Print Violation: 00309057-AP-261782

Provider Information

Mckenzie Manor Memory Care

360 W 28TH AVE
Eugene, OR 97405

Date: 1/24/2024
Report number: 00309057-AP-261782
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is known to wander the hallways and enter resident’s rooms. Witness 1 (W1) has a history of verbal and physical aggression against staff and residents. According to an investigation, AV was on a behavior plan for monitoring when ambulating when he/she wanders. On or about January 24, 2024, AV was wondering the hallway and opened W1’s door. W1 pushed AV and struck him/her in the face, resulting in a bloody nose and a cut lip. The facility failed to follow AV’s care plans, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP24-00439 $375.00 fine assessed