Violation Details: 00456237-AP-408401

Records Request Print
Date
2/5/2026
Report number
00456237-AP-408401
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
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: 411-054-0030(1)(e)(I)
Findings
The Alleged Victim (AV) and Witness #1 (W1) have a history of altercations. On or about February 5, 2026, W1 and AV engaged in an altercation where W1 hit AV during snack time. W1 had been showing signs of agitation that day and staff are to monitor W1 when he/she is agitated and redirect from AV. W1 was redirected after the altercation, not prior. Respondent failed to ensure staff intervened to reduce the risk of altercations with residents, placing residents at risk for harm. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction
RCFCP26-00455 $188.00 fine assessed