Print Violation: 00345159-AP-295616

Provider Information

Churchill Retirement Assisted Living

3800 WESTLEIGH ST.
Eugene, OR 97405

Date: 7/24/2024
Report number: 00345159-AP-295616
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failure to provide a system that prevents theft or misuse of medication
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 July 24, 2024, during morning shift change, Witness 5 (W5) contacted Witness 4 (W4) because of a possible discrepancy with AV’s (narcotic medication). Only one (1) dose of AV’s (narcotic medication) had been administered on or about June 6, 2024. No one can confirm how much medication was missing, but there is a noticeable difference from what it had been after that administration. Staff are supposed to be signing the narcotics log in front of each other. This did not happen on July 24, 2024, and some staff have not been signing the signature pages when they are supposed to. It is believed that an unknown Alleged Perpetrator 2 (AP2) may have wrongfully taken the medication. AP2 failed to prevent theft of AV’s medication, which is neglect of care and constitutes abuse. The facility failed to provide a system that prevent theft of AV’s medication, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP25-00083 $250.00 fine assessed