Hillside Heights: Medical Records Security Breach - OR
The inspection, completed January 30, 2026, identified the failures for both residents. The Director of Nursing confirmed them, one by one, on consecutive days.
Resident 5 was admitted in December 2025 with diabetes. A review of bowel records covering December 31, 2025 through January 28, 2026 showed the resident had no bowel movement on January 3, 4, 5, 6, or 7. Five consecutive days. Inspectors pulled the progress notes and medication administration records for those same dates. No bowel assessment had been completed. No additional bowel medications had been offered.
The facility's own protocol, undated, was specific about what should happen when a resident goes more than three days without a bowel movement. A nurse was supposed to assess the resident, including a physical examination of the gastrointestinal system and a check for signs of constipation, impaction, or obstruction. Staff were supposed to interview the resident. If warranted, physician-ordered interventions were to follow, including stool softeners, laxatives, bowel stimulants, or an enema. If none of that produced a bowel movement, the physician was to be notified.
None of it happened for Resident 5. On January 29 at 2:13 p.m., the Director of Nursing acknowledged the assessment had not been completed and that the resident had not received the bowel care interventions ordered for those dates.
Resident 8 was admitted the same month, December 2025, with heart failure. The bowel records from January 1 through January 29 showed no bowel movement on January 19, 20, 21, or 22. Four days. Again, inspectors reviewed the progress notes and medication records for that stretch. Again, no assessment. Again, no medications offered.
The next morning, January 30 at 10:57 a.m., the Director of Nursing confirmed the same thing for Resident 8: no bowel assessment completed, no bowel care interventions administered as ordered.
For residents with serious underlying conditions, the consequences of undetected constipation are not trivial. Severe constipation can progress to fecal impaction, a hardened mass of stool that the body cannot pass on its own. In patients with heart failure, the straining associated with constipation can place additional stress on the cardiovascular system. In diabetic patients, constipation can complicate blood sugar management and compound other gastrointestinal issues already common with the disease.
The inspection classified the harm level as minimal, with potential for actual harm, and noted that few residents were affected. That classification reflects the regulatory framework, not necessarily what the residents experienced during those days.
What the record shows is that two people, both newly admitted, both managing serious chronic conditions, both living inside a facility that had a written plan for this specific situation, went days without anyone checking on them in the way the plan required. The protocol existed. The physician orders existed. The medication administration records existed, with blank spaces where entries should have been. The Director of Nursing, when shown the records, did not dispute any of it.
Hillside Heights Rehabilitation Center is located at 1201 McLean Boulevard in Eugene. The inspection was conducted by the Oregon state survey agency on behalf of the Centers for Medicare and Medicaid Services.
For information on the facility's plan to correct the deficiency, CMS directs the public to contact the nursing home or the state survey agency directly. What the plan of correction says, and whether the gaps in monitoring have since been closed, is not reflected in the inspection report itself.
Resident 5 spent at least five days without the assessment the facility promised. Resident 8 spent four. The Director of Nursing confirmed both on the record. The protocol sat there, undated, describing exactly what should have happened.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hillside Heights Rehabilitation Center from 2026-01-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
HILLSIDE HEIGHTS REHABILITATION CENTER in EUGENE, OR was cited for violations during a health inspection on January 30, 2026.
The inspection, completed January 30, 2026, identified the failures for both residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.