior to finding AV on the floor, AV had been in bed. Upon finding AV on the floor, another resident was in AV's room, who routinely tries to assist AV getting out of bed. AV's service plan does not indicate any interventions related to the other resident trying to assist AV out of bed. Respondents failure to provide a safe environment, and ensure interventions are in place to ensure the safety of residents. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00352 $375.00 fine assessed