Pricing ranges from
    $7,744 – 10,067/month

    Quail Crest Memory Care

    2630 Lone Oak Way, Eugene, OR 97404
    • Assisted Living
    • Memory Care

    Caring staff, homey secure community

    I toured Quail Crest and chose Sunflower/Clover Cottage for my mom - the staff (Christine, Berta, Anthony and others) are genuinely compassionate, attentive and go above and beyond. The cottages feel homey and secure - bright rooms, lofted ceilings, kitchens, enclosed courtyard and fenced grounds with push-button locks - and the memory-care layout and staff rapport make visits easy. There's a steady stream of activities (music, crafts, van rides), good dining and on-site services (salon, massage, nail care, pet therapy), and the building and gardens are spotless. Overall I'm very pleased and would recommend touring it if you want caring, engaged staff and a safe, active community.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.46·(41)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.6
    • Staff

      4.6
    • Meals

      3.8
    • Amenities

      4.0
    • Value

      2.0

    Pros

    • Compassionate, attentive caregiving staff
    • Memory-care cottage layout with central garden
    • Secure enclosed courtyards and fenced grounds
    • Engaging activities program (music, crafts, outings)
    • Personalized transition and family-communication support
    • In-house dining with varied menu options
    • On-site salon, massage, and therapy services
    • Pet-friendly, home-like atmosphere
    • Well-maintained, bright resident rooms and common areas
    • Staff continuity with identifiable caregivers
    • Visitation-friendly design and staff facilitation of visits
    • Outdoor amenities and nature-oriented spaces (putting green, gardens)

    Cons

    • Inconsistent medication-management processes
    • Gaps in hospital-transfer and pickup coordination
    • Variability in staff conduct and family communication tone
    • Inconsistent cleanliness and maintenance in select units
    • Perceived management favoritism and limited administrative responsiveness
    • Variable food quality across meals
    • Relatively high cost

    Summary of reviews

    Overall impression: Quail Crest Memory Care is frequently described as a compassionate, cottage-style memory-care community with strong emphasis on individualized attention and family partnership. Many families highlighted consistent, affectionate caregiving that appears to have supported gains in resident engagement and independence. The facility’s design — small, circle cottages around central gardens and enclosed courtyards — is repeatedly cited as memory-care friendly and conducive to safe movement, socialization, and family visits.

    Care and staff: Reviewers consistently praise frontline caregivers for attentiveness, patience, and relationship-driven interactions. Several families called out specific staff members for exemplary service and noted staff continuity, which contributes to relationship stability and individualized care plans. At the same time, a subset of families reported concerns about staff conduct or communication tone; these comments indicate variability in interpersonal interactions and occasional dissatisfaction with how families’ concerns were handled by on-shift staff or administrators.

    Dining and activities: The programmatic offering is a clear strength. Quail Crest provides regular, varied activities — live music, crafts, games, outings, pet therapy, and social events — that families describe as engaging and restorative for residents. On-site services such as salon, nail care, and massage are available, and dining is handled in-house with a variety of menu options; many reviewers were satisfied with food and mealtime assistance, although a few noted uneven food quality or preferences not always met.

    Facilities and environment: The physical campus receives strong marks for design and upkeep in most accounts. Cottages are described as bright and home-like, with lofted ceilings in some rooms, accessible layouts, secured push-button entry, and well-kept gardens and outdoor amenities (including a putting green). These features support visitation, outdoor engagement, and a neighborhood feel. A minority of comments noted cleanliness or maintenance shortfalls in particular units, suggesting some variability in housekeeping or upkeep standards across cottages.

    Management and operational patterns: Families praised individualized transition support and highlighted team members who facilitated move-ins and family communication. However, there are notable operational concerns that prospective families should evaluate directly: several accounts point to inconsistent medication-management processes and gaps in hospital-transfer or pickup coordination. A few reviewers expressed frustrations with administrative responsiveness, perceived favoritism, or dismissive explanations when problems arose. These operational issues appear less frequent than the positive care reports but are substantive and relate to clinical coordination and family communication.

    Recommendations for prospective families: Quail Crest demonstrates many strengths typical of a high-touch memory-care community — engagement-focused programming, a secure and attractive cottage layout, and staff who form meaningful relationships with residents. Prospective residents and families should tour multiple cottages, observe daily activities and mealtime service, ask about medication-administration protocols and hospital-transfer procedures, and inquire about staffing stability and maintenance schedules. Direct observation and specific operational questions will help assess whether the facility’s overarching strengths align with an individual resident’s needs and expectations.

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    Location

    Map showing location of Quail Crest Memory Care

    Quail Crest Memory Care is located at 2630 Lone Oak Way, Eugene, OR, 97404.

    About Quail Crest Memory Care

    Quail Park of Eugene is a senior living community that specializes in providing comprehensive care and support for older adults, with a primary focus on Memory Care. The community is recognized for offering an environment where residents can enjoy a high quality of life supported by a dedicated team of professionals. Residents at Quail Park of Eugene benefit from personalized care that is tailored to their specific needs, ensuring dignity, comfort, and enrichment throughout their daily experiences.

    The culinary experience at Quail Park of Eugene is designed to be both nutritious and enjoyable. The community employs skilled chefs and meal planners who prepare wholesome and balanced meals, placing importance on both nutritional value and taste. Every dish is made with quality ingredients, focusing on the right balance of vitamins and minerals while ensuring residents look forward to their dining experiences. Meals are a social highlight, and the atmosphere in the dining areas is welcoming and engaging, encouraging residents to connect with one another during mealtimes.

    Engagement is a central part of life at Quail Park of Eugene. The community emphasizes the value of providing a variety of activities that stimulate residents mentally, physically, socially, and emotionally. Regularly scheduled programs and events cater to different interests and abilities, with a goal of fostering social connections and enhancing overall well-being. Whether participating in group activities or enjoying more independent pursuits, residents find opportunities each day to stay active and involved.

    The atmosphere at Quail Park of Eugene is complemented by a culture of kindness and friendliness. The staff is known for their dedicated and compassionate approach, bringing a sense of warmth and joy to the community. This environment helps to ensure that residents, as well as their visitors, feel welcome and supported. The focus on building personal relationships between residents and staff contributes to a community that feels like home, defined by mutual respect and genuine care.

    Accommodations at Quail Park of Eugene are designed with comfort and functionality in mind. The community offers a choice of studio and semi-private living options, allowing residents to select the arrangement that best suits their preferences and lifestyle. Each living space is thoughtfully appointed to provide safety, privacy, and ease of access for residents, creating a secure and nurturing environment that supports independence while offering assistance with daily living as needed.

    Quail Park of Eugene welcomes pet companions, understanding the positive impact pets can have on residents’ well-being and sense of companionship. The community’s pet-friendly approach further enhances the homelike atmosphere, adding to the sense of belonging and contentment among residents. Through its combination of personalized care, engaging activities, excellent dining, and a focus on resident comfort, Quail Park of Eugene stands out as a supportive and vibrant choice for Memory Care.

    People often ask...

    Quail Crest Memory Care offers competitive pricing, with rates starting at a cost of $7,744 per month.

    Quail Crest Memory Care offers assisted living and memory care.

    There are 16 photos of Quail Crest Memory Care on Mirador.

    The full address for this community is 2630 Lone Oak Way, Eugene, OR 97404.

    No, Quail Crest Memory Care does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.

    License number5MA243
    StatusActive
    Facility typeResidential Care Facility
    Capacity80 residents
    LicenseeQuail Crest Holdings, LLC
    EffectiveApril 10th, 2000
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    194

    Reports

    0

    Type A Citations

    0

    Type B Citations

    2

    Complaints

    16

    Years

    22 Oct 2025Kitchen
    Found widespread sanitation and food-safety deficiencies across multiple kitchens, including dirty surfaces, improper food storage and labeling, and temperature-control problems, with repeated violations of applicable rules.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    20 May 2025Complaint
    Identified deficiencies in updating and implementing the acuity-based staffing tool and in ensuring adequate staffing for two-person transfers and night shifts. These issues potentially affected resident safety and care.
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - Updates & Plan
    10 May 2025Abuse: Neglect
    Investigated the allegation and found a pressure pad alarm was not functioning, which led to two falls and risk of harm.
    • AbuseFailed to provide or maintain resident care equipment
    14 Apr 2025Inspection
    Investigated a complaint and found that medication orders were not carried out as prescribed and medication was stopped without physician orders. This represents a safety deficiency related to medication administration.
    • LicensingFailed to provide a safe medication administration system
    29 Mar 2025Inspection
    Found a deficiency for failing to implement and update an acuity-based staffing tool.
    • LicensingFailed to use an ABST
    27 Mar 2025Inspection
    Found a deficiency for failing to fully implement and update an acuity-based staffing tool, violating Oregon Administrative Rules.
    • LicensingFailed to use an ABST
    21 Mar 2025Inspection
    Determined that the facility failed to fully implement and update an Acuity Based Staffing Tool, risking minor harm or moderate harm.
    • LicensingFailed to use an ABST
    15 Mar 2025Inspection
    Found that the acuity-based staffing tool was not developed, maintained, or implemented.
    • LicensingFailed to use an ABST
    06 Mar 2025Licensure
    Investigated found multiple deficiencies across abuse reporting, service planning, change of condition monitoring, health services coordination, infection control, staffing, ABST updates, fire safety, resident privacy, and door locks.
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencyInfection Prevention & Control
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, TV, or Cable
    • DeficiencyIndividual Privacy: Own Unit
    • DeficiencyIndividual Door Locks: Key Access
    • DeficiencyAdministration Compliance
    • DeficiencyCompliance with Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    • DeficiencySecure Outdoor Recreation Area
    22 Dec 2024Inspection
    Investigated and found a deficiency for failing to fully implement and update an acuity-based staffing tool. The deficiency was classified as a level 2 violation with minor harm potential.
    • LicensingFailed to use an ABST
    06 Dec 2024Inspection
    Concluded that there was a failure to immediately notify the local Department office or the local AAA about abuse or suspected abuse, and to report an elopement.
    • LicensingFailed to provide safe environment
    16 May 2024Inspection
    Concluded that a safe medication administration system was not provided, resulting in abuse and harm after Narcan was administered.
    • LicensingFailed to provide a safe medication administration system
    24 Jul 2023Licensure
    Observed extensive sanitation and maintenance deficiencies in kitchen areas and storage during initial visits; subsequent follow-up concluded substantial compliance with applicable meals and sanitation rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    07 Feb 2023Complaint
    Investigated the complaint and found no deficiencies.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Operation
    • DeficiencyStaffing Requirements and Training: Staffing
    18 Jan 2023Inspection
    Determined that qualified awake direct care staffing was insufficient to meet 24-hour needs of residents.
    • LicensingFailed to provide appropriate staffing
    18 Jan 2023Inspection
    Investigated and found that medication and treatment orders were not carried out as prescribed.
    • LicensingFailed to provide a safe medication administration system
    15 Aug 2022Licensure
    Identified deficiencies in food sanitation and administration compliance during the initial visit; follow-up found substantial compliance with some standards.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    10 May 2022Abuse: Neglect
    Found neglect and abuse due to failure to monitor known behavior, which led to a physical altercation and pain.
    • AbuseFailed to address resident's behavior
    07 Aug 2021Abuse: Neglect
    Found a violation for failing to provide a safe environment, resulting in abuse and neglect, with a $375 fine assessed.
    • AbuseFailed to provide safe environment
    02 Aug 2021Validation
    Identified deficiencies across infection control, resident health services, nutrition, medications, restraints, staff training, and activities during a re-licensure review.
    • DeficiencyComment
    • DeficiencyReasonable Precautions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyActivities
    07 Jun 2021Abuse: Neglect
    Investigated a resident-to-resident incident and found neglect for failing to protect a resident from aggressive behavior, resulting in an injury. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    14 Apr 2021Abuse: Neglect
    Determined a safe medication administration system was not provided, causing unreasonable discomfort for a resident. A $250 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    08 Apr 2021Abuse: Neglect
    Investigated and found staff did not follow a resident's care plan, resulting in a rash and neglect/abuse; a $250 fine was assessed.
    • AbuseFailed to follow care plan
    25 Mar 2021Abuse: Neglect
    Investigated a neglect allegation and found a failure to provide a safe environment, constituting abuse.
    • AbuseFailed to provide safe environment
    11 Jan 2021Inspection
    Investigated the allegation of failure to properly plan care and determined that the family was not notified about quarterly service plan meetings.
    • LicensingFailed to properly plan care
    26 Dec 2020Abuse: Neglect
    Found abuse and neglect; assessed a $500 fine.
    • AbuseFailed to provide safe environment
    30 Nov 2020Abuse: Neglect
    Found inadequate supervision allowed harm to a resident and failure to protect from another person; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    09 Nov 2020Abuse: Neglect
    Found that inadequate care planning for a resident's fall risk occurred, constituting neglect and abuse.
    • AbuseFailed to properly plan care
    22 Oct 2020Inspection
    Investigated a care plan allegation and found that care plans were not all current or located where they should be, and services were not implemented as required.
    • LicensingFailed to follow care plan
    22 Oct 2020Inspection
    Investigated a complaint about toileting assistance and found a failure to provide toileting and bowel/bladder management.
    • LicensingFailed to assist with toileting
    24 Jun 2020Inspection
    Investigated an allegation of inadequate professional oversight of the medication administration system. Determined that the allegation was valid.
    • LicensingFailed to provide a safe medication administration system
    27 Mar 2020Inspection
    Investigated the allegation that medication orders were not carried out as prescribed and verified a deficiency in the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    28 Feb 2020Inspection
    Found that services were not implemented as required by care plan standards.
    • LicensingFailed to follow care plan
    08 Feb 2020Abuse: Neglect
    Investigated and concluded that failure to properly plan care led to multiple falls and serious injuries; the allegation was sustained and a $1,500 fine was assessed.
    • AbuseFailed to properly plan care
    29 Jan 2020Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    01 Dec 2019Abuse: Neglect
    Found that a resident's care plan for fall risk wasn't followed and the resident was left unsupervised while ambulating, resulting in three unwitnessed falls and an injury requiring hospital treatment.
    • AbuseFailed to follow care plan
    24 Oct 2019Abuse: Neglect
    Found neglect due to inadequate supervision, which risked serious harm. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    24 Oct 2019Inspection
    Investigated an allegation of failing to report suspected abuse and determined a failure to report occurred; a $750 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    17 Sept 2019Abuse: Neglect
    Investigated an abuse/neglect allegation and found neglect occurred, resulting in significant emotional harm and loss of dignity; a fine was assessed.
    • AbuseFailed to address resident's behavior
    15 Jul 2019Abuse: Neglect
    Found neglect related to failing to provide a safe medication administration system, creating risk of serious harm.
    • AbuseFailed to provide a safe medication administration system
    10 Jul 2019Abuse: Physical Abuse
    Investigated a physical abuse allegation and found neglect of basic care that created a risk of serious harm.
    • AbuseFailed to provide safe environment
    28 May 2019Abuse: Neglect
    Investigated an allegation of neglect involving lack of basic care and adequate supervision. This resulted in actual physical harm.
    • AbuseFailed to provide oversight and monitoring of change of condition
    20 May 2019Inspection
    Found a violation for failing to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    02 May 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care was not provided to a resident, resulting in unreasonable discomfort.
    • AbuseFailed to follow care plan
    21 Apr 2019Abuse: Neglect
    Investigated a resident neglect allegation and identified failures to intervene and provide basic care that led to actual harm and discomfort.
    • AbuseFailed to intervene when resident's condition changed
    21 Apr 2019Abuse: Neglect
    Investigated an allegation of neglect for failing to provide peri care and concluded basic care was not provided, causing unreasonable discomfort.
    • AbuseFailed to provide peri care
    01 Mar 2019Abuse: Neglect
    Found neglect of basic care resulting in serious harm and assessed a $2000 fine.
    • AbuseFailed to follow care plan
    01 Mar 2019Inspection
    Investigated the allegation of failure to report potential or suspected abuse and found it substantiated, with a $750 fine assessed.
    • LicensingFailed to report potential or suspected abuse
    19 Jan 2019Abuse: Neglect
    Investigated and found neglect of a resident due to failing to provide basic care, which resulted in serious loss of personal dignity.
    • AbuseFailed to protect resident from mental or emotional abuse
    08 Jan 2019Abuse: Neglect
    Found neglect due to failure to provide timely treatment for a skin tear, causing unreasonable discomfort. A $250 fine was assessed.
    • AbuseFailed to assure timely medical treatment
    08 Jan 2019Inspection
    Found failure to report suspected abuse. A $750 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    25 Oct 2018Abuse: Neglect
    Found neglect of a resident by failing to provide basic care, resulting in risk of serious harm.
    • AbuseFailed to provide service
    25 Sept 2018Abuse: Neglect
    Investigated a neglect allegation and found inadequate supervision of residents, resulting in unreasonable discomfort.
    • AbuseFailed to follow care plan
    25 Sept 2018Abuse: Neglect
    Investigated an allegation of neglect and found inadequate supervision that caused residents' unreasonable discomfort.
    • AbuseFailed to provide safe environment
    16 Jun 2018Abuse: Neglect
    Investigated an allegation of failing to administer medication as ordered and found improper medication administration, resulting in a $375 fine.
    • AbuseFailed to administer medication as ordered
    05 Jun 2018Abuse: Neglect
    Determined that insufficient supervision resulted in a resident-to-resident altercation.
    • AbuseFailed to address resident's behavior
    25 Apr 2018Abuse: Neglect
    Investigated an allegation of neglect for failing to follow the care plan and found deficiencies in assessing and intervening.
    • AbuseFailed to follow care plan
    23 Apr 2018Inspection
    Investigated a complaint and found residents were exposed to derogatory names and profanity.
    • LicensingFailed to assure resident rights
    22 Apr 2018Abuse: Neglect
    Identified a failure to provide a safe environment due to inadequate supervision, which led to a resident-to-resident altercation.
    • AbuseFailed to follow care plan
    22 Mar 2018Inspection
    Determined that a licensing violation occurred due to failure to provide a safe environment and to assess and intervene.
    • LicensingFailed to provide safe environment
    13 Mar 2018Abuse: Neglect
    Found a failure to provide a secure environment following an allegation of neglect. A $375 fine was assessed.
    • AbuseFailed to provide safe environment
    10 Mar 2018Inspection
    Found a licensing violation for failing to discontinue a medication as ordered, with potential for moderate harm.
    • LicensingFailed to provide a safe medication administration system
    10 Mar 2018Inspection
    Investigated the medication-related allegation and found that ordered medications were not administered as prescribed.
    • LicensingFailed to administer ordered medication
    01 Mar 2018Inspection
    Identified a deficiency in the medication administration system; medications were not administered as directed.
    • LicensingFailed to provide a safe medication administration system
    28 Feb 2018Abuse: Financial abuse
    Found a failure to protect a resident's property in a financial exploitation incident.
    • AbuseFailed to protect resident from financial exploitation
    05 Feb 2018Abuse: Neglect
    Found deficiencies in the medication system that led to theft of pain medication.
    • AbuseFailed to provide a safe medication administration system
    25 Dec 2017Inspection
    Found failure to provide services necessary to maintain health and safety.
    • LicensingFailed to provide safe environment
    15 Dec 2017Abuse: Neglect
    Investigated and found failures to follow care plans and provide appropriate incontinence care. The findings indicate neglect.
    • AbuseFailed to follow care plan
    12 Nov 2017Inspection
    Found a failure to provide a safe environment, resulting in a resident to resident altercation.
    • LicensingFailed to provide safe environment
    01 Nov 2017Abuse: Neglect
    Investigated and found residents were not protected from rough treatment.
    • AbuseFailed to provide safe environment
    15 Oct 2017Inspection
    Found a safety deficiency due to failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    05 Oct 2017Abuse: Neglect
    Determined that appropriate care was not provided.
    • AbuseFailed to provide service
    02 Oct 2017Inspection
    Found a failure to provide secure environment.
    • LicensingFailed to provide safe environment
    28 Sept 2017Abuse: Neglect
    Found a failure to provide a safe medication administration system. A $250 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    25 Sept 2017Inspection
    Found a licensing violation related to safe medication administration. Medications were not administered as directed.
    • LicensingFailed to provide a safe medication administration system
    24 Sept 2017Abuse: Neglect
    Found failure to follow the care plan, posing potential for minor to moderate harm.
    • AbuseFailed to follow care plan
    19 Sept 2017Abuse: Neglect
    Investigated a falls-related care concern and identified deficiencies in protecting a resident from falling and in related care planning. A $250 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    29 Aug 2017Inspection
    Found a safety deficiency related to failing to provide a safe environment.
    • LicensingFailed to provide safe environment
    15 Aug 2017Inspection
    Found a failure to provide a safe environment by not adequately assessing and intervening.
    • LicensingFailed to provide safe environment
    08 Aug 2017Inspection
    Determined that resident rights were not assured.
    • LicensingFailed to assure resident rights
    08 Aug 2017Abuse: Neglect
    Investigated an allegation of neglect related to safety. Found failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    25 Jul 2017Inspection
    Found that the care plan was not followed for RV1.
    • LicensingFailed to follow care plan
    13 Jul 2017Inspection
    Investigated a complaint alleging failure to provide service and found deficiencies related to not providing appropriate care.
    • LicensingFailed to provide service
    27 Jun 2017Inspection
    Determined that there was a deficiency in maintaining an adequate medication regimen.
    • LicensingFailed to provide a safe medication administration system
    22 May 2017Inspection
    Investigated the allegation and found a failure to assess and intervene when a resident's condition changed.
    • LicensingFailed to intervene when resident's condition changed
    17 May 2017Abuse: Neglect
    Investigated the allegation and documented a failure to assess and intervene. The finding involved neglect with minor harm or potential for moderate harm.
    • AbuseFailed to provide service
    17 May 2017Inspection
    Found that basic care was not provided. This is categorized as a level 2 licensing violation.
    • LicensingFailed to provide service
    16 May 2017Abuse: Neglect
    Found failures to assess and intervene when a resident's condition changed, and a $300 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    09 May 2017Abuse: Neglect
    Found deficiencies in maintaining an adequate medication regimen and safe medication administration system; a $300 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    08 May 2017Inspection
    Concluded that a safe environment was not provided. A resident was subjected to rough handling.
    • LicensingFailed to provide safe environment
    03 May 2017Abuse: Neglect
    Concluded that a safe environment was not provided and a $250 fine was assessed.
    • AbuseFailed to provide safe environment
    24 Apr 2017Condition
    Investigated a complaint alleging failure to provide service and found failure to maintain substantial compliance.
    • Regulatory ActionFailed to provide service
    22 Apr 2017Inspection
    Found a deficiency in maintaining an adequate medication system.
    • LicensingFailed to provide a safe medication administration system
    22 Apr 2017Inspection
    Investigated a complaint and substantiated an unsafe medication administration system and an inadequate medication regimen.
    • LicensingFailed to provide a safe medication administration system
    20 Apr 2017Inspection
    Found a deficiency for failing to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    20 Apr 2017Inspection
    Investigated a complaint and identified a failure to provide service.
    • LicensingFailed to provide service
    20 Apr 2017Inspection
    Investigated the allegation and identified a deficiency in oversight and monitoring of change of condition.
    • LicensingFailed to provide oversight and monitoring of change of condition
    11 Apr 2017Abuse: Neglect
    Investigated the allegation of neglect and found that a secure environment was not provided, resulting in another fall.
    • AbuseFailed to provide safe environment
    04 Apr 2017Abuse: Neglect
    Investigated a neglect allegation and found a failure to communicate necessary information and to prevent a resident from falling.
    • AbuseFailed to communicate necessary information
    30 Mar 2017Inspection
    Found a failure to provide a safe environment, resulting in a substantiated licensing violation and a $250 fine.
    • LicensingFailed to provide safe environment
    30 Mar 2017Abuse: Neglect
    Found a failure to prevent a resident from a fall with injury following investigation of a neglect-related complaint about falls.
    • AbuseFailed to adequately care plan related to falls
    29 Mar 2017Abuse: Neglect
    Found an inadequate medication administration system that created a risk of serious harm, with a $250 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    21 Mar 2017Abuse: Neglect
    Investigated a complaint and found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    14 Mar 2017Inspection
    Investigated a complaint and found that a resident left a room without pants and another resident struck them with fingertips.
    • LicensingFailed to provide safe environment
    13 Mar 2017Abuse: Neglect
    Concluded neglect occurred due to failure to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    12 Mar 2017Inspection
    Investigated and found a failure to maintain an adequate medication system.
    • LicensingFailed to provide a safe medication administration system
    09 Mar 2017Inspection
    Investigated deficiencies in care planning related to falls and intervening in a resident's care needs, resulting in a $250 fine.
    • LicensingFailed to adequately care plan related to falls
    07 Mar 2017Inspection
    Found deficient care planning related to falls due to failure to assess and intervene.
    • LicensingFailed to adequately care plan related to falls
    23 Feb 2017Inspection
    Found that a physician-ordered dose was not administered.
    • LicensingFailed to administer ordered medication
    17 Feb 2017Inspection
    Found a deficiency in the medication system that led to double dosing a lidocaine patch twice.
    • LicensingFailed to provide a safe medication administration system
    16 Feb 2017Abuse: Neglect
    Found a staffing-related neglect deficiency. A resident was observed with a skin tear reported as a possible sign of neglect.
    • AbuseFailed to provide appropriate staffing
    15 Feb 2017Abuse: Neglect
    Investigated the allegation of neglect and found that care plans were not followed, creating risk of serious harm to a resident.
    • AbuseFailed to follow care plan
    15 Feb 2017Abuse: Neglect
    Investigated a complaint about falls care and identified deficiencies in fall-related care planning and safety measures.
    • AbuseFailed to adequately care plan related to falls
    14 Feb 2017Inspection
    Concluded that residents were not protected from harm by other residents.
    • LicensingFailed to provide safe environment
    14 Feb 2017Inspection
    Found inadequate supervision that led to a resident-to-resident altercation. Violations were cited.
    • LicensingFailed to provide safe environment
    11 Feb 2017Abuse: Neglect
    Found a deficiency related to falls care planning and mitigation after an unwitnessed fall with injury; a $250 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    10 Feb 2017Inspection
    Identified a deficiency for failing to provide residents with meaningful activities.
    • LicensingFailed to provide appropriate activities
    10 Feb 2017Inspection
    Identified a staffing deficiency that did not provide sufficient staff to meet scheduled and unscheduled resident needs, resulting in late bedtimes for some residents.
    • LicensingFailed to provide appropriate staffing
    10 Feb 2017Inspection
    Investigated an allegation that resident records were not kept current. Found that changes in condition and service plan updates were not addressed and care plans were not updated.
    • LicensingFailed to keep resident record current or accurate
    30 Jan 2017Abuse: Neglect
    Investigated a neglect allegation. Found that appropriate care was not provided.
    • AbuseFailed to provide service
    25 Jan 2017Abuse: Neglect
    Found inadequate supervision and intervention for falls, resulting in injuries and a hip fracture; a $300 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    21 Jan 2017Inspection
    Identified a deficiency in medication administration safety due to failure to administer medications as prescribed. The issue was recorded as a licensing violation.
    • LicensingFailed to provide a safe medication administration system
    20 Jan 2017Inspection
    Concluded residents were not adequately protected from other residents, and a safety deficiency was substantiated.
    • LicensingFailed to provide safe environment
    19 Jan 2017Inspection
    Investigated and found that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    17 Jan 2017Abuse: Neglect
    Found a failure to provide a safe environment in relation to an abuse/neglect allegation.
    • AbuseFailed to provide safe environment
    14 Jan 2017Abuse: Neglect
    Found that an adequate medication system was not maintained.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2017Inspection
    Investigated a licensing complaint and found a failure to provide a safe environment. A $300 fine was assessed.
    • LicensingFailed to provide safe environment
    10 Jan 2017Inspection
    Found a failure to provide a safe environment. The issue was substantiated.
    • LicensingFailed to provide safe environment
    06 Jan 2017Inspection
    Investigated the allegation and determined that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    06 Jan 2017Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    03 Jan 2017Inspection
    Investigated a staffing allegation and found insufficient awake caregivers to meet the 24-hour needs of residents.
    • LicensingFailed to provide appropriate staffing
    02 Jan 2017Inspection
    Investigated and substantiated a fall-prevention deficiency.
    • LicensingFailed to provide safe environment
    26 Dec 2016Inspection
    Investigated a complaint and identified a failure to protect a resident from rough handling.
    • LicensingFailed to protect resident from rough treatment
    26 Dec 2016Inspection
    Found that staff failed to protect a resident from neglect of care by another staff member, indicating a neglect risk on 12/26/16.
    • LicensingFailed to follow care plan
    26 Dec 2016Abuse: Verbal/Mental abuse
    Investigated a verbal abuse allegation and found that a staff member failed to protect a resident from wrongful verbal statements.
    • AbuseFailed to protect resident from verbal abuse
    25 Dec 2016Inspection
    Found that basic services were not provided, resulting in harm.
    • LicensingFailed to provide service
    18 Dec 2016Abuse: Neglect
    Investigated neglect allegation and found a failure to provide basic services to maintain safety.
    • AbuseFailed to provide safe environment
    10 Dec 2016Inspection
    Investigated and found a violation for failing to provide a safe environment, and assessed a $350 fine.
    • LicensingFailed to provide safe environment
    08 Dec 2016Inspection
    Investigated a complaint and found a failure to assess and intervene, resulting in a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    01 Dec 2016Inspection
    Found a failure to provide a secure environment that resulted in a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    28 Nov 2016Inspection
    Investigated the allegation of unsafe conditions and found a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    19 Nov 2016Abuse: Neglect
    Found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    14 Nov 2016Inspection
    Found failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    27 Oct 2016Inspection
    Concluded that residents' rights were not protected from verbal and emotional wrongdoing by an individual.
    • LicensingFailed to assure resident rights
    27 Oct 2016Inspection
    Investigated a complaint and identified a safety violation involving failure to protect a resident from physical harm.
    • LicensingFailed to provide safe environment
    25 Oct 2016Inspection
    Investigated the allegation of failing to provide a safe environment and found a safety violation.
    • LicensingFailed to provide safe environment
    20 Oct 2016Abuse: Neglect
    Found that residents were not protected from a resident-to-resident altercation.
    • AbuseFailed to provide safe environment
    11 Oct 2016Abuse: Verbal/Mental abuse
    Concluded that verbal abuse occurred and residents were not protected from verbal yelling and cursing.
    • AbuseFailed to provide safe environment
    25 Sept 2016Inspection
    Investigated and substantiated a violation for failing to provide a secure environment, with residents involved in a physical altercation.
    • LicensingFailed to provide safe environment
    23 Sept 2016Inspection
    Found a licensing violation for failing to provide a safe environment and assessed a $200 fine.
    • LicensingFailed to provide safe environment
    20 Sept 2016Inspection
    Investigated the safety allegation and identified a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    19 Sept 2016Inspection
    Investigated and identified a failure to assess and intervene, creating a safety concern.
    • LicensingFailed to provide safe environment
    16 Sept 2016Inspection
    Investigated a licensing violation and found a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    29 Aug 2016Inspection
    Found a failure to provide a safe environment. Severity noted as level 2.
    • LicensingFailed to provide safe environment
    19 Aug 2016Abuse: Neglect
    Found a deficiency for failing to provide a safe environment.
    • AbuseFailed to provide safe environment
    08 Aug 2016Abuse: Neglect
    Investigated a neglect allegation and found failure to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    01 Aug 2016Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to follow the care plan.
    • AbuseFailed to follow care plan
    28 Jul 2016Inspection
    Concluded that a safe environment was not provided. The allegation was substantiated.
    • LicensingFailed to provide safe environment
    25 Jul 2016Inspection
    Investigated and found that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    13 Jul 2016Abuse: Neglect
    Investigated and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    08 Jun 2016Inspection
    Investigated a complaint and found violations related to safety and staff conduct that were substantiated.
    • LicensingFailed to provide safe environment
    30 May 2016Inspection
    Investigated an allegation that a safe environment was not provided. Found a failure to assess and intervene to ensure safety.
    • LicensingFailed to provide safe environment
    11 May 2016Abuse: Neglect
    Investigated an allegation of neglect and determined that staff failed to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    29 Apr 2016Abuse: Neglect
    Found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    29 Apr 2016Abuse: Neglect
    Investigated a neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    22 Apr 2016Abuse: Neglect
    Determined that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    23 Mar 2016Inspection
    Investigated the complaint and found a deficiency for failing to provide appropriate care.
    • LicensingFailed to provide service
    23 Mar 2016Inspection
    Found a failure to provide a safe environment and protect residents from harm.
    • LicensingFailed to provide safe environment
    21 Mar 2016Inspection
    Identified a failure to provide a safe environment and a safe care plan.
    • LicensingFailed to provide safe environment
    09 Mar 2016Inspection
    Concluded that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    01 Mar 2016Inspection
    Investigated a failure to provide a secure environment that led to a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    01 Mar 2016Inspection
    Found that a secure environment was not provided, resulting in a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    27 Feb 2016Inspection
    Found a failure to provide a secure environment that led to a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    16 Feb 2016Inspection
    Investigated the allegation and determined that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    01 Feb 2016Inspection
    Determined that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    22 Jan 2016Inspection
    Found a safety deficiency where residents were not protected from harm.
    • LicensingFailed to provide safe environment
    22 Jan 2016Inspection
    Identified failure to maintain clean refrigerators as part of a safe physical environment.
    • LicensingFailed to maintain a safe physical environment
    22 Jan 2016Inspection
    Identified a deficiency due to dirty carpets, indicating a failure to maintain a safe physical environment.
    • LicensingFailed to maintain a safe physical environment
    06 Dec 2015Abuse: Neglect
    Found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    14 Sept 2015Abuse: Neglect
    Investigated abuse/neglect allegation and found failure to assess and intervene; a $300 fine was assessed.
    • AbuseFailed to perform adequate screening or assessment
    03 Sept 2015Abuse: Neglect
    Investigated and found a deficiency related to falls care planning that failed to protect a resident from harm.
    • AbuseFailed to adequately care plan related to falls
    01 Aug 2015Abuse: Neglect
    Found failures to adequately screen or assess individuals and to intervene when needed, with potential for serious harm.
    • AbuseFailed to perform adequate screening or assessment
    09 Feb 2015Abuse: Neglect
    Found failure to assess and intervene regarding a resident's behavior after evaluating an allegation of neglect.
    • AbuseFailed to address resident's behavior
    19 Oct 2014Abuse: Neglect
    Investigated and found that a resident was not protected from aggressive treatment.
    • AbuseFailed to protect resident from verbal abuse
    14 Mar 2014Abuse: Financial abuse
    Found a failure to protect a resident from theft, indicating financial abuse.
    • AbuseFailed to provide a safe medication administration system
    02 Mar 2014Abuse: Neglect
    Investigated a neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to address resident's behavior
    09 Jul 2013Abuse: Physical Abuse
    Investigated an abuse allegation and found a resident was not protected from rough handling.
    • AbuseFailed to protect resident from rough treatment
    16 Jan 2012Abuse: Verbal/Mental abuse
    Investigated an allegation of verbal/mental abuse and found a resident was not protected from inappropriate verbal conduct.
    • AbuseFailed to assure resident rights
    26 Nov 2011Inspection
    Investigated a complaint alleging failure to protect a resident's rights and found that a resident was subjected to verbal abuse.
    • LicensingFailed to assure resident rights
    22 Oct 2011Inspection
    Found that a safe environment was not maintained.
    • LicensingFailed to maintain a safe physical environment
    13 Oct 2010Abuse: Neglect
    Investigated an allegation of neglect and found that care was not provided as required to a resident.
    • AbuseFailed to follow care plan
    15 Jun 2010Inspection
    Found failure to provide appropriate care to residents. The finding related to hygiene assistance.
    • LicensingFailed to provide or assist with hygiene
    08 May 2010Inspection
    Investigated the allegation and found a resident was not protected from theft.
    • LicensingFailed to assure resident rights
    07 Apr 2010Abuse: Neglect
    Found a failure to provide a safe environment and assessed a $250 fine.
    • AbuseFailed to provide safe environment

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