Violation Details: 00437655-AP-389500

Records Request Print Provider Details
Date
11/5/2025
Report number
00437655-AP-389500
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(g) and (s)
411-054-0028(2)
Findings
Alleged Victim (AV) has a known history of falls. On or about November 5, 2025, AV sustained a fall which resulted in discoloration to AV’s right elbow and discoloration area to the right forearm. AV had previously fallen on five (5) occasions between September and October 2025. Respondent failed to implement meaningful interventions for falls, to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00208 $500.00 fine assessed