- Date
- 9/22/2020
- Report number
- OR0002715102
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide oversight and monitoring of change of condition
- Result
- Substantiated
- Findings
- The facility failed to document change of condition, actions or interventions needed, and monitor until the condition is resolved in accordance with OAR 411-054-0040(1). Per complaint that the resident had a large skin tear that was infected, had not been treated, and was not reported to their provider.