Violation Details: 00426610-AP-392981

Records Request Print Provider Details
Date
9/14/2025
Report number
00426610-AP-392981
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) has a known history of falls. On or about October 3, 2025, AV once again sustained a fall. AV has a prior fall on or about September 18, 2025, however, there was no temporary safety plan dated September 18, 2025, after AV’s fall. On or about October 1, 2025, it was documented by hospice that AV had increased disorientation and increased agitation. Respondent failed to provide a safe environment to AV, and 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