Print Violation: 00108957-AP-083664

Provider Information

Footsteps at Clackamas Woods

14404 SE WEBSTER ROAD
Milwaukie, OR 97267

Date: 10/20/2020
Report number: 00108957-AP-083664
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings: According to documentation, the Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to ensure she/he is wearing non-skid socks to prevent fall and injury. The failure resulted in AV being found on the floor without proper socks causing unreasonable discomfort and risk of serious injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which is a violation of Oregon Administrative Rules.