Print Violation: 00338764-AP-289569

Provider Information

Evergreen Memory Care Community

3720 N CLAREY ST
Eugene, OR 97402

Date: 5/19/2024
Report number: 00338764-AP-289569
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0036(2)(b) and (g)
External site: 411-054-0040(1)(d)(B)
Findings: The Alleged Victim (AV) is dependent on facility staff to meet his/her care needs, has a history of falls and is care planned for stand-by assistance for transfers and frequent safety checks. AV had five falls in in one month. According to an investigation, on or about May 21, 2024, AV was found on the floor, was experiencing pain and bleeding, and was transported to the hospital. AV's service plan did not have effective interventions to address the frequent falls. The facility failed to ensure fall interventions were service planned and communicated to staff, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00922 $250.00 fine assessed