- 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.