Violation Details: 00416921-AP-368218

Records Request Print
Date
7/29/2025
Report number
00416921-AP-368218
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
Findings
On or about July 29, 2025, Alleged Perpetrator 2 (AP2) was handing out snacks to residents when the Alleged Victim (AV) approached the resident that AP2 was assisting. AV is known to take other residents’ food and should be redirected in a calm manner. AP2 grabbed ahold of AV’s clothing and moved AV away from the other resident. AP2’s actions are considered wrongful restraint, which is a violation of OAR 411-020-0002(1)(h)(A)(iii), and is a violation of resident rights and is considered neglect of care. The facility failed to protect AV from wrongful restraint, which is a violation of Oregon Administrative rules.