Inspection Reports for Quail Crest Memory Care
2630 Lone Oak Way, Eugene, OR 97404, United States, OR, 97404
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Inspection Report
Kitchen
Census: 78
Capacity: 80
Deficiencies: 18
Oct 22, 2025
Visit Reason
State-compiled facility profile showing 7 inspections from 2021 to 2025 with detailed deficiency history and enforcement actions
Findings
The facility has multiple deficiencies across inspections including failures in kitchen sanitation, staffing adequacy, resident care planning, infection control, fire and life safety, and compliance with licensing rules. Deficiencies span issues with food safety, staffing tools, resident health services, privacy, and emergency preparedness.
Complaint Details
Complaint investigations conducted on 2/7/2023 and 5/20/2025 found deficiencies related to staffing, administration, and compliance with licensing rules; no deficiencies identified in 2/7/2023 complaint investigation.
Deficiencies (18)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen in good repair and sanitary manner with multiple areas of food spills, debris, damaged cabinets, and improper food storage |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0360 - Staffing Requirements and Training: Staffing: Failed to have sufficient direct care staff to meet scheduled and unscheduled needs including fire evacuation standards |
| C0363 - Acuity Based Staffing Tool - Updates & Plan: Failed to have fully implemented and updated Acuity-Based Staffing Tool (ABST) |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to promptly investigate and report incidents of abuse or suspected abuse to local SPD office |
| C0260 - Service Plan: General: Failed to ensure service plans reflected current care needs and provided clear directions to staff |
| C0270 - Change of Condition and Monitoring: Failed to evaluate, refer, document, communicate, and monitor residents with significant or short-term changes of condition |
| C0280 - Resident Health Services: Failed to ensure timely RN assessment for residents with significant change of condition |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate care with outside providers to ensure continuity of care |
| C0295 - Infection Prevention & Control: Failed to maintain infection prevention and control protocols including hand hygiene and protective coverings |
| C0362 - Acuity Based Staffing Tool - ABST Time: Failed to accurately capture care time provided to residents in ABST |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan: Failed to update and review ABST evaluations timely and staff per posted staffing plan |
| C0420 - Fire and Life Safety: Safety: Failed to conduct fire drills with required documentation and provide fire and life safety training on alternate months |
| C0422 - Fire and Life Safety: Training for Residents: Failed to provide annual re-instruction on fire and life safety procedures to residents |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure relicensure survey plan of correction was implemented and satisfied the Department |
| C0555 - Call Sys, Exit Dr Alarm, Phones, TV, or Cable: Failed to provide call system connecting resident units to staff and exit door alarms |
| H1517 - Individual Privacy: Own Unit: Failed to maintain privacy for residents in shared units |
| H1518 - Individual Door Locks: Key Access: Failed to ensure residents and only appropriate staff had keys to units |
Report Facts
Inspections on page: 7
Total deficiencies: 47
Total surveys: 7
Licensing violations: 10
Abuse violations: 0
Notices: 1
Licensed beds: 80
Residents census: 78
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings including staffing, administration compliance, and plan of correction responsibility |
| Staff 2 | Wellness Director / LPN | Named in findings related to kitchen sanitation, infection control, staffing, resident care, and plan of correction responsibility |
| Staff 3 | RN | Named in findings related to resident health services, change of condition, and plan of correction responsibility |
| Staff 4 | Administrative Assistant | Named in findings related to administration and resident care plans |
| Staff 5 | Facility Services | Named in fire and life safety findings |
| Staff 7 | Resident Care Manager | Named in individual door locks deficiency |
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