Print Violation: 00319158-AP-271063

Provider Information

Churchill Estates Assisted Living

1919 BAILEY HILL RD
Eugene, OR 97405

Date: 3/15/2024
Report number: 00319158-AP-271063
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about March 15, 2024, the facility failed to administer medications to Alleged Victim (AV) as ordered. Based on facility documentation and interviews, AV experienced a medication mix up and ingested another resident's medication when facility staff set another resident's medication next to AV during breakfast and AV mistaken the medication as his/her own. The facility failed to provide a safe medication administration for AV which is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no abuse occurred.