- Date
- 10/8/2025
- Report number
- 00431567-AP-383382
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to protect resident from verbal abuse
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) relies on the facility for his/her care. AV has known triggers when staff enter AV’s room without knocking and asking for permission to enter. According to an investigation, on or about October 8, 2025, Alleged Perpetrator 2 (AP2) entered AV’s room without knocking or asking to enter. When AP2 was leaving AV’s room, there was a confrontation where AP2 made inappropriate verbal comments to the AV, resulting in the AV emotional discomfort and loss of personal dignity. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes verbal abuse. The facility failed to protect AV from inappropriate verbal comments made by staff and the failure is a violation of Oregon Administrative Rules.