Print Violation: 00225632-AP-184057

Provider Information

Churchill Retirement Assisted Living

3800 WESTLEIGH ST.
Eugene, OR 97405

Date: 10/9/2022
Report number: 00225632-AP-184057
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Perpetrator 2 (AP2) failed to administer the Alleged Victim’s (AV) medication as ordered, causing unreasonable discomfort, and placing him/her at risk of serious harm. AP2 is responsible for neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.