Violation Details: 00424080-AP-375567

Records Request Print Provider Details
Date
8/31/2025
Report number
00424080-AP-375567
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(G)
Findings
The Alleged Victim (AV) has a history of pressure sores. On or about August 31, 2025, AV was found to have a pressure sore on his/her buttocks with blood present in his/her brief. On or about September 2, 2025, AV had a stage 2 wound on his/her buttocks. Medical staff were not made aware of AV's wound, and no care was provided to the wound to ensure that it didn't worsen. Respondent failed to ensure staff advised medical staff of a change of condition and provide services to AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00052 $1000.00 fine assessed