Violation Details: 00466865-AP-422672

Records Request Print Provider Details
Date
3/30/2026
Report number
00466865-AP-422672
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to protect resident from verbal abuse
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g), (h) and (s)
411-054-0028(2)
Findings
The Alleged Victim (AV) resides in the Respondent’s facility and depends on facility staff to provide the care and services necessary to maintain AV’s health and safety. According to AV’s service plan, AV uses a cane to assist with repositioning in bed and requires staff assistance with toileting and brief changes. Alleged Perpetrator 2 (AP2) completed training in approximately December 2025. The facility has received multiple complaints regarding AP2’s behavior. Witness 2 (W2) observed AP2 yell “spread your legs” approximately three times while providing care to AV. This conduct caused AV embarrassment and emotional distress. AP2’s behavior constitutes verbal/emotional abuse. The facility failed to protect AV from verbal/emotional abuse and did not provide a safe environment, which is a violation of Oregon Administrative Rules.