Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00283168-AP-237608
Provider Information
Lone Oak Assisted Living Facility
2615 LONE OAK WAY
Eugene, OR 97404
- Provider ID
- 70M242
- Administrator
- Jose Garcia-Gutierrez
- Phone
- (541) 463-7700
- jgarcia@loneoakassistedliving.com
Violation Details
- Date
- 8/31/2023
- Report number
- 00283168-AP-237608
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0027(1)(f)
411-054-0028(2)
411-054-0055(1)(a) and (f)
- Findings
- The Alleged Victim (AV) relies on the facility to manage his/her medications. The facility failed to provide a safe medication administration system to ensure Alleged Victim (AV)’s pain medication was administered as ordered, resulting in AV experiencing unreasonable discomfort. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.