Violation Details: 00441858-AP-393800

Records Request Print Provider Details
Date
11/27/2025
Report number
00441858-AP-393800
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) is now to be a fall risk. Between September 2025 and October 2025, AV sustained five (5) falls. On or about January 27, 2025, at around 3:00am, AV was found on the ground, after staff heard AV yelling from his/her room. 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
RCFCP26-00217 $500.00 fine assessed