- Date
- 9/5/2025
- Report number
- 00429038-AP-380755
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk and has suffered multiple falls between July 29, 2025, and September 14, 2025. Although AV wasn't injured in these falls, AV was placed at risk for harm. AV was care planned to receive checks every two hours, including hygiene and person care during those checks. AV's care plan was not updated to have new interventions for falls until AV's most recent falls in September. The respondent failed to implement meaningful interventions to reduce AV's falls, placing AV at risk for serious harm. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
- Sanction
- ALFCP26-00093 $500.00 fine assessed