Violation Details: 00437650-AP-389496

Records Request Print Provider Details
Date
11/5/2025
Report number
00437650-AP-389496
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about November 5, 2025, AV was found to have a 2.5 cm long skin tear on his/her right forearm while being assisted with a shower by staff. AV has a history of scratching his/her skin and had varying complaints of itchy skin on or about October 6, 2025, however, there were no new interventions on AV’s care plan. Respondent failed to care plan around AV’s skin issues, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00493 $500.00 fine assessed