Print Violation: 00339569-AP-290443

Provider Information

Churchill Retirement Assisted Living

3800 WESTLEIGH ST.
Eugene, OR 97405

Date: 6/26/2024
Report number: 00339569-AP-290443
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility to administer and store his/her medications. On or about the afternoon of June 26, 2024, it was observed at shift change that the amount of liquid in AV’s narcotic medication bottle did not align with the amount remaining recorded in the narcotics log, there was a difference of approximately 1.25mL. AV did not have any signs of over-sedation, therefore it’s unlikely AV received extra medication in error. It is believed an unknown Alleged Perpetrator 2 (AP2) may have wrongfully taken medication. AP2 failed to provide a safe medication administration system for AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP24-01112 $450.00 fine assessed