- Date
- 11/1/2022
- Report number
- OR0004215100
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during a site visit on 08/21/23, it was determined the facility failed to report abuse or suspected abuse to Seniors and People with Disabilities (SPD) office for 1 of 1 sampled resident (# 1). Findings include, but are not limited to:
- Progress notes for Resident 1, dated 11/22/22, indicated s/he had been transported to the hospital on 11/22/22 for "hip pain."
- There was no documented evidence the fall had been witnessed or investigated by the facility.
- During an interview on 08/22/23, Staff 1 stated there was no incident report available for Resident 1's fall in November.
- The findings of the investigation were reviewed with and acknowledged by Staff 1, Staff 2, and Staff 3 on 08/22/23.
It was determined the facility failed to investigate and report abuse or suspected abuse to the local SPD office. The facility's failure is a violation of Oregon Administrative Rules.