Violation Details: 00437162-AP-388985

Records Request Print
Date
11/4/2025
Report number
00437162-AP-388985
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to protect resident from physical abuse
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings
The Alleged Victim (AV) relies on the facility for their care. AV has known behaviors of attempting to kick, pinch and bite staff. According to an investigation, on or about November 4, 2025, AV was found to be reaching for another resident. When AP2 attempted to move AV in AV’s wheelchair, AV placed their feet on the ground so the wheelchair could not be moved. AP2 continued to try and move AV, which caused AV to bite AP2. AP2 responded by open hand swatting AV on the upper arm. AV then reached for AP2 and AP2 forcefully removed AV’s hand. AV experienced unreasonable discomfort. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute physical abuse. The facility failed to ensure care plans were followed and protect AV from physical abuse, which is a violation of Oregon Administrative Rules.