I'm very pleased - Sarah Dodson and the energetic, caring staff made my mom feel at home. Clean, well-run, family-like community with great activities, dining, snacks and outings; good value and a friendly admission process.
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
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
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
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.50·(22)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.4
Meals
3.0
Amenities
4.0
Value
2.8
Pros
Compassionate, attentive staff
Engaging activities program
Daily social and entertainment offerings
Fresh beverage and snack availability
Resident-baked snacks
Well-maintained, attractive common areas
Clean, organized dining area
Efficient admissions process
Smaller, personal living environment
Dedicated on-site managers and activity leaders
Clinically trained staff
Strong infection-control record
Competitive pricing and perceived value
Cons
Inconsistent staff professionalism and conduct
Variable staffing levels affecting consistency of care
Care-delivery gaps in the memory-care unit
Inconsistent meal-service continuity for memory-care residents
Sanitation and cleanliness issues in some communal bathrooms and areas
Gaps in medication-administration oversight
Variable supervisory and leadership consistency
Perceived high cost by some families
Summary of reviews
Azalea Gardens Senior Living elicits a mix of strongly positive impressions alongside clear operational concerns. Many reviewers highlight attentive, compassionate staff members and an active, family-like atmosphere. The community is frequently described as attractive and well-maintained, with an organized dining area and plentiful social programming. Activities leadership is singled out as a particular strength — daily programs, regular entertainment and resident outings contribute to an engaged environment. A number of reviewers also praised the admissions process and the smaller, more personal scale of the setting.
Dining and daily living amenities generally receive positive comments: fresh coffee, water and tea, multi-tier snack baskets, and resident-baked items are mentioned as regular features. Several reviewers found the weekly menu appealing and enjoyed communal lunches. At the same time there are specific operational concerns around meal delivery consistency for residents in the memory-care unit, which some reviewers described as not receiving hot meals or beverages on schedule.
Care quality is experienced unevenly. While some families emphasize well-trained clinical staff and strong infection-control practices (including a zero–COVID-19-cases record cited by one reviewer), others raise concerns about staff conduct, favoritism, and an unprofessional tone from specific caregivers. These items point to inconsistent staff professionalism and variability in supervisory oversight. Reviewers also identified gaps that suggest staffing levels may limit consistent attention across all units — one reviewer specifically noted the facility would rank higher if more staff shared the same positive attitude as the best caregivers.
Facility upkeep and cleanliness are generally praised in certain areas, but sanitation concerns in some communal bathrooms and shared spaces are reported. Medication-administration practices and lead-staff competence were questioned in at least one account, indicating potential gaps in clinical oversight that warrant monitoring. Management receives mixed feedback: some families describe dedicated, energetic managers who lead activities and build relationships with residents, while others perceive variable leadership consistency across shifts or units.
In short, Azalea Gardens offers a strong social program, attractive environment, and several well-regarded staff members and managers. Prospective residents and families should weigh those strengths against reports of uneven care in the memory-care unit, variable staff professionalism, and localized cleanliness and medication-administration concerns. A focused conversation with management about staffing ratios, memory-care meal procedures, medication oversight, and routine sanitation checks would help clarify whether the facility’s positive features are delivered consistently for a given prospective resident.
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Location
Azalea Gardens Senior Living is located at 755 Elk Dr, Brookings, OR, 97415.
About Azalea Gardens Senior Living
Azalea Gardens Senior Living sits in Brookings, Oregon, in Curry County, where the air feels calm and the views of the ocean are clear, so living here you get to enjoy mild weather most of the year, and the setting's pretty peaceful, which tends to make it easier for most folks. The community has 34 beds, with 13 set up for memory care, and the staff stays on site 24 hours a day. They offer assisted living for seniors who need help with dressing, bathing, or keeping track of medicines, but they do their best to help each resident stay as independent as possible, and for folks living with Alzheimer's or related dementias, there's a separate memory care program meant to fit each person's unique needs.
The building's designed to feel home-like, with rooms made to be comfortable and safe, all of which are handicap accessible, and they allow pets, since that kind of company does a world of good for lots of people. Meals come prepared by a chef and meal planning is built around nutrition and taste, something most residents look forward to. Wi-Fi and high-speed internet are available, so folks are able to stay connected to family, and local activity programs give residents something to look forward to, whether it's game nights or organized outings. There are transportation services for off-site trips, so seniors who want to get out or need to go to appointments can get where they need to go. Rehabilitation and basic medical care are available right there on site, so travel for care is less of a worry, and for those who need extra support, hospice services can be arranged with local providers to make sure dignity and comfort are a priority. For families needing a short-term break, respite care is available for stays that last a week or longer.
The staff at Azalea Gardens Senior Living are known for being kind and helpful, and they work to keep a friendly atmosphere where residents and families feel welcome, even if there's a waitlist at times. The prices generally range from $2,000 to $4,000 a month, which includes most services. Pets are allowed, and the focus stays on making sure each person's care feels personal and focused on fostering both comfort and independence, no matter which kind of care a resident needs that day.
People often ask...
Azalea Gardens Senior Living offers competitive pricing, with rates starting at a cost of $3,355 per month.
Azalea Gardens Senior Living offers independent living, assisted living, and memory care.
There are 16 photos of Azalea Gardens Senior Living on Mirador.
Yes, Azalea Gardens Senior Living allows residents to age in place and adjust their level of care as needed.
The full address for this community is 755 Elk Dr, Brookings, OR 97415.
No, Azalea Gardens 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.
Found widespread noncompliance across resident rights, service planning, condition monitoring, health services, infection control, medications, staff training, and building safety.
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Infection Prevention & Control
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Training Within 30 Days of Hire – Direct Care Staff
Identified inadequate professional oversight of the medication and treatment administration system, creating a potential for moderate harm.
Licensing—Failed to provide a safe medication administration system
04 Mar 2025Inspection
04 Mar 2025Inspection
Found a deficiency in the medication tracking and disposal system for controlled substances. The deficiency involved lack of an approved system for tracking and disposing of unused, outdated, or discontinued medications.
Licensing—Failed to provide a safe medication administration system
25 Sept 2024License Condition
25 Sept 2024License Condition
Investigated the allegation of failing to provide a safe environment and found that safety standards were not met.
Regulatory Action—Failed to provide safe environment
28 Aug 2024Abuse: Neglect
28 Aug 2024Abuse: Neglect
Investigated abuse and neglect with significant harm to a resident caused by another resident's behavior and staff inaction, violating rights and dignity.
Abuse—Failed to provide service
28 Aug 2024Abuse: Neglect
28 Aug 2024Abuse: Neglect
Found that a resident experienced abuse and neglect, including inappropriate sexual contact and failure to protect, causing significant emotional harm and loss of dignity.
Abuse—Failed to protect resident from inappropriate sexual contact
11 Aug 2024Abuse: Neglect
11 Aug 2024Abuse: Neglect
Found that a care plan was not followed, allowing a resident to reach into another resident’s plate and cause an altercation resulting in injury.
Abuse—Failed to follow care plan
17 Jul 2024Abuse: Neglect
17 Jul 2024Abuse: Neglect
Investigated a case where a resident was touched in a sexual and inappropriate way by a peer after being left unsupervised; found neglect and a rights violation due to inadequate staffing and supervision.
Abuse—Failed to meet the scheduled and unscheduled needs of residents
17 Jul 2024Abuse: Neglect
17 Jul 2024Abuse: Neglect
Substantiated a failure to develop care plan interventions for a resident's inappropriate sexual behaviors, indicating abuse and neglect. A $375 fine was assessed.
Abuse—Failed to properly plan care
01 Jul 2024Abuse: Neglect
01 Jul 2024Abuse: Neglect
Investigated found that a resident did not have medications available because the pharmacy did not authorize them, causing agitation and shakiness. Violations were cited and a fine assessed.
Abuse—Failed to have medication available
13 May 2024Licensure
13 May 2024Licensure
Found substantial compliance after follow-up on kitchen sanitation; earlier visits documented extensive cleaning and maintenance issues.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
22 Apr 2024Complaint
22 Apr 2024Complaint
Investigated identified failures to follow medication orders and to implement an acuity-based staffing tool.
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
21 Mar 2024Inspection
21 Mar 2024Inspection
Identified deficiencies in an acuity-based staffing tool and staffing levels, with inconsistencies among resident rosters, care plans, and ABST data.
Licensing—Failed to use an ABST
14 Jan 2024Abuse: Neglect
14 Jan 2024Abuse: Neglect
Investigated a fall-risk neglect case and found there was no fall reduction plan or interventions documented, leading to violations and a fine.
Abuse—Failed to properly plan care
27 Nov 2023Validation
27 Nov 2023Validation
Investigated deficiencies identified in move-in evaluations, service plans, condition monitoring, medication orders, staff training, and activity planning, with findings across multiple resident records. Concluded substantial compliance despite noted deficiencies.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Activities
01 Nov 2023Inspection
01 Nov 2023Inspection
Found a violation of Oregon Administrative Rules due to failure to administer medication as ordered. The finding noted the failure to carry out prescribed medication and treatment orders.
Licensing—Failed to administer medication as ordered
23 Oct 2023Complaint
23 Oct 2023Complaint
Investigated the complaint to determine compliance with applicable rules. Found no deficiencies.
Deficiency—Systems: Medications and Treatments
20 Aug 2023Abuse: Neglect
20 Aug 2023Abuse: Neglect
Investigated the allegation and found failures to follow the care plan for transfers, creating risk of harm to the resident.
Abuse—Failed to follow care plan
04 Aug 2023License Condition
04 Aug 2023License Condition
Investigated the allegation of failing to report abuse and found a deficiency related to reporting requirements and resident rights.
Regulatory Action—Failed to report potential or suspected abuse
04 Aug 2023License Condition
04 Aug 2023License Condition
Investigated a failure to implement and update an Acuity Based Staffing Tool as required.
Regulatory Action—Failed to use an ABST
21 Jun 2023Inspection
21 Jun 2023Inspection
Found that a resident was not protected from financial exploitation, resulting in a wallet with $6,000 missing after a hospital stay.
Licensing—Failed to protect resident from financial exploitation
22 May 2023Complaint
22 May 2023Complaint
Identified deficiencies related to abuse reporting and staffing, with isolated harm noted in the reviewed matters.
Investigated and found a failure to follow the care plan for a high fall risk resident, resulting in a fall and allegations of neglect and abuse; a $500 fine was assessed.
Abuse—Failed to follow care plan
07 Mar 2023Abuse: Neglect
07 Mar 2023Abuse: Neglect
Found that the care plan for a high fall risk resident requiring two-staff transfers was not followed, and the resident fell.
Abuse—Failed to follow care plan
02 Mar 2023Abuse: Neglect
02 Mar 2023Abuse: Neglect
Investigated a complaint alleging neglect and abuse, found a failure to provide a safe environment in the bathroom that caused injury, and a fine was assessed.
Abuse—Failed to provide safe environment
16 Feb 2023Inspection
16 Feb 2023Inspection
Investigated and found that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
01 Nov 2022Inspection
01 Nov 2022Inspection
Investigated and found a failure to submit timely weekly vaccination reporting for residents and staff for 30 days, resulting in a monetary penalty.
Licensing—Failed to submit timely or adequate staffing documentation
01 Oct 2022Inspection
01 Oct 2022Inspection
Found a violation for failing to submit timely weekly reporting of vaccinated individuals, residents, and staff, and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
26 Sept 2022Abuse: Neglect
26 Sept 2022Abuse: Neglect
Found violations of resident rights due to neglect and abuse, including failure to properly plan care and prevent sexual behaviors.
Abuse—Failed to properly plan care
28 May 2022Abuse: Neglect
28 May 2022Abuse: Neglect
Found a failure to care plan around a resident's known behaviors, resulting in abuse and neglect. No new interventions were added after the last care plan update in mid-April 2022, despite multiple incidents.
Abuse—Failed to properly plan care
28 May 2022Abuse: Neglect
28 May 2022Abuse: Neglect
Investigated and found abuse and neglect due to a failure to plan around known behaviors, following a retaliatory incident between residents.
Abuse—Failed to properly plan care
01 Apr 2022Inspection
01 Apr 2022Inspection
Investigated and found a violation for failing to protect a resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
01 Apr 2022Inspection
01 Apr 2022Inspection
Found that a resident's medications were stolen and protections against financial exploitation failed.
Licensing—Failed to protect resident from financial exploitation
17 Feb 2022Inspection
17 Feb 2022Inspection
Found that a staff member failed to administer a resident's medications on several days in February 2022, constituting neglect and abuse and violating Oregon rules.
Licensing—Failed to administer medication as ordered
08 Feb 2022Abuse: Neglect
08 Feb 2022Abuse: Neglect
Identified failures in pain medication administration and controlled-substance management, including not giving prescribed pain meds for about five doses and running out due to ordering lapses, with an unsafe medication system.
Abuse—Failed to provide a safe medication administration system
30 Jan 2022Inspection
30 Jan 2022Inspection
Investigated allegations of verbal abuse and found that a staff member yelled and used derogatory language toward a resident, constituting verbal/emotional abuse and neglect and violating residents' rights.
Licensing—Failed to protect resident from verbal abuse
21 Dec 2021Inspection
21 Dec 2021Inspection
Determined that residents were not treated with dignity and respect.
Licensing—Failed to assure resident rights
20 Dec 2021Inspection
20 Dec 2021Inspection
Investigated the medication administration allegation and found deficiencies in the safe medication administration system, including a missed 8:00 pm dose and failure to administer pre-poured medication, causing patient pain.
Licensing—Failed to provide a safe medication administration system
20 Dec 2021Inspection
20 Dec 2021Inspection
Investigated and found violations related to medication administration safety, including a missed 8:00 pm dose and untimely pre-poured medications.
Licensing—Failed to provide a safe medication administration system
07 Dec 2021Inspection
07 Dec 2021Inspection
Found a violation of safe medication administration practices that could cause harm.
Licensing—Failed to provide a safe medication administration system
06 Dec 2021Abuse: Neglect
06 Dec 2021Abuse: Neglect
Identified that medical orders weren't followed, leading to neglect and abuse findings; a $500 fine was assessed.
Abuse—Failed to provide medical treatment as ordered
06 Dec 2021Abuse: Neglect
06 Dec 2021Abuse: Neglect
Investigated found that medications were not administered timely as ordered, constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to administer medication as ordered
24 Nov 2021Abuse: Neglect
24 Nov 2021Abuse: Neglect
Found that a resident did not receive prescribed medication for about 13 days because meds were not available in time, leading to a hospital transfer. A $500 fine was assessed.
Abuse—Failed to have medication available
01 Oct 2021Inspection
01 Oct 2021Inspection
Identified insufficient staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
29 Sept 2021Abuse: Neglect
29 Sept 2021Abuse: Neglect
Investigated and found that a staff member struck the alleged victim with a plastic serving tray and did not follow the care plan, resulting in neglect and abuse.
Abuse—Failed to follow care plan
22 Sept 2021Inspection
22 Sept 2021Inspection
Found insufficient staff to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
11 Sept 2021Abuse: Neglect
11 Sept 2021Abuse: Neglect
Found abuse and neglect due to failing to follow care plans and safety interventions for a resident; a $500 fine was assessed.
Abuse—Failed to follow care plan
31 Aug 2021Abuse: Neglect
31 Aug 2021Abuse: Neglect
Found a failure to provide a safe environment, leading to potential harm to a resident; a $188 fine was assessed.
Abuse—Failed to provide safe environment
23 Aug 2021Abuse: Neglect
23 Aug 2021Abuse: Neglect
Investigated found the care plan was not followed, resulting in a resident-to-resident incident and a skin tear, with a fine assessed.
Abuse—Failed to follow care plan
23 Aug 2021Abuse: Neglect
23 Aug 2021Abuse: Neglect
Investigated a complaint and found that staff failed to follow a resident's care plan, resulting in abuse/neglect and risk of harm; a $500 fine was assessed.
Abuse—Failed to follow care plan
29 Jul 2021Abuse: Neglect
29 Jul 2021Abuse: Neglect
Found a failure to protect a resident from a resident-to-resident altercation, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
27 Jul 2021Abuse: Neglect
27 Jul 2021Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system, resulting in abuse/neglect with minor harm potential; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
19 Jul 2021Inspection
19 Jul 2021Inspection
Investigated a resident abuse and neglect report and found a staff member pinned a resident and caused a fall. This action violated resident rights and constituted abuse.
Licensing—Failed to protect resident from physical abuse
07 Jul 2021Abuse: Neglect
07 Jul 2021Abuse: Neglect
Found neglect of care and abuse due to failure to properly plan care for a resident with ongoing aggression, resulting in hospitalization and a fine.
Abuse—Failed to properly plan care
27 Jun 2021Abuse: Neglect
27 Jun 2021Abuse: Neglect
Investigated an allegation of neglect and abuse; findings showed the care plan was not followed, placing a resident at risk of harm.
Abuse—Failed to follow care plan
25 Jun 2021Abuse: Neglect
25 Jun 2021Abuse: Neglect
Investigated an allegation of abuse/neglect and found the care plan was not followed, placing a resident at risk of harm. A $250 fine was assessed.
Abuse—Failed to follow care plan
21 Jun 2021Inspection
21 Jun 2021Inspection
Determined a staffing deficiency due to insufficient qualified awake direct care staff to meet 24-hour needs.
Licensing—Failed to provide appropriate staffing
11 Jun 2021Inspection
11 Jun 2021Inspection
Found that residents were not assisted with bathing.
Licensing—Failed to provide service
07 Jun 2021Inspection
07 Jun 2021Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs, violating Oregon Administrative Rules.
Licensing—Failed to provide appropriate staffing
02 Jun 2021Abuse: Neglect
02 Jun 2021Abuse: Neglect
Investigated and found violations for neglect and abuse due to failure to properly plan care and intervene for falls, with a fine assessed.
Abuse—Failed to properly plan care
10 May 2021Abuse: Neglect
10 May 2021Abuse: Neglect
Investigated a report of neglect and abuse and found a failure to provide a safe environment, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
10 May 2021Abuse: Neglect
10 May 2021Abuse: Neglect
Identified a failure to provide a safe environment that led to a resident being slapped multiple times.
Abuse—Failed to provide safe environment
07 May 2021Abuse: Neglect
07 May 2021Abuse: Neglect
Investigated and found that a resident's call light was not answered promptly, constituting abuse and neglect. A fine was assessed.
Abuse—Failed to answer call light in a timely manner
25 Apr 2021Inspection
25 Apr 2021Inspection
Found insufficient qualified awake direct care staffing to meet 24-hour needs of residents. The allegation was substantiated.
Licensing—Failed to provide appropriate staffing
23 Apr 2021Abuse: Neglect
23 Apr 2021Abuse: Neglect
Investigated the complaint and found a failure to provide a safe environment, resulting in injury and constituting neglect and abuse.
Abuse—Failed to provide safe environment
23 Apr 2021Abuse: Neglect
23 Apr 2021Abuse: Neglect
Found a failure to provide a safe environment that led to a resident injury, constituting abuse and neglect.
Abuse—Failed to provide safe environment
25 Mar 2021Abuse: Neglect
25 Mar 2021Abuse: Neglect
Investigated a complaint found a failure to administer scheduled pain medication and provide a safe medication administration system, causing pain and discomfort; verbal abuse allegation inconclusive; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
09 Mar 2021Inspection
09 Mar 2021Inspection
Investigated a caregiver transferring a resident by themselves against the care plan, causing a broken arm. Determined that the action constituted neglect and abuse and that a safe environment was not provided.
Licensing—Failed to provide safe environment
28 Jan 2021Abuse: Neglect
28 Jan 2021Abuse: Neglect
Found a failure to provide a safe environment that caused thirteen falls and risk of serious harm, with a fine assessed.
Abuse—Failed to provide safe environment
21 Jan 2021Abuse: Neglect
21 Jan 2021Abuse: Neglect
Investigated a complaint of abuse and neglect and found a failure to provide a safe environment due to ongoing inappropriate behavior, causing emotional harm. It noted a history of sexually inappropriate behavior in common areas.
Abuse—Failed to provide safe environment
21 Jan 2021Abuse: Neglect
21 Jan 2021Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment, causing emotional harm; a fine was assessed.
Abuse—Failed to provide safe environment
19 Nov 2020Abuse: Neglect
19 Nov 2020Abuse: Neglect
Investigated an abuse and neglect allegation and found failures to implement interventions and appropriate care planning, leading to a threat to a resident and emotional distress.
Abuse—Failed to provide safe environment
13 Sept 2020Abuse: Neglect
13 Sept 2020Abuse: Neglect
Investigated a medication administration safety issue and found failure to administer medications as ordered, resulting in hospital admission.
Abuse—Failed to provide a safe medication administration system
27 May 2020Abuse: Neglect
27 May 2020Abuse: Neglect
Found neglect of care and abuse due to failure to provide needed toileting support, resulting in an unwitnessed fall with a neck fracture requiring surgery; a fine was assessed.
Abuse—Failed to provide service
28 Feb 2020Abuse: Neglect
28 Feb 2020Abuse: Neglect
Investigated the allegation of abuse/neglect and found a failure to provide a safe environment that led to a physical altercation and resident discomfort.
Abuse—Failed to provide safe environment
04 Dec 2019Abuse: Neglect
04 Dec 2019Abuse: Neglect
Identified neglect and abuse for failing to provide known hygiene services, resulting in loss of personal dignity; a fine was assessed.
Abuse—Failed to provide service
04 Sept 2019Abuse: Neglect
04 Sept 2019Abuse: Neglect
Investigated and found neglect due to a failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
28 Aug 2019Abuse: Neglect
28 Aug 2019Abuse: Neglect
Found a failure to provide a safe medication administration system, leading to about a month without medications and a hospital transfer. It constituted neglect and abuse.
Abuse—Failed to provide a safe medication administration system
02 Jul 2019Inspection
02 Jul 2019Inspection
Found insufficient direct care staff to meet residents' unscheduled needs.
Licensing—Failed to provide appropriate staffing
02 Jul 2019Inspection
02 Jul 2019Inspection
Identified a deficiency in evaluating a resident's ability to safely administer medications under state rules.
Licensing—Failed to provide a safe medication administration system
20 Jun 2019Abuse: Neglect
20 Jun 2019Abuse: Neglect
Found neglect due to inadequate supervision and services that led to altercations and risk of harm to a resident; a fine of $375 was assessed.
Abuse—Failed to provide safe environment
20 Jun 2019Abuse: Neglect
20 Jun 2019Abuse: Neglect
Found neglect of a resident due to inadequate supervision and services, creating risk of harm.
Abuse—Failed to provide safe environment
08 May 2019Abuse: Neglect
08 May 2019Abuse: Neglect
Found neglect resulting in falls and risk of serious harm due to insufficient supervision and services. A $375 fine was assessed.
Abuse—Failed to assure resident was safe
01 Apr 2019Inspection
01 Apr 2019Inspection
Found a deficiency for failing to administer prescribed medications as ordered.
Licensing—Failed to administer medication as ordered
29 Mar 2019Abuse: Neglect
29 Mar 2019Abuse: Neglect
Found neglect in medication administration that created risk of serious harm by not administering medications as ordered. A fine was assessed.
Abuse—Failed to provide a safe medication administration system
20 Mar 2019Inspection
20 Mar 2019Inspection
Investigated a complaint and found a failure to provide a safe medication administration system, creating a serious risk of harm. Violations were cited under state rules.
Licensing—Failed to provide a safe medication administration system
18 Mar 2019Inspection
18 Mar 2019Inspection
Investigated the allegation and identified a deficiency in safe medication administration.
Licensing—Failed to provide a safe medication administration system
07 Mar 2019Inspection
07 Mar 2019Inspection
Investigated the allegation and identified a deficiency in medication disposal practices. Missing disposal documentation for unused, outdated, or discontinued medications supported the finding.
Licensing—Failed to provide a safe medication administration system
28 Feb 2019Inspection
28 Feb 2019Inspection
Determined that failure to report suspected abuse occurred. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
25 Feb 2019Inspection
25 Feb 2019Inspection
Investigated staffing practices and found noncompliance with staffing and staff training requirements, including concerns about finding staff and their alertness in memory care.
Licensing—Failed to provide appropriate staffing
20 Feb 2019Inspection
20 Feb 2019Inspection
Found failure to implement the resident's Bill of Rights, with invoices not issued to a resident for several months.
Licensing—Failed to assure resident rights
20 Feb 2019Inspection
20 Feb 2019Inspection
Investigated the allegation and found deficiencies in the safe medication administration system.
Licensing—Failed to provide a safe medication administration system
20 Feb 2019Inspection
20 Feb 2019Inspection
Investigated the allegation and found that timelines for updating resident Service Plans were not met after a care conference.
Licensing—Failed to care plan in accordance with assessment
18 Feb 2019Abuse: Neglect
18 Feb 2019Abuse: Neglect
Concluded neglect due to failure to administer medications as ordered, risking serious harm, and assessed a fine.
Abuse—Failed to provide a safe medication administration system
13 Feb 2019Inspection
13 Feb 2019Inspection
Investigated and found a licensing violation for failing to administer medications as ordered, creating risk of serious harm.
Licensing—Failed to administer medication as ordered
04 Dec 2018Abuse: Neglect
04 Dec 2018Abuse: Neglect
Found a deficiency in medication administration that created a risk of serious harm.
Abuse—Failed to provide a safe medication administration system
04 Dec 2018Inspection
04 Dec 2018Inspection
Found failure to report suspected abuse and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
23 Nov 2018Abuse: Neglect
23 Nov 2018Abuse: Neglect
Found neglect due to failure to provide a safe medication administration system, resulting in unnecessary discomfort; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
23 Nov 2018Inspection
23 Nov 2018Inspection
Found failure to report suspected abuse, resulting in a $750 fine.
Licensing—Failed to report potential or suspected abuse
12 Nov 2018Abuse: Financial abuse
12 Nov 2018Abuse: Financial abuse
Investigated and found a financial abuse violation due to failure to prevent theft or misuse of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
12 Oct 2018Abuse: Neglect
12 Oct 2018Abuse: Neglect
Investigated an allegation of neglect; found that care plans were not followed, causing physical harm, and a $375 fine was assessed.
Abuse—Failed to follow care plan
14 Sept 2018Abuse: Neglect
14 Sept 2018Abuse: Neglect
Investigated allegations of neglect and found failure to provide adequate care, causing significant emotional harm.
Abuse—Failed to provide safe environment
22 Aug 2018Inspection
22 Aug 2018Inspection
Found a deficiency in the medication system that could cause harm. The allegation was that medical treatment was not provided as ordered.
Licensing—Failed to provide medical treatment as ordered
09 Aug 2018Abuse: Financial abuse
09 Aug 2018Abuse: Financial abuse
Identified an inadequate medication system that allowed medications intended for residents to go missing or be stolen.
Abuse—Failed to provide a safe medication administration system
21 Jun 2018Abuse: Financial abuse
21 Jun 2018Abuse: Financial abuse
Investigated a financial abuse allegation and found staff failed to protect residents from loss and misuse of medications.
Abuse—Failed to protect resident from financial exploitation
21 Jun 2018Abuse: Neglect
21 Jun 2018Abuse: Neglect
Found neglect resulting in a fall and injury, and a $500 fine was assessed.
Abuse—Failed to follow care plan
08 May 2018Abuse: Neglect
08 May 2018Abuse: Neglect
Found neglect for failing to provide proper supervision and care planning related to falls, resulting in multiple falls and risk of serious harm.
Abuse—Failed to adequately care plan related to falls
31 May 2017Inspection
31 May 2017Inspection
Investigated an allegation and found evacuation assistance was not provided as required, affecting resident safety.
Licensing—Failed to assure resident was safe
01 Dec 2016Inspection
01 Dec 2016Inspection
Investigated and found that an adequate medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
30 Apr 2014Abuse: Financial abuse
30 Apr 2014Abuse: Financial abuse
Investigated an allegation of financial abuse and found evidence of a stolen wallet and unauthorized use of a credit card, supported by video evidence.
Abuse—Failed to provide safe environment
05 Feb 2013Inspection
05 Feb 2013Inspection
Found a failure to provide a safe environment for a resident.
Licensing—Failed to provide safe environment
03 Feb 2012Abuse: Neglect
03 Feb 2012Abuse: Neglect
Found a failure to provide a safe environment related to neglect.
Abuse—Failed to provide safe environment
08 Nov 2011Abuse: Neglect
08 Nov 2011Abuse: Neglect
Investigated an allegation of neglect and found that residents' care needs were not met.
Abuse—Failed to provide service
08 Nov 2011Abuse: Neglect
08 Nov 2011Abuse: Neglect
Investigated an allegation of unsafe environment and found a failure to provide a safe environment for residents. Violations were cited.
Abuse—Failed to provide safe environment
06 May 2010Inspection
06 May 2010Inspection
Investigated a staffing allegation and determined there was insufficient staffing to meet resident care needs.
Licensing—Failed to provide appropriate staffing
03 May 2010Inspection
03 May 2010Inspection
Found inadequate care linked to staffing issues.
Licensing—Failed to provide appropriate staffing
02 Apr 2010Abuse: Neglect
02 Apr 2010Abuse: Neglect
Found violations involving inadequate screening or assessment and inadequate care, creating a moderate risk of harm.
Abuse—Failed to perform adequate screening or assessment
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Mirador Living is not affiliated with the owner or operator(s) of Azalea Gardens Senior Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Azalea Gardens Senior Living directly. There is no cost for this service. We are compensated by the community you select.
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