Print Violation: 00085274-AP-063651

Provider Information

Evergreen Memory Care Community

3720 N CLAREY ST
Eugene, OR 97402

Date: 5/24/2020
Report number: 00085274-AP-063651
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to protect resident from physical abuse
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(a)(f) and (r)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about May 24, 2020, Alleged Perpetrator 2 (AP2) saw AV laying on the floor of his/her room as he/she passed by. AV then closed his/her door and blocked it from being opened. AP2 forcibly opened AV’s door hitting AV’s left knee and causing an abrasion. AP2's actions are considered physical abuse. The facility failed to assure the AV was protected from physical abuse, which is a violation of Oregon Administrative Rule.