Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00384360-AP-334864
Provider Information
Churchill Retirement Assisted Living
3800 WESTLEIGH ST.
Eugene, OR 97405
- Provider ID
- 70M351
- Administrator
- Kimberly Sherman
- Phone
- (541) 485-8320
- k.sherman@churchillretirement.com
Violation Details
- Date
- 2/17/2025
- Report number
- 00384360-AP-334864
- Type
- Abuse: Neglect
- 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(1)(a) and (b)
External site: 411-054-0030(e)(H) and (I)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) and Witness 1 (W1) reside at AP1, a memory care facility that is responsible for their safe environment, care and supervision. AV and W1 have known cognitive impairment, multiple behaviors and both have a documented history of aggression and resident-to-resident altercations. AV service plan indicates AV does not have situational awareness and needs supervision; not to be in potentially dangerous or harmful situations. Staff to ensure AV has plenty of space between h/h and other residents. W1 service plan indicates, W1 is having more emotional distress and physical aggression towards staff and opposite gender; Staff should monitor behaviors and intervene as needed to ensure safety of self and other residents. On or about February 17, 2025, there were approximately five (5) to six (6) residents in the TV room, when AV and W1 engaged in a resident-to-resident physical altercation. There was no staff in room for oversight and supervision despite policy and expectation that someone should be on the floor at all times. Facility failed to provide a safe environment, oversight and supervision to AV and W1 with known aggression, physical behaviors, and resident-to-resident altercations, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-00459 $500.00 fine assessed