Print Violation: 00331488-AP-282778

Provider Information

Quail Crest Memory Care

2630 LONE OAK WAY
Eugene, OR 97404

Date: 5/16/2024
Report number: 00331488-AP-282778
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility to administer his/her medication. On or about May 16, 2024, Alleged Perpetrator 2 (AP2) incorrectly administered Narcan to AV, and due to AV’s regular opioid use, AV immediately went into opioid withdrawal, experiencing nausea, diarrhea, muscle spasms, shortness of breath, and high blood pressure, AV was sent to the hospital. AP2 failed to provide a safe medication administration system for AV, which is a violation of resident rights, and constitutes abuse. The facility failed to assure AV received a safe medication administration system, which is a violation of Oregon Administrative Rules.