Print Violation: 00261886-AP-217005

Provider Information

Churchill Estates Assisted Living

1919 BAILEY HILL RD
Eugene, OR 97405

Date: 5/6/2023
Report number: 00261886-AP-217005
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0055(1)(a) and (f)
Findings: On or about May 6, 2023, the facility failed to administer medications to Alleged Victim (AV) as ordered. Based on facility documentation and interviews, AV was given Lorazepam which actually belonged to another resident. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no abuse occurred by AP2.