Violation Details: 00417247-AP-368667

Records Request Print
Date
7/9/2025
Report number
00417247-AP-368667
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)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings
The Alleged Victim (AV) relies on the facility for their care. According to an investigation, on or about July 9, 2025, Alleged Perpetrator 3 (AP) placed a mask on AV and restricted AV’s arms with a sheet. AP2’s actions are a violation of resident rights, are considered wrongful restraint and constitutes verbal abuse, resulting in loss of dignity. The facility failed to ensure a safe environment, which violates Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) wrongfully restrained AV was investigated and determined to be not substantiated.