Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00382118-AP-332644

Provider Information


River Grove Memory Care

140 GREEN LANE
Eugene, OR 97404

Provider ID
50M132
Administrator
STACY KOHAN
Phone
(541) 461-4898
Email
skohan@rivergrovemc.com

Violation Details


Date
1/26/2025
Report number
00382118-AP-332644
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to intervene when resident's condition changed
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for their care. According to an investigation, on or about January 26, 2025, AV suffered an unwitnessed fall. The AV did not express pain at the time of the fall, but on or about January 28, 2025 AV was expressing pain to the facility staff. The facility failed to have AV evaluated until February 4, 2025, and AV was taken to the hospital on February 5, 2025, by the AV’s family. It was determined that AV suffered an ankle fracture from the fall. The facility failed to provide appropriate and timely follow up care to AV after the fall, which is a violation of resident rights, is considered neglect of care, which constitutes abuse.
Sanction
RCFCP25-00768 $1125.00 fine assessed