Violation Details: 00408477-AP-359555

Records Request Print
Date
6/1/2025
Report number
00408477-AP-359555
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
Findings
The Alleged Victim (AV) relies on the facility for care and is care planned for a 1-person stand and pivot for transfers using a gait belt. On or about June 1, 2025, the Alleged Perpetrator 2 (AP2) failed to follow AV's care plan when he/she hooked their arm under AV's arm to transfer AV, resulting in a bruise to AV's right bicep. AP2’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure a safe environment, which is a violation of Oregon Administrative Rules.