Violation Details: 00426610-AP-378246

Records Request Print Provider Details
Date
9/14/2025
Report number
00426610-AP-378246
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
Alleged Victim (AV) has a known history of falls. On or about September 14, 2025, AV fell and sustained injuries to his/her face as a result of the fall. The only intervention documented was for AV’s injuries to be monitored and new medication was ordered. Some witnesses did not know what AV’s needs and service plan consisted of despite consistently providing care to AV. Respondent failed to implement meaningful interventions for falls, to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00197 $750.00 fine assessed