I moved my mother here and I'm very pleased - the facility is clean, well-kept, and the staff are warm, professional, and attentive; Seth Hobson was especially helpful. There are lots of activities, good food, and a family-like atmosphere that helped my mom settle in quickly and feel loved. I'm very satisfied and would recommend it; a few small improvements would make it exceptional.
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
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor patio
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.06·(36)
Overall rating
5
4
3
2
1
Care
3.2
Staff
3.7
Meals
3.3
Amenities
4.0
Value
1.5
Pros
Clean, well-maintained facility
Friendly, compassionate staff
Skilled clinical and caregiving personnel
Personalized, family-like resident care
Engaging social activities and public events
High-quality event catering and entertainment
Dedicated memory-care programming
Smooth move-in and admissions support
Comfortable rooms and onsite amenities
Freedom of movement and outdoor access
Cons
Inconsistent staffing levels and scheduling
Gaps in medication-management processes
Weak administrative communication and coordination
Lack of financial transparency and unexpected surcharges
Insufficient training for some direct-care staff
Inadequate supervision for residents with wandering risk
Variable dining quality and menu appropriateness
Declining frequency of outings and activity variety
Inventory-control and billing process weaknesses
Unreliable follow-through on care assessments and level changes
Summary of reviews
Settler's Park presents a mixed but distinct profile: many families describe a clean, comfortable campus with warm, compassionate caregivers and active community programming, while other accounts highlight operational gaps that could affect vulnerable residents. Positive feedback centers on the facility environment, individualized attention, and a strong set of public events and memory-care offerings. Several reviewers praised the quality of event food and entertainment, long-term continuity of care for some residents, and instances of smooth move-ins and attentive bedside care.
Care and staff: Reviewers' experiences with caregiving are polarized. Numerous families emphasize caring, respectful, and skilled staff who treat residents like family and provide attentive personal care. At the same time, there are consistent concerns about inconsistent staffing levels, variable staff experience across shifts, and instances of delayed response times. These operational staffing inconsistencies correlate with reports of long waits for assistance and examples of staff failing to follow through on tasks. There are also isolated but serious concerns following resident adverse outcomes that families attribute to lapses in supervision and response; these underscore the importance of evaluating staffing ratios and training for high-dependency residents.
Medication and clinical management: A recurring pattern involves gaps in medication-management and documentation practices. Specific issues described include medication misorders or shipments occurring without clear authorization, limited inventory tracking for returned medications, and billing/insurance actions tied to medication handling. Separately, families reported care-level increases and reassessments that were not communicated in writing or coordinated well with relatives, indicating weaknesses in clinical-administration handoffs and care-plan transparency.
Dining and nutrition: Dining experiences vary. Many reviewers rate the food positively and praise event catering and entertainment meals, while others describe inconsistent daily meal quality and menu choices that are not always adapted to residents with swallowing risks or cognitive impairment. These discrepancies suggest the need for more consistent dietitian oversight and menu modification protocols for residents with specific nutritional or safety needs.
Activities and social life: The community offers visible strengths in social programming—public events, music, and themed activities receive frequent praise. Memory-care programming is highlighted as a strong area by some families. However, several accounts indicate a reduction in outings and external activities over time, and a need for more tailored programming on specific units. Overall, activity offerings are present and can be engaging, but their frequency and resident-specific appropriateness appear uneven.
Facilities and safety: The physical plant is generally described as well kept and comfortable, with amenities that meet residents' needs. That said, there are isolated safety and maintenance concerns (for example, HVAC issues and supervision gaps for residents who wander) that families noted. These issues point to the importance of reviewing environmental safety controls, secure perimeters, and maintenance responsiveness.
Management and administration: Administrative practices emerge as an area for improvement. Key operational issues include inconsistent communication with families, billing and deposit disputes, an undisclosed diabetes-related surcharge that families characterized as unexpected, and coordination gaps between departments (clinical, pharmacy, and billing). Some families described positive interactions with community-relations staff and facility leadership, indicating strengths in parts of the administrative team; however, process reliability and financial transparency are recurring themes for attention.
Bottom line: Settler's Park appears to provide compassionate, individualized care for many residents, with strong community programming and well-maintained facilities. Prospective residents and families should balance those strengths against documented operational weaknesses: staffing variability, medication- and inventory-control gaps, inconsistent administrative communication, and uneven dining and activity consistency. For families considering placement, targeted questions about staffing ratios, medication protocols, documentation of care-level changes, menu accommodations for swallowing and cognitive impairments, and clear disclosure of all fees (including disease-specific surcharges) will help assess whether the facility’s current operations match the prospective resident’s needs.
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Location
Settler's Park Senior Living is located at 2895 17th St, Baker City, OR, 97814.
About Settler's Park Senior Living
Settler's Park Senior Living sits in a quiet spot and offers seniors a place to live that lets them stay independent and keep their privacy and dignity, and they give help only when someone really needs it, so you still make your own choices most days, and you'll see right away they try hard to make folks feel at home, with pet-friendly rooms, spaces for both cats and dogs, and plenty of comfort in their spacious apartments which stay efficient but cozy as the years go by. This community gives a handful of options depending on what a person might need, like independent living for elders who don't need much help but enjoy being surrounded by others or assisted living for folks who need a hand with daily tasks like taking medicine, dressing, moving around, or using the restroom, plus specialized memory care for people with Alzheimer's or other kinds of memory loss, where care partners stay nearby around the clock to back them up. There's a growth and wellness plan that gets made up together with each resident and their family, so the support matches what each person really needs, and the Person-Centered Care assessments make it so the staff and families know what's best for everyone. You'll find only forty-four beds here, which keeps a close family feeling, and there's always a push for safety, security, and folks staying connected to their neighbors, with health monitoring in place to make sure everyone's as well as possible day by day, and their True North Programs focus on more personal care based on what each resident likes and wants. There's a beauty salon to pop into, plenty of activities planned by full-time directors, and field trips out and about, so no one just sits alone day after day. On top of all that, Settler's Park Senior Living has services in place for skilled nursing, continuing care, and even hospice or respite care, along with support for caregivers, planning, and clear direction about insurance, savings, and benefits if you need to know what you can afford or where to get help. The community works under the Oregon Health Care Association, has strong ties to technology partnerships for things like messaging, social media, and Meta Pay, and provides resources with real stories, glossaries, and caregiver support to keep things clear and helpful as you go along. You'll see the staff here don't try to do everything for their residents; they stay close when needed, let you keep your pride whenever you can, and build up a true sense of belonging, doing their best to keep everyone as active and social as possible while offering living spaces and care that fit each stage in a person's journey.
Senior Lifestyle, founded in 1985 as a family-owned business headquartered in Chicago, Illinois, has grown from its first lakefront community to become one of the nation's leading senior living providers. Operating more than 130 communities across 20+ states from coast to coast, Senior Lifestyle serves nearly 10,000 residents as the 10th largest senior living provider in the United States, with annual revenues reaching $1 billion. The company functions as an owner, operator, and developer of senior living communities, offering services across all market segments from luxury to affordable.
The company provides a comprehensive continuum of care including independent living, assisted living, memory care, and skilled nursing services. Their award-winning "embrace" Memory Care program stands as a cornerstone of their offerings, built on five key principles: Wellness, Enrichment, Challenge, Connection, and Creativity. This research-driven program features specialized initiatives such as Bookmarks (reading support), Essence (multi-sensory experiences), Snapshots (emotional wellness for residents and families), Spark (cognitive stimulation and social engagement), and Thymeless (a garden-to-table dining program). Each component is designed to provide person-centered care that focuses on the individual rather than the disease, ensuring dignity and overall well-being in a supportive environment.
Senior Lifestyle's operational philosophy is guided by their HEART values: Hospitality, Excellence, Appreciation, Respect, and Teamwork. These core values shape every aspect of their approach to serving residents and supporting team members. The company's commitment extends beyond traditional care models, emphasizing connection and inclusion throughout their communities. Their person-centered approach ensures that daily life is filled with joy and serenity, with personalized experiences tailored to each resident's unique needs, preferences, and abilities.
As a pioneer in the senior living industry for nearly four decades, Senior Lifestyle continues to innovate and expand while maintaining its family-owned heritage and commitment to quality care. Their comprehensive wellness approach addresses mind, body, and soul through coordinated programs that promote cognitive stimulation, social engagement, and meaningful moments. This dedication to excellence across luxury, moderate, and affordable segments demonstrates Senior Lifestyle's mission to provide exceptional senior living experiences that enhance quality of life for all residents, regardless of their care needs or economic circumstances.
People often ask...
Settler's Park Senior Living offers competitive pricing, with rates starting at a cost of $6,671 per month.
Settler's Park Senior Living offers assisted living and memory care.
There are 20 photos of Settler's Park Senior Living on Mirador.
The full address for this community is 2895 17th St, Baker City, OR 97814.
No, Settler's Park Senior Living 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.
Identified widespread kitchen sanitation and cleanliness deficiencies that did not meet food sanitation rules. Noted debris, dirty surfaces, and equipment issues across multiple areas.
Found failure to develop, maintain, and implement an Acuity Based Staffing Tool. This finding violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
05 Sept 2025Abuse: Neglect
05 Sept 2025Abuse: Neglect
Found neglect due to failure to provide services and care planning for safety, with an injury observed; a fine was assessed.
Abuse—Failed to provide service
06 Jul 2025Inspection
06 Jul 2025Inspection
Investigated and found a failure to provide a safe medication administration system, resulting in medications not prescribed to the resident being administered and causing side effects.
Licensing—Failed to provide a safe medication administration system
11 Mar 2025Abuse: Neglect
11 Mar 2025Abuse: Neglect
Investigated and identified a failure to provide a safe medication administration system that led to an incorrect dosage and related symptoms; a $188 fine was assessed.
Abuse—Failed to provide a safe medication administration system
06 Mar 2025Abuse: Neglect
06 Mar 2025Abuse: Neglect
Fined $250 for failing to follow the care plan, which led to a fall and head injury during toileting assistance.
Abuse—Failed to follow care plan
21 Feb 2025Abuse: Neglect
21 Feb 2025Abuse: Neglect
Found unsafe environmental conditions in the courtyard due to an unlocked door during icy weather, resulting in a resident injury.
Abuse—Failed to provide safe environment
27 Jan 2025Inspection
27 Jan 2025Inspection
Determined a failure to administer medication as ordered occurred, with no negative outcome for the individual.
Licensing—Failed to administer medication as ordered
12 Dec 2024Inspection
12 Dec 2024Inspection
Found neglect and abuse due to a call pendant being placed out of reach, delaying help and causing loss of dignity. It violated the resident's rights.
Licensing—Failed to assure resident rights
14 Nov 2024Abuse: Neglect
14 Nov 2024Abuse: Neglect
Investigated and found a failure to maintain a safe medication system, resulting in an incorrect dose being given for about 14 days.
Abuse—Failed to provide a safe medication administration system
01 Oct 2024License Condition
01 Oct 2024License Condition
Determined that the provider was not in substantial compliance and that this non-compliance posed a threat to residents' health, safety, and welfare. Found deficiencies related to maintaining a safe environment.
Regulatory Action—Failed to provide safe environment
10 Sept 2024Complaint
10 Sept 2024Complaint
Found no deficiencies. The investigation determined compliance with applicable rules.
Deficiency—Licensing Complaint Investigation
29 Aug 2024Change of Owner
29 Aug 2024Change of Owner
Identified widespread deficiencies across administration, resident moves, care planning, monitoring, health services, medications, staffing, safety, and resident rights.
Identified multiple deficiencies across resident evaluations, change of condition monitoring, medication processes, staff training, fire safety instruction for residents, and facility interiors.
Deficiency—Resident Move-in and Eval: Res Evaluation
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Staffing Rqmt and Training: Training Rqmts
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—Doors, Walls, Elevators, Odors
14 Jul 2024Inspection
14 Jul 2024Inspection
Investigated and found violations related to transfer assistance and neglect, with the resident left without assistance and a call pendant for several hours.
Licensing—Failed to assist with transfer
16 Jun 2024Inspection
16 Jun 2024Inspection
Found that a staff member verbally abused a resident during medication administration, causing unreasonable discomfort and loss of personal dignity, and that protection from verbal abuse failed.
Licensing—Failed to protect resident from verbal abuse
05 May 2024Abuse: Neglect
05 May 2024Abuse: Neglect
Investigated a medication administration failure; found neglect and abuse due to missed medications and a lack of a safe administration system.
Abuse—Failed to administer medication as ordered
24 Jan 2024Abuse: Neglect
24 Jan 2024Abuse: Neglect
Determined that the facility failed to provide a safe medication administration, risking serious harm and constituting abuse.
Abuse—Failed to provide a safe medication administration system
12 Dec 2023Abuse: Neglect
12 Dec 2023Abuse: Neglect
Found an inadequate medication administration system led to a resident not receiving antidepressant for about seven days, causing withdrawal symptoms.
Abuse—Failed to administer medication as ordered
21 Sept 2023Inspection
21 Sept 2023Inspection
Determined that a safe medication administration system was not provided, resulting in a resident requiring hospital monitoring.
Licensing—Failed to provide a safe medication administration system
28 Aug 2023Licensure
28 Aug 2023Licensure
Determined the licensee was in substantial compliance with applicable rules.
Deficiency—Comment
28 Aug 2023Licensure
28 Aug 2023Licensure
Concluded substantial compliance with meal service and food sanitation rules.
Deficiency—Comment
20 Apr 2023Inspection
20 Apr 2023Inspection
Investigated and found a violation for failing to submit timely weekly reporting of vaccinated individuals, residents, and staff, ongoing for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
08 Mar 2023Abuse: Neglect
08 Mar 2023Abuse: Neglect
Determined that improper planning of care and inadequate interventions allowed a resident's inappropriate behavior toward other residents, constituting abuse and neglect.
Abuse—Failed to properly plan care
31 Oct 2022Inspection
31 Oct 2022Inspection
Investigated an allegation that another resident's prescription pills were administered without a doctor's order, risking serious harm. Found deficiencies in medication safety practices and the surrounding environment.
Licensing—Failed to provide a safe medication administration system
31 Jul 2022Abuse: Neglect
31 Jul 2022Abuse: Neglect
Investigated a complaint and found a failure to properly plan care to address ongoing falls, resulting in injuries; a $500 fine was assessed.
Abuse—Failed to properly plan care
12 Jul 2022Licensure
12 Jul 2022Licensure
Identified significant sanitation and food-safety deficiencies during initial visits. Substantial compliance was concluded on the follow-up visit.
Deficiency—Inspections and Investigation: Insp Interval
26 Jun 2022Abuse: Neglect
26 Jun 2022Abuse: Neglect
Found that there was a failure to properly plan care to protect residents from sexually inappropriate behavior, resulting in abuse and neglect with a $500 fine assessed.
Abuse—Failed to properly plan care
19 Apr 2022Inspection
19 Apr 2022Inspection
Determined that a safe medication administration system was not provided, risking serious harm to a resident; findings included neglect of care and an unsafe environment.
Licensing—Failed to provide a safe medication administration system
23 Mar 2022Abuse: Neglect
23 Mar 2022Abuse: Neglect
Found a violation for failing to maintain a safe environment, leading to an unwitnessed fall and injuries.
Abuse—Failed to provide safe environment
06 Jan 2022Abuse: Neglect
06 Jan 2022Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in abuse/neglect findings and a $375 fine.
Abuse—Failed to provide a safe medication administration system
26 Dec 2021Inspection
26 Dec 2021Inspection
Found a violation of safe medication administration that led to a resident receiving another resident's medication due to a distracted med pass and a deficient system.
Licensing—Failed to provide a safe medication administration system
21 Nov 2021Abuse: Neglect
21 Nov 2021Abuse: Neglect
Found that the care plan to reassure safety and location was not followed, resulting in abuse and neglect. A fine of $375 was assessed.
Abuse—Failed to follow care plan
19 Nov 2021Abuse: Neglect
19 Nov 2021Abuse: Neglect
Found a deficiency in the medication administration system that led to missed doses and potential harm, and a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
15 Nov 2021Inspection
15 Nov 2021Inspection
Found a failure to provide a safe medication administration system, including an uncrushed prescribed pill found under a resident's bed and noncompliance with the MAR.
Licensing—Failed to provide a safe medication administration system
05 Nov 2021Inspection
05 Nov 2021Inspection
Investigated and found a violation involving failure to provide a safe medication administration system. This included neglect of care and potential abuse.
Licensing—Failed to provide a safe medication administration system
03 Nov 2021Abuse: Neglect
03 Nov 2021Abuse: Neglect
Found that a safe environment was not provided and abuse/neglect occurred, with a fine assessed.
Abuse—Failed to provide safe environment
07 Oct 2021Abuse: Neglect
07 Oct 2021Abuse: Neglect
Investigated an abuse and neglect allegation and found that care planning was inadequate for a resident with known behaviors, leading to a resident-to-resident altercation and harm; a fine was assessed.
Abuse—Failed to properly plan care
24 Sept 2021Abuse: Neglect
24 Sept 2021Abuse: Neglect
Investigated the incident and found that staff did not respond to a call light promptly after a resident's fall, indicating neglect and abuse.
Abuse—Failed to answer call light in a timely manner
21 Sept 2021Abuse: Neglect
21 Sept 2021Abuse: Neglect
Investigated a report of resident-to-resident aggression and safety concerns; found failure to provide a safe environment, constituting abuse and neglect, with a $375 fine assessed.
Abuse—Failed to provide safe environment
19 Sept 2021Inspection
19 Sept 2021Inspection
Found that a resident was subjected to verbal abuse by staff and not adequately protected from that abuse.
Licensing—Failed to protect resident from verbal abuse
29 Aug 2021Abuse: Neglect
29 Aug 2021Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in abuse/neglect findings and a $375 fine.
Abuse—Failed to provide safe environment
27 Jul 2021Abuse: Neglect
27 Jul 2021Abuse: Neglect
Investigated and found that a care plan was not followed, leading to a resident-to-resident incident and abuse/neglect; a fine was assessed.
Abuse—Failed to follow care plan
27 Jul 2021Abuse: Neglect
27 Jul 2021Abuse: Neglect
Investigated an allegation of unsafe environment and found a failure to protect a resident from aggressive behavior, resulting in a safety violation and a fine.
Abuse—Failed to provide safe environment
13 Jul 2021Abuse: Neglect
13 Jul 2021Abuse: Neglect
Investigated the allegation and found that significant catheter care was missed due to ointment unavailability, resulting in pain and redness for a resident.
Abuse—Failed to provide service
16 May 2021Abuse: Neglect
16 May 2021Abuse: Neglect
Investigated and found a failure to provide a safe environment, leading to an unwitnessed fall and no medical attention.
Abuse—Failed to provide safe environment
03 May 2021Abuse: Neglect
03 May 2021Abuse: Neglect
Found that staff failed to follow the care plan for a resident with known wandering behavior, leading to an incident where the resident was injured.
Abuse—Failed to follow care plan
28 Dec 2020Inspection
28 Dec 2020Inspection
Determined neglect in medication management and an unsafe medication administration system that created a risk of harm.
Licensing—Failed to provide a safe medication administration system
13 Dec 2020Abuse: Neglect
13 Dec 2020Abuse: Neglect
Found failure to properly plan care to mitigate fall risk, leading to multiple unwitnessed falls and related injuries.
Abuse—Failed to properly plan care
05 Mar 2018Inspection
05 Mar 2018Inspection
Determined a deficiency for not providing a lockable storage space for residents' valuables and funds.
Licensing—Failed to provide or maintain resident care equipment
20 Feb 2018Abuse: Financial abuse
20 Feb 2018Abuse: Financial abuse
Found a violation for failing to provide a secure environment, which allowed items to be taken; a $500 fine was assessed.
Abuse—Failed to provide safe environment
07 Feb 2018Abuse: Financial abuse
07 Feb 2018Abuse: Financial abuse
Investigated a complaint and found a deficiency for not providing a secure environment for residents' belongings.
Abuse—Failed to provide safe environment
05 Feb 2018Abuse: Physical Abuse
05 Feb 2018Abuse: Physical Abuse
Found that a safe environment was not provided, resulting in an assault.
Abuse—Failed to protect resident from rough treatment
05 Feb 2018Abuse: Financial abuse
05 Feb 2018Abuse: Financial abuse
Determined that financial exploitation occurred, with money taken from a resident by another person, indicating an unsafe environment.
Abuse—Failed to protect resident from financial exploitation
06 Jul 2017Inspection
06 Jul 2017Inspection
Investigated an allegation of failing to administer medication as ordered and identified a violation.
Licensing—Failed to administer medication as ordered
06 Jul 2017Inspection
06 Jul 2017Inspection
Found that meals were not palatable per the applicable rule.
Licensing—Failed to provide proper food/nutrition
06 Jul 2017Inspection
06 Jul 2017Inspection
Investigated a complaint and found a violation of food sanitation rules.
Licensing—Failed to assure food safety
18 Aug 2016Inspection
18 Aug 2016Inspection
Investigated a housekeeping complaint and found interior spaces were not kept free from unpleasant odors.
Licensing—Failed to provide appropriate housekeeping services
21 Apr 2016Inspection
21 Apr 2016Inspection
Identified a deficiency in maintaining a safe physical environment due to failure to keep interior materials and surfaces clean and in good repair.
Licensing—Failed to maintain a safe physical environment
21 Apr 2016Inspection
21 Apr 2016Inspection
Investigated the allegation and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
05 Feb 2016Inspection
05 Feb 2016Inspection
Investigated an allegation of improper admission or readmission and identified a violation for involuntary move-out not meeting the 30-day requirement.
Licensing—Failed to properly admit or re-admit
26 Nov 2014Inspection
26 Nov 2014Inspection
Identified a deficiency in the medication administration system.
Licensing—Failed to provide a safe medication administration system
06 Oct 2014Abuse: Neglect
06 Oct 2014Abuse: Neglect
Determined neglect occurred due to failure to assist with toileting, with potential for moderate harm. Findings indicated the care provided did not meet required standards.
Abuse—Failed to assist with toileting
17 Sept 2014Abuse: Neglect
17 Sept 2014Abuse: Neglect
Found deficiencies in fall-related care planning and in providing a safe and secure environment. A $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
01 Sept 2014Inspection
01 Sept 2014Inspection
Investigated and found medication records were not current or accurate and appropriate care was not provided.
Licensing—Failed to keep medication record current or accurate
26 Jul 2014Abuse: Neglect
26 Jul 2014Abuse: Neglect
Determined violations due to failure to provide a safe and secure environment for residents. The issue involved several regulatory requirements.
Abuse—Failed to address resident's behavior
21 Jun 2014Inspection
21 Jun 2014Inspection
Found that staff failed to intervene when a resident's condition changed.
Licensing—Failed to intervene when resident's condition changed
13 Jun 2014Abuse: Neglect
13 Jun 2014Abuse: Neglect
Investigated a neglect allegation and found failures in safety and falls care planning that led to harm.
Abuse—Failed to adequately care plan related to falls
06 Mar 2014Abuse: Neglect
06 Mar 2014Abuse: Neglect
Investigated a reported abuse/neglect allegation and identified deficiencies in maintaining a safe and secure environment.
Abuse—Failed to address resident's behavior
05 Jan 2014Inspection
05 Jan 2014Inspection
Investigated allegation of failing to provide a safe medication administration system and identified deficiencies in medication practices.
Licensing—Failed to provide a safe medication administration system
04 Dec 2013Abuse: Neglect
04 Dec 2013Abuse: Neglect
Found deficiencies in falls care planning and safety by not providing a safe environment, with a $250 fine assessed.
Abuse—Failed to adequately care plan related to falls
30 Nov 2013Abuse: Neglect
30 Nov 2013Abuse: Neglect
Investigated an allegation of neglect related to falls care planning and found a failure to provide a safe and secure environment.
Abuse—Failed to adequately care plan related to falls
09 Sept 2013Abuse: Neglect
09 Sept 2013Abuse: Neglect
Investigated the neglect allegation and concluded that a safe and secure environment was not provided.
Abuse—Failed to provide safe environment
29 Aug 2013Abuse: Neglect
29 Aug 2013Abuse: Neglect
Investigated an allegation of inadequate care planning related to falls and found safety deficiencies resulting in significant harm; a $2,500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
28 Jul 2013Abuse: Neglect
28 Jul 2013Abuse: Neglect
Investigated the allegation and found a failure to maintain a safe and secure environment.
Abuse—Failed to address resident's behavior
15 May 2013Abuse: Neglect
15 May 2013Abuse: Neglect
Investigated the allegation of neglect and found inadequate care led to harm to a resident.
Abuse—Failed to answer call light in a timely manner
22 Mar 2013Inspection
22 Mar 2013Inspection
Found continued non-compliance with Oregon Administrative Rules related to a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
21 Mar 2013Inspection
21 Mar 2013Inspection
Determined that oversight and monitoring of change of condition failed.
Licensing—Failed to provide oversight and monitoring of change of condition
29 Jan 2013Abuse: Neglect
29 Jan 2013Abuse: Neglect
Investigated an allegation of abuse/neglect and found failure to assess and provide a safe environment that harmed a resident.
Abuse—Failed to provide safe environment
13 Nov 2012Abuse: Neglect
13 Nov 2012Abuse: Neglect
Investigated the neglect allegation and found harm occurred due to improper care planning.
Abuse—Failed to properly plan care
04 Oct 2012Abuse: Neglect
04 Oct 2012Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment resulting in harm.
Abuse—Failed to follow care plan
03 Oct 2012Abuse: Neglect
03 Oct 2012Abuse: Neglect
Investigated the allegation and identified a failure to exercise reasonable precautions that harmed residents.
Abuse—Failed to address resident's behavior
11 Sept 2012Inspection
11 Sept 2012Inspection
Identified a violation for failing to provide a safe and secure environment.
Licensing—Failed to provide safe environment
09 May 2012Abuse: Neglect
09 May 2012Abuse: Neglect
Investigated a neglect allegation and found failures to oversee and monitor changes in condition, leading to new wounds, worsened infections and increased care needs; a $300 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
03 Apr 2012Inspection
03 Apr 2012Inspection
Found failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
19 Mar 2012Inspection
19 Mar 2012Inspection
Investigated the allegation of an unsafe medication administration system and found a failure to maintain a proper medication administration system.
Licensing—Failed to provide a safe medication administration system
17 Mar 2012Inspection
17 Mar 2012Inspection
Investigated the allegation of not administering medication as ordered and found failure to follow the service plan.
Licensing—Failed to administer medication as ordered
15 Mar 2012Inspection
15 Mar 2012Inspection
Investigated a medication administration allegation and found deficiencies resulting in potential harm.
Licensing—Failed to administer medication as ordered
13 Mar 2012Inspection
13 Mar 2012Inspection
Investigated a licensing violation and found a deficiency in keeping medication records current and in maintaining a proper medication administration system.
Licensing—Failed to keep medication record current or accurate
12 Mar 2012Inspection
12 Mar 2012Inspection
Investigated the allegation and found a resident did not receive prescribed medication. The finding indicated a lapse in medication administration safety.
Licensing—Failed to provide a safe medication administration system
07 Mar 2012Inspection
07 Mar 2012Inspection
Investigated the allegation of an unsafe medication administration system and found a transcription error in the medication schedule that could cause harm.
Licensing—Failed to provide a safe medication administration system
25 Feb 2012Inspection
25 Feb 2012Inspection
Found failure to administer medication as ordered, indicating a deficiency in medication administration.
Licensing—Failed to administer medication as ordered
17 Jan 2012Abuse: Neglect
17 Jan 2012Abuse: Neglect
Investigated the allegation of neglect regarding medication administration. Found a failure to follow a safe medication system that caused harm.
Abuse—Failed to administer medication as ordered
08 Dec 2011Inspection
08 Dec 2011Inspection
Investigated the allegation that medication was not administered as ordered and found improper administration resulting in harm.
Licensing—Failed to administer medication as ordered
14 Oct 2011Abuse: Neglect
14 Oct 2011Abuse: Neglect
Investigated an allegation of failing to provide a safe medication administration system and found improper medication administration, with a $300 fine assessed.
Abuse—Failed to provide a safe medication administration system
23 Jul 2011Abuse: Neglect
23 Jul 2011Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to address resident's behavior
12 May 2011Abuse: Physical Abuse
12 May 2011Abuse: Physical Abuse
Investigated an abuse allegation and found a failure to protect a resident from rough treatment.
Abuse—Failed to protect resident from rough treatment
12 May 2011Abuse: Verbal/Mental abuse
12 May 2011Abuse: Verbal/Mental abuse
Investigated a verbal abuse allegation and found a resident was exposed to inappropriate verbal comments.
Abuse—Failed to protect resident from verbal abuse
31 Mar 2011Abuse: Neglect
31 Mar 2011Abuse: Neglect
Investigated and found failure to maintain a safe environment that resulted in an injury.
Abuse—Failed to follow care plan
02 Dec 2010Abuse: Neglect
02 Dec 2010Abuse: Neglect
Identified failure to follow the care plan, with potential for minor harm or moderate harm.
Abuse—Failed to follow care plan
02 Dec 2010Abuse: Neglect
02 Dec 2010Abuse: Neglect
Investigated an allegation of neglect. Found that appropriate care was not provided.
Abuse—Failed to provide service
02 Dec 2010Abuse: Neglect
02 Dec 2010Abuse: Neglect
Investigated the allegation of neglect and found that appropriate care was not provided to a resident.
Abuse—Failed to provide service
23 Nov 2010Inspection
23 Nov 2010Inspection
Investigated the allegation and found a failure to administer medication as ordered and to maintain an adequate medication system.
Licensing—Failed to administer medication as ordered
24 Oct 2010Inspection
24 Oct 2010Inspection
Investigated an allegation of failing to administer medication as ordered; identified a violation related to medication administration.
Licensing—Failed to administer medication as ordered
20 Aug 2010Abuse: Neglect
20 Aug 2010Abuse: Neglect
Found failure to provide PRN medication as ordered.
Abuse—Failed to administer medication as ordered
19 Aug 2010Abuse: Neglect
19 Aug 2010Abuse: Neglect
Investigated a neglect allegation and found a safety deficiency due to failure to provide a safe environment; a $300 fine was assessed.
Abuse—Failed to follow care plan
03 Jun 2010Abuse: Neglect
03 Jun 2010Abuse: Neglect
Investigated and found neglect involving failure to assure resident rights, with care deficiencies affecting a resident and potential for moderate harm.
Abuse—Failed to assure resident rights
03 Jun 2010Abuse: Neglect
03 Jun 2010Abuse: Neglect
Found failure to assess and intervene; a $300 fine was assessed.
Abuse—Failed to perform adequate screening or assessment
20 May 2010Inspection
20 May 2010Inspection
Investigated the safety allegation and found a deficiency in providing a safe environment.
Licensing—Failed to assure resident was safe
12 Apr 2010Abuse: Neglect
12 Apr 2010Abuse: Neglect
Determined neglect occurred due to failure to provide or assist with hygiene.
Abuse—Failed to provide or assist with hygiene
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