Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00105719-AP-080728
Provider Information
Ascot Park Senior Living
2730 BAILEY LANE
Eugene, OR 97401
- Provider ID
- 50A149
- Administrator
- Lindsey Rodrigues
- Phone
- (541) 344-7902
- lindsey.rodrigues@sincerisl.com
Violation Details
- Date
- 9/25/2020
- Report number
- 00105719-AP-080728
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to perform adequate screening or assessment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)and (2)
External site: 411-054-0045(1)(f)(C)
External site: 411-054-0055(1)(a) and (f)
- Findings
- Alleged Victim (AV) had a diagnosis of dementia and relies on the facility to meet his/her needs. AV has vasculitis, with a history of wounds requiring wound care and has required daily skin checks on his/her feet and leg as listed on the medication administration record. On or about September 25, 2020, AV moved to the COVID-19 unit. Staff on the COVID unit did not have access to AV's medication administration record and was not aware of who was responsible for treatments including but not limited to skin checks. Staff reported to Alleged Perpetrator 2 (AP2) that AV was having difficulty swallowing food and drink, including water. AP2 was responsible for the ongoing nursing care and oversight of AV's feet. On or about October 3, 2020, a nursing assessment was conducted by staff and AV was sent to the hospital. On or about October 17, 2020, AV passed away at the hospital with a final diagnosis listed as; comfort care only status, pressure ulcers, metabolic encephalopathy, acute cystitis and COVID-19. AP2 and the facility failed to ensure AV's wound care was provided and respond to AV's change of conditions, resulting in the AV death, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP21-01968 $15000.00 fine assessed