Violation Details: 00421859-AP-373320

Records Request Print Provider Details
Date
8/19/2025
Report number
00421859-AP-373320
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) had recent history of falls leading up to the fall which occurred on or about August 19, 2025. On or about August 19, 2025, AV fell in the common area. AV was sitting in a chair and napping off and on during the day. AV was noticed to be off baseline earlier in the day. As a result of the fall, AV sustained a head injury. Respondent failed to provide a safe environment for AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i)(ii).
Sanction
RCFCP26-00134 $500.00 fine assessed