Violation Details: 00478932-AP-431462

Date
5/23/2026
Report number
00478932-AP-431462
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
Witness #1 (W1) has a history of aggressive behaviors and engaging in altercations. W1 is to be escorted from the dining room after meals and to monitor W1 when in the community to ensure resident safety. On or about May 23, 2026, the Alleged Victim (AV) and W1 were arguing over a table cloth in the dining room when AV tried to kick W1, who then hit AV in the face. The Respondent failed to ensure staff followed the care plan to monitor W1 to avoid altercations, which is a violation of resident rights, is considered negelct of care and constitutes abuse, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction
RCFCP26-00619 $375.00 fine assessed