Print Violation: 00260305-AP-215888

Provider Information

Waterford Grand Memory Care

600 WATERFORD WAY
Eugene, OR 97401

Date: 4/29/2023
Report number: 00260305-AP-215888
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The facility failed to provide appropriate services and a safe environment according to the Alleged Victim’s (AV’s) needs. AV has a history of banging on tables and resident-to-resident altercations in the dining area with Witness #1 (W1). Care plan directs staff to seat AV away from stable or object that s/he can bang on. AV and W1 have TSP to monitor interactions between residents to interevent, redirect, and separate when possible. On or about April 29, 2023, AV and W1 were placed back-to-back in dining room. AV began banging on a table, W1 reported to staff it bothered h/h, AV was given water to keep AV hands busy. AV continued to bang on table, W1 wandered over to AV and put h/h hands around AV neck placing AV at risk of serious harm. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01210 $250.00 fine assessed