Village at Valley View

    1071 W Jackson Rd, Ashland, OR 97520
    • Assisted Living
    • Memory Care

    Clean compassionate memory care thriving

    I placed my mom at Village at Valley View and have been very pleased - the place is clean, bright, airy and homey with beautiful gardens, walkways and open common areas. The memory-care team (Javier and staff) are attentive, compassionate and professional; they run engaging activities and play music, serve good meals, and keep a calm, secure environment with thoughtful COVID precautions. My mom is thriving socially and I have real peace of mind with the warm, organized staff and welcoming atmosphere.

    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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.50·(28)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      4.7
    • Meals

      3.9
    • Amenities

      4.9
    • Value

      2.0

    Pros

    • clean, bright, well-maintained interior
    • compassionate and attentive caregiving staff
    • strong memory-care expertise and dementia focus
    • engaging activities and live music programming
    • well-designed, home-like common areas
    • landscaped grounds, walkways, and outdoor seating
    • friendly, family-welcoming atmosphere
    • long-tenured and professional frontline staff
    • helpful and responsive onsite administration
    • improved resident socialization and quality of life
    • accessible visitation and flexible family interaction
    • competitive caregiver compensation

    Cons

    • inconsistent leadership responsiveness at upper-management level
    • insufficient staffing levels and unreliable emergency backup
    • variable dining quality and meal preparation consistency
    • gaps in dietary accommodation for specific medical needs
    • occasional staff-professionalism concerns (attire and conduct)
    • perceived high cost relative to some families' expectations
    • delays in resolving family-raised concerns
    • management communication and escalation process gaps

    Summary of reviews

    Village at Valley View presents as a well-maintained, attractive memory-care community with a strong emphasis on social engagement and dementia-focused programming. Physical spaces are consistently described as clean, bright, and thoughtfully designed; reviewers cite cheerful common areas, well-appointed resident rooms, and pleasant landscaping and walkways that support outdoor activity. The facility’s layout and finishes are often characterized as home-like and conducive to connection with others and nature.

    Care quality is a frequently praised aspect of the community. Frontline caregivers are described as warm, compassionate, and attentive, with many families noting meaningful one-on-one interactions, music and activity engagement, and improvements in residents’ quality of life after moving in. Several comments refer to long-tenured staff, professional conduct among caregivers, and competitive pay for frontline staff, which can support continuity of care. Onsite administration and specific leaders are also credited with being helpful and resourceful in navigating services and community resources.

    Dining and nutrition receive mixed feedback. Some reviewers appreciate the meals, desserts, and overall food presentation, but others express concerns about inconsistent meal timing, seasoning, and the quality of specific dietary accommodations—particularly for residents with diabetes. There are also isolated observations about staff attire and conduct in the dining area that raised professionalism concerns for a few family members. These points suggest variability in dining execution and the need for reliable clinical oversight of therapeutic diets.

    Operationally, a recurring pattern in the feedback is a disconnect between the strong performance of frontline staff and weaknesses at higher management levels. Families often praise caregivers and local administrators while simultaneously noting understaffing, limited emergency or contingency staffing, and slow or incomplete resolution of raised concerns. This pattern produces two practical implications: day-to-day resident experience is frequently positive due to engaged caregivers, but families may encounter obstacles when seeking escalation, sustained response, or clarity on administrative decisions. Cost is another theme—several reviewers perceive the community as expensive and weigh that against expectations for responsiveness and consistency.

    Overall, Village at Valley View appears to offer a high-quality, engaging environment for residents needing memory care, with particularly strong strengths in caregiving, activities, and facility atmosphere. Prospective residents and families should weigh those strengths against operational considerations: inquire specifically about staffing ratios and contingency plans, confirm processes for dietary accommodations and meal timing, and clarify escalation and communication protocols with upper management to ensure alignment with expectations around responsiveness and value.

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    Location

    Map showing location of Village at Valley View

    Village at Valley View is located at 1071 W Jackson Rd, Ashland, OR, 97520.

    About Village at Valley View

    Village at Valley View sits in Ashland, Oregon, close to restaurants, parks, and local entertainment, and is an independent, locally-owned memory care center that really focuses on caring for people with Alzheimer's and other forms of dementia, and you can tell by walking in that the place is thoughtfully designed with charming architecture and bright, cheerful rooms that feel more like a home. There's a Memory Care Wing divided into three separate areas for folks with different needs, so each resident gets personalized care, daily activities that fit their abilities, and a safe, secure place to live, which is something families notice right away. The entire community has a resident-centered philosophy; staff pay close attention to each person, encourage folks to participate in group or one-on-one activities, and focus on dignity and independence instead of making everyone do things the same way.

    There are 48 beds, all set up for memory care, so staff can specialize in daily support for people with Alzheimer's or dementia, along with medication management, diabetic care, incontinence help, and non-ambulatory care for those who need it, and the registered nurses and caretakers keep an eye on everyone's health while being compassionate and steady with their support. Meals are made by a professional chef with lots of options like low sodium, no sugar, and restaurant-style or anytime dining, so people eat what makes them feel good, and there's help for all forms of nutrition and fitness, too. The indoor common areas like a living room with a fireplace, a TV lounge, and meeting rooms let people relax together, while beautiful gardens and walking paths make the outside feel safe and comfortable, with plenty of chances for fresh air and sunlight. The community allows both cats and dogs for those who want to bring pets, and residents also have parking if they're still driving.

    They've got technology for health support, home modifications for safety, and help for both long-term and respite or short-term stays, which makes it easier for families and caregivers to take a needed break or handle travel. Programs at Village at Valley View focus on social, educational, and entertainment activities that make people feel connected, plus special events and memory activities aimed at staying sharp and happy. Staff can work with hospice providers for end-of-life care, always paying attention to comfort and dignity. The facility has been recognized for staff quality and the tidiness of the place, and takes special care to coordinate with hospitals or rehabilitation centers nearby if a resident needs extra attention.

    It's affordable for seniors looking for residential care, with different options to support aging in place, and rooms come with basics like air conditioning, internet, wheelchair-accessible showers, and short-term stay options, making things easier for nearly everyone. There are onsite beautician services for grooming, transportation and parking, and a warm entry lounge where people can gather. Overall, Village at Valley View helps people with memory loss live with more peace of mind, gives families comfort, and does so in a way that feels genuine and caring, with plenty of details like home-cooked meals, gardens, and friendly faces setting a peaceful tone.

    People often ask...

    Village at Valley View offers competitive pricing, with rates starting at a cost of $4,701 per month.

    Village at Valley View offers assisted living and memory care.

    There are 9 photos of Village at Valley View on Mirador.

    The full address for this community is 1071 W Jackson Rd, Ashland, OR 97520.

    No, Village at Valley View 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.

    License number50R450
    StatusActive
    Facility typeResidential Care Facility
    Capacity48 residents
    LicenseeQuail Crest Ashland LLC
    EffectiveJuly 31st, 2017
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    162

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    9

    Years

    08 Apr 2026Licensure
    Found deficiencies in coordinating outside health services and in fire safety, including failure to inform staff of outside provider recommendations and to update the service plan; fire drills and staff safety instruction were not conducted as required.
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyAdministration Compliance
    • DeficiencyCompliance with Rules Health Care
    01 Dec 2025Abuse: Neglect
    Concluded that abuse and neglect occurred due to failure to redirect a resident and follow the care plan, resulting in injury to a resident.
    • AbuseFailed to address resident's behavior
    22 Oct 2025Kitchen
    Identified sanitation and administration-rule deficiencies, including poor kitchen cleanliness, improper food storage, and noncompliance with licensing requirements.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    22 Sept 2025Inspection
    Investigated an allegation of physical abuse and neglect. Found that a person struck the resident in the back multiple times and that the resident was not protected from physical abuse.
    • LicensingFailed to protect resident from physical abuse
    03 Mar 2025License Condition
    Identified deficiencies for failing to provide a safe environment.
    • Regulatory ActionFailed to provide safe environment
    19 Feb 2025Abuse: Neglect
    Investigated allegations of neglect and abuse and found failures in care planning and a safe medication system that affected a resident.
    • AbuseFailed to properly plan care
    14 Feb 2025Licensure
    Identified widespread non-compliance across administration, resident rights, health services, medications, infection control, staffing, and safety, affecting resident care and safety.
    • DeficiencyFacility Administration: Operation
    • DeficiencyFacility Administration: Quality Improvement
    • DeficiencyReasonable Precautions
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRN Delegation and Teaching
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyEmergency and Disaster Planning
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyIndividual Rights Settings Right to Freedom
    • DeficiencyIndividual Privacy: Own Unit
    • DeficiencyIndividual Door Locks: Key Access
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance with Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    • DeficiencyResident Rooms
    14 Dec 2024Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, resulting in a skin tear after an altercation and staffing shortages.
    • AbuseFailed to provide safe environment
    14 Dec 2024Abuse: Neglect
    Investigated an incident where a staff member opened a secured door and provided the resident with the door code, resulting in elopement and potential harm. Found neglect and abuse for failing to provide a safe environment.
    • AbuseFailed to provide safe environment
    26 Nov 2024Abuse: Neglect
    Identified a fall-safety failure that led to a skin tear when a resident slid from bed due to an object protruding from the bed; non-slip socks were not used and the bed alarm was inoperable.
    • AbuseFailed to provide safe environment
    26 Nov 2024Abuse: Neglect
    Investigated and found a failure to provide a safe environment that allowed an altercation between residents.
    • AbuseFailed to provide safe environment
    24 Sept 2024Abuse: Neglect
    Found that a safe environment was not provided, leading to injury requiring medical care.
    • AbuseFailed to provide safe environment
    24 Sept 2024Abuse: Neglect
    Investigated found that fall interventions were not implemented and care planning for known fall risk was inadequate, resulting in abuse and neglect.
    • AbuseFailed to properly plan care
    09 Jul 2024Abuse: Neglect
    Investigated the allegation and found neglect and abuse due to failure to properly plan care, resulting in multiple falls and related injuries.
    • AbuseFailed to properly plan care
    18 Jun 2024Abuse: Neglect
    Found a failure to provide a safe environment for a resident, constituting abuse and neglect; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    18 Jun 2024Abuse: Neglect
    Found a failure to provide a safe environment resulting in abuse and neglect after a second altercation, with fear of sleeping in the same room; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    20 Mar 2024Licensure
    Found no deficiencies.
    • DeficiencyComment
    04 Dec 2023Abuse: Neglect
    Found violations for failing to plan care around a resident's history of falls, resulting in neglect and abuse and a $1500 fine assessment.
    • AbuseFailed to properly plan care
    30 Nov 2023Abuse: Neglect
    Found a failure to provide a safe environment for a resident, constituting neglect and abuse. A $1,500 fine was assessed.
    • AbuseFailed to provide safe environment
    22 Nov 2023Abuse: Neglect
    Found abuse and neglect due to inadequate safety measures that placed residents at risk.
    • AbuseFailed to provide safe environment
    22 Nov 2023Abuse: Neglect
    Investigated the allegation of failing to provide a safe environment and found a failure that placed a resident at risk due to inappropriate sexual behavior by another resident.
    • AbuseFailed to provide safe environment
    14 Nov 2023Abuse: Neglect
    Found a resident safety failure due to neglect and abuse, with a $500 fine assessed.
    • AbuseFailed to provide safe environment
    11 Nov 2023Inspection
    Found a failure to provide a safe medication administration system, resulting in the wrong medication being given to a resident.
    • LicensingFailed to provide a safe medication administration system
    10 Oct 2023Abuse: Neglect
    Investigated found the facility failed to provide a safe environment, resulting in multiple falls and injuries to a resident; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    06 Oct 2023Abuse: Neglect
    Investigated and found that a known wanderer was not provided a safe environment, amounting to neglect and abuse.
    • AbuseFailed to provide safe environment
    05 Sept 2023Abuse: Neglect
    Found failure to provide a safe environment that resulted in abuse/neglect, with a $500 fine assessed.
    • AbuseFailed to provide safe environment
    05 Sept 2023Abuse: Neglect
    Investigated a report of abuse/neglect; found failure to follow the care plan and no intervention by staff during an aggressive incident.
    • AbuseFailed to follow care plan
    05 Aug 2023Abuse: Neglect
    Investigated the complaint and concluded neglect of care and abuse occurred due to leaving an individual unattended in a restroom, violating the care plan and resident rights.
    • AbuseFailed to follow care plan
    31 Jul 2023Inspection
    Found neglect of care and abuse due to a caregiver leaving the resident in a wheelchair overnight and failing to provide necessary care.
    • LicensingFailed to provide service
    16 Jul 2023Abuse: Neglect
    Investigated and found a violation of safe medication administration practices that led to a hospital visit; a $1,000 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    16 Jul 2023Abuse: Neglect
    Investigated an allegation of an unsafe environment and found that a staff member slapped a resident, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    29 Jun 2023Abuse: Neglect
    Investigated and found medication administration failures, including depression and dementia meds not given for weeks and delays in refilling and communication about medications.
    • AbuseFailed to provide a safe medication administration system
    19 Jun 2023Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment that led to multiple falls and injuries to a resident.
    • AbuseFailed to provide safe environment
    21 May 2023Abuse: Neglect
    Determined that a safe environment was not provided, resulting in harm to a resident and constituting abuse and neglect; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    19 May 2023Inspection
    Investigated a staffing documentation failure and found ongoing noncompliance with weekly vaccination reporting requirements.
    • LicensingFailed to submit timely or adequate staffing documentation
    12 May 2023Inspection
    Found that the medication administration system was not safe and that wrong insulin was given; a $500 fine was assessed.
    • LicensingFailed to provide a safe medication administration system
    12 May 2023Abuse: Neglect
    Found unsafe medication administration practices in insulin management and holding insulin without proper orders. This created risk of serious harm and hospitalizations.
    • AbuseFailed to provide a safe medication administration system
    01 May 2023Abuse: Neglect
    Investigated a resident-to-resident assault and found a failure to provide a safe environment resulting in an injury.
    • AbuseFailed to provide safe environment
    03 Apr 2023Inspection
    Found that failures to provide a safe environment occurred, resulting in neglect and abuse.
    • LicensingFailed to provide safe environment
    03 Apr 2023Abuse: Neglect
    Investigated and found failures to follow the care plan for PRN medication, resulting in abuse/neglect findings. A $500 fine was assessed.
    • AbuseFailed to follow care plan
    31 Mar 2023Inspection
    Investigated a care plan violation found that a caregiver did not perform required safety checks, leaving a high-fall-risk resident unsupervised and found in urine; the provider failed to ensure the care plan was followed.
    • LicensingFailed to follow care plan
    30 Mar 2023Inspection
    Investigated a caregiver's failure to provide toileting every two hours and safety checks, finding neglect and abuse and that the care plan wasn't followed.
    • LicensingFailed to follow care plan
    30 Mar 2023Abuse: Neglect
    Investigated allegations of neglect and abuse related to toileting and safety checks. Found staff failed to provide required care and to perform safety checks, resulting in residents being left without toileting and a $500 fine assessed.
    • AbuseFailed to provide service
    25 Mar 2023Abuse: Neglect
    Investigated a complaint and found a failure to provide a homelike environment, constituting abuse and neglect.
    • AbuseFailed to provide a homelike environment
    25 Mar 2023Inspection
    Investigated the allegation of neglect and abuse related to a two-person transfer and found violations of the care plan and oversight that caused injury.
    • LicensingFailed to follow care plan
    25 Mar 2023Abuse: Neglect
    Found a failure to provide a homelike environment, resulting in three resident-to-resident altercations and risk of harm, constituting abuse and neglect. A $500 fine was assessed.
    • AbuseFailed to provide a homelike environment
    19 Mar 2023Abuse: Neglect
    Investigated and found neglect due to failure to plan care and implement fall-prevention interventions, leading to multiple falls and injury risk. A $1500 fine was assessed.
    • AbuseFailed to properly plan care
    14 Mar 2023Abuse: Neglect
    Found a violation for failing to provide a safe environment and assessed a $500 fine.
    • AbuseFailed to provide safe environment
    28 Feb 2023Inspection
    Investigated an allegation that care was not followed during showers, which resulted in an injury. Found that the care plan was not followed and the resident was left unattended, indicating neglect and abuse under state rules.
    • LicensingFailed to follow care plan
    26 Feb 2023Abuse: Neglect
    Found that a resident did not receive a safe environment, resulting in injuries from a fall.
    • AbuseFailed to provide safe environment
    11 Feb 2023Inspection
    Investigated the allegation that a safe medication administration system was not provided and determined no licensing violation occurred.
    • LicensingFailed to provide a safe medication administration system
    17 Jan 2023Licensure
    Determined substantial compliance with applicable rules for resident services meals and food sanitation. No deficiencies cited.
    • DeficiencyComment
    29 Oct 2022Abuse: Neglect
    Investigated allegations found a resident wandered into another resident's room, was touched and choked, and the setting failed to provide a homelike environment, reflecting abuse and neglect with a fine assessed.
    • AbuseFailed to provide a homelike environment
    11 Sept 2022Abuse: Neglect
    Investigated findings showed failure to plan care and implement fall-prevention interventions, leading to multiple resident falls and neglect/abuse.
    • AbuseFailed to properly plan care
    16 Aug 2022Abuse: Neglect
    Found a failure to provide a safe environment that constitutes neglect and abuse.
    • AbuseFailed to provide safe environment
    02 Aug 2022Complaint
    Investigated and found deficiencies in equipment maintenance that affected heating/cooling, causing uncomfortable temperatures in common areas and other areas during hot days.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyDoors, Walls, Elevators, Odors
    01 Aug 2022Abuse: Neglect
    Found neglect and abuse due to inadequate care and safety failures, and assessed a $250 fine.
    • AbuseFailed to provide service
    01 Aug 2022Inspection
    Investigated the allegation of failing to provide or maintain resident care equipment and substantiated a violation of Oregon Administrative Rules.
    • LicensingFailed to provide or maintain resident care equipment
    25 Mar 2022Abuse: Neglect
    Investigated a resident-to-resident incident and found failure to follow care plan interventions for escalating behaviors, resulting in abuse and neglect.
    • AbuseFailed to provide safe environment
    09 Mar 2022Abuse: Neglect
    Found that a staff member verbally abused and roughly handled a resident during a transfer, constituting neglect and abuse; a fine was assessed.
    • AbuseFailed to protect resident from verbal abuse
    17 Feb 2022Abuse: Neglect
    Found neglect and abuse due to failure to implement interventions and monitor residents, resulting in multiple altercations and risk of serious harm; a $500 fine was assessed.
    • AbuseFailed to address resident's behavior
    04 Feb 2022Abuse: Neglect
    Investigated found neglect and abuse for failing to provide basic care and safety, resulting in potential harm after the resident was pushed down by another person.
    • AbuseFailed to provide safe environment
    27 Dec 2021Abuse: Neglect
    Investigated found neglect and abuse resulting from failing to provide a safe environment and to plan interventions for aggressive behavior.
    • AbuseFailed to provide safe environment
    27 Dec 2021Abuse: Neglect
    Investigated a failure to provide a safe medication administration system that resulted in neglect and abuse; a $375 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    25 Dec 2021Abuse: Neglect
    Found neglect and abuse due to failure to provide basic care, resulting in a $375 fine.
    • AbuseFailed to provide safe environment
    25 Dec 2021Abuse: Neglect
    Found neglect and abuse due to failing to provide basic care to keep a resident safe from aggressive interactions.
    • AbuseFailed to provide safe environment
    25 Nov 2021Abuse: Neglect
    Investigated a complaint and found the provider failed to provide a safe environment, resulting in resident injury and constituting neglect and abuse.
    • AbuseFailed to provide safe environment
    25 Nov 2021Abuse: Neglect
    Found that a safe environment was not provided, resulting in injuries from a resident-to-resident altercation and constituting abuse and neglect; a fine was assessed.
    • AbuseFailed to provide safe environment
    04 Nov 2021Abuse: Neglect
    Investigated and found a failure to provide a safe environment for a resident, constituting abuse and neglect. A $375 fine was assessed.
    • AbuseFailed to provide safe environment
    28 Oct 2021Abuse: Neglect
    Found that a resident was injured in a resident-to-resident altercation and that a safe environment was not provided, constituting neglect and abuse; a fine was assessed.
    • AbuseFailed to provide safe environment
    13 Oct 2021Abuse: Neglect
    Found that a resident eloped due to a door not latched/locked, showing a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    02 Oct 2021Abuse: Neglect
    Found a failure to provide a safe environment, resulting in repeated resident-to-resident altercations and risk of serious harm; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    27 Sept 2021Abuse: Neglect
    Determined a failure to provide a safe environment, constituting neglect and abuse after an unlocked back door allowed a resident to leave unsupervised; a fine was assessed.
    • AbuseFailed to provide safe environment
    27 Sept 2021Abuse: Neglect
    Found repeated resident-to-resident altercations that risked serious harm, constituting neglect and abuse, with a fine assessed.
    • AbuseFailed to provide safe environment
    09 Aug 2021Validation
    Identified multiple deficiencies in abuse investigation, change of condition monitoring, health services, fire safety, furnishings, and staff training, with a follow-up indicating substantial compliance.
    • DeficiencyComment
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    08 Aug 2021Inspection
    Investigated and found a violation of resident rights due to failure to provide a safe environment, indicating neglect and abuse.
    • LicensingFailed to provide safe environment
    24 Jul 2021Abuse: Neglect
    Investigated a complaint and found the care plan for a resident at high elopement risk was not followed, allowing the resident to leave the premises.
    • AbuseFailed to follow care plan
    15 Jul 2021Abuse: Neglect
    Investigated and concluded that a resident-to-resident altercation occurred and a safe environment was not provided, constituting abuse and neglect, with a fine assessed.
    • AbuseFailed to provide safe environment
    12 Jul 2021Abuse: Neglect
    Found neglect due to failing to provide basic care and safety, resulting in a resident's fall and nose injury.
    • AbuseFailed to provide safe environment
    27 May 2021Inspection
    Found that staff failed to administer a resident's medication as ordered, and the medication administration system was unsafe, constituting abuse.
    • LicensingFailed to provide a safe medication administration system
    21 May 2021Abuse: Neglect
    Found unsafe medication administration practices that led to a patient receiving the wrong dosage, with a $375 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    19 May 2021Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in insulin not being administered due to stock shortage and a failure to reorder, risking serious harm.
    • AbuseFailed to provide a safe medication administration system
    19 May 2021Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in a resident not receiving prescribed medication due to a stockout. A $375 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    10 Apr 2021Abuse: Neglect
    Investigated a complaint about falls risk care planning and found failures to address the risk, resulting in a hip fracture after a fall.
    • AbuseFailed to properly plan care
    01 Apr 2021Inspection
    Determined violations related to failure to administer ordered eye medication and an unsafe medication administration system.
    • LicensingFailed to administer ordered medication
    24 Mar 2021Abuse: Neglect
    Investigated a complaint alleging neglect and abuse; found that a qualified caregiver was not assured during transfers, contributing to a resident injury from a fall, with a fine assessed.
    • AbuseFailed to assure a qualified caregiver was present
    11 Mar 2021Abuse: Neglect
    Found that a resident’s medication was never entered into the MAR, exposing them to potential harm, with two staff signing off on the order without MAR entry, and a safe medication administration system lacking a sanction was assessed.
    • AbuseFailed to provide a safe medication administration system
    08 Mar 2021Abuse: Neglect
    Identified neglect and abuse for failing to plan care around residents’ known behaviors, causing injuries; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    26 Feb 2021Abuse: Neglect
    Investigated a fall-related incident and found failures to provide an appropriate assessment after the injury, delaying emergency care and causing discomfort. The issues were classified as a substantiated violation and resulted in a fine.
    • AbuseFailed to provide safe environment
    23 Feb 2021Inspection
    Investigated an allegation of failing to follow a resident's care plan that led to a fall and injury; found evidence of neglect and abuse, and a fine was assessed.
    • LicensingFailed to follow care plan
    17 Feb 2021Inspection
    Found that a staff member verbally abused a resident and failed to protect the resident from verbal abuse; the neglect finding was inconclusive, but a violation was identified.
    • LicensingFailed to protect resident from verbal abuse
    16 Jan 2021Abuse: Neglect
    Concluded that there was a failure to provide a safe medication administration system, resulting in a resident receiving the morning dose for about a week and being hospitalized for an overdose.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Found violations involving unsafe medication handling and destruction of narcotics without verification or witness. Violations concerned safe medication administration and resident rights.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Investigated and found violations related to unsafe medication handling, resulting in neglect and financial abuse, with a fine assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Investigated a complaint found that a safe medication administration system was not provided, risking harm when a narcotic was missed; the finding was substantiated and a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Investigated found a staff member removed narcotics from the med room, destroyed medications without a witness, leading to missed doses and violations of resident rights. A fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Found violations of resident rights and neglect due to unsafe medication practices, including removal and destruction of narcotics without witness and improper recordkeeping; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Determined neglect and abuse occurred due to an unsafe medication administration system, including a staff member removing narcotics and destroying medications without a witness and proper documentation.
    • AbuseFailed to provide a safe medication administration system
    12 Jan 2021Abuse: Neglect
    Found violations related to unsafe medication handling and lack of witness verification for destruction, and a failure to maintain a safe medication administration system.
    • AbuseFailed to provide a safe medication administration system
    06 Dec 2020Abuse: Neglect
    Investigated the allegation found falls were not properly planned for, leading to an injury; a $1500 fine was assessed.
    • AbuseFailed to properly plan care
    17 Sept 2020Inspection
    Found failure to administer ordered medication.
    • LicensingFailed to administer ordered medication
    31 Jul 2020Abuse: Neglect
    Found that the facility failed to provide a safe environment, resulting in abuse and neglect.
    • AbuseFailed to provide safe environment
    30 Jul 2020Abuse: Neglect
    Concluded that staff failed to provide a safe environment, resulting in injuries during a resident altercation.
    • AbuseFailed to provide safe environment
    30 Jul 2020Abuse: Neglect
    Investigated found a failure to provide a safe environment, resulting in injuries during an altercation.
    • AbuseFailed to provide safe environment
    24 Feb 2020Abuse: Neglect
    Found that care planning did not address a resident's fall risk, leading to a fall and hip fracture, and staff lacked training to prevent falls.
    • AbuseFailed to properly plan care
    23 Dec 2019Inspection
    Found a failure to provide a safe environment that resulted in harm.
    • LicensingFailed to provide safe environment
    12 Nov 2019Inspection
    Found neglect of care resulting in harm to an adult. The incident involved a substantiated licensing violation.
    • LicensingFailed to provide safe environment
    06 Nov 2019Abuse: Neglect
    Found neglect of care resulting in harm; a $250 fine was assessed.
    • AbuseFailed to properly plan care
    06 Nov 2019Inspection
    Found that suspected abuse was not reported as required, and a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    14 Oct 2019Abuse: Verbal/Mental abuse
    Determined neglect of care resulted in significant emotional harm to the affected adult.
    • AbuseFailed to provide safe environment
    08 May 2019Inspection
    Found a deficiency for not taking reasonable precautions to protect residents' health, safety, or welfare after a resident acquired head lice.
    • LicensingFailed to assure resident rights
    08 May 2019Abuse: Neglect
    Determined neglect due to inadequate supervision that risked serious harm by failing to protect a resident from inappropriate sexual contact.
    • AbuseFailed to protect resident from inappropriate sexual contact
    05 May 2019Abuse: Neglect
    Investigated the complaint and found that the alleged perpetrator neglected by failing to provide adequate supervision, placing the resident at risk of serious harm. A $375.00 fine was assessed.
    • AbuseFailed to protect resident from inappropriate sexual contact
    12 Apr 2019Abuse: Neglect
    Investigated a neglect allegation and found that a resident was not protected from access to a cleaning solution, which was ingested, creating a risk of serious harm. A $250 fine was assessed.
    • AbuseFailed to provide safe environment
    12 Apr 2019Inspection
    Found failure to report suspected abuse and assessed a $1000 fine.
    • LicensingFailed to report potential or suspected abuse
    07 Apr 2019Abuse: Neglect
    Identified violations for neglect related to a medication system. The findings show failure to implement or maintain an adequate medication system, creating risk of serious harm.
    • AbuseFailed to provide a safe medication administration system
    22 Mar 2019Abuse: Neglect
    Determined that neglect occurred due to inadequate supervision, which caused physical harm.
    • AbuseFailed to properly plan care
    22 Mar 2019Inspection
    Found failure to report suspected abuse; assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    22 Mar 2019Abuse: Neglect
    Investigated and found a neglectful act by staff that failed to protect a resident from verbal abuse, causing significant emotional harm; a $250 fine was assessed.
    • AbuseFailed to protect resident from verbal abuse
    19 Jan 2019Abuse: Neglect
    Found a neglect violation for failing to provide a safe environment and protect a resident from physical harm; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    19 Dec 2018Abuse: Neglect
    Found a neglect-related violation for failure to administer medications as ordered, resulting in risk of serious harm.
    • AbuseFailed to provide a safe medication administration system
    16 Oct 2018Abuse: Neglect
    Investigated the complaint and identified neglect due to inadequate supervision, resulting in a $375.00 fine.
    • AbuseFailed to provide safe environment
    15 Sept 2018Abuse: Neglect
    Determined neglect occurred, with a substantiated finding of failing to prevent repeated resident-to-resident altercations that risked harm to residents.
    • AbuseFailed to care plan in accordance with assessment
    15 Sept 2018Abuse: Neglect
    Found a neglect deficiency for failing to protect a resident from repeated falls, risking serious harm.
    • AbuseFailed to follow care plan
    30 Jul 2018Inspection
    Investigated a failure to report potential or suspected abuse and imposed a civil penalty.
    • LicensingFailed to report potential or suspected abuse
    19 Jul 2018Abuse: Neglect
    Found substantiated abuse/neglect related to supervision and falls care planning, with a fine assessed.
    • AbuseFailed to adequately care plan related to falls
    16 Jul 2018Inspection
    Found neglect of care due to inadequate supervision, creating risk of serious harm.
    • LicensingFailed to provide service
    11 Jul 2018Inspection
    Investigated and found a violation for failing to provide a safe environment, risking serious harm to residents; a $375 fine was assessed.
    • LicensingFailed to provide safe environment
    09 Jul 2018Inspection
    Investigated the allegation of failing to report potential or suspected abuse. Substantiated the finding and assessed a $1,000 civil penalty.
    • LicensingFailed to report potential or suspected abuse
    09 Jul 2018Inspection
    Investigated a complaint and assessed a civil penalty for failing to report potential or suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    24 Jun 2018Abuse: Neglect
    Found neglect due to failure to provide basic services necessary to maintain health and safety, resulting in physical harm; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    05 Jun 2018Inspection
    Investigated an allegation of failing to provide a safe environment and found a deficiency in protecting residents from inappropriate interaction; a fine was assessed.
    • LicensingFailed to provide safe environment
    31 May 2018Inspection
    Investigated and found a substantiated deficiency related to protecting residents from inappropriate interactions.
    • LicensingFailed to properly plan care
    02 May 2018Inspection
    Identified a deficiency in care planning where the service plan did not reflect residents' needs identified in the evaluation and did not address resident behaviors.
    • LicensingFailed to care plan in accordance with assessment
    23 Apr 2018Inspection
    Found a violation for failing to follow the care plan and to protect residents from inappropriate interaction, resulting in a $375 fine.
    • LicensingFailed to follow care plan
    22 Apr 2018Abuse: Neglect
    Investigated a complaint and found a violation for failing to protect residents from inappropriate physical contact; a fine was assessed.
    • AbuseFailed to address resident's behavior
    17 Apr 2018Abuse: Neglect
    Found that ordered medication was not administered and the medication system was inadequate.
    • AbuseFailed to administer ordered medication
    27 Mar 2018Abuse: Neglect
    Found deficiencies in the medication system and assessed a $1000 fine.
    • AbuseFailed to administer ordered medication
    27 Mar 2018Inspection
    Found a violation for failure to self-report suspected abuse. A civil penalty of $1,000 was assessed.
    • LicensingFailed to report potential or suspected abuse
    22 Mar 2018Abuse: Neglect
    Determined a safety violation occurred by failing to protect reported victims from inappropriate interaction.
    • AbuseFailed to provide safe environment
    04 Mar 2018Inspection
    Investigated an allegation of failure to properly plan care; found improper supervision and assessed a $375 fine.
    • LicensingFailed to properly plan care
    01 Mar 2018Abuse: Neglect
    Found neglect due to failing to protect a resident from physical harm; a fine was assessed.
    • AbuseFailed to provide safe environment
    28 Feb 2018Inspection
    Investigated and found failure to report potential or suspected abuse, with a $750 fine assessed.
    • LicensingFailed to report potential or suspected abuse
    27 Feb 2018Condition
    Found substantial noncompliance with care requirements and identified multiple deficiencies.
    • Regulatory ActionFailed to provide service
    16 Feb 2018Abuse: Neglect
    Investigated an abuse/neglect allegation and concluded a failure to provide a safe environment and to protect residents from inappropriate interaction.
    • AbuseFailed to provide safe environment
    14 Feb 2018Abuse: Neglect
    Investigated the allegation of failing to provide a safe environment and identified non-compliance with safety requirements.
    • AbuseFailed to provide safe environment
    13 Feb 2018Abuse: Neglect
    Investigated the allegation of neglect and found a failure to provide a safe environment and proper supervision, with a $500 fine assessed.
    • AbuseFailed to provide safe environment
    12 Feb 2018Inspection
    Cited for failing to report potential or suspected abuse and assessed a civil penalty.
    • LicensingFailed to report potential or suspected abuse
    12 Feb 2018Abuse: Neglect
    Concluded that the allegation of failing to follow the care plan resulted in inadequate care, with a deficiency found and a fine assessed.
    • AbuseFailed to follow care plan
    02 Feb 2018Abuse: Neglect
    Determined that supervision was inadequate and care planning related to falls was insufficient; a $1500 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    25 Jan 2018Abuse: Neglect
    Investigated a neglect allegation and found that proper supervision was not provided, creating risk to safety.
    • AbuseFailed to provide safe environment
    25 Jan 2018Abuse: Neglect
    Investigated a complaint and found violations related to failure to plan and provide appropriate care; a fine was assessed.
    • AbuseFailed to properly plan care
    25 Jan 2018Abuse: Neglect
    Investigated the medication administration allegation and found an inadequate medication system.
    • AbuseFailed to administer medication as ordered
    20 Dec 2017Inspection
    Investigated the allegation that medication records were not kept current; found a violation related to medication record keeping.
    • LicensingFailed to keep medication record current or accurate
    20 Dec 2017Inspection
    Investigated the allegation of inadequate screening or assessment and identified a deficiency.
    • LicensingFailed to perform adequate screening or assessment
    20 Dec 2017Inspection
    Investigated the allegation of improper care planning and determined the plan fell short.
    • LicensingFailed to properly plan care
    20 Dec 2017Inspection
    Investigated the allegation and found a failure to keep resident records current or accurate.
    • LicensingFailed to keep resident record current or accurate
    20 Dec 2017Inspection
    Investigated the allegation and identified a deficiency in the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    20 Dec 2017Inspection
    Identified a licensing violation for failing to report potential or suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    20 Dec 2017Inspection
    Concluded that the allegation of failing to administer medication as ordered is substantiated.
    • LicensingFailed to administer medication as ordered
    20 Dec 2017Inspection
    Determined that there was a failure to comply with the nursing delegation requirement.
    • LicensingFailed to comply with nursing delegation requirement
    26 Sept 2017Inspection
    Investigated a licensing matter and found that laundry services were not provided as required.
    • LicensingFailed to provide appropriate housekeeping services

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