Violation Details: 00440810-AP-392743

Date
11/20/2025
Report number
00440810-AP-392743
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Alleged Victim (AV) had an extensive fall history and was a high fall risk. On or about November 20, 2025, during weekly skin monitoring, it was discovered that AV had two new marks of discoloration to the back of AV's hand and lower forearm. One was on the top of AV's right hand measuring 0.5 cm x 0.5 cm, red/purple in color, and the skin was intact. Another was to the lower right forearm measuring approximately 2 cm x 1 cm, purple/brown in color. Respondent failed to provide a safe environment for AV, and to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00400 $375.00 fine assessed