Print Violation: 00257844-AP-213179

Provider Information

Mckenzie Manor Memory Care

360 W 28TH AVE
Eugene, OR 97405

Date: 4/16/2023
Report number: 00257844-AP-213179
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) has a history of waking up confused, has aggressive behaviors, and resident-to-resident altercations. AV prefers to communicate in h/h native language and the ability to communicate in English comes in waves. Witness 1 (W1) and AV have behavioral support plans that include monitoring for aggression towards staff and other residents. On or about April 16, 2023, AV woke up confused and agitated, resulting in AV being aggressive towards staff. Staff gave AV space but were unable to effectively communicate with AV. AV walked into W1’s room where s/he hit W1 in the arm, and W1 punched AV in the face, resulting in a bruise to AVs face and AV experiencing unreasonable discomfort. The facility failed to provide a safe environment by not following AV’s behavioral support plan. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00899 $375.00 fine assessed