Violation Details: 00423654-AP-375271

Date
8/30/2025
Report number
00423654-AP-375271
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident rights
Result
Substantiated
Findings
The Alleged Victim (AV) resides at the facility and relies on the facility to meet his/her daily needs. AV's service plan identified the need for assistance with toileting and post-toileting hygiene. According to an investigation, on or about August 30, 2025, the Alleged Perpetrator 2 (AP2) neglected AV when AP2 did not assist AV with clothing adjustment following toileting, resulting in AV feeling upset and asking for another care staff. AP2's actions are a violation of resident's rights, are considered neglect of care and constitutes abuse. The facility failed to ensure appropriate care was provided to AV, which is a violation of Oregon Administrative Rules.