I toured the community and was impressed by the beautiful, brand-new building, clean well-appointed apartments (studios to two-bedrooms) and plentiful amenities - theater, salon, library, exercise and game rooms, outings and shuttle. Staff were consistently friendly, communicative and accommodating; my parent felt comfortable, engaged, and well cared for. Overall a very nice, well-maintained community with great activities and dining - I would recommend it for independent or assisted living.
Loved one of resident
Jul 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
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
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
3.90·(84)
Overall rating
5
4
3
2
1
Care
3.3
Staff
3.8
Meals
3.0
Amenities
4.1
Value
2.3
Pros
Friendly, caring staff
Engaging and varied activity program
Extensive on-site amenities (salon, movie theater, library)
Clean, modern, well‑appointed building
Spacious and varied apartment floorplans
Supportive transition and end‑of‑life assistance
On-site transportation and organized outings
Restaurant-style dining options reported by some
Pet-friendly community
Pleasant location and campus landscaping
Cons
High frontline staff turnover
Inconsistent staff training and competency
Staffing shortages causing delays in care
Inconsistent medication administration and clinical oversight
Unreliable meal quality, availability, and service timing
Inconsistent housekeeping and sanitation practices
Weak communication and follow-through from management
Billing, deposit, and fee transparency concerns
Limited disclosure about Medicaid policies
Insufficient outdoor and pet amenities and perimeter safety
Inconsistent enforcement of smoke‑free policies
Variable suitability for higher‑acuity clinical needs
Summary of reviews
Bonaventure of Albany presents a split picture: the campus and apartment offerings receive consistent praise for being modern, well‑appointed, and comfortable, and the community features a broad range of amenities (salon, theater, library, shuttle and outings) that many residents and families find attractive. Reviewers frequently commend individual caregiving staff, activity teams, and several administrative employees for being personable and supportive; some families specifically noted strong assistance around hospital transitions and end‑of‑life support.
At the same time, a recurrent operational theme is instability in staffing. Multiple accounts indicate high turnover among frontline caregivers and care coordinators, with associated gaps in training and continuity. That instability is linked in reviews to delays in attending to residents, inconsistent bathing and escorting for walks, and concerns about medication administration and clinical oversight. While some reviewers highlight long‑tenured or especially attentive employees, others describe variability in competence and responsiveness across shifts.
Dining and environmental services are another area of mixed performance. Several families describe appealing, restaurant‑style meals and an engaged kitchen staff, while others report frequent menu substitutions, limited availability of advertised entrees, reliance on premade items, long service waits, and inconsistent presentation. Housekeeping and sanitation practices are similarly variable: the building and common areas are often described as clean and well maintained, but there are repeated notes about inconsistent room cleaning schedules, missed housekeeping, and isolated sanitation concerns.
Activities and amenities are a clear strength for many residents. The site offers a robust calendar, regular social events, outings, and multiple indoor recreational spaces that contribute to an active community atmosphere. The campus is largely described as welcoming and bright, and pet‑friendly policies are a positive for many families. However, reviewers also flagged limited or unsafe outdoor resident spaces and concerns about perimeter safety and dog access near a busy highway.
Management and administrative performance shows uneven results. Positive accounts point to helpful, accessible administrative staff and effective local leadership; negative accounts cite weak communication, poor follow‑through on promises, and cases of billing or deposit handling problems — including allegations of deposit and fee disputes. There are also comments about unclear disclosure of Medicaid policies and of additional fees for certain care levels, which prospective residents should clarify in writing.
In summary, Bonaventure of Albany offers a high‑quality physical environment, substantial activities programming, and notable individual staff strengths. These positives coexist with operational weaknesses that have affected clinical consistency, dining service reliability, housekeeping regularity, and administrative transparency. Prospective residents and families should verify current staffing levels and turnover, observe meal service and housekeeping routines, review medication‑administration and higher‑acuity care protocols, and obtain clear, written explanations of billing, deposit, and Medicaid policies before committing.
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Location
Bonaventure of Albany is located at 420 NW Geri St, Albany, OR, 97321.
About Bonaventure of Albany
Bonaventure of Albany sits near a river and open green fields, offering a mix of independent living, assisted living, and memory care. The building features enhanced front door security, so residents can feel safe. The staff stays on duty around the clock, and every unit has a nurse call system for emergencies. The facility takes care of chores like weekly housekeeping, linen service, maintenance, and all-inclusive utilities, so there's no need to worry about bills piling up. Suites come in different sizes, including studios, one-bedroom, and two-bedroom units, and memory care has its own private suites too, with safety in mind like wall safes, microwaves in the units, and washer/dryer hookups.
Residents can set their own temperature with individually controlled thermostats, which suits a lot of folks who run hot or cold these days. The facility offers anytime dining, and there's a restaurant-style dining room, a café with coffee, pastries, and frozen yogurt, plus meal service with snacks, so you won't go hungry no matter your schedule. There's a monthly wellness clinic for check-ups, and a nurse on hand helps keep an eye on everyone's well-being. For relaxation or therapy, there's a whirlpool room.
Activities go on seven days a week-puzzles in the puzzle room, cards in the hospitality suite with shuffleboard and poker tables, TV and movie time in the TV and theater rooms, billiards, or a stop at the fitness center or activity center if you want to keep moving. Outdoor walking paths and garden areas let people get fresh air, and the patios and balconies in independent living units make for a nice spot to relax. There's also a beauty/barber salon and a full-service salon if someone wants a haircut or just a bit of pampering.
Transportation comes free for residents, making appointments and trips to town much easier for those who don't drive. There's private mailboxes, a private dining room for family visits, plenty of indoor and outdoor leisure spaces, and a library for quiet reading. Residents can use computers at work stations or enjoy fireplaces and comfortable sitting areas.
Bonaventure of Albany tries to give residents community, care, and comfort with a straightforward approach, focusing on daily life and keeping things simple and safe. Memory care services support those with Alzheimer's or other dementia, with staff who help each person according to their needs. With 54 beds and many different amenities, it's a place that covers the basics while offering a few special touches here and there for daily enjoyment.
Founded in 1999 and headquartered in Salem, Oregon, Bonaventure Senior Living is a family-owned company operating 28 communities across Washington, Oregon, and Colorado. They offer independent living, assisted living, and memory care services with their "Retirement Perfected™" philosophy.
People often ask...
Bonaventure of Albany offers competitive pricing, with rates starting at a cost of $4,440 per month.
Bonaventure of Albany offers independent living, assisted living, and memory care.
There are 35 photos of Bonaventure of Albany on Mirador.
Yes, Bonaventure of Albany allows residents to age in place and adjust their level of care as needed.
The full address for this community is 420 NW Geri St, Albany, OR 97321.
No, Bonaventure of Albany 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.
Deficiency—Inspections and Investigation: Insp Interval
04 Aug 2025Kitchen
04 Aug 2025Kitchen
Identified multiple sanitation and food safety deficiencies in the kitchen and memory care areas, with repeated findings and ongoing corrective actions planned and implemented.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
04 Jul 2025Inspection
04 Jul 2025Inspection
Investigated and determined a violation of Oregon Administrative Rules due to an outdated ABST and inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
24 Apr 2025Licensure
24 Apr 2025Licensure
Found staffing and fire-safety deficiencies: night shifts lacked adequate awake direct care staff to meet residents' needs and evacuation requirements; fire drills and related staff safety instruction were not conducted according to the required schedule.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Fire and Life Safety: Safety
10 Apr 2025Licensure
10 Apr 2025Licensure
Identified multiple deficiencies across service planning, infection control, psychotropic medication, administration, staffing, environment, and nutrition with inadequate updates, monitoring, and compliance.
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Infection Prevention & Control
Deficiency—Systems: Psychotropic Medication
Deficiency—Administrator Qualification and Requirements
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Heating and Ventilation
Deficiency—Administration Compliance
Deficiency—Compliance with Rules Health Care
Deficiency—Nutrition and Hydration
06 Feb 2025Abuse: Neglect
06 Feb 2025Abuse: Neglect
Found that a safe environment was not provided, creating fall risk for the individual. A $500 fine was assessed.
Abuse—Failed to provide safe environment
04 Dec 2024Abuse: Neglect
04 Dec 2024Abuse: Neglect
Investigated a medication administration incident and found the provider failed to ensure a safe medication administration system, resulting in abuse and neglect.
Abuse—Failed to provide a safe medication administration system
24 Oct 2024Inspection
24 Oct 2024Inspection
Investigated and found violations for failing to provide a safe medication administration system. A staff member administered the wrong hormone dosage, resulting in hospitalization.
Licensing—Failed to provide a safe medication administration system
13 Oct 2024Abuse: Neglect
13 Oct 2024Abuse: Neglect
Found that the care provider failed to properly plan and mitigate a resident's fall risk, resulting in multiple falls and a fracture, constituting abuse and neglect.
Abuse—Failed to properly plan care
09 Aug 2024Abuse: Neglect
09 Aug 2024Abuse: Neglect
Found a neglect violation for failing to provide a safe environment, resulting in an injury. A $500 fine was assessed.
Abuse—Failed to provide safe environment
06 Aug 2024Licensure
06 Aug 2024Licensure
Identified deficiencies in kitchen sanitation and infection control; follow-up showed substantial compliance.
Investigated allegations of unsafe medication administration and found a failure to provide a safe system that led to a urinary tract infection.
Licensing—Failed to provide a safe medication administration system
05 Apr 2024Abuse: Neglect
05 Apr 2024Abuse: Neglect
Found safety deficiencies that led to multiple falls and injuries; abuse and neglect were substantiated.
Abuse—Failed to provide safe environment
23 Dec 2023Abuse: Neglect
23 Dec 2023Abuse: Neglect
Investigated a complaint and found a resident fell in an unsafe doorway causing a head injury, indicating neglect and abuse; a $2,500 fine was assessed.
Abuse—Failed to provide safe environment
02 Dec 2023Abuse: Neglect
02 Dec 2023Abuse: Neglect
Investigated the complaint and found a safety deficiency resulting in neglect and abuse, with a $2,500 fine assessed.
Abuse—Failed to provide safe environment
30 Nov 2023Abuse: Neglect
30 Nov 2023Abuse: Neglect
Investigated and found that a safety failure allowed an aggressive resident to harm another resident, constituting abuse and neglect.
Abuse—Failed to provide safe environment
28 Nov 2023Abuse: Neglect
28 Nov 2023Abuse: Neglect
Found that a resident did not receive a safe environment, resulting in a head injury and left hip pain from a fall, indicating neglect and abuse.
Abuse—Failed to provide safe environment
18 Nov 2023Abuse: Neglect
18 Nov 2023Abuse: Neglect
Found a failure to provide a safe environment that led to injuries. Substantiated abuse/neglect; a $2,500 fine was assessed.
Abuse—Failed to provide safe environment
05 Nov 2023Abuse: Neglect
05 Nov 2023Abuse: Neglect
Investigated an allegation of neglect and found an unsafe environment that led to a resident injury; a $2,500 fine was assessed.
Abuse—Failed to provide safe environment
23 Oct 2023Abuse: Neglect
23 Oct 2023Abuse: Neglect
Identified neglect of care and abuse due to failure to properly plan care and update the resident's service plan to manage metabolic risks, which led to multiple falls. A $1,125 fine was assessed.
Abuse—Failed to properly plan care
09 Oct 2023Abuse: Neglect
09 Oct 2023Abuse: Neglect
Found that a safe environment was not provided, resulting in a bruise to a resident from a resident-to-resident altercation. A fine was assessed.
Abuse—Failed to provide safe environment
04 Oct 2023Abuse: Neglect
04 Oct 2023Abuse: Neglect
Found violations for failing to follow the care plan and monitor metabolic markers, resulting in four falls and an elbow laceration. A $250 fine was assessed.
Abuse—Failed to follow care plan
24 Sept 2023Abuse: Neglect
24 Sept 2023Abuse: Neglect
Found failure to provide a safe environment, as a resident exited the secured area without an alarm, risking harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
04 Sept 2023Abuse: Neglect
04 Sept 2023Abuse: Neglect
Investigated the incident and found a failure to provide a safe environment resulting in minor harm; a $375.00 fine was assessed.
Abuse—Failed to provide safe environment
24 Jul 2023Abuse: Neglect
24 Jul 2023Abuse: Neglect
Found a failure to provide a safe environment that led to resident injuries; a $500 fine was assessed.
Abuse—Failed to provide safe environment
06 Jul 2023Licensure
06 Jul 2023Licensure
Identified extensive sanitation and maintenance deficiencies in the kitchen during the initial survey, including debris, damaged equipment, and improper food storage. A follow-up visit determined substantial compliance.
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Administration Compliance
03 Jul 2023Abuse: Neglect
03 Jul 2023Abuse: Neglect
Investigated found a failure to provide a safe medication administration system, leading to missed pain medication doses and patient discomfort.
Abuse—Failed to provide a safe medication administration system
03 Jul 2023Abuse: Neglect
03 Jul 2023Abuse: Neglect
Identified a failure to provide a safe medication administration system that led to two missed doses of pain medication and resulting pain.
Abuse—Failed to provide a safe medication administration system
24 May 2023Inspection
24 May 2023Inspection
Investigated and found that a staff member failed to protect a resident from financial exploitation, allowing theft of prescribed opioids.
Licensing—Failed to protect resident from financial exploitation
15 May 2023Abuse: Neglect
15 May 2023Abuse: Neglect
Found a violation of resident rights and neglect/abuse due to failure to protect a resident from verbal abuse and to address increasing behavioral needs.
Abuse—Failed to properly plan care
04 May 2023Inspection
04 May 2023Inspection
Determined a resident was financially exploited due to failure to protect from exploitation; the perpetrator could not be identified. Found protection failures violated Oregon Administrative Rules.
Licensing—Failed to protect resident from financial exploitation
21 Apr 2023Complaint
21 Apr 2023Complaint
Found deficiencies in mobility assistance and staffing levels.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Staffing Requirements and Training: Staffing
04 Apr 2023Inspection
04 Apr 2023Inspection
Found mobility assistance not provided, with minor-harm potential. The allegation was substantiated.
Licensing—Failed to provide service
28 Mar 2023Abuse: Neglect
28 Mar 2023Abuse: Neglect
Found a violation of a safe medication administration system leading to neglect and abuse; a $250 fine was assessed.
Abuse—Failed to provide a safe medication administration system
28 Feb 2023License Condition
28 Feb 2023License Condition
Investigated the allegation of not using an ABST and found noncompliance with the ABST requirement.
Regulatory Action—Failed to use an ABST
15 Feb 2023Abuse: Neglect
15 Feb 2023Abuse: Neglect
Found deficiencies in planning care for exit seeking, creating risk of harm and constituting neglect and abuse; a fine was assessed.
Abuse—Failed to properly plan care
01 Feb 2023Inspection
01 Feb 2023Inspection
Found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to provide appropriate staffing
13 Jan 2023Complaint
13 Jan 2023Complaint
Identified deficiencies in maintaining an up-to-date ABST; it was not updated timely, former residents were not archived, new residents were not added, and changes in residents’ conditions were not reflected promptly.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
13 Jan 2023Complaint
13 Jan 2023Complaint
Found that staff did not wipe residents during toileting, indicating failure to exercise reasonable precautions.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
09 Jan 2023Abuse: Neglect
09 Jan 2023Abuse: Neglect
Found abuse and neglect due to failure to protect a resident from emotional and physical harm caused by ongoing verbal and physical aggression by another resident.
Abuse—Failed to properly plan care
03 Jan 2023Abuse: Neglect
03 Jan 2023Abuse: Neglect
Investigated an allegation of neglect about falls and found failure to plan for falls, creating safety risks; a fine was assessed.
Abuse—Failed to properly plan care
03 Jan 2023Abuse: Neglect
03 Jan 2023Abuse: Neglect
Found abuse and neglect for failing to provide a homelike environment; assessed a $188 fine.
Abuse—Failed to provide a homelike environment
03 Jan 2023Abuse: Neglect
03 Jan 2023Abuse: Neglect
Found neglect and abuse for failing to keep a resident safe; a $938 fine was assessed.
Abuse—Failed to assure resident was safe
03 Jan 2023Abuse: Neglect
03 Jan 2023Abuse: Neglect
Found neglect due to failure to plan fall-related care, with a civil penalty assessed.
Abuse—Failed to properly plan care
08 Dec 2022License Condition
08 Dec 2022License Condition
Investigated and found a deficiency for failing to use an ABST.
Regulatory Action—Failed to use an ABST
15 Nov 2022Inspection
15 Nov 2022Inspection
Investigated and identified a hygiene-related deficiency that could threaten residents' health and safety.
Licensing—Failed to provide or assist with hygiene
07 Sept 2022Licensure
07 Sept 2022Licensure
Identified deficiencies in kitchen cleanliness and administration during the visits; follow-up showed substantial compliance.
Found a violation for failing to submit timely or adequate staffing documentation; a $6,750 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
24 Aug 2022Complaint
24 Aug 2022Complaint
Identified deficiencies related to reasonable precautions during the complaint investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
24 Aug 2022Complaint
24 Aug 2022Complaint
Identified multiple deficiencies in service delivery, staffing, and medication practices that could cause moderate harm to residents.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
10 Aug 2022Inspection
10 Aug 2022Inspection
Investigated an allegation of hygiene service noncompliance and found residents received only one shower per week despite service plans calling for 2–3 showers.
Licensing—Failed to provide or assist with hygiene
10 Aug 2022Inspection
10 Aug 2022Inspection
Found that the acuity-based staffing tool was not fully implemented or updated to reflect current census and staffing needs.
Licensing—Failed to update staffing plan based on ABST
10 Aug 2022Inspection
10 Aug 2022Inspection
Identified insufficient staffing that violated Oregon Administrative Rules.
Licensing—Failed to provide appropriate staffing
01 Aug 2022Inspection
01 Aug 2022Inspection
Investigated that the licensee failed to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority for July 2022.
Licensing—Failed to submit timely or adequate staffing documentation
28 Jul 2022Abuse: Neglect
28 Jul 2022Abuse: Neglect
Investigated the complaint and found a failure to provide a safe environment, resulting in an injury and a fine.
Abuse—Failed to provide safe environment
26 Jul 2022Complaint
26 Jul 2022Complaint
Investigated and identified deficiencies related to acuity-based staffing.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
22 Jul 2022Inspection
22 Jul 2022Inspection
Investigated the allegation of failing to provide a safe environment and concluded there was a failure to exercise reasonable precautions.
Licensing—Failed to provide safe environment
08 Jul 2022Abuse: Neglect
08 Jul 2022Abuse: Neglect
Investigated an allegation of abuse and neglect; found a resident suffered multiple falls and a hip fracture due to an unsafe environment.
Abuse—Failed to provide safe environment
08 Jun 2022Abuse: Neglect
08 Jun 2022Abuse: Neglect
Found that a provider failed to provide a safe medication administration system, leading to a medication error that required hospitalization; a $375 fine was assessed.
Abuse—Failed to provide a safe medication administration system
01 Apr 2022Inspection
01 Apr 2022Inspection
Investigated and found failure to submit timely weekly reporting of vaccinated individuals, residents, and staff.
Licensing—Failed to submit timely or adequate staffing documentation
01 Apr 2022Inspection
01 Apr 2022Inspection
Identified a failure to submit timely weekly reporting of vaccinated individuals, residents, and staff for 30 days, and assessed a $6,750 fine.
Licensing—Failed to submit timely or adequate staffing documentation
01 Mar 2022Inspection
01 Mar 2022Inspection
Found a violation for failing to submit timely staffing documentation and weekly vaccination reporting; assessed a fine.
Licensing—Failed to submit timely or adequate staffing documentation
01 Mar 2022Inspection
01 Mar 2022Inspection
Fined for failing to submit timely staffing documentation and weekly vaccination reporting. The finding documented ongoing noncompliance with reporting requirements.
Licensing—Failed to submit timely or adequate staffing documentation
28 Feb 2022Abuse: Neglect
28 Feb 2022Abuse: Neglect
Investigated a complaint and found delays in answering call lights, constituting neglect and abuse; a $500 fine was assessed.
Abuse—Failed to answer call light in a timely manner
25 Feb 2022Abuse: Neglect
25 Feb 2022Abuse: Neglect
Found a failure to provide a safe medication administration system that endangered a resident by not administering prescribed antipsychotic medication and denying sleep medication, leading to distress and elopement.
Abuse—Failed to provide a safe medication administration system
24 Feb 2022Abuse: Neglect
24 Feb 2022Abuse: Neglect
Investigated and found neglect and abuse due to failure to monitor a change in condition after insomnia treatment, leading to elopement and distress; a $2,000 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
18 Jan 2022Inspection
18 Jan 2022Inspection
Identified a violation related to medication administration not carried out as prescribed. The finding carried a minor-harm risk.
Licensing—Failed to provide a safe medication administration system
18 Nov 2021Abuse: Neglect
18 Nov 2021Abuse: Neglect
Investigated and found a failure to adequately care plan for falls, resulting in multiple falls without new safety measures and constituting neglect and abuse.
Abuse—Failed to properly plan care
15 Nov 2021Validation
15 Nov 2021Validation
Determined substantial compliance with state rules, but cited multiple deficiencies in kitchen sanitation, service plans, monitoring of changes of condition, staff training, fire safety, and housekeeping.
Identified multiple deficiencies across resident care, safety, and environmental health, including inadequate abuse and incident investigations, medication documentation gaps, missing activity programming, and unsafe building conditions.
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Individual Door Locks: Key Access
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
14 Nov 2021Abuse: Neglect
14 Nov 2021Abuse: Neglect
Investigated found neglect and abuse due to failure to assess and intervene when a resident's condition changed. A $1500.00 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
11 Nov 2021Abuse: Neglect
11 Nov 2021Abuse: Neglect
Investigated a case of abuse/neglect and found violations for failing to protect a resident from inappropriate sexual contact, leading to a resident-to-resident interaction and an unsafe environment; a fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
19 Sept 2021Abuse: Neglect
19 Sept 2021Abuse: Neglect
Found neglect and abuse due to failure to properly plan care and implement fall prevention for a resident with a history of falls, leading to an unwitnessed fall and injury.
Abuse—Failed to properly plan care
13 Sept 2021Inspection
13 Sept 2021Inspection
Investigated a complaint and found a failure to provide a safe medication administration system, resulting in narcotics being replaced with an over-the-counter medication.
Licensing—Failed to provide a safe medication administration system
28 Aug 2021Abuse: Neglect
28 Aug 2021Abuse: Neglect
Investigated the complaint and found failures to plan care and intervene for refusals of wound care, resulting in infection and abuse.
Abuse—Failed to properly plan care
27 Aug 2021Abuse: Neglect
27 Aug 2021Abuse: Neglect
Concluded that a safe environment was not provided to a resident, with substantiated abuse/neglect and a $500 fine assessed.
Abuse—Failed to provide safe environment
10 Aug 2021Abuse: Neglect
10 Aug 2021Abuse: Neglect
Found deficiencies in care, including unsafe medication administration and inadequate fall prevention, leading to missed pain doses and multiple falls.
Abuse—Failed to properly plan care
14 Jun 2021Abuse: Neglect
14 Jun 2021Abuse: Neglect
Investigated and found that essential services were not provided as needed, resulting in neglect and abuse and risk of harm.
Abuse—Failed to provide service
22 Apr 2021Abuse: Neglect
22 Apr 2021Abuse: Neglect
Investigated an incident where an outside helper opened windows during carpet cleaning, creating a safety risk for a resident with elopement history. Found violations for failing to provide a safe environment, with a fine assessed.
Abuse—Failed to provide safe environment
20 Apr 2021Abuse: Neglect
20 Apr 2021Abuse: Neglect
Found repeated untimely responses to a resident's call lights, resulting in substantiated abuse and neglect findings and a $1,000 fine.
Abuse—Failed to answer call light in a timely manner
01 Apr 2021Abuse: Neglect
01 Apr 2021Abuse: Neglect
Found failure to plan and implement care for a fall history, leading to unwitnessed falls and injuries and indicating neglect and abuse.
Abuse—Failed to properly plan care
12 Mar 2021Abuse: Neglect
12 Mar 2021Abuse: Neglect
Found neglect and abuse due to failure to plan care around a resident’s refusals to reposition. A $1,000 fine was assessed.
Abuse—Failed to properly plan care
11 Jan 2021Inspection
11 Jan 2021Inspection
Investigated a licensing complaint and concluded a violation involving failure to provide a safe environment and financial exploitation.
Licensing—Failed to provide safe environment
02 Dec 2020Abuse: Neglect
02 Dec 2020Abuse: Neglect
Identified neglect due to failure to provide mobility and incontinence care, leading to several falls and undue discomfort; a $500 fine was assessed.
Abuse—Failed to provide service
01 Dec 2020Inspection
01 Dec 2020Inspection
Found a safety deficiency due to failure to exercise reasonable precautions to protect residents' health, safety, or welfare.
Licensing—Failed to assure resident was safe
19 Nov 2020Abuse: Neglect
19 Nov 2020Abuse: Neglect
Found that a resident eloped due to failure to maintain a secured environment, violating resident rights.
Abuse—Failed to provide safe environment
09 Nov 2020Abuse: Neglect
09 Nov 2020Abuse: Neglect
Concluded that inadequate supervision allowed a resident to elope and be unattended, risking significant harm, with a $500 fine assessed.
Abuse—Failed to provide safe environment
05 Oct 2020Abuse: Neglect
05 Oct 2020Abuse: Neglect
Determined that staff failed to properly plan care and mitigate fall risk, constituting abuse and neglect. A $2,500 fine was assessed.
Abuse—Failed to properly plan care
29 Sept 2020Abuse: Neglect
29 Sept 2020Abuse: Neglect
Cited violations for failing to provide a safe environment due to inadequate supervision, which allowed an elopement and placed an individual at risk of harm.
Abuse—Failed to provide safe environment
15 Sept 2020Abuse: Neglect
15 Sept 2020Abuse: Neglect
Investigated and found that a resident's higher level of care was not planned or provided, constituting neglect and abuse.
Abuse—Failed to properly plan care
04 Sept 2020Abuse: Neglect
04 Sept 2020Abuse: Neglect
Investigated a complaint and found failures to plan and monitor care for a resident with a history of falls, resulting in unwitnessed falls and discomfort, constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to properly plan care
28 Aug 2020Abuse: Neglect
28 Aug 2020Abuse: Neglect
Investigated found that a resident sustained bruising and an abrasion after a nighttime fall, with no EMS call or timely medical assessment, indicating neglect and abuse.
Abuse—Failed to perform adequate screening or assessment
20 Jan 2020Abuse: Neglect
20 Jan 2020Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment when a resident eloped from the secure unit, placing them at risk.
Abuse—Failed to provide safe environment
17 Dec 2019Abuse: Neglect
17 Dec 2019Abuse: Neglect
Investigated a complaint about oversight of a resident's change in condition. Found that inadequate monitoring led to multiple falls and a fracture, constituting neglect and abuse, with a $1500 fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
16 Nov 2019Abuse: Neglect
16 Nov 2019Abuse: Neglect
Found violations of resident rights due to failure to perform hourly checks after fall history, resulting in an unwitnessed fall and about four hours without a check.
Abuse—Failed to assure resident was safe
04 Nov 2019Abuse: Neglect
04 Nov 2019Abuse: Neglect
Identified neglect and abuse from failure to monitor residents, leading to an altercation and discomfort; a fine was assessed.
Abuse—Failed to provide safe environment
11 Oct 2019Abuse: Neglect
11 Oct 2019Abuse: Neglect
Found a failure to provide a safe environment that placed a resident at serious risk, constituting neglect and abuse.
Abuse—Failed to provide safe environment
19 Sept 2019Abuse: Neglect
19 Sept 2019Abuse: Neglect
Investigated an allegation of neglect and found that basic care and safety were not provided, resulting in unreasonable discomfort; a fine was assessed.
Abuse—Failed to provide service
14 Jul 2019Abuse: Neglect
14 Jul 2019Abuse: Neglect
Investigated allegation of neglect and found a failure to provide basic care and safety, creating risk of serious harm.
Abuse—Failed to assure resident was safe
04 Jul 2019Abuse: Neglect
04 Jul 2019Abuse: Neglect
Identified a failure to provide a safe medication administration system, creating risk of serious harm.
Abuse—Failed to provide a safe medication administration system
30 Jun 2019Inspection
30 Jun 2019Inspection
Investigated the allegation of failing to report potential or suspected abuse and found a failure to report.
Licensing—Failed to report potential or suspected abuse
30 Jun 2019Abuse: Neglect
30 Jun 2019Abuse: Neglect
Investigated a neglect allegation and found safety was not provided, causing unreasonable discomfort; a $250 fine was assessed.
Abuse—Failed to provide service
26 May 2019Abuse: Neglect
26 May 2019Abuse: Neglect
Determined neglect by failing to provide safety to a resident, creating risk of serious harm.
Abuse—Failed to assure resident was safe
17 May 2019Abuse: Neglect
17 May 2019Abuse: Neglect
Found neglect of a resident by failing to provide basic care, services, or safety, creating risk of serious harm.
Abuse—Failed to assure resident was safe
08 Apr 2019Abuse: Neglect
08 Apr 2019Abuse: Neglect
Found neglect by passively failing to provide safety, resulting in physical harm; a fine was assessed.
Abuse—Failed to provide safe environment
04 Apr 2019Abuse: Neglect
04 Apr 2019Abuse: Neglect
Found neglect that resulted in physical harm by failing to provide basic care and safety.
Abuse—Failed to follow care plan
27 Mar 2019Abuse: Neglect
27 Mar 2019Abuse: Neglect
Found violations of the care plan that led to neglect and abuse, and a $375 fine was assessed. The findings described a failure to keep residents separated, resulting in a physical altercation and discomfort.
Abuse—Failed to follow care plan
27 Mar 2019Abuse: Neglect
27 Mar 2019Abuse: Neglect
Concluded neglect occurred, resulting in harm, and a $375 fine was assessed.
Abuse—Failed to provide safe environment
14 Mar 2019Abuse: Neglect
14 Mar 2019Abuse: Neglect
Found neglect related to falls care that could cause harm to a resident. The finding substantiated failure to provide basic care and safety.
Abuse—Failed to adequately care plan related to falls
10 Mar 2019Abuse: Neglect
10 Mar 2019Abuse: Neglect
Investigated a neglect allegation related to falls care planning; found that safety was not provided, resulting in physical harm.
Abuse—Failed to adequately care plan related to falls
05 Mar 2019Abuse: Neglect
05 Mar 2019Abuse: Neglect
Found neglect by failing to provide basic care and safety, resulting in risk of serious harm; a $188 fine was assessed.
Abuse—Failed to follow care plan
26 Feb 2019Abuse: Neglect
26 Feb 2019Abuse: Neglect
Investigated a complaint about inadequate care planning related to falls; found neglect.
Abuse—Failed to adequately care plan related to falls
13 Feb 2019Abuse: Neglect
13 Feb 2019Abuse: Neglect
Found neglect of safety that created a risk of serious harm. The finding noted passive failure to provide safety.
Abuse—Failed to provide safe environment
08 Feb 2019Abuse: Neglect
08 Feb 2019Abuse: Neglect
Found neglect by failing to provide a safe environment, creating risk of serious harm to a resident. A $375 fine was assessed.
Abuse—Failed to provide safe environment
31 Jan 2019Abuse: Neglect
31 Jan 2019Abuse: Neglect
Investigated a neglect allegation and found a safety failure that put a resident at risk of serious harm. Multiple rule violations were identified.
Abuse—Failed to assure resident was safe
24 Jan 2019Abuse: Neglect
24 Jan 2019Abuse: Neglect
Found neglect by failing to provide basic care and safety, risking serious harm to a resident; a fine was assessed.
Abuse—Failed to assure resident was safe
23 Jan 2019Abuse: Neglect
23 Jan 2019Abuse: Neglect
Investigated an allegation of neglect and found that basic care was withheld, resulting in harm and loss of dignity. A fine was assessed.
Abuse—Failed to provide service
14 Jan 2019Abuse: Neglect
14 Jan 2019Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide safety that resulted in physical harm.
Abuse—Failed to assure resident was safe
13 Jan 2019Abuse: Neglect
13 Jan 2019Abuse: Neglect
Investigated the neglect allegation and found that basic care and safety were not provided, risking serious harm. The issue was substantiated in the record.
Abuse—Failed to assure resident was safe
13 Jan 2019Abuse: Neglect
13 Jan 2019Abuse: Neglect
Investigated a resident safety allegation and found neglect by staff that led to risk of serious harm. A $375 fine was assessed.
Abuse—Failed to assure resident was safe
11 Jan 2019Abuse: Neglect
11 Jan 2019Abuse: Neglect
Investigated a complaint of neglect related to falls care planning; found failure to provide basic care and safety resulting in physical harm, and a fine was assessed.
Abuse—Failed to adequately care plan related to falls
12 Dec 2018Inspection
12 Dec 2018Inspection
Investigated a complaint and found a failure to provide a safe medication administration system that resulted in physical harm. A $500 fine was assessed.
Licensing—Failed to provide a safe medication administration system
10 Dec 2018Abuse: Neglect
10 Dec 2018Abuse: Neglect
Found a failure to provide a safe medication administration system that risked serious harm to a resident.
Abuse—Failed to provide a safe medication administration system
10 Dec 2018Abuse: Neglect
10 Dec 2018Abuse: Neglect
Found neglect due to failing to provide basic safety, creating risk of serious harm; a fine of $375 was assessed.
Abuse—Failed to provide safe environment
08 Dec 2018Abuse: Neglect
08 Dec 2018Abuse: Neglect
Found neglect that failed to provide for a resident's safety, resulting in physical harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
28 Nov 2018Abuse: Neglect
28 Nov 2018Abuse: Neglect
Investigated a complaint and found neglect by passively failing to provide basic safety, which caused unreasonable discomfort.
Abuse—Failed to provide safe environment
24 Nov 2018Inspection
24 Nov 2018Inspection
Found failure to report suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
24 Nov 2018Abuse: Neglect
24 Nov 2018Abuse: Neglect
Investigated a neglect allegation; found that basic care was not provided and medication was not administered as ordered, risking serious harm, with a $1500 fine assessed.
Abuse—Failed to administer medication as ordered
19 Nov 2018Inspection
19 Nov 2018Inspection
Investigated a complaint about the presence of a qualified caregiver and staff training; identified deficiencies related to staff training.
Licensing—Failed to assure that a qualified caregiver was present
17 Nov 2018Abuse: Neglect
17 Nov 2018Abuse: Neglect
Investigated and identified neglect of a vulnerable adult that resulted in physical harm, with a fine assessed.
Abuse—Failed to properly plan care
08 Nov 2018Inspection
08 Nov 2018Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
08 Nov 2018Inspection
08 Nov 2018Inspection
Investigated and substantiated a staffing deficiency related to insufficient personnel to support two-person transfers for residents.
Licensing—Failed to provide appropriate staffing
08 Nov 2018Inspection
08 Nov 2018Inspection
Found facility failed to complete fire evacuation drills and training as required.
Licensing—Failed to provide safe environment
07 Nov 2018Inspection
07 Nov 2018Inspection
Found that suspected abuse was not reported. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
07 Nov 2018Abuse: Neglect
07 Nov 2018Abuse: Neglect
Investigated a complaint about falls care planning and found neglect resulting in risk of serious harm; a $250 fine was assessed.
Abuse—Failed to adequately care plan related to falls
27 Aug 2018Inspection
27 Aug 2018Inspection
Investigated the allegation and substantiated a failure to provide a safe environment. This was classified as a licensing violation.
Licensing—Failed to provide safe environment
18 Aug 2018Abuse: Physical Abuse
18 Aug 2018Abuse: Physical Abuse
Investigated the allegation of abuse and found that physical force was used against a resident, causing injury.
Abuse—Failed to protect resident from rough treatment
31 Jul 2018Inspection
31 Jul 2018Inspection
Found quarterly service plans overdue and not reviewed as required.
Licensing—Failed to provide service
27 Jul 2018Abuse: Neglect
27 Jul 2018Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
14 Jul 2018Abuse: Neglect
14 Jul 2018Abuse: Neglect
Investigated an allegation of neglect related to delayed call-light response; found a deficiency and a fine was assessed.
Abuse—Failed to answer call light in a timely manner
07 Jul 2018Inspection
07 Jul 2018Inspection
Found a licensing violation for failing to provide a secure environment, creating a risk of serious harm. A $375 fine was assessed.
Licensing—Failed to provide safe environment
05 Jul 2018Abuse: Neglect
05 Jul 2018Abuse: Neglect
Determined neglect due to failure to monitor change of condition and follow care plans, which resulted in physical harm; a $1,500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
14 May 2018Inspection
14 May 2018Inspection
Investigated and found deficiencies in the medication management system that could pose harm.
Licensing—Failed to provide a safe medication administration system
12 Feb 2018Inspection
12 Feb 2018Inspection
Found that medication orders were not carried out as prescribed, with multiple medications missed.
Licensing—Failed to administer medication as ordered
24 Nov 2017Inspection
24 Nov 2017Inspection
Investigated the allegation and found a failure to provide a secure environment.
Licensing—Failed to provide safe environment
25 Sept 2017Abuse: Neglect
25 Sept 2017Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to maintain an adequate medication system.
Abuse—Failed to provide a safe medication administration system
14 Jun 2017Abuse: Neglect
14 Jun 2017Abuse: Neglect
Found that timely medical treatment was not provided, and a $15,000 fine was assessed.
Abuse—Failed to assure timely medical treatment
07 Jun 2017Abuse: Neglect
07 Jun 2017Abuse: Neglect
Found deficiencies in maintaining an adequate medication system after an allegation of not administering medication as ordered.
Abuse—Failed to administer medication as ordered
02 Jun 2017Inspection
02 Jun 2017Inspection
Investigated the allegation of an unsafe medication administration system and found an inadequate medication system.
Licensing—Failed to provide a safe medication administration system
06 May 2017Inspection
06 May 2017Inspection
Investigated the allegation of failing to provide a secure environment and found a deficiency.
Licensing—Failed to provide safe environment
08 Nov 2016Inspection
08 Nov 2016Inspection
Investigated the complaint and found residents' scheduled and unscheduled needs were not met due to insufficient staff.
Licensing—Failed to provide service
09 Jun 2016Abuse: Neglect
09 Jun 2016Abuse: Neglect
Investigated the allegation of abuse/neglect and identified a failure to provide a safe environment.
Abuse—Failed to provide safe environment
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