Print Violation: 00101419-AP-077098

Provider Information

Evergreen Memory Care Community

3720 N CLAREY ST
Eugene, OR 97402

Date: 8/29/2020
Report number: 00101419-AP-077098
Type: Abuse: Neglect
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), 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The facility failed to provide basic care services to Alleged Victim (AV) which resulted in AV suffering loss of personal dignity. AV is known to refuse most care tasks and requires extended service supports to ensure AV's care tasks are completed. An investigation determined that facility staff signed off on care tasks that were not completed and staff were not knowledgeable about expectations for communicating and documenting when AV refuses care. At time of investigation, facility did not have record of AV's shower sheets for the time period of March 2020 and August 2020. The facility's failure to follow AV's care plan when AV refuses care is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-01780 $500.00 fine assessed