Print Violation: 00268932-AP-224015

Provider Information

Churchill Estates Assisted Living

1919 BAILEY HILL RD
Eugene, OR 97405

Date: 6/14/2023
Report number: 00268932-AP-224015
Type: Abuse: Neglect
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: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV's MAR was missing documented administration of 18 doses of his/her pain management medication, beginning on June 9, 2023 until June 15, 2023, and the associated blank spots on the MAR did not have indicators as the reason for the missed doses. The facility mismanaged AV's medication and AV suffered unreasonable discomfort as a result which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP23-00586 $375.00 fine assessed