Print Violation: 00137652-AP-108231

Provider Information

Evergreen Senior Living Community

3760 N CLAREY ST
Eugene, OR 97402

Date: 5/1/2021
Report number: 00137652-AP-108231
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is cared planned to have staff contact AV’s family member when AV wants to leave the facility. On or about May 1, 2021, AV signed him/her-self out of the community, no staff noticed that AV had left. While AV was out of the community, he/she fell and sustained a broken hip. This was the second occasion AV had eloped without staff knowing and, on both occasions, AV sustained falls with injury. The facility failed to follow AV’s care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP21-02857 $500.00 fine assessed