Pricing ranges from
    $6,293 – 8,180/month

    Morning Star of Beaverton

    14475 SW Barrows Rd, Beaverton, OR 97007
    • Independent Living
    • Assisted Living
    • Memory Care

    Modern bright community compassionate staff

    I toured this modern, hotel-like community and was very impressed-bright, beautifully presented rooms, inviting common areas (bistro, salon, movie theater) and chef-prepared, healthy meals. The staff are compassionate, attentive, and go above and beyond to explain care and engage residents in activities; with a one-month free move-in offer, I highly recommend it.

    Loved one of resident
    Sep 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Spa
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.48·(62)

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      4.4
    • Amenities

      4.6
    • Value

      2.3

    Pros

    • Compassionate, friendly, and responsive care staff
    • Personalized attention and staff engagement with residents
    • Supportive family involvement and visitation
    • Comfortable support during major transitions and end-of-life care
    • Clean, bright, modern, and well-maintained surroundings
    • Spacious rooms with private bathrooms and kitchenettes
    • Chef-prepared meals and appealing dining spaces
    • Frequent social, musical, creative, and recreational activities
    • Broad amenities, including a theater, library, gym, salon, and activity rooms
    • Welcoming atmosphere and attractive landscaped setting

    Cons

    • Variable staffing levels and continuity, particularly on weekends and in memory care
    • Staff turnover and onboarding-related service inconsistency
    • Gaps in communication with families about health changes and care plans
    • Inconsistent medication documentation and follow-through when residents decline medication
    • Uneven follow-through on bathing and other personal-care routines
    • More limited activity options in memory care
    • Premium pricing and affordability concerns
    • Sales approach perceived as overly assertive
    • Limited transportation availability for appointments
    • Occasional phone-system and maintenance responsiveness issues
    • Reported leadership conduct and regulatory-compliance concerns

    Summary of reviews

    Overall, reviews portray MorningStar of Beaverton as an attractive, modern community with many families expressing satisfaction with the care, staff, and environment. Residents are often described as receiving kind, individualized attention, and families appreciate staff who help with transitions, respond to questions, and support regular visits. Some accounts, however, describe uneven care follow-through, staffing variability, and communication gaps. Concerns include inconsistent bathing routines, medication documentation or follow-up when a resident declines medication, and families not always being promptly informed about health or care changes. Staffing continuity, including weekend coverage and memory-care staffing, is also raised as an area to monitor.

    Dining is a frequently praised feature, with comments about chef-prepared meals, fresh food, menu choices, and friendly dining service. A few accounts describe meals as overly salty or less appealing at an earlier point, suggesting that experiences may vary over time. Activities are another strength: reviews mention music, performances, games, crafts, exercise, outings, and social events. One family noted that memory-care activities were less extensive than those in other areas, and participation may depend on residents’ needs and circumstances.

    The building is commonly described as clean, bright, contemporary, and home-like, with attractive rooms and a substantial range of shared spaces and amenities. Reviewers cite features such as a theater, library, gym, salon, activity rooms, bistro, and landscaped surroundings. The community’s appearance and amenities are balanced by recurring concerns that its cost is higher than alternatives. Other practical limitations noted include restricted transportation availability for appointments, occasional phone-system difficulties, and delays with maintenance. One prospective family also found the sales approach too assertive.

    Views of management and operations are mixed. Some families describe helpful, knowledgeable leaders and positive communication, while others report service inconsistency during staffing transitions or difficulty getting concerns addressed. One review makes serious allegations about leadership conduct and regulatory compliance, including claimed state enforcement actions; these claims are not independently verified by the review text and contrast with positive assessments of management in other accounts. Families considering the community may wish to ask about current staffing levels, personal-care and medication procedures, family-notification practices, memory-care programming, transportation, and total costs.

    Reviews written on Mirador

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    Location

    Map showing location of Morning Star of Beaverton

    Morning Star of Beaverton is located at 14475 SW Barrows Rd, Beaverton, OR, 97007.

    About Morning Star of Beaverton

    Morning Star Of Beaverton sits in a quiet spot in Beaverton, Oregon, with views of natural wetlands and easy access to local parks, vineyards, shopping, hospitals, restaurants, and even nearby beaches, and the place has a warm, neighborhood feel, with friendly faces and helpful staff. The community welcomes residents age 55 and older and offers several types of living options, including independent living, assisted living, memory care, home care, skilled nursing, and adult care home services, so people can stay and get more help as needed over the years. The building has clean, pet-friendly apartments in various sizes and styles, including studio, one-bedroom, and two-bedroom floor plans, some as large as 974 square feet, and all include kitchenettes, private bathrooms, cable TV, and personal heating and air conditioning. Housekeepers keep rooms clean, laundry and linen services are available, and staff take care of trash removal. Residents with memory issues can stay in the Reflections Neighborhood, which has 38 secure suites and uses safety tools like cameras and Safely You technology that records and quickly alerts staff if anyone falls, and there's a special Lavender Sky program to train staff in supporting people with Alzheimer's and dementia.

    Meals are a big part of daily life here, with an executive chef preparing three fresh, healthy meals every day, served restaurant-style with menus that change for the seasons. People can choose from daily and weekly specials, à la carte items, and even a full bar, and there are options like low sodium, gluten-free, vegetarian, dairy-free, and sugar-free for those with special diets, plus private dining rooms for family visits. The community spaces are open and easy to walk around for those who might use walkers or chairs, with places to sit, gardens, courtyards, and even a barbeque and fire pit outside for gatherings. There's a bistro open all day, a theater and chapel for movies and quiet time, an art studio, a fitness center, massage room, spa, beauty salon and barbershop, a library, and Wi-Fi throughout the building.

    Residents stay busy with activities such as clubs, game nights, arts and crafts, music from guest performers, fitness classes, and exercise groups, while volunteers and staff organize things like nail painting, pet therapy, and social celebrations. The ambassador program helps welcome and support new residents, making sure people settle in and meet neighbors. There's an activities coordinator to arrange holiday parties, outings, and life enrichment activities, and every resident gets a Personalized Service Plan for daily help with things like bathing, dressing, grooming, medication, and mobility, with respect and compassion. People with memory care needs also take part in Montessori-based therapies using music, dance, art, aromatherapy, and animal visits to help comfort and heal. The nursing staff is available 24/7, and the community offers wellness programs, dietary support, transportation, and parking, with on-demand rides to local hospitals, shops, or events. Housekeeping, laundry, and support services are all included, and there are home care and hospice options for those needing extra help.

    Morning Star Of Beaverton is a licensed community recognized for friendly staff, healthy meals, and a range of daily activities, making it possible for people to live comfortably, safely, and with the level of help they need, all in a place that feels welcoming and secure.

    About MorningStar Senior Living

    Morning Star of Beaverton is managed by MorningStar Senior Living.

    MorningStar Senior Living, founded in 2003 by Ken Jaeger, has established itself as a leading senior living provider with headquarters in Englewood, Colorado. The company operates approximately 40 communities across eleven states in the Midwest and Western United States, representing over 5,000 units under management or in development. Jaeger founded MorningStar after 15 years of executive leadership experience in the senior housing industry, establishing the company on Judeo-Christian principles with a vision to create a senior housing company defined by the human touch.

    People often ask...

    Morning Star of Beaverton offers competitive pricing, with rates starting at a cost of $6,293 per month.

    Morning Star of Beaverton offers independent living, assisted living, and memory care.

    There are 47 photos of Morning Star of Beaverton on Mirador.

    Yes, Morning Star of Beaverton allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 14475 SW Barrows Rd, Beaverton, OR 97007.

    No, Morning Star of Beaverton 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 number50R466
    StatusActive
    Facility typeResidential Care Facility
    Capacity44 residents
    LicenseeBarrows Senior Care LLC
    EffectiveNovember 15th, 2018
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    89

    Reports

    0

    Type A Citations

    0

    Type B Citations

    2

    Complaints

    7

    Years

    27 Aug 2025Abuse: Neglect
    Investigated a safety lapse where a resident was found outside a locked area unsupervised, indicating unsafe environment and neglect/abuse.
    • Abuse—Failed to provide safe environment
    27 Aug 2025Abuse: Neglect
    Found a failure to provide a safe environment that placed a resident at risk. Assessed a $250 fine.
    • Abuse—Failed to provide safe environment
    27 Aug 2025Inspection
    Found a violation for failing to provide a safe environment for residents.
    • Licensing—Failed to provide safe environment
    17 Jul 2025Inspection
    Investigated the allegation and concluded that records were not provided upon request.
    • Licensing—Failed to cooperate with an investigation
    15 Jul 2025License Condition
    Concluded that a safe environment was not provided.
    • Regulatory Action—Failed to provide safe environment
    06 Jul 2025Inspection
    Identified deficiencies in the Acuity-Based Staffing Tool, with inconsistencies between the resident roster, care plans, and ABST data, and staffing not aligned to needs.
    • Licensing—Failed to use an ABST
    06 Jul 2025Inspection
    Investigated the allegation of failing to provide a safe environment and found a violation for not exercising reasonable precautions to protect residents' health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    05 Nov 2024Complaint
    Found no deficiencies related to staffing requirements and training.
    • Deficiency—Staffing Requirements and Training: Staffing
    15 Jul 2024Abuse: Neglect
    Found that an outdated care plan and unresolved interventions led to a fall and serious injury during shower care.
    • Abuse—Failed to properly plan care
    27 May 2024Inspection
    Determined that a safe environment was not provided when an individual eloped and was found unsafely in a parking lot, exposing them to potential harm.
    • Licensing—Failed to provide safe environment
    21 May 2024License Condition
    Investigated the allegation that a safe environment was not provided and identified deficiencies.
    • Regulatory Action—Failed to provide safe environment
    03 May 2024License Condition
    Found deficiencies for not providing a safe environment. Investigated based on evidence from a licensure survey and a follow-up visit.
    • Regulatory Action—Failed to provide safe environment
    29 Apr 2024Validation
    Identified widespread deficiencies across administration, resident care, health services, infection control, staffing, training, and safety, including an isolated jeopardy finding in one area.
    • Deficiency—Comment
    • Deficiency—Facility Administration: Operation
    • Deficiency—Facility Administration: Required Postings
    • Deficiency—Facility Administration: Records
    • Deficiency—Facility Administration: Quality Improvement
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Service Plan: General
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Rn Delegation and Teaching
    • Deficiency—Infection Prevention & Control
    • Deficiency—Systems: Medications and Treatments
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Psychotropic Medication
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—Training Within 30 Days: Direct Care Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—Individual Privacy: Own Unit
    • Deficiency—Individual Door Locks: Key Access
    • Deficiency—Limitations: Threats to Health and Safety
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Compliance With Rules Health Care
    • Deficiency—Nutrition and Hydration
    • Deficiency—Activities
    • Deficiency—Secure Outdoor Recreation Area
    20 Apr 2024Inspection
    Investigated and found that a safe environment was not provided, as a resident left the facility unsafely due to a gate that did not lock.
    • Licensing—Failed to provide safe environment
    16 Apr 2024Validation
    Multiple deficiencies were found across resident assessments, service plans, health services, medication management, abuse reporting, staffing/training, and fire safety. A final evaluation noted substantial compliance after addressing several issues identified during the inspection periods.
    • Deficiency—Comment
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Move-In and Eval: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Rn Delegation and Teaching
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Self-Administration of Meds
    • Deficiency—Restraints and Supportive Devices
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—Staffing Requirements and Training – Pre-Serv
    • Deficiency—Training Within 30 Days: Direct Care Staff
    • Deficiency—Annual and Biennial Inservice For All Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—Inspections and Investigation: Insp Interval
    14 Sept 2023Licensure
    Cited violations related to food safety and sanitation in kitchen operations, including improper cooling of foods, uncovered containers and trash cans, dust buildup, and lack of hair restraints.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    14 Sept 2023Licensure
    Identified sanitation and food handling deficiencies observed during a visit on 2023-09-14, including uncovered cooling food, uncovered trash cans, dust on ceilings and vents, and lack of beard/hair restraints.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    16 Aug 2023Abuse: Neglect
    Identified inadequate supervision and lack of fall-prevention measures that led to a fall and fractured hip around August 17, 2023. A $1,125 fine was assessed.
    • Abuse—Failed to properly plan care
    20 Jan 2023Inspection
    Found that medication was not administered as ordered for January 20–30, 2023, indicating a failure to provide a safe medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    27 Jul 2022Licensure
    Determined substantial compliance with meal service and sanitation regulations after a kitchen inspection.
    • Deficiency—Comment
    27 Jul 2022Licensure
    Determined substantial compliance with meal services requirements and food sanitation rules. Found no deficiencies.
    • Deficiency—Comment
    28 Jun 2022Complaint
    Found that exit doors lacked audible alarms or alert systems to notify staff when residents exited, and staff did not receive alerts as expected.
    • Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    28 Jun 2022Inspection
    Investigated an allegation and found that exit doors to outdoor areas opened without audible alerts to staff, creating a safety risk.
    • Licensing—Failed to provide safe environment
    01 Mar 2022Abuse: Neglect
    Found neglect of care constituting abuse after a fall with delayed first aid and inadequate fall-risk management, and a fine was assessed.
    • Abuse—Failed to properly plan care
    08 Feb 2022Inspection
    Investigated an allegation that medication orders were not carried out as prescribed. The finding identified failure to carry out medication orders as prescribed.
    • Licensing—Failed to administer medication as ordered
    17 Dec 2021Abuse: Neglect
    Investigated and found neglect and abuse from failing to follow medical orders for repositioning and barrier cream and from failing to coordinate care among staff and private caregivers.
    • Abuse—Failed to properly plan care
    30 Nov 2021Abuse: Neglect
    Found a failure to properly plan care and implement fall-prevention interventions for an alleged victim, resulting in multiple falls and injuries.
    • Abuse—Failed to properly plan care
    23 Sept 2021Inspection
    Identified a deficiency in security measures due to missing exit door alarms that alert staff when residents exit.
    • Licensing—Failed to maintain a safe physical environment
    23 Sept 2021Inspection
    Found failure to notify local authorities of abuse or suspected abuse, violating reporting requirements.
    • Licensing—Failed to report potential or suspected abuse
    23 Sept 2021Inspection
    Investigated and found a deficiency related to odors that compromised a safe environment.
    • Licensing—Failed to provide safe environment
    23 Sept 2021Inspection
    Identified a deficiency in posting and maintaining daily staffing documentation in an accessible area, including the manager on duty.
    • Licensing—Failed to properly post and maintain daily staffing documentation
    21 Sept 2021Inspection
    Identified that service plans were not updated quarterly.
    • Licensing—Failed to properly plan care
    21 Sept 2021Inspection
    Identified a deficiency for failing to exercise reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    21 Sept 2021Inspection
    Found a deficiency for failing to post and maintain daily staffing documentation in an accessible area.
    • Licensing—Failed to properly post and maintain daily staffing documentation
    21 Sept 2021Inspection
    Investigated the allegation of failing to report potential or suspected abuse and identified a failure to notify local authorities of any abuse incidents.
    • Licensing—Failed to report potential or suspected abuse
    20 Sept 2021Inspection
    Investigated and verified an allegation that a homelike environment was not provided.
    • Licensing—Failed to provide a homelike environment
    20 Sept 2021Inspection
    Investigated the allegation and found that resident service plans were not updated.
    • Licensing—Failed to follow care plan
    20 Sept 2021Inspection
    Found that residents did not have free access to their apartments. This indicates a violation of resident rights.
    • Licensing—Failed to assure resident rights
    20 Sept 2021Inspection
    Investigated a licensing complaint and verified that service plans were not readily available to staff.
    • Licensing—Failed to make facility or resident records accessible
    20 Sept 2021Inspection
    Investigated the allegation that laundry services were not provided and identified a deficiency in housekeeping services.
    • Licensing—Failed to provide appropriate housekeeping services
    20 Sept 2021Inspection
    Investigated a staffing allegation and concluded there was insufficient staff to meet scheduled and unscheduled resident needs.
    • Licensing—Failed to provide appropriate staffing
    20 Sept 2021Inspection
    Investigated and found insufficient staffing to meet residents' needs.
    • Licensing—Failed to provide appropriate staffing
    20 Sept 2021Inspection
    Found that three daily nutritious meals were not provided. Found that food was not prepared and served in accordance with sanitation rules.
    • Licensing—Failed to provide proper food/nutrition
    13 Sept 2021Inspection
    Found insufficient staffing to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    04 Sept 2021Inspection
    Determined that the alleged failure to provide a safe homelike environment occurred.
    • Licensing—Failed to provide a homelike environment
    04 Sept 2021Inspection
    Found that an administrator was not scheduled on-site at least 40 hours a week.
    • Licensing—Failed to hire according to administrative rules
    04 Sept 2021Inspection
    Concluded that staffing levels were insufficient to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    26 Aug 2021Inspection
    Investigated the staffing allegation and verified insufficient staffing to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    26 Aug 2021Inspection
    Investigated an allegation that the daily activities program did not meet residents' needs. Identified deficiencies in providing appropriate activities.
    • Licensing—Failed to provide appropriate activities
    26 Aug 2021Inspection
    Investigated and confirmed a staffing rule requirement that the administrator be on-site at least 40 hours per week.
    • Licensing—Failed to hire according to administrative rules
    26 Aug 2021Inspection
    Found failure to provide three daily nutritious, palatable meals and to prepare and serve food in accordance with sanitation rules.
    • Licensing—Failed to provide proper food/nutrition
    26 Aug 2021Inspection
    Investigated an allegation and verified a failure to provide nursing delegation and teaching.
    • Licensing—Failed to comply with nursing delegation requirement
    26 Aug 2021Inspection
    Verified the scheduling requirement for the administrator to be on-site at least 40 hours per week.
    • Licensing—Failed to hire according to administrative rules
    26 Aug 2021Inspection
    Investigated an allegation of inadequate meals and improper food sanitation; found failure to provide three daily nutritious, palatable meals and to prepare and serve food according to sanitation rules.
    • Licensing—Failed to provide proper food/nutrition
    26 Aug 2021Inspection
    Investigated the staffing allegation and verified there was insufficient staff to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    16 Aug 2021Inspection
    Found failure to follow the care plan and ensure the implementation of services.
    • Licensing—Failed to follow care plan
    16 Aug 2021Inspection
    Found that there was not a separate storage area with closed containers for soiled linens and clothing.
    • Licensing—Failed to provide safe environment
    16 Aug 2021Inspection
    Found care staff were not oriented to the resident, including the resident's service plan, prior to providing personal care services.
    • Licensing—Failed to provide appropriate staffing
    01 Aug 2021Inspection
    Investigated the allegation and verified insufficient staffing to meet residents' needs, with 25–30 minute delays in responding to call lights.
    • Licensing—Failed to answer call light in a timely manner
    04 Jul 2021Inspection
    Determined that there was insufficient staff to meet the scheduled and unscheduled needs of residents.
    • Licensing—Failed to provide appropriate staffing
    04 Jul 2021Inspection
    Investigated the allegation that a safe environment was not provided and verified that precautions were not adequate.
    • Licensing—Failed to provide safe environment
    04 Jul 2021Inspection
    Concluded that the allegation that residents were not assisted with toileting was valid.
    • Licensing—Failed to assist with toileting
    07 Jun 2021Inspection
    Investigated the allegation that medication orders were not administered as prescribed and determined that it occurred.
    • Licensing—Failed to administer medication as ordered
    07 Jun 2021Inspection
    Verified lack of effective methods for responding to and resolving resident complaints.
    • Licensing—Failed to communicate necessary information
    07 Jun 2021Inspection
    Found that the facility failed to provide three daily nutritious, palatable meals.
    • Licensing—Failed to provide proper food/nutrition
    07 Jun 2021Inspection
    Determined that qualified awake direct care staffing was not provided to meet 24-hour resident needs.
    • Licensing—Failed to provide appropriate staffing
    22 Dec 2020Inspection
    Found a violation for failing to administer ordered medication.
    • Licensing—Failed to administer ordered medication
    07 Dec 2020Inspection
    Investigated and found failure to provide adequate professional oversight of the medication and treatment administration system.
    • Licensing—Failed to provide a safe medication administration system
    04 Dec 2020Inspection
    Found that medication and treatment orders were not carried out as prescribed.
    • Licensing—Failed to administer medication as ordered
    24 Nov 2020Inspection
    Verified a failure to provide a safe medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    20 Nov 2020Abuse: Neglect
    Found violations for neglect and abuse due to improper admission and failure to administer medication, placing a resident at risk; a fine was assessed.
    • Abuse—Failed to administer medication as ordered
    12 Oct 2020Inspection
    Investigated the medication availability allegation and verified it.
    • Licensing—Failed to have medication available
    11 Oct 2020Inspection
    Investigated the allegation that a resident did not receive medication as ordered; found that medication and treatment orders were not carried out after an order change.
    • Licensing—Failed to administer medication as ordered
    26 Sept 2020Abuse: Neglect
    Investigated a medication administration incident; found that multiple administrations occurred within a short period, violating the safe medication system and resident rights, with a fine assessed.
    • Abuse—Failed to provide a safe medication administration system
    23 Sept 2020Inspection
    Investigated an allegation and verified that ordered medication was not administered.
    • Licensing—Failed to administer ordered medication
    23 Aug 2020Abuse: Neglect
    Identified failure to properly plan care for a resident, resulting in a fall and skin tear.
    • Abuse—Failed to properly plan care
    22 Aug 2020Abuse: Neglect
    Investigated and found violations of resident rights related to neglect and abuse after a resident was left in a wheelchair all night; a fine was assessed.
    • Abuse—Failed to provide service
    17 Mar 2020Abuse: Neglect
    Investigated an allegation of abuse and neglect; found a failure to provide a safe environment resulting in a bruise after a staff-assisted shower.
    • Abuse—Failed to provide safe environment
    16 Jan 2020Abuse: Neglect
    Investigated and found failure to properly plan care for fall risk, resulting in a fall outside and a hip fracture.
    • Abuse—Failed to properly plan care
    05 Dec 2019Abuse: Neglect
    Found neglect due to failing to provide a safe physical environment, creating a risk of serious harm.
    • Abuse—Failed to maintain a safe physical environment
    17 Aug 2019Abuse: Neglect
    Identified neglect for failing to administer a prescribed noon medication dose, risking serious harm.
    • Abuse—Failed to administer medication as ordered
    08 Aug 2019Abuse: Neglect
    Investigated and concluded a medication administration error created a possible risk of serious harm.
    • Abuse—Failed to administer medication as ordered
    01 Aug 2019Abuse: Neglect
    Investigated an allegation of failure to administer medication as ordered and resulting neglect. Found neglect by failing to provide a safe environment, risking serious harm, and a $375 fine was assessed.
    • Abuse—Failed to administer medication as ordered
    11 Jun 2019Abuse: Neglect
    Investigated the complaint and concluded neglect related to falls care planning; a resident was found in the courtyard lying on the floor on a hot day and was transported to hospital.
    • Abuse—Failed to adequately care plan related to falls
    01 Jun 2019Inspection
    Investigated and found neglect of care and abuse due to failure to maintain a safe environment.
    • Licensing—Failed to provide safe environment
    28 May 2019Inspection
    Investigated and found insufficient staffing to meet scheduled and unscheduled resident needs.
    • Licensing—Failed to provide appropriate staffing
    26 May 2019Abuse: Neglect
    Found neglect for failing to provide a safe environment and to respond promptly to a resident's call light, resulting in risk of serious harm.
    • Abuse—Failed to answer call light in a timely manner
    24 Mar 2019Abuse: Neglect
    Found neglect of care due to failing to provide a safe environment, resulting in a resident sustaining an injury from a fall and a subsequent fall that may worsen the prior injury. A fine was assessed.
    • Abuse—Failed to assure timely medical treatment
    24 Jan 2019Inspection
    Investigated a complaint and concluded that a safe medication administration system was not provided.
    • Licensing—Failed to provide a safe medication administration system

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