Violation Details: 00438352-AP-390140

Records Request Print
Date
11/8/2025
Report number
00438352-AP-390140
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0036(2)(g)
Findings
The facility allegedly failed to provide a safe environment for the Alleged Victim (AV). According to an investigation, on or about November 8, 2025, AV rolled out of bed onto the floor and the service planned pressure pad alarm had not been in place. The failure is a violation of Oregon Administrative Rules. The allegation that an unknown Alleged Perpetrator 2 (AP2) neglected AV by not following the care plan was investigated and determined to be substantiated.