I moved my father here and couldn't be happier. The staff are caring, professional and attentive; the food and dining feel like fine-dining; the building is beautiful, spotless and has spectacular river views. There are plenty of activities, excellent medical and memory-care support, and the team made the transition smooth-my dad truly thrived and it feels like family.
Loved one of resident
Sep 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
Coordination with health care providers
Hospice waiver
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
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
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
4.15·(134)
Overall rating
5
4
3
2
1
Care
3.9
Staff
4.1
Meals
4.0
Amenities
4.4
Value
2.3
Pros
Resort-like riverfront setting with scenic views
Extensive on-site amenities (indoor pool, fitness center, theater, salon)
Restaurant-style dining with chef-driven menu
Flexible dining hours and multiple entrée options
Wide range of daily activities and community outings
Secure, well-furnished memory care unit with outdoor, fenced garden
Attentive, compassionate caregiving staff
Apartment-style residences with balconies and varied floor plans
Regular housekeeping and maintenance services
On-site clinical services and therapy visits (nursing, PT, home health)
Active social environment that supports resident friendships
Elegant, well-maintained interiors and landscaped grounds
Bistro/snack options and concierge support
Positive short-stay/respite and post-surgery recovery experiences
High private-pay pricing and limited affordability
Inconsistent staffing levels and frequent turnover
Variable care continuity and responsiveness to resident needs
Inexperience and training gaps among some caregiving aides
Inconsistent dining quality and meal-service staffing
Medication-management and narcotics-handling concerns
Sanitation, laundry, and personal-item handling gaps
Infection-control and vaccination-protocol inconsistencies
Administrative and billing-process errors
Operational growing pains during ramp-up and expansion
Memory-care scale and environment may be overwhelming for some
Transportation and logistical-scheduling limitations
Summary of reviews
Waterford Grand presents as a high-end, amenity-rich senior living community with a strong emphasis on resort-style experience. Review content consistently highlights the scenic riverfront location, elegant interiors, and extensive facilities — indoor pool, up-to-date fitness center, theater, salon, bistro and multiple dining venues — that foster an active, restaurant-like lifestyle. Apartment-style residences, some with balconies and two-bedroom layouts, and a secure, well-appointed memory care wing with a fenced garden contribute to a broadly positive physical environment.
Clinical and day-to-day care impressions are mixed. Many families and residents praise compassionate, friendly caregivers, responsive nurses and therapy visits, and individualized attention during move-in and respite stays. On-site clinical services and coordination with home health and therapists are cited as strengths that support short-term recovery and ongoing medical needs. At the same time, there is a recurrent pattern of inconsistent staffing levels, turnover, and variable presence of senior clinical leadership; these operational issues have translated into uneven care continuity, training gaps among some aides, and occasional delays in attending to personal-care needs.
Dining and activities are frequently described as major strengths: chef-driven menus, flexible dining hours, multiple entrée choices, and an extensive activity calendar (music, fitness classes, lectures, art programs, outings) that many residents find engaging. However, reviewers also describe variability in meal quality over time and occasional understaffing during meal service that can impact the dining experience and assistance for residents who need help eating.
Operational and management patterns emerge as an important theme. As a comparatively new and large community, Waterford Grand appears to be experiencing growing pains: scheduling inconsistencies, lost personal items, occasional housekeeping lapses, and administrative or billing errors. Some families raised serious concerns about medication handling and narcotics controls, as well as infection-control and vaccination-policy inconsistencies tied to an infection-related event; these are significant issues that warrant direct inquiry. Memory-care programming and the facility’s scale are a good fit for many residents but may feel overwhelming or insufficiently tailored for others.
Taken together, the pattern is one of a well-resourced, amenity-forward community with many instances of high-quality, compassionate care, tempered by operational variability that affects consistency. Prospective residents and families should verify current staffing ratios, turnover rates, clinical leadership presence, infection-control protocols, medication-administration procedures, meal-service staffing plans, and billing practices during a tour. Asking for recent references from families of memory-care residents and reviewing any available inspection or enforcement history will help clarify how the facility is addressing the operational issues noted alongside its many strengths.
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Location
Waterford Grand is located at 600 Waterford Way, Eugene, OR, 97401.
About Waterford Grand
Waterford Grand sits along the river in Eugene, Oregon, and has 86 beds for seniors who need different levels of care, so you'll find options for assisted living, memory care for dementia, short-term respite stays, and even independent living for healthy, active seniors who want help with chores and meals but still like to do things on their own, and it's all managed by Cascade Living, which has a good name when it comes to senior care around the area. Folks here have their choice of studio, one-bedroom, or two-bedroom apartments with private bathrooms, kitchenettes, an emergency call system for safety, and either a patio or balcony, so there's room to get some fresh air and listen to the birds without leaving your apartment, and couples with different needs can stick together because the community offers custom care plans tailored to each person.
Security systems and 24-hour staff help make the place feel safe, and people say the staff is friendly and helpful, and they take care of things like housekeeping, laundry, and transportation for doctor visits or outings, plus there's medication management for those who want help keeping track of pills. The property feels open and well cared for, and you'll see landscaped courtyards, riverwalks, and green areas with water features and paths to walk on, which is good for anyone who likes being outdoors or watching waterfowl passing by.
Residents can use the indoor pool-which is easy to access and has a river view-for swimming or water aerobics, and the fitness center offers classes through their EverFit program with trained staff who help with exercises; for those who like to get hair done or need a little pampering, there's a beauty salon and a full-service spa, and services cover basic grooming and styling. The community serves meals in a restaurant setting, with a real executive chef preparing daily specials and EverDine à la carte menus, so every meal can feel a bit like dining out, and there's a bistro café and options for alfresco meals or small gatherings in private dining rooms if family visit or friends want a quieter spot.
The activities program gives everyone a chance to stay busy and involved, whether it's movie nights in the on-site theater, arts and crafts, social clubs, game nights, music, chair yoga, off-campus excursions to Eugene's art and parks scene, or happy hours managed by the activities director, so you're never far from company or something to do. There's a business center with computers, bookshelves, and cozy seats for anyone who wants to read, write letters, or keep up with family; pets are welcome, too.
The building's set up with high ceilings, fireplaces, and warm colors that make it all feel homelike and comfortable. Memory care is provided for seniors living with Alzheimer's or other forms of dementia, and there are staff trained to help with every stage of memory loss, aiming to reduce confusion and wandering, and there are specialized programs for cognitive support. Assisted living residents get help with daily needs like bathing or dressing so they can keep independence where possible, and personalized care plans let each person decide how much support is right for them. There's home care, too, for those who want some extra help while staying independent, and the whole place is set up to make sure dignity, privacy, and choice stick around as people age.
Waterford Grand allows pets, offers transportation, and provides many life-enrichment activities to support well-being-spiritual, emotional, cultural, and social-and it's built to help each person feel part of a community while giving choices about how to live every day, and it's recognized for good care and friendliness, without a lot of fuss or hype.
Founded by four experienced partners, Cascade Living Group is a privately-owned senior living provider headquartered in Bothell, Washington. Operating 31 communities across Oregon, Nevada, California, Washington, and Arizona, they offer assisted living, independent living, and memory care services.
People often ask...
Waterford Grand offers competitive pricing, with rates starting at a cost of $7,039 per month.
Waterford Grand offers assisted living and memory care.
There are 53 photos of Waterford Grand on Mirador.
The full address for this community is 600 Waterford Way, Eugene, OR 97401.
No, Waterford Grand 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.
Found a safety deficiency for failing to provide a safe environment after investigating an injury incident involving a resident tripping at the curb.
Licensing—Failed to provide safe environment
26 Apr 2026Inspection
26 Apr 2026Inspection
Found deficiencies related to staffing and the ABST process.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
22 Apr 2026Inspection
22 Apr 2026Inspection
Investigated the complaint and found emotional abuse and neglect involving a staff member mimicking a resident with a communication impairment, causing distress.
Licensing—Failed to protect resident from mental or emotional abuse
19 Apr 2026Inspection
19 Apr 2026Inspection
Investigated and concluded that a caregiver improperly restrained a resident during transfer, constituting neglect of care and wrongful restraint in violation of state rules.
Licensing—Failed to use restraint properly
16 Apr 2026Inspection
16 Apr 2026Inspection
Found that staffing did not meet the staffing plan on 4 of 21 shifts reviewed between April 10 and April 16, 2026.
Licensing—Failed to provide appropriate staffing
16 Apr 2026Inspection
16 Apr 2026Inspection
Found service plans not reflecting a resident's needs identified in the evaluation and missing details on who provides services, what, when, how, and how often.
Licensing—Failed to properly plan care
15 Apr 2026Inspection
15 Apr 2026Inspection
Found staffing deficiencies, including inadequate qualified awake direct care staff and failure to use ABST results to guide staffing planning and quarterly ABST evaluations.
Licensing—Failed to provide appropriate staffing
22 Mar 2026Abuse: Neglect
22 Mar 2026Abuse: Neglect
Investigated alleged neglect related to medication management and found violations for failing to provide a safe medication administration system, resulting in a resident running out of medication and at risk of harm; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
26 Feb 2026Inspection
26 Feb 2026Inspection
Found a deficiency for not updating an Acuity Based Staffing Tool per rule. This involved minor harm or potential for moderate harm.
Licensing—Failed to use an ABST
14 Jan 2026Inspection
14 Jan 2026Inspection
Investigated the allegation of failing to provide a safe environment and found substantiated that a resident was put at risk when a staff member let them out of a secured unit unsupervised.
Licensing—Failed to provide safe environment
18 Dec 2025Abuse: Neglect
18 Dec 2025Abuse: Neglect
Investigated neglect due to failure to follow care plan, resulting in a resident injury and hospitalization.
Abuse—Failed to follow care plan
01 Dec 2025Inspection
01 Dec 2025Inspection
Found that staff did not follow the care plan during a transfer, placing the resident at risk for serious harm.
Licensing—Failed to follow care plan
17 Nov 2025Abuse: Neglect
17 Nov 2025Abuse: Neglect
Investigated the neglect allegation and found care plans were not up to date and lacked guidance for hands-on assistance, contributing to a resident fall; a $250 fine was assessed.
Abuse—Failed to properly plan care
12 Nov 2025Inspection
12 Nov 2025Inspection
Found violations of following a care plan and resident rights due to failing to have two staff assist during a toileting task, placing the resident at risk.
Licensing—Failed to follow care plan
21 Aug 2025Inspection
21 Aug 2025Inspection
Found violations of care plan and resident rights rules when a caregiver did not use a gait belt during transfers, placing a high-risk resident at risk of harm.
Licensing—Failed to follow care plan
13 Aug 2025Inspection
13 Aug 2025Inspection
Investigated and substantiated a failure to immediately notify the local Department office or local AAA of any abuse or suspected abuse.
Licensing—Failed to provide safe environment
03 Jul 2025Abuse: Neglect
03 Jul 2025Abuse: Neglect
Investigated abuse by neglect; found inadequate supervision of a known fall-risk resident during high-risk hours, leading to a fall and injury risk; a fine was assessed.
Abuse—Failed to provide safe environment
16 Jun 2025Inspection
16 Jun 2025Inspection
Investigated and found that service plans did not reflect residents' needs, including memory care residents.
Licensing—Failed to properly plan care
03 Jun 2025Complaint
03 Jun 2025Complaint
Investigated a complaint and found that medication and treatment orders were not carried out as prescribed for a resident.
Deficiency—Systems: Treatment Orders
03 Apr 2025License Condition
03 Apr 2025License Condition
Investigated an allegation and found ABST not maintained accurately, with care times and care elements not correct for sampled Residents 3 and 4.
Regulatory Action—Failed to use an ABST
03 Apr 2025License Condition
03 Apr 2025License Condition
Found insufficient staffing to meet residents' scheduled and unscheduled needs and inconsistent adherence to the posted staffing plan.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
01 Apr 2025Abuse: Neglect
01 Apr 2025Abuse: Neglect
Found neglect due to a failure to maintain a safe environment, which allowed a resident to access a razor and shave, resulting in razor burn.
Abuse—Failed to provide safe environment
17 Mar 2025Abuse: Neglect
17 Mar 2025Abuse: Neglect
Found that a wander-risk resident was left unattended for about four hours, placing them at risk of harm and indicating neglect and abuse. A $250 fine was assessed.
Abuse—Failed to provide safe environment
28 Feb 2025Abuse: Neglect
28 Feb 2025Abuse: Neglect
Found a safety deficiency where an exterior door was not checked after a fire drill, allowing a fall-risk resident to exit unsupervised and at risk of harm.
Abuse—Failed to provide safe environment
27 Jan 2025Abuse: Neglect
27 Jan 2025Abuse: Neglect
Found safety failures that exposed a known fall risk to multiple falls, indicating neglect and abuse.
Abuse—Failed to provide safe environment
25 Jan 2025Abuse: Neglect
25 Jan 2025Abuse: Neglect
Investigated a complaint about medication management in hospice care; found that missed opioid doses left the resident in pain and at risk of falls due to unmanaged pain.
Abuse—Failed to provide a safe medication administration system
24 Jan 2025Licensure
24 Jan 2025Licensure
Investigations found multiple deficiencies across abuse reporting, change-of-condition monitoring, medication administration, staff training, fire safety, and housekeeping practices.
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Staffing Requirements and Training ? Pre-service
Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—House Keeping and Sanitation
23 Jan 2025Licensure
23 Jan 2025Licensure
Identified deficiencies across abuse reporting, service planning, condition changes, health services, staffing, fire safety, privacy, training, and activities.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Housekeeping and Laundry
Deficiency—Individual Privacy: Own Unit
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
Deficiency—Activities
22 Dec 2024Inspection
22 Dec 2024Inspection
Investigated a transfer incident where a resident was moved without using the prescribed lift, resulting in a skin tear; failure to follow the care plan was found.
Licensing—Failed to follow care plan
27 Oct 2024Inspection
27 Oct 2024Inspection
Investigated and identified failure to maintain an up-to-date ABST reflecting resident care needs, with inconsistencies between roster, care plans, and ABST data.
Licensing—Failed to use an ABST
27 Oct 2024Abuse: Neglect
27 Oct 2024Abuse: Neglect
Found that the care plan wasn't followed, resulting in neglect and abuse; a $250 fine was assessed.
Abuse—Failed to follow care plan
18 Oct 2024Inspection
18 Oct 2024Inspection
Investigated the allegation of failing to administer medication as ordered; found that medication and treatment orders were not carried out, with a resident receiving the wrong Sertraline dosage on multiple occasions.
Licensing—Failed to administer medication as ordered
08 Aug 2024Licensure
08 Aug 2024Licensure
Found deficiencies in meal dignity and preferences, kitchen sanitation, staff certification, and plan implementation, with follow-ups addressing ongoing issues.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
08 Aug 2024Licensure
08 Aug 2024Licensure
Identified sanitation and food safety deficiencies in the kitchen, including unsanitary conditions and multiple risk areas, and found two staff without active food handler certificates.
Deficiency—Staffing Requirements and Training – Pre-Serv
31 Jul 2024Inspection
31 Jul 2024Inspection
Investigated the allegation of financial exploitation and found a violation involving financial abuse and neglect of a resident.
Licensing—Failed to protect resident from financial exploitation
31 Jul 2024Inspection
31 Jul 2024Inspection
Determined that a resident experienced financial exploitation and safeguards to prevent exploitation were not followed.
Licensing—Failed to protect resident from financial exploitation
24 Jul 2024Abuse: Neglect
24 Jul 2024Abuse: Neglect
Found that oral hygiene care was lacking, leaving the resident with food debris, heavy plaque, and stained teeth, constituting neglect and abuse. A $188 fine was assessed.
Abuse—Failed to provide or assist with hygiene
09 Jul 2024Abuse: Neglect
09 Jul 2024Abuse: Neglect
Concluded that a safe environment was not provided, resulting in emotional harm to a resident due to aggressive behavior by another person.
Abuse—Failed to provide safe environment
07 Apr 2024Inspection
07 Apr 2024Inspection
Found that a staff member placed a finger in a resident's mouth and pushed down during toileting, constituting physical abuse and neglect, with failure to protect the resident from abuse.
Licensing—Failed to protect resident from physical abuse
28 Feb 2024Abuse: Neglect
28 Feb 2024Abuse: Neglect
Identified neglect and abuse where staff failed to follow a care plan for a known fall risk, resulting in repeated falls and a head injury; a fine was assessed.
Abuse—Failed to follow care plan
25 Nov 2023Inspection
25 Nov 2023Inspection
Found that rough handling caused a skin tear and discomfort, constituting physical abuse, neglect of care, and a failure to protect a resident.
Licensing—Failed to protect resident from physical abuse
23 Oct 2023Abuse: Neglect
23 Oct 2023Abuse: Neglect
Found violations regarding care planning and a change in condition, with a $1500 fine assessed.
Abuse—Failed to properly plan care
11 Sept 2023License Condition
11 Sept 2023License Condition
Investigated the allegation of failing to use an ABST and found that an acuity-based staffing tool was not used.
Regulatory Action—Failed to use an ABST
14 Aug 2023License Condition
14 Aug 2023License Condition
Found failure to update staffing plan based on ABST.
Regulatory Action—Failed to update staffing plan based on ABST
02 Aug 2023Complaint
02 Aug 2023Complaint
Identified failures to follow prescribed medication orders for two residents and incomplete implementation of an acuity-based staffing tool. These issues indicate regulatory deficiencies.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
02 Aug 2023Complaint
02 Aug 2023Complaint
Investigated compliance with state rules; no deficiencies cited.
Deficiency—Training Within 30 Days: Direct Care Staff
28 Jul 2023Licensure
28 Jul 2023Licensure
Determined substantial compliance with meal service and sanitation rules. Found no deficiencies.
Deficiency—Comment
28 Jul 2023Licensure
28 Jul 2023Licensure
Identified violations related to food safety and administration compliance. Deficiencies included unsanitary kitchen conditions and inadequate control of meal temperatures.
Investigated a complaint and found a failure to provide a safe medication administration system, resulting in pain medications not being available as ordered and related property issues.
Abuse—Failed to provide a safe medication administration system
06 Jun 2023Abuse: Neglect
06 Jun 2023Abuse: Neglect
Found neglect and abuse due to failure to provide a safe medication administration system, resulting in pain.
Abuse—Failed to provide a safe medication administration system
06 Jun 2023Inspection
06 Jun 2023Inspection
Investigated an allegation of not administering medication as ordered and found a violation of medication administration rules.
Licensing—Failed to administer medication as ordered
02 Jun 2023Abuse: Neglect
02 Jun 2023Abuse: Neglect
Found a failure to provide a safe medication administration system, risking tampered narcotics and potential harm to a resident. A fine of $375 was assessed.
Abuse—Failed to provide a safe medication administration system
31 May 2023Inspection
31 May 2023Inspection
Investigated a complaint alleging failure to administer medication as ordered and determined a violation of Oregon Administrative Rules.
Licensing—Failed to administer medication as ordered
17 May 2023Abuse: Neglect
17 May 2023Abuse: Neglect
Found fall-risk care planning and supervision were not properly implemented, leaving a resident at ongoing risk of harm and resulting in a $500 fine.
Abuse—Failed to properly plan care
02 May 2023Abuse: Neglect
02 May 2023Abuse: Neglect
Found that toileting care did not follow the resident's plan, causing itching and discomfort, and that the private area was shaved without a clear explanation of who did it.
Abuse—Failed to follow care plan
02 May 2023Abuse: Neglect
02 May 2023Abuse: Neglect
Identified neglect due to inadequate supervision and care planning that increased fall risk and caused injuries; a $500 fine was assessed.
Abuse—Failed to properly plan care
29 Apr 2023Abuse: Neglect
29 Apr 2023Abuse: Neglect
Investigated a resident care issue and found neglect and an unsafe environment due to failure to provide appropriate services and a safe environment.
Abuse—Failed to provide service
25 Apr 2023Inspection
25 Apr 2023Inspection
Found violations of resident rights due to improper transfer assistance and neglect/abuse during care. The actions caused pain during a transfer.
Licensing—Failed to provide service
21 Apr 2023Inspection
21 Apr 2023Inspection
Found that a resident was not protected from financial exploitation, resulting in theft of property by another individual.
Licensing—Failed to protect resident from financial exploitation
15 Apr 2023Abuse: Neglect
15 Apr 2023Abuse: Neglect
Found violations of resident rights and care standards, including abuse and neglect, with a $188 fine assessed.
Abuse—Failed to follow care plan
14 Apr 2023Inspection
14 Apr 2023Inspection
Found a safety violation for not following a resident's care plan by using plastic utensils, which led to hospital assessment.
Licensing—Failed to provide safe environment
04 Apr 2023Inspection
04 Apr 2023Inspection
Found a failure to promptly investigate all reports of abuse and suspected abuse and to take measures to protect residents.
Licensing—Failed to report potential or suspected abuse
04 Apr 2023Inspection
04 Apr 2023Inspection
Investigated and found a deficiency in documenting that staff observed and evaluated an individual's ability to safely perform medication and treatment administration unsupervised.
Licensing—Failed to provide safe environment
04 Apr 2023Inspection
04 Apr 2023Inspection
Identified a violation of safe medication administration practices. Medication orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
29 Mar 2023Abuse: Neglect
29 Mar 2023Abuse: Neglect
Found neglect of care and abuse due to failure to provide appropriate care and oversight for a high-risk resident, with a $250 fine assessed.
Abuse—Failed to provide service
21 Mar 2023Inspection
21 Mar 2023Inspection
Found a deficiency in medication administration when eye medication was given to the left eye instead of the right.
Licensing—Failed to provide a safe medication administration system
25 Feb 2023Abuse: Neglect
25 Feb 2023Abuse: Neglect
Found deficiencies in the medication administration system, including no policy on topical medications when only opposite-gender staff are working and missing documentation in medication records and care plans.
Abuse—Failed to provide a safe medication administration system
30 Jan 2023Inspection
30 Jan 2023Inspection
Investigated the allegation and determined there was a violation related to a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
19 Jan 2023Abuse: Neglect
19 Jan 2023Abuse: Neglect
Investigated and found a failure to provide a safe environment and a delayed response to a bed alarm, resulting in bruising.
Abuse—Failed to provide safe environment
01 Dec 2022Inspection
01 Dec 2022Inspection
Found that the respondent failed to submit timely or adequate staffing documentation and to comply with weekly vaccination reporting for vaccinated individuals, residents, and staff for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
13 Oct 2022Complaint
13 Oct 2022Complaint
Investigated the complaint allegations and found deficiencies in incident reporting for falls. Found deficiencies in medication administration and documentation.
Identified a failure to carry out medication orders as prescribed, resulting in duplicate administration of medications.
Licensing—Failed to administer medication as ordered
01 Oct 2022Inspection
01 Oct 2022Inspection
Investigated and found a failure to submit timely weekly vaccination reporting to the proper authority for residents and staff for 30 days in September 2022.
Licensing—Failed to submit timely or adequate staffing documentation
11 Sept 2022Abuse: Neglect
11 Sept 2022Abuse: Neglect
Investigated and found that staff did not follow the care plan for transfers, resulting in a resident slipping from bed; a $500 fine was assessed.
Abuse—Failed to follow care plan
06 Sept 2022Abuse: Neglect
06 Sept 2022Abuse: Neglect
Investigated the allegation and found that care planning for a resident's negative behaviors was insufficient, resulting in abuse/neglect; a fine was assessed.
Abuse—Failed to properly plan care
30 Aug 2022Abuse: Neglect
30 Aug 2022Abuse: Neglect
Investigated and found neglect and abuse due to failure to properly plan care for an aggressive resident, with a $500 fine assessed.
Abuse—Failed to properly plan care
26 Aug 2022Abuse: Neglect
26 Aug 2022Abuse: Neglect
Found neglect due to failure to provide required services and supervision.
Abuse—Failed to provide service
16 Aug 2022Licensure
16 Aug 2022Licensure
Observed sanitation and food handling deficiencies in the kitchen during the initial visit, including dirty surfaces, improper labeling and glove practices; a follow-up visit documented substantial compliance with the food sanitation rule.
Found violations involving failure to properly plan care and implement interventions after multiple falls, indicating neglect and abuse.
Abuse—Failed to properly plan care
15 Jul 2022Abuse: Neglect
15 Jul 2022Abuse: Neglect
Investigated found improper care planning for a resident at risk of falls, resulting in a nasal fracture; violations of resident rights were identified and a fine was assessed.
Abuse—Failed to properly plan care
10 Jul 2022Abuse: Neglect
10 Jul 2022Abuse: Neglect
Investigated a care plan violation in which staff failed to follow a high fall risk resident's care plan, constituting neglect and abuse; a fine was assessed.
Abuse—Failed to follow care plan
01 Jul 2022Inspection
01 Jul 2022Inspection
Found a failure to provide a safe medication administration system, with medications given late and not available in the resident's room, placing the resident at risk of harm.
Licensing—Failed to provide a safe medication administration system
07 Jun 2022Abuse: Neglect
07 Jun 2022Abuse: Neglect
Investigated and found care plan adherence was not followed, resulting in a fall and a skin tear.
Abuse—Failed to follow care plan
05 May 2022Abuse: Neglect
05 May 2022Abuse: Neglect
Investigated and found violations related to following a resident's care plan and safety precautions after a fall requiring emergency care; a $500 fine was assessed.
Abuse—Failed to follow care plan
01 May 2022Abuse: Neglect
01 May 2022Abuse: Neglect
Found neglect and abuse due to failure to follow a resident's care plan, resulting in a fall and knee pain; a $500 fine assessed.
Abuse—Failed to follow care plan
29 Apr 2022Abuse: Neglect
29 Apr 2022Abuse: Neglect
Investigated a complaint and found failure to follow a resident's care plan leading to neglect and abuse; a $500 fine was assessed.
Abuse—Failed to follow care plan
27 Apr 2022Abuse: Neglect
27 Apr 2022Abuse: Neglect
Investigated a complaint alleging neglect; found that the resident’s care plan was not followed and safety equipment was not in place, risking harm.
Abuse—Failed to follow care plan
17 Apr 2022Abuse: Neglect
17 Apr 2022Abuse: Neglect
Found failure to administer medications as ordered, risking harm to a resident.
Abuse—Failed to administer medication as ordered
05 Apr 2022Abuse: Neglect
05 Apr 2022Abuse: Neglect
Investigated and found violations of resident care, including lack of safety interventions and unreliable call system, after six unwitnessed falls with injuries; a $500 fine was assessed.
Abuse—Failed to provide service
31 Mar 2022Abuse: Neglect
31 Mar 2022Abuse: Neglect
Investigated and found neglect due to failure to properly plan care, including not reflecting bed alarm use in the care plan.
Abuse—Failed to properly plan care
16 Mar 2022Inspection
16 Mar 2022Inspection
Investigated and found that staff did not follow the care plan during a transfer, causing a resident to fall and indicating abuse and neglect.
Licensing—Failed to follow care plan
16 Mar 2022Inspection
16 Mar 2022Inspection
Investigated and found that there were no policies and procedures to prevent and respond to incidents, resulting in incident reports not being completed after multiple falls.
Licensing—Failed to report potential or suspected abuse
22 Oct 2021Inspection
22 Oct 2021Inspection
Investigated the allegation and found a caregiver failed to follow the care plan during a two-person transfer, causing the resident to slide toward the floor and constituting neglect and abuse.
Licensing—Failed to follow care plan
23 Aug 2021Validation
23 Aug 2021Validation
Identified deficiencies in staff training, building cleanliness, and security systems, including failures to complete pre-service and annual training, and gaps in exit alarms.
Deficiency—Comment
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Inspections and Investigation: Insp Interval
Cited widespread deficiencies in care planning, monitoring of changes in condition, health services, medications, training, administration, nutrition, activities, and facility maintenance.
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Plumbing Systems
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Behavior
02 Jul 2021Abuse: Neglect
02 Jul 2021Abuse: Neglect
Identified a failure to provide a safe environment after an elopement, constituting neglect and abuse.
Abuse—Failed to provide safe environment
25 May 2021Abuse: Neglect
25 May 2021Abuse: Neglect
Investigated and found that the provider failed to provide a safe environment by not protecting a resident from another resident's aggressive behavior, resulting in injuries. A $188 fine was assessed.
Abuse—Failed to provide safe environment
25 May 2021Abuse: Neglect
25 May 2021Abuse: Neglect
Investigated and found a failure to provide a safe environment due to resident-to-resident aggression, resulting in injuries; a fine was assessed.
Abuse—Failed to provide safe environment
05 Oct 2020Inspection
05 Oct 2020Inspection
Found that equipment was not kept in good repair, and the allegation of failing to provide a safe environment was substantiated.
Licensing—Failed to provide safe environment
14 May 2020Inspection
14 May 2020Inspection
Found that resident care equipment was not kept in good repair, including an inoperable air conditioner.
Licensing—Failed to provide or maintain resident care equipment
05 May 2020Inspection
05 May 2020Inspection
Investigated and found that a resident's personal property went missing due to theft by an unknown person, and the program failed to protect the property, constituting abuse.
Licensing—Failed to provide safe environment
30 Apr 2020Inspection
30 Apr 2020Inspection
Investigated and concluded that resident care equipment was not kept in good repair.
Licensing—Failed to provide or maintain resident care equipment
30 Mar 2020Inspection
30 Mar 2020Inspection
Found deficiencies in supervision and care planning that led to a resident-to-resident incident.
Licensing—Failed to provide safe environment
10 Apr 2019Abuse: Neglect
10 Apr 2019Abuse: Neglect
Determined that inadequate supervision of a change in condition led to serious harm. The allegation was substantiated.
Abuse—Failed to provide oversight and monitoring of change of condition
20 Feb 2019Abuse: Neglect
20 Feb 2019Abuse: Neglect
Found neglect by failing to provide basic care, creating risk of serious harm; a fine was assessed.
Abuse—Failed to provide safe environment
21 Nov 2018Abuse: Financial abuse
21 Nov 2018Abuse: Financial abuse
Investigated and found that a resident faced financial exploitation by an unknown individual and protective measures failed to prevent it.
Abuse—Failed to protect resident from financial exploitation
01 Nov 2018Inspection
01 Nov 2018Inspection
Identified deficiencies related to inadequate supervision that resulted in a resident-to-resident incident and failure to properly care plan for a resident.
Licensing—Failed to provide safe environment
24 Oct 2018Abuse: Neglect
24 Oct 2018Abuse: Neglect
Found neglect of basic care resulting in unreasonable discomfort and serious risk of harm. A fine was assessed.
Abuse—Failed to provide or assist with hygiene
15 Oct 2018Abuse: Financial abuse
15 Oct 2018Abuse: Financial abuse
Investigated an allegation of financial exploitation and found that basic care and safety were not provided for an adult.
Abuse—Failed to protect resident from financial exploitation
10 Sept 2018Abuse: Financial abuse
10 Sept 2018Abuse: Financial abuse
Concluded that a resident was financially abused by theft of property. The loss included a gold cross.
Abuse—Failed to protect resident from financial exploitation
12 Jul 2018Abuse: Neglect
12 Jul 2018Abuse: Neglect
Found a failure to provide a secure environment. A fine was assessed.
Abuse—Failed to provide safe environment
02 Jul 2018Inspection
02 Jul 2018Inspection
Found a safety-related deficiency and failure to assess and intervene; a $375 fine was assessed.
Licensing—Failed to provide safe environment
18 Jun 2018Inspection
18 Jun 2018Inspection
Investigated the allegation and substantiated a violation for not ensuring resident safety by retaining an employee inappropriate to work with residents.
Licensing—Failed to assure resident was safe
18 Jun 2018Abuse: Physical Abuse
18 Jun 2018Abuse: Physical Abuse
Determined that a resident was subjected to rough treatment and physical assault. Protection of residents from such harm was not ensured.
Abuse—Failed to protect resident from rough treatment
02 May 2018Inspection
02 May 2018Inspection
Found that a care plan was not followed. The finding indicates noncompliance with care plan requirements.
Licensing—Failed to follow care plan
24 Apr 2018Abuse: Neglect
24 Apr 2018Abuse: Neglect
Concluded that inadequate supervision created a risk of serious harm. The neglect allegation was substantiated.
Abuse—Failed to provide safe environment
20 Apr 2018Inspection
20 Apr 2018Inspection
Investigated and found a failure to provide a safe environment by not assessing or intervening.
Licensing—Failed to provide safe environment
17 Apr 2018Abuse: Neglect
17 Apr 2018Abuse: Neglect
Found failure to provide a safe environment, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
06 Apr 2018Inspection
06 Apr 2018Inspection
Found a staffing deficiency.
Licensing—Failed to provide appropriate staffing
05 Apr 2018Inspection
05 Apr 2018Inspection
Investigated and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
25 Mar 2018Inspection
25 Mar 2018Inspection
Investigated a complaint and identified a safety deficiency, finding that residents were not kept safe from falls.
Licensing—Failed to provide safe environment
25 Mar 2018Inspection
25 Mar 2018Inspection
Found that medication was not administered as ordered and the medication system was inadequate.
Licensing—Failed to administer medication as ordered
16 Mar 2018Inspection
16 Mar 2018Inspection
Found a deficiency in safe medication administration practices.
Licensing—Failed to provide a safe medication administration system
06 Mar 2018Inspection
06 Mar 2018Inspection
Found a failure to provide or maintain resident care equipment.
Licensing—Failed to provide or maintain resident care equipment
06 Mar 2018Inspection
06 Mar 2018Inspection
Found that the provider failed to provide proper food/nutrition.
Licensing—Failed to provide proper food/nutrition
01 Mar 2018Inspection
01 Mar 2018Inspection
Identified a deficiency in the medication system that could pose harm to residents.
Licensing—Failed to provide a safe medication administration system
17 Feb 2018Abuse: Neglect
17 Feb 2018Abuse: Neglect
Found a failure to administer medication as ordered and an unsafe medication administration system.
Abuse—Failed to administer medication as ordered
15 Feb 2018Abuse: Neglect
15 Feb 2018Abuse: Neglect
Found inadequate supervision and failure to follow the care plan.
Abuse—Failed to follow care plan
27 Dec 2017Inspection
27 Dec 2017Inspection
Found failure to maintain an adequate medication system.
Licensing—Failed to provide a safe medication administration system
24 Dec 2017Inspection
24 Dec 2017Inspection
Found failure to properly plan care, resulting in a resident-to-resident altercation.
Licensing—Failed to properly plan care
22 Nov 2017Inspection
22 Nov 2017Inspection
Found that minimum staffing requirements were not met, resulting in missed resident needs.
Licensing—Failed to provide appropriate staffing
15 Nov 2017Abuse: Neglect
15 Nov 2017Abuse: Neglect
Investigated a care planning allegation and found a failure to maintain a secure environment that led to a resident-to-resident altercation.
Abuse—Failed to properly plan care
14 Nov 2017Abuse: Neglect
14 Nov 2017Abuse: Neglect
Found that a resident was confined to the Memory Care Unit without a doctor's order.
Abuse—Failed to protect resident from involuntary seclusion
30 Oct 2017Abuse: Neglect
30 Oct 2017Abuse: Neglect
Investigated and found violations related to care planning and safety, resulting in a resident altercation.
Abuse—Failed to properly plan care
14 Oct 2017Inspection
14 Oct 2017Inspection
Investigated the allegation of failing to provide a safe environment and found a deficiency for not assessing and intervening.
Licensing—Failed to provide safe environment
02 Oct 2017Abuse: Neglect
02 Oct 2017Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in multiple resident to resident altercations.
Abuse—Failed to provide safe environment
25 Sept 2017Abuse: Neglect
25 Sept 2017Abuse: Neglect
Found violations for not following the care plan and preventing injury to a resident, with moderate harm or potential for serious harm.
Abuse—Failed to follow care plan
23 Aug 2017Abuse: Neglect
23 Aug 2017Abuse: Neglect
Found deficiencies related to maintaining a secure environment that allowed a resident-to-resident altercation; assessed a $250 fine.
Abuse—Failed to properly plan care
03 Aug 2017Inspection
03 Aug 2017Inspection
Found inadequate supervision. The allegation of failing to properly plan care was substantiated.
Licensing—Failed to properly plan care
11 Jul 2017Abuse: Neglect
11 Jul 2017Abuse: Neglect
Investigated the allegation and found failures to follow the care plan and to assess and intervene.
Abuse—Failed to follow care plan
05 Jul 2017Inspection
05 Jul 2017Inspection
Found insufficient staffing and substantiated the staffing allegation.
Licensing—Failed to provide appropriate staffing
18 Jun 2017Abuse: Neglect
18 Jun 2017Abuse: Neglect
Investigated a complaint alleging improper care planning and found a failure to protect RV1 and RV2 from a resident-to-resident altercation.
Abuse—Failed to properly plan care
22 Mar 2017Inspection
22 Mar 2017Inspection
Investigated and identified a failure to assess and intervene regarding resident behavior, resulting in a licensing violation.
Licensing—Failed to address resident's behavior
07 Feb 2017Abuse: Neglect
07 Feb 2017Abuse: Neglect
Investigated a neglect allegation regarding medication administration and found the wrong medication was given to a resident.
Abuse—Failed to provide a safe medication administration system
06 Feb 2017Abuse: Financial abuse
06 Feb 2017Abuse: Financial abuse
Investigated and determined that residents were not protected from theft.
Abuse—Failed to provide safe environment
19 Jan 2017Inspection
19 Jan 2017Inspection
Investigated a complaint and found a deficiency in maintaining a safe physical environment due to outdoor furniture lacking appropriate specifications to prevent elopement.
Licensing—Failed to maintain a safe physical environment
17 Jan 2017Inspection
17 Jan 2017Inspection
Investigated the allegation of an unsafe environment and found a deficiency in keeping residents safe.
Licensing—Failed to provide safe environment
04 Jan 2017Abuse: Neglect
04 Jan 2017Abuse: Neglect
Investigated an allegation of neglect related to falls and found that resident supervision was inadequate, resulting in actual harm.
Abuse—Failed to adequately care plan related to falls
30 Nov 2016Inspection
30 Nov 2016Inspection
Investigated and found a failure to provide a safe environment, risking physical harm to a resident.
Licensing—Failed to provide safe environment
30 Sept 2016Inspection
30 Sept 2016Inspection
Investigated the allegation of inadequate staffing and found a staffing deficiency due to insufficient awake caregivers to meet residents' 24-hour needs.
Licensing—Failed to provide appropriate staffing
27 Sept 2016Inspection
27 Sept 2016Inspection
Investigated an allegation that care was not followed and identified a deficiency in providing appropriate care.
Licensing—Failed to follow care plan
27 Sept 2016Abuse: Neglect
27 Sept 2016Abuse: Neglect
Investigated the alleged neglect and found a failure to properly plan care, resulting in inappropriate care.
Abuse—Failed to properly plan care
18 Aug 2016Abuse: Financial abuse
18 Aug 2016Abuse: Financial abuse
Investigated and found a failure to maintain a safe medication system, resulting in theft of medication and a financial abuse allegation.
Abuse—Failure to provide a system that prevents theft or misuse of medication
17 Jul 2016Abuse: Neglect
17 Jul 2016Abuse: Neglect
Investigated an allegation of unsafe medication administration and found a failure to maintain an adequate medication regimen.
Abuse—Failed to provide a safe medication administration system
20 Jun 2016Abuse: Financial abuse
20 Jun 2016Abuse: Financial abuse
Investigated and found a failure to prevent theft related to financial abuse.
Abuse—Failed to provide safe environment
29 May 2016Inspection
29 May 2016Inspection
Found that a safe environment was not provided.
Licensing—Failed to provide safe environment
27 May 2016Inspection
27 May 2016Inspection
Found that a safe and homelike environment was not ensured due to failure to provide residents with copies of their rights and responsibilities.
Licensing—Failed to provide safe environment
20 Apr 2016Inspection
20 Apr 2016Inspection
Investigated the allegation and found a deficiency for failing to provide a safe environment and basic care to maintain health and safety.
Licensing—Failed to provide safe environment
23 Feb 2016Inspection
23 Feb 2016Inspection
Identified insufficient staffing and substantiated the allegation.
Licensing—Failed to provide appropriate staffing
28 Jan 2016Inspection
28 Jan 2016Inspection
Investigated the allegation and found care was not provided appropriately.
Licensing—Failed to provide service
02 Dec 2015Abuse: Financial abuse
02 Dec 2015Abuse: Financial abuse
Concluded that the financial abuse allegation was substantiated and that a resident was not adequately protected from theft.
Abuse—Failed to provide safe environment
01 Dec 2015Inspection
01 Dec 2015Inspection
Found that the facility failed to administer the correct medication as ordered to a resident.
Licensing—Failed to administer medication as ordered
09 Nov 2015Abuse: Neglect
09 Nov 2015Abuse: Neglect
Found deficiencies in the medication system that could jeopardize resident safety.
Abuse—Failed to have medication available
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Waterford Grand. The information above has not been verified or approved by the owner or operator. For exact information, please contact Waterford Grand directly. There is no cost for this service. We are compensated by the community you select.
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