Print Violation: 00048416-AP-033687

Provider Information

Evergreen Senior Living Community

3760 N CLAREY ST
Eugene, OR 97402

Date: 9/6/2019
Report number: 00048416-AP-033687
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about, September 8, 2019, Alleged Victim (AV) complained of having a pain level of 10 out of 10 and was transported to the hospital for treatment. An investigation determined that AV received a new doctor's order on August 6, 2019 for AV's pain medication and the new order was not properly recorded in the facility's medication administration system. The facility's failure to provide a safe medication administration system to ensure Alleged Victim (AV) received his/her pain medication as ordered is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00321 $1125.00 fine assessed