Print Violation: 00163614-AP-129753

Provider Information

Brookdale Ontario

1372 SW 8TH AVE
Ontario, OR 97914

Date: 10/1/2021
Report number: 00163614-AP-129753
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: On or about October 01, 2021, Alleged Perpetrator 2 (AP2) failed to follow The Alleged Victim (AV) care plan for a two-person transfer. The failure resulted in AV being found approximately an hour later by another staff member. AP2's actions is a violation of resident rights, is considered neglect of care and constitute abuse. The facility failed to ensure care plans were followed, which is a violation of Oregon Administrative Rules