Violation Details: 00430110-AP-381902

Records Request Print
Date
9/24/2025
Report number
00430110-AP-381902
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident rights
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(a), (g) and (s)
411-054-0028(2)
Findings
The Alleged Victim (AV) relies on facility staff for their care and to ensure resident’s rights. According to an investigation, Alleged Perpetrator 6 (AP6) and Alleged Perpetrator 7 (AP7) violated AV’s privacy by filming and/or posting videos of AV in a group chat, then made inappropriate comments about AV in the chat. In one video, AV was carrying a commode where AP6 was seen encouraging AV to walk down the hallway with the commode and saying, “Good job”. In another video, AV was in distress, crying and holding their back saying “My back”. AV experienced unreasonable discomfort and a loss of personal dignity. AP6 and AP7's actions are considered neglect and constitutes abuse. The facility failed to ensure resident rights and protect AV from a loss of dignity, which is a violation of Oregon Administrative Rules.