Violation Details: 00455295-AP-407436

Records Request Print
Date
1/22/2026
Report number
00455295-AP-407436
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has had previous falls with injury. Interventions put into place are not effective to reduce AV's falls. On or about January 22, 2026, and January 24, 2026, AV suffered falls without injury, however, AV was placed at risk for harm. Respondent failed to ensure proper care planning to reduce the risk of falls. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00497 $500.00 fine assessed