Print Violation: 00104367-AP-079599

Provider Information

Lone Oak Assisted Living Facility

2615 LONE OAK WAY
Eugene, OR 97404

Date: 9/26/2020
Report number: 00104367-AP-079599
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings: The facility failed to provide a safe medication administration system to ensure the Alleged Victim (AV) received the correct amount of medication as prescribed. AV was given 1 mg of pain medication rather than .1 mg of pain medication on two occasions, placing AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-01397 $338.00 fine assessed