Print Violation: 00070525-AP-051366

Provider Information

Quail Crest Memory Care

2630 LONE OAK WAY
Eugene, OR 97404

Date: 2/8/2020
Report number: 00070525-AP-051366
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: On or about February 8, 2020, Alleged Victim (AV) had a fall that resulted in AV suffering fractures to his/her L2 vertebrae, a head injury, and massive bruising. An investigation determined that AV had approximately eight (8) documented falls between January 11, 2020 and February 8, 2020 with no changes to AV's care plan until the February 8, 2020 incident. The facility's failure to properly plan AV's care and to implement interventions to reduce AV's fall risk is a violation of resident rights, constitutes abuse, and is considered neglect of care.
Sanction: RCFCP20-00469 $1500.00 fine assessed