Print Violation: 00249111-AP-204920

Provider Information

Mckenzie Manor Memory Care

360 W 28TH AVE
Eugene, OR 97405

Date: 2/22/2023
Report number: 00249111-AP-204920
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
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: The Alleged Victim (AV) has a history of falls and was care planned as a high fall risk. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning around falls and instruction. On or about February 22, 2023, AV fell during a transfer from his/her wheelchair to his/her bed, resulting in two vertebral fractures. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01194 $1500.00 fine assessed