Inspection Reports for Churchill Retirement Assisted Living
3800 WESTLEIGH, EUGENE, OR, 97405
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Kitchen
Capacity: 83
Deficiencies: 3
Date: Mar 4, 2025
Visit Reason
Facility failed to ensure effective methods to respond and resolve resident complaints related to food/meal service. Food quality and temperature issues were noted. Multiple deficiencies related to facility administration policies and food sanitation.
Findings
Facility failed to ensure effective methods to respond and resolve resident complaints related to food/meal service. Food quality and temperature issues were noted. Multiple deficiencies related to facility administration policies and food sanitation.
Deficiencies (3)
OAR 411-054-0025 (7) Facility Administration: Policy & Procedure (7) POLICIES AND PROCEDURES. The facility must develop and implement written policies and procedures that promote high quality services, health and safety for residents, and incorporate the community based care principles of individuality, independence, dignity, privacy, choice, and a homelike environment.
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules).
OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility and Chapter 411, Division 57.
Inspection Report
Re-licensure
Capacity: 83
Deficiencies: 15
Date: Dec 20, 2024
Visit Reason
Numerous deficiencies identified including failure to ensure required postings, incomplete resident move-in evaluations, inadequate service plans, insufficient monitoring of changes of condition, incomplete health services assessments, medication administration issues, lack of staff training, fire and life safety deficiencies, and building maintenance problems. None of the deficiencies were corrected at the time of inspection.
Findings
Numerous deficiencies identified including failure to ensure required postings, incomplete resident move-in evaluations, inadequate service plans, insufficient monitoring of changes of condition, incomplete health services assessments, medication administration issues, lack of staff training, fire and life safety deficiencies, and building maintenance problems. None of the deficiencies were corrected at the time of inspection.
Deficiencies (15)
OAR 411-054-0025 (5) Facility Administration: Required Postings (5) REQUIRED POSTINGS. Required postings must be posted in a routinely accessible and conspicuous location to residents and visitors.
OAR 411-054-0034 (1-6) Resident Move-in & Evaluation: Res Evaluation (1) INITIAL SCREENING AND MOVE-IN. (a) The facility must determine whether a resident requires a move-in evaluation and complete the evaluation.
OAR 411-054-0036 (1-4) Service Plan: General (1) If the resident has a Person-Centered Service Plan pursuant to 411-004-0030, the facility must incorporate it into the resident's service plan.
OAR 411-054-0036 (5) Service Plan: Service Planning Team (5) SERVICE PLANNING TEAM. The service plan must be developed by a Service Planning Team that includes the resident, legal representative if applicable, facility administrator or designee, and at least one other staff person familiar with or providing services.
OAR 411-054-0040 (1-2) Change of Condition and Monitoring (1) CHANGE OF CONDITION. These rules define a resident's change of condition as either short-term or long-term and require monitoring and documentation.
OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services Resident Health Services (1) RESIDENT HEALTH SERVICES. The facility must provide health services to meet the needs of residents.
OAR 411-054-0055 (2) Systems: Medication Administration (2) MEDICATION ADMINISTRATION. An accurate Medication Administration Record (MAR) must be kept and include all required components.
OAR 411-054-0055 (5) Systems: Self-Administration of Meds (5) SELF ADMINISTRATION OF MEDICATION. Residents who choose to self-administer their medications must be evaluated quarterly and have a physician's order.
OAR 411-054-0060 Restraints and Supportive Devices Residential care and assisted living facilities are intended to be restraint free environments. (1) The use of restraints must be assessed and documented.
OAR 411-054-0037 (1)(b-g) Acuity Based Staffing Tool - ABST Time (1) DEVELOP AND MAINTAIN ACUITY-BASED STAFFING (b) Accurately capture care time and care elements provided by staff.
OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan (4) FREQUENCY OF UPDATES. Facilities must complete or update and review the ABST at least quarterly and with significant changes of condition.
OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff (5) TRAINING WITHIN 30 DAYS OF HIRE FOR DIRECT CARE STAFF. (a) Training must be completed within 30 days of hire.
OAR 411-054-0090 (1-2) Fire and Life Safety: Safety (1) FIRE DRILLS. All fire drills shall be conducted according to the Oregon Fire Code (OFC).
OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents (5) TRAINING FOR RESIDENTS. Residents must be instructed about the facility's fire and life safety procedures within 24 hours of admission and re-educated annually.
OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable (d) INTERIOR DOORS. Lever-type door handles must be provided on all doors used by residents.
Inspection Report
State Licensure
Capacity: 83
Deficiencies: 1
Date: Jun 11, 2024
Visit Reason
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.
Findings
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.
Deficiencies (1)
C0000 - Comment
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 1
Date: May 9, 2024
Visit Reason
Facility failed to carry out medication and treatment orders as prescribed for 1 sampled resident. Medication error was self-reported and additional staff training was planned.
Findings
Facility failed to carry out medication and treatment orders as prescribed for 1 sampled resident. Medication error was self-reported and additional staff training was planned.
Deficiencies (1)
OAR 411-054-0030 Systems: Treatment Orders
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 1
Date: Feb 27, 2024
Visit Reason
On-site investigation conducted to determine compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. Specific findings not detailed.
Findings
On-site investigation conducted to determine compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. Specific findings not detailed.
Deficiencies (1)
OAR 411-054-0030 Systems: Treatment Orders
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 1
Date: Feb 27, 2024
Visit Reason
On-site investigation conducted to determine compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. Specific findings not detailed.
Findings
On-site investigation conducted to determine compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. Specific findings not detailed.
Deficiencies (1)
OAR 411-054-0030 Systems: Treatment Orders
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 2
Date: Jul 11, 2023
Visit Reason
On-site investigation documented findings related to licensing complaint and treatment orders. No corrections noted.
Findings
On-site investigation documented findings related to licensing complaint and treatment orders. No corrections noted.
Deficiencies (2)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0030 Systems: Treatment Orders
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 3
Date: Jul 11, 2023
Visit Reason
Multiple deficiencies including licensing complaint investigation, facility administration policies, and treatment orders. No corrections noted.
Findings
Multiple deficiencies including licensing complaint investigation, facility administration policies, and treatment orders. No corrections noted.
Deficiencies (3)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0025 Facility Administration: Policy & Procedure
OAR 411-054-0030 Systems: Treatment Orders
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 4
Date: Jul 11, 2023
Visit Reason
Deficiencies related to licensing complaint investigation, service plan updates, and treatment orders. No corrections noted.
Findings
Deficiencies related to licensing complaint investigation, service plan updates, and treatment orders. No corrections noted.
Deficiencies (4)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0036 Service Plan: General
OAR 411-054-0030 Systems: Treatment Orders
OAR 411-054-0655 Call System
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 2
Date: Jul 11, 2023
Visit Reason
Deficiencies related to licensing complaint investigation and acuity-based staffing tool. No corrections noted.
Findings
Deficiencies related to licensing complaint investigation and acuity-based staffing tool. No corrections noted.
Deficiencies (2)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0361 Acuity-Based Staffing Tool
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