Provider Details - Lone Oak Assisted Living Facility | Licensed Long-Term Care Settings Search

Lone Oak Assisted Living Facility

2615 LONE OAK WAY
Eugene, OR 97404

(541) 463-7700

Administrator name: Jose Garcia-Gutierrez

ID: 70M242
Status: Open
Type: Assisted Living Facility
Licensed beds: 85
Accepts Medicaid: Yes
Memory Care: No

Owner: AHR Eugene OR ALF TRS SUB, LLC.

18191 Von Karman Avenue
Irvine, 92612

(949) 346-3531

Owner since: 2/1/2024

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

Review Consumer Statements

This tab displays five years of inspection history. For inspection information older than five years, please visit ODHS Records Request .
To learn more about inspections see: Provider Information

Records that are highlighted and show the icon, occurred under the current provider owner.

Inspections
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
8/16/2024	YU9H	State Licensure	2
6/18/2024	B18J	Complaint Investig.	4
11/2/2023	N16F	Complaint Investig.	3
10/2/2023	7ERM	Validation	19
4/14/2023	MUQ7	Complaint Investig.	1
11/16/2022	C261	State Licensure	0
9/27/2022	XT5T	Complaint Investig.	3
8/10/2022	90MT	Complaint Investig.	1

8 records found

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Abuse violations
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to intervene when resident's condition changed Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from verbal abuse Failed to provide a safe medication administration system Failed to provide inservice Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Financial Exploitation Abuse: Neglect Abuse: Verbal/Mental abuse
5/18/2024	00332302-AP-283524	Failed to provide service	2	Abuse: Neglect
4/29/2024	00331835-AP-283117	Failed to provide service	3	Abuse: Neglect
9/6/2023	00284074-AP-238502	Failed to provide inservice	2	Abuse: Neglect
9/6/2023	00284074-AP-249844	Failed to protect resident from financial exploitation	2	Abuse: Financial Exploitation
8/31/2023	00283168-AP-237608	Failed to administer medication as ordered	2	Abuse: Neglect
11/4/2022	00231383-AP-189276	Failed to properly plan care	2	Abuse: Neglect
10/29/2022	00234437-AP-191985	Failed to properly plan care	3	Abuse: Neglect
9/7/2022	00220827-AP-179601	Failed to answer call light in a timely manner	2	Abuse: Neglect
8/20/2022	00237420-AP-194630	Failed to provide safe environment	2	Abuse: Neglect
4/27/2022	00197158-AP-158100	Failed to provide a safe medication administration system	2	Abuse: Neglect

39 records found | Page 1 of 4

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Licensing violations
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to administer medication as ordered Failed to assure a qualified caregiver was present Failed to assure resident rights Failed to follow care plan Failed to have medication available Failed to keep medication record current or accurate Failed to maintain a safe physical environment Failed to protect resident from financial exploitation Failed to provide a safe medication administration system Failed to provide appropriate staffing Failed to provide medical treatment as ordered Failed to provide proper food/nutrition Failed to provide safe environment Failed to provide service Failed to submit timely or adequate staffing documentation Failed to use an ABST	Level Level Between And	Type Type Licensing Violation
7/7/2025	CALMS - 00108593	Failed to use an ABST	2	Licensing Violation
5/11/2025	CALMS - 00108589	Failed to use an ABST	2	Licensing Violation
5/21/2024	OR0005057400	Failed to provide medical treatment as ordered	2	Licensing Violation
5/21/2024	OR0005057404	Failed to assure resident rights	2	Licensing Violation
5/17/2024	OR0005061000	Failed to use an ABST	2	Licensing Violation
12/16/2023	00302548-AP-255590	Failed to provide a safe medication administration system	2	Licensing Violation
11/8/2023	OR0004621100	Failed to provide service	2	Licensing Violation
10/26/2023	OR0004599300	Failed to provide a safe medication administration system	2	Licensing Violation
10/13/2023	OR0004563801	Failed to maintain a safe physical environment	2	Licensing Violation
10/7/2023	OR0004569700	Failed to provide a safe medication administration system	2	Licensing Violation

47 records found | Page 1 of 5

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Records that are highlighted and show the icon, occurred under the current provider owner.

Regulatory actions
Sanction Sanction	Allegation Allegation Failed to properly plan care Failed to provide safe environment Failed to provide service Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To
ALFCD25-00354	Failed to provide service	License Condition	7/25/2025	10/14/2025
ALFCD25-00354	Failed to properly plan care	License Condition	7/25/2025	10/14/2025
ALFCD25-00354	Failed to use an ABST	License Condition	7/25/2025	10/14/2025
ALFCD25-00354	Failed to provide safe environment	License Condition	7/25/2025	10/14/2025
ALFCD23-00425	Failed to use an ABST	License Condition	7/17/2023	1/4/2024

5 records found

The Oregon Department of Human Services publishes annual reports about assisted living and residential care facilities, including those with memory care endorsements. The reports show how facilities are doing in areas like staffing, safety, and resident experience.

Facilities submit this information once each year using an online reporting tool. The results reflect how each facility operated during that year. The information is self-reported by facilities and is not independently audited by the department. This means the reports show what facilities report about their own performance.

Each year, assisted living and residential care facilities must report information on:

Retention of direct care staff
Compliance with staff training requirements
Number of resident falls that result in injury
Incidence of use of antipsychotic medications for non-standard purposes
Results of an annual resident satisfaction survey conducted by an independent entity

Facilities submit this information electronically each year. Reporting began in 2020. Instructions and definitions are updated annually and published on the Residential Care Quality Metrics Program web page

Provider Details - Lone Oak Assisted Living Facility

About these reports

Annual reporting requirements

Available reports

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