Violation Details: 00437343-AP-389158

Records Request Print Provider Details
Date
11/4/2025
Report number
00437343-AP-389158
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) relies on the facility for transfers, ambulation, toileting, and bathing due to AV’s inability to follow directions and resistance. On or about November 4, 2025, at around 11:00 AM, staff observed scattered discoloration/bruising on AV’s left posterior upper arm near the elbow while assisting AV to the bathroom. The pattern of discoloration appeared consistent with fingertip marks. Respondent failed to use proper transfer technique of linking arms or allowing AV to grasp staff, not grabbing the bicep or upper arm, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00205 $500.00 fine assessed