Violation Details: 00476475-AP-428873

Records Request Print
Date
5/10/2026
Report number
00476475-AP-428873
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings
The Alleged Victim (AV) relies on the facility for their care and is care planned for assistance with all ambulation/mobility needs, one-two person physical assistance with transferring and to be checked for a wet and/or soiled brief at routine intervals during the day and night. According to an investigation, on or about May 10, 2026, AV was found sitting in a heavy soiled brief, resulting in unreasonable discomfort. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care which constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
RCFCP26-00713 $250.00 fine assessed