Violation Details: 00472454-AP-424803

Records Request Print
Date
4/24/2026
Report number
00472454-AP-424803
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relied on the facility for care and safety and is a known elopement risk. On or about April 24, 2026, AV left the facility without staff knowledge, placing AV at risk for harm. According to an investigation, visitors arriving to the facility alerted staff that they believed a resident walked out with a separate group of visitors. AV was found approximately 100 yards outside the secured unit, walking toward a highway. The facility failed to provide appropriate services, to include care planning and/or implementation of effective interventions and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(ii).
Sanction
RCFCP26-00672 $375.00 fine assessed