Print Violation: 00370901-AP-321230

Provider Information

Evergreen Senior Living Community

3760 N CLAREY ST
Eugene, OR 97402

Date: 11/29/2024
Report number: 00370901-AP-321230
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: On or about November 29, 2024, Alleged Perpetrator #2 (AP2) was assisting the Alleged Victim (AV) with a transfer. Another staff member states that AP2 picked up AV and tossed him/her onto the bed, while getting AV ready for bed. AV was not injured, however, another staff that was present stated that AV winced and looked to be in pain. AV was assessed to ensure no injury occurred. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to ensure the care plan was followed regarding transfers is a violation of Oregon Administrative Rules.