Violation Details: 00430299-AP-382123

Records Request Print
Date
9/3/2025
Report number
00430299-AP-382123
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility to provide care and services. According to an investigation, on or about October 1, 2025, AV suffered a fall with injury. AV previously suffered seven falls from September 3 through October 1, 2025. The facility updated the service plan after the fall on September 3 but did not provide further updates with the subsequent falls. The facility failed to properly care plan for AV, which is a violation of Oregon Administrative Rules and is neglect, which constitutes abuse.
Sanction
RCFCP26-00054 $188.00 fine assessed