Print Violation: 00405626-AP-356644

Provider Information

Waterford Grand Memory Care

600 WATERFORD WAY
Eugene, OR 97401

Date: 2/28/2025
Report number: 00405626-AP-356644
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
Findings: On or about February 28, 2025, the Alleged Victim (AV) exited the secure facility from an exterior courtyard door. There had recently been a fire drill, and the exterior door mechanism malfunctioned. All doors are to be checked after a fire drill by staff, and while doors were checked, the exterior door was not checked, and AV exited from this door. AV is a fall risk, and leaving the facility without supervision placed AV at risk for harm.
Sanction: RCFCP25-01153 $250.00 fine assessed