I placed my mom here and have been very pleased. The staff are loving, knowledgeable, and responsive, and management (Tara and Carole) made move-in, finances, and medical coordination easy. The bright, spotless community with small-neighborhood layout, excellent meals, in-house medical services, and low staff-to-resident ratio gives our family real peace of mind.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Schedule a Tour
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
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 space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.00·(47)
Overall rating
5
4
3
2
1
Care
3.1
Staff
3.2
Meals
2.4
Amenities
3.3
Value
1.0
Pros
Compassionate, professional caregiving staff
Individualized medical and in-house clinical services
Inadequate staff training and inconsistent experience levels
Poor family communication and follow-up processes
Medication-management inconsistencies and delays
Gaps in infection-control practices and sick-staff policies
Cleaning, linen, and sanitation management shortcomings
Deferred maintenance and infrastructure reliability problems
Inconsistent dining quality and lapses in special-diet accommodations
Shared-room crowding and privacy compromises
Unresponsive leadership and uneven managerial oversight
Allegations of theft and property-security gaps
Unsecured communication and HIPAA-compliance gaps
Pricing that may not align with perceived value
Limited visitor parking and accessibility issues
Summary of reviews
The reviews for Mountain Park Memory Care are strongly polarized: many families praise the direct care teams, the community layout, and the clinical supports, while a number of reviews raise significant operational concerns. Positive comments emphasize attentive, compassionate staff, individualized clinical services delivered in-house, a neighborhood-style environment, and a clean, modern facility. Families who were satisfied reported quick emergency response, supportive move-in assistance, helpful insurance/Medicaid guidance, and an active activities program that they found meaningful for residents.
Care quality perceptions vary. On the positive side, several accounts describe staff who know residents by name, provide personalized activities, and help residents regain energy and engagement. Conversely, other reviews describe inconsistent responsiveness to clinical needs, delays or variability in medication administration, and concerns about incident reporting and family notification after care events. These contrasting views suggest that direct care quality may depend heavily on shift staffing, individual caregivers, and unit-level practices.
Staff and management feedback is mixed but contains recurrent themes. The caregiving staff are frequently characterized as compassionate and hardworking; however, there are repeated mentions of chronic understaffing, high turnover, and the presence of staff with limited experience or training. Additional concerns relate to leadership: some families reported poor communication from executive or admissions staff, inconsistent managerial oversight, and perceptions of favoritism. Together these patterns point to uneven operational leadership and staffing stability that can affect day-to-day care consistency.
Dining and activities are another area of divergence. The activities program and neighborhood model receive consistent praise for engagement and resident well-being. Meal quality is more variable in the reviews: some families commend nutritious planning and good meals, while others cite inconsistent food quality, limited snack availability, and failures to reliably accommodate special diets. Prospective families should verify current dining menus and diet-accommodation protocols during a visit.
Facility condition and operations also show contrasts. Many reviewers describe a bright, clean, modern environment with up-to-date design and well-kept common areas. At the same time, there are reports that indicate deferred maintenance and infrastructure reliability problems—examples include plumbing issues, mold concerns, and maintenance response delays—and sanitation and linen-management shortcomings in some units. Privacy and space concerns were raised about shared rooms that can feel overcrowded. Communication security and administrative controls were questioned in several accounts, including unencrypted communications and lapses in documented notification processes. There are also allegations of missing personal items, which raises property-security questions that should be clarified with management.
Notable patterns: experiences appear highly dependent on staffing levels, unit leadership, and particular shifts. The facility shows strengths in program design, clinical-service availability, and community feel, but operational weaknesses—especially around staffing, training, maintenance, communication, infection-control practices, and incident-family notification—are recurring themes. For families considering Mountain Park Memory Care, recommended due diligence includes asking for current staffing ratios, written infection-control and sick-staff policies, sample medication-management and incident-notification procedures, documentation of maintenance response times, details on diet accommodations, privacy options for shared rooms, and evidence of data/communication-security practices. A walk-through during different shifts, speaking with front-line caregivers, and requesting references from recently moved-in families can help clarify whether the community’s current operations align with a prospective resident’s needs and expectations.
Reviews written on Mirador
We have no reviews to show about Mountain Park Memory Care.
Help other families by writing a review about your experience with this community.
Location
Mountain Park Memory Care is located at 13600 SE 122nd Ave, Clackamas, OR, 97015.
About Mountain Park Memory Care
Mountain Park Memory Care Community stands out as a dedicated memory care provider in Clackamas, Oregon, offering specialized support for individuals living with Alzheimer’s or other forms of dementia. The philosophy at Mountain Park is firmly rooted in intentionality, inspiration, and empathy, emphasizing a person-centered approach that celebrates each resident’s individuality. The care community focuses on nurturing the social, spiritual, mental, and physical well-being of every resident, with programs and activities tailored to promote as much independence as possible, accommodating each person's unique level of ability.
A distinctive feature of Mountain Park Memory Care Community is its robust management team, which ensures a hands-on, involved approach to oversight and daily operations. This strong leadership presence contributes to a supportive environment for both residents and staff, fostering engagement and providing ongoing support for both families and their loved ones. The community prides itself on its six core values, known collectively as F.A.I.T.H.E. These values inspire a positive, can-do mindset throughout the organization, underscore the importance of character and honesty, and encourage transparency and collaboration. Together, they foster a vibrant sense of synergy and purpose within the community.
Amenities at Mountain Park Memory Care are thoughtfully designed to enhance residents' lives. The community boasts comfortable private and companion suites, with layouts that include spacious bedrooms, modern bathrooms, and welcoming living spaces. Residents and their families can expect inviting environments, such as cozy living rooms with fireplaces, dining areas with colorful decor, and bedrooms filled with natural light and thoughtful touches like artwork and bear-themed accents. The atmosphere is further enriched by access to amenities such as on-site dining, housekeeping services, Wi-Fi and cable, utilities, local transportation, and a wide variety of planned activities and on-site entertainment. All of these services are included in a straightforward monthly fee, with no requirement for long-term leases or buy-in fees, offering families flexibility as their needs evolve.
Mountain Park's commitment to resident enrichment extends beyond the physical environment. The community encourages engagement through a diverse calendar of events and activities designed specifically for those living with memory loss, providing both stimulation and comfort. Residents benefit from a setting that feels both secure and vibrant, where opportunities for connection and the potential to flourish are readily available. The surrounding Clackamas area adds to the appeal, with proximity to parks, historical sites, shops, restaurants, and recreational attractions. All these elements combine to offer residents of Mountain Park Memory Care Community an extraordinary living experience, one that prioritizes personal dignity, well-being, and a genuine sense of belonging.
People often ask...
Mountain Park Memory Care offers competitive pricing, with rates starting at a cost of $6,508 per month.
Mountain Park Memory Care offers assisted living and memory care.
There are 7 photos of Mountain Park Memory Care on Mirador.
The full address for this community is 13600 SE 122nd Ave, Clackamas, OR 97015.
No, Mountain Park Memory Care 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.
Investigated determined the licensee failed to provide documentation upon request and did not cooperate with the investigation.
Licensing—Failed to cooperate with an investigation
20 Sept 2025Inspection
20 Sept 2025Inspection
Investigated an allegation of failure to cooperate with an investigation and determined that documentation was not provided upon request.
Licensing—Failed to cooperate with an investigation
12 Sept 2025Inspection
12 Sept 2025Inspection
Investigated and identified failure to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
10 Sept 2025Inspection
10 Sept 2025Inspection
Determined a licensing violation occurred. Failure to provide documentation upon request and to cooperate with an investigation was found.
Licensing—Failed to cooperate with an investigation
09 Sept 2025Abuse: Neglect
09 Sept 2025Abuse: Neglect
Investigated and found neglect and abuse violations involving failure to provide a safe environment and follow care interventions, resulting in injury.
Abuse—Failed to provide safe environment
09 Sept 2025Inspection
09 Sept 2025Inspection
Investigated the allegation and found that documentation was not provided when requested, indicating a regulatory violation.
Licensing—Failed to cooperate with an investigation
01 Sept 2025Inspection
01 Sept 2025Inspection
Investigated an allegation of non-cooperation and found that requested documentation was not provided.
Licensing—Failed to cooperate with an investigation
31 Aug 2025Inspection
31 Aug 2025Inspection
Investigated allegation of failing to cooperate; determined that documentation was not provided upon request and violated Oregon administrative rules.
Licensing—Failed to cooperate with an investigation
26 Aug 2025Abuse: Neglect
26 Aug 2025Abuse: Neglect
Investigated an allegation of neglect found failure to follow the care plan and fall prevention, resulting in a fall and left-arm fracture; a $1,500 fine was assessed.
Abuse—Failed to follow care plan
26 Aug 2025Inspection
26 Aug 2025Inspection
Determined that the provider failed to provide all required staffing records upon request.
Licensing—Failed to submit timely or adequate staffing documentation
22 Aug 2025Inspection
22 Aug 2025Inspection
Investigated the allegation of failing to cooperate and found that documentation was not provided when requested.
Licensing—Failed to cooperate with an investigation
26 Jun 2025License Condition
26 Jun 2025License Condition
Determined that respondents' actions created a risk of immediate jeopardy by failing to provide a safe environment.
Regulatory Action—Failed to provide safe environment
25 Jun 2025Inspection
25 Jun 2025Inspection
Found exit door alarms not functioning, placing residents at risk due to unmonitored courtyard doors.
Licensing—Failed to provide safe environment
24 Jun 2025Inspection
24 Jun 2025Inspection
Found that exterior courtyard doors were not secured, creating a risk of resident elopement and safety hazards.
Licensing—Failed to provide safe environment
22 Jun 2025Abuse: Neglect
22 Jun 2025Abuse: Neglect
Cited violations for failing to provide a safe environment after a resident eloped from secured premises.
Abuse—Failed to assure resident was safe
12 Jun 2025Abuse: Neglect
12 Jun 2025Abuse: Neglect
Determined abuse by neglect occurred due to an unsafe environment and failure to follow the service plan, resulting in an injury; a $500 fine was assessed.
Abuse—Failed to provide safe environment
03 May 2025Abuse: Neglect
03 May 2025Abuse: Neglect
Found violations for neglect and abuse due to failure to monitor wandering resident and follow safety plans, resulting in injuries to a resident.
Abuse—Failed to provide safe environment
01 May 2025Abuse: Neglect
01 May 2025Abuse: Neglect
Found violations of resident rights due to neglect and abuse; staff failed to redirect a wandering resident and to address known behavioral risks, leading to a resident-to-resident altercation and harm. A fine was assessed.
Abuse—Failed to properly plan care
07 Mar 2025Abuse: Neglect
07 Mar 2025Abuse: Neglect
Found failure to provide peri care and incontinence management, resulting in skin breakdown and a heavily soiled brief; a fine was assessed.
Abuse—Failed to provide peri care
24 Feb 2025Inspection
24 Feb 2025Inspection
Identified a records access deficiency; records were not provided upon request.
Licensing—Failed to make facility or resident records accessible
20 Feb 2025Abuse: Neglect
20 Feb 2025Abuse: Neglect
Investigated a failure to provide a safe environment after a room-mate altercation led to a lip injury.
Abuse—Failed to provide safe environment
13 Feb 2025Inspection
13 Feb 2025Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
11 Feb 2025Inspection
11 Feb 2025Inspection
Identified a licensing violation for failing to provide records upon request; the provider did not make records accessible.
Licensing—Failed to make facility or resident records accessible
11 Feb 2025Inspection
11 Feb 2025Inspection
Found that records were not provided to the Department when requested. This constitutes a licensing violation.
Licensing—Failed to make facility or resident records accessible
06 Feb 2025Abuse: Neglect
06 Feb 2025Abuse: Neglect
Found that a resident suffered two unwitnessed falls after returning sedated, with inadequate safety monitoring and failure to follow the care plan, constituting neglect and abuse.
Abuse—Failed to follow care plan
31 Jan 2025Inspection
31 Jan 2025Inspection
Investigated the allegation that records were not accessible to the Department. Found a deficiency for failing to provide records upon request.
Licensing—Failed to make facility or resident records accessible
31 Jan 2025Inspection
31 Jan 2025Inspection
Identified failure to provide records upon request, resulting in a substantiated records-access violation.
Licensing—Failed to make facility or resident records accessible
24 Jan 2025Inspection
24 Jan 2025Inspection
Found that records were not provided to the Department upon request, violating record access requirements. Identified a licensing violation.
Licensing—Failed to make facility or resident records accessible
24 Jan 2025Inspection
24 Jan 2025Inspection
Found that records were not provided to the Department upon request, resulting in a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
17 Jan 2025Abuse: Neglect
17 Jan 2025Abuse: Neglect
Found violations of safety and resident rights, including failure to provide a safe environment and to follow the resident's service plan, resulting in an elopement during a fire drill.
Abuse—Failed to provide safe environment
13 Jan 2025Inspection
13 Jan 2025Inspection
Investigated a records access allegation and found that records were not provided when requested.
Licensing—Failed to make facility or resident records accessible
03 Jan 2025Abuse: Neglect
03 Jan 2025Abuse: Neglect
Found safety failures and inadequate care planning around residents' history of altercations, leading to injuries.
Abuse—Failed to provide safe environment
03 Jan 2025Abuse: Neglect
03 Jan 2025Abuse: Neglect
Identified safety and care planning deficiencies that allowed a resident-to-resident altercation; a fine was assessed.
Abuse—Failed to provide safe environment
29 Dec 2024Abuse: Neglect
29 Dec 2024Abuse: Neglect
Found abuse and neglect due to failure to provide a safe environment, with a $375 fine assessed.
Abuse—Failed to provide safe environment
27 Dec 2024Inspection
27 Dec 2024Inspection
Found that records were not provided upon request, violating record-access requirements.
Licensing—Failed to make facility or resident records accessible
23 Dec 2024Abuse: Neglect
23 Dec 2024Abuse: Neglect
Identified violations for failing to provide a safe environment and update the care plan, which contributed to a fall and death; a fine was assessed.
Abuse—Failed to provide safe environment
20 Dec 2024Inspection
20 Dec 2024Inspection
Found a records accessibility violation due to failure to provide requested records.
Licensing—Failed to make facility or resident records accessible
13 Dec 2024Inspection
13 Dec 2024Inspection
Determined that records were not provided when requested, constituting a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
10 Dec 2024Inspection
10 Dec 2024Inspection
Found a records access violation due to failure to provide requested records.
Licensing—Failed to make facility or resident records accessible
08 Dec 2024Abuse: Neglect
08 Dec 2024Abuse: Neglect
Found a failure to provide a safe environment that resulted in an abuse/neglect finding.
Abuse—Failed to provide safe environment
08 Dec 2024Inspection
08 Dec 2024Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to cooperate with an investigation
04 Dec 2024Inspection
04 Dec 2024Inspection
Determined that records were not provided upon request.
Licensing—Failed to cooperate with an investigation
27 Nov 2024Inspection
27 Nov 2024Inspection
Found that records were not provided when requested. This violated the applicable rules.
Licensing—Failed to make facility or resident records accessible
20 Nov 2024Inspection
20 Nov 2024Inspection
Determined that records were not provided to the department when requested. This was a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
20 Nov 2024Inspection
20 Nov 2024Inspection
Found that records were not provided to the department upon request.
Licensing—Failed to make facility or resident records accessible
18 Nov 2024Complaint
18 Nov 2024Complaint
Identified deficiencies in medication administration and in acuity-based staffing planning.
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
18 Nov 2024Inspection
18 Nov 2024Inspection
Found that records were not provided to the Department upon request, in violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
18 Nov 2024Inspection
18 Nov 2024Inspection
Found that records were not provided upon request, violating state rules.
Licensing—Failed to make facility or resident records accessible
12 Nov 2024Inspection
12 Nov 2024Inspection
Investigated and concluded that documentation was not provided when requested.
Licensing—Failed to cooperate with an investigation
12 Nov 2024Inspection
12 Nov 2024Inspection
Investigated the allegation of failing to cooperate and found that documentation was not provided when requested.
Licensing—Failed to cooperate with an investigation
06 Nov 2024Inspection
06 Nov 2024Inspection
Investigated the allegation of abuse and safety failures; concluded that a resident experienced physical abuse and safety protections were not provided, with findings of neglect and physical abuse.
Licensing—Failed to protect resident from physical abuse
29 Oct 2024Inspection
29 Oct 2024Inspection
Identified that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
23 Oct 2024Inspection
23 Oct 2024Inspection
Investigated and found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
17 Oct 2024Inspection
17 Oct 2024Inspection
Identified a deficiency for failing to provide records upon request. The finding relates to access to records requirement.
Licensing—Failed to make facility or resident records accessible
17 Oct 2024Inspection
17 Oct 2024Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
17 Oct 2024Inspection
17 Oct 2024Inspection
Investigated and determined that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
17 Oct 2024Inspection
17 Oct 2024Inspection
Found that records were not provided to the Department upon request. This is a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
15 Oct 2024Abuse: Neglect
15 Oct 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in abuse/neglect and a fine assessed.
Abuse—Failed to provide safe environment
14 Oct 2024Inspection
14 Oct 2024Inspection
Investigated an allegation of failing to provide requested documentation and found a documentation deficiency that violated Oregon Administrative Rules.
Licensing—Failed to cooperate with an investigation
14 Oct 2024Inspection
14 Oct 2024Inspection
Found that records were not provided upon request, violating Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
27 Aug 2024Inspection
27 Aug 2024Inspection
Investigated a failure to maintain a safe medication administration system. A PRN morphine was given without a MAR entry or valid order.
Licensing—Failed to provide a safe medication administration system
21 Aug 2024Abuse: Neglect
21 Aug 2024Abuse: Neglect
Investigated and found violations of resident rights due to failure to provide a safe environment and to adjust a resident's care plan, leading to a resident-to-resident altercation and injury; a fine was assessed.
Abuse—Failed to provide safe environment
15 Aug 2024Abuse: Neglect
15 Aug 2024Abuse: Neglect
Found a safety deficiency due to a malfunctioning door lock and lack of protective interventions, allowing entry into a resident's room and an assault. A fine was assessed.
Abuse—Failed to provide safe environment
04 Aug 2024Abuse: Neglect
04 Aug 2024Abuse: Neglect
Investigated and found that staff failed to follow the resident’s care plan, placing a resident at risk and constituting abuse and neglect.
Abuse—Failed to provide safe environment
14 Jul 2024Abuse: Neglect
14 Jul 2024Abuse: Neglect
Investigated and found a safety failure and improper care planning for a known aggressive resident, resulting in injury to another resident.
Abuse—Failed to provide safe environment
01 Jul 2024Inspection
01 Jul 2024Inspection
Found that the Acuity-Based Staffing Tool was not updated to reflect resident needs, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
30 Jun 2024Abuse: Neglect
30 Jun 2024Abuse: Neglect
Investigated found the environment unsafe and care plans not followed, contributing to resident-to-resident harm.
Abuse—Failed to provide safe environment
17 Jun 2024Abuse: Neglect
17 Jun 2024Abuse: Neglect
Found violations of the care plan and failure to provide available PRN medications before daily cares, resulting in neglect and abuse. Also noted failure to consistently offer PRN medications.
Abuse—Failed to follow care plan
29 May 2024Inspection
29 May 2024Inspection
Identified deficiencies in maintaining an up-to-date ABST that accurately reflected resident needs, with inconsistencies between the roster, care plans, and ABST data. Findings indicated violations of Oregon Administrative Rules.
Licensing—Failed to use an ABST
15 May 2024Abuse: Neglect
15 May 2024Abuse: Neglect
Found neglect of care and abuse for failing to follow the care plan after serving a peanut-containing snack to a resident with a peanut allergy.
Abuse—Failed to provide safe environment
02 May 2024Inspection
02 May 2024Inspection
Investigated a complaint alleging failure to administer an ordered medication; found the medication was unavailable and not administered as prescribed during a period in May 2024.
Licensing—Failed to administer ordered medication
25 Apr 2024Abuse: Neglect
25 Apr 2024Abuse: Neglect
Found failures to properly plan and follow care for a wandering resident, resulting in an unwitnessed fall and fracture; a fine was assessed.
Abuse—Failed to properly plan care
24 Apr 2024Inspection
24 Apr 2024Inspection
Found deficiencies in the Acuity-Based Staffing Tool that did not accurately reflect the resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
22 Apr 2024Validation
22 Apr 2024Validation
Identified multiple deficiencies across resident rights, service planning, condition monitoring, infection control, staffing, and facility operations.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Infection Prevention & Control
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Plumbing Systems
Deficiency—Individual Rights Settings: Privacy, Dignity
Deficiency—Limitations: Threats to Health and Safety
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
05 Apr 2024Abuse: Neglect
05 Apr 2024Abuse: Neglect
Found neglect and abuse due to failure to properly plan care and intervene, resulting in a resident-to-resident altercation.
Abuse—Failed to properly plan care
05 Apr 2024Inspection
05 Apr 2024Inspection
Identified a deficiency in updating the acuity-based staffing tool to reflect resident needs. Inconsistencies were found between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
27 Mar 2024Abuse: Neglect
27 Mar 2024Abuse: Neglect
Investigated and found that a resident's incontinence, peri-care, and shower care needs were not met, leaving them in urine-soaked briefs and bedding and causing a prolonged rash.
Abuse—Failed to provide service
22 Mar 2024Abuse: Neglect
22 Mar 2024Abuse: Neglect
Investigated the allegation found neglect and resulting skin injuries due to improper care and an incomplete care plan. A $500 fine was assessed.
Abuse—Failed to provide service
22 Mar 2024Abuse: Neglect
22 Mar 2024Abuse: Neglect
Investigated and found neglect and abuse due to failure to provide needed care, resulting in skin injuries; a $500 fine was assessed.
Abuse—Failed to provide service
21 Mar 2024Abuse: Neglect
21 Mar 2024Abuse: Neglect
Found violations of resident rights involving neglect, including failing to follow medical orders and misusing another resident's barrier cream, leading to a prolonged rash and inadequate care.
Abuse—Failed to administer ordered medication
20 Mar 2024Abuse: Neglect
20 Mar 2024Abuse: Neglect
Found that a resident was not provided a safe environment and care plan interventions were not followed, resulting in injury from a resident-to-resident incident.
Abuse—Failed to provide safe environment
08 Mar 2024Abuse: Neglect
08 Mar 2024Abuse: Neglect
Investigated a complaint and found that care planning failed to meet the resident's toileting and hygiene needs, resulting in urine-soaked linens, infrequent showers, and a rash.
Abuse—Failed to properly plan care
26 Feb 2024Abuse: Neglect
26 Feb 2024Abuse: Neglect
Found neglect of care resulting in skin injuries and discomfort; assessed a $500 fine.
Abuse—Failed to provide service
24 Feb 2024Inspection
24 Feb 2024Inspection
Investigated a complaint and found a deficient safe medication administration system. No negative outcome occurred for the individual involved.
Licensing—Failed to provide a safe medication administration system
02 Feb 2024Inspection
02 Feb 2024Inspection
Investigated the allegation and found a licensing violation due to failure to implement services.
Licensing—Failed to follow care plan
09 Nov 2023Licensure
09 Nov 2023Licensure
Determined substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
26 Oct 2023Abuse: Neglect
26 Oct 2023Abuse: Neglect
Found that care services failed to meet the resident's needs. This led to a rash and discomfort from being left in urine-soaked briefs.
Abuse—Failed to provide service
13 Oct 2023Inspection
13 Oct 2023Inspection
Investigated an allegation that staff failed to assist with toileting, which led to a resident's fall and loss of dignity; multiple violations were cited.
Licensing—Failed to assist with toileting
13 Oct 2023Inspection
13 Oct 2023Inspection
Found that a staff member used derogatory language and a harsh tone toward a resident, and the provider failed to protect the resident from verbal and emotional abuse.
Licensing—Failed to protect resident from verbal abuse
13 Oct 2023Inspection
13 Oct 2023Inspection
Investigated an incident of neglect and abuse where a staff member did not assist a resident after a fall, resulting in discomfort and loss of dignity; violations of multiple Oregon rules were found.
Licensing—Failed to protect resident from physical abuse
12 Oct 2023Inspection
12 Oct 2023Inspection
Determined that a safe environment was not provided, resulting in a resident eloping and being at risk of serious harm.
Licensing—Failed to provide safe environment
29 Sept 2023Inspection
29 Sept 2023Inspection
Investigated a complaint and found a failure to provide a safe environment that led to physical abuse; the finding supports the allegation.
Licensing—Failed to provide safe environment
21 Sept 2023Abuse: Neglect
21 Sept 2023Abuse: Neglect
Found neglect and abuse due to failure to properly plan for safety from falls.
Abuse—Failed to properly plan care
21 Sept 2023Abuse: Neglect
21 Sept 2023Abuse: Neglect
Found a failure to provide a safe environment that resulted in a resident injury requiring hospital treatment.
Abuse—Failed to provide safe environment
25 Aug 2023Abuse: Neglect
25 Aug 2023Abuse: Neglect
Investigated and found neglect and abuse due to failure to properly plan care and implement resident-specific interventions, leading to repeated falls and injury.
Abuse—Failed to properly plan care
24 Jul 2023Inspection
24 Jul 2023Inspection
Determined violations related to unsafe medication administration and resident rights, including neglect and financial abuse in a care setting.
Licensing—Failed to provide a safe medication administration system
21 Jul 2023Abuse: Neglect
21 Jul 2023Abuse: Neglect
Found a failure to provide a safe environment that resulted in an injury and constitutes abuse. A $500 fine was assessed.
Abuse—Failed to provide safe environment
19 Jul 2023Complaint
19 Jul 2023Complaint
Investigated found deficiencies in 24-hour resident monitoring, safe medication systems, and carrying out prescribed medication orders.
Deficiency—Licensing Complaint Investigation
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
12 Jun 2023Abuse: Neglect
12 Jun 2023Abuse: Neglect
Investigated an allegation of unsafe medication administration; found a failure to provide a safe medication administration system and assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
26 May 2023License Condition
26 May 2023License Condition
Found deficiencies for failing to staff as indicated and for not fully implementing an acuity-based staffing tool.
Regulatory Action—Failed to staff as indicated by ABST
19 May 2023Inspection
19 May 2023Inspection
Found that an acuity-based staffing tool was not fully implemented or updated.
Licensing—Failed to use an ABST
26 Apr 2023Inspection
26 Apr 2023Inspection
Investigated and determined that a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
26 Apr 2023Inspection
26 Apr 2023Inspection
Investigated a complaint and found a deficiency in written policies to ensure a resident monitoring and reporting system is implemented 24 hours a day.
Licensing—Failed to provide service
26 Apr 2023Inspection
26 Apr 2023Inspection
Investigated a complaint and found a deficiency in safe medication administration; orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
28 Mar 2023Complaint
28 Mar 2023Complaint
Identified staffing deficiencies and incomplete acuity-based planning that left residents without consistent direct care.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
08 Mar 2023Abuse: Neglect
08 Mar 2023Abuse: Neglect
Investigated found a resident with gait disturbance and fall history did not receive a safe environment or proper supervision, leading to a fall and fracture; a $1,500 fine was assessed.
Abuse—Failed to provide safe environment
18 Feb 2023Inspection
18 Feb 2023Inspection
Investigated an allegation that residents' scheduled and unscheduled needs were not met. Found a licensing violation associated with this allegation.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
18 Feb 2023Abuse: Neglect
18 Feb 2023Abuse: Neglect
Found violations for failing to provide a safe environment that contributed to a resident's death from choking, with staff not performing the Heimlich maneuver.
Abuse—Failed to provide safe environment
15 Feb 2023Inspection
15 Feb 2023Inspection
Found a violation for failing to submit timely or adequate staffing documentation.
Licensing—Failed to submit timely or adequate staffing documentation
19 Jan 2023Complaint
19 Jan 2023Complaint
Investigated and found deficiencies in change-of-condition monitoring, treatment orders, and exit-door safety.
Deficiency—Licensing Complaint Investigation
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Exit Doors
13 Jan 2023Abuse: Neglect
13 Jan 2023Abuse: Neglect
Found neglect of care and abuse due to failure to follow the care plan when a resident wandered into other residents' rooms and a resident-to-resident altercation occurred.
Abuse—Failed to follow care plan
27 Dec 2022Inspection
27 Dec 2022Inspection
Determined that a safe medication administration system was not provided. DC medications were administered for about two days after discharge.
Licensing—Failed to provide a safe medication administration system
08 Dec 2022Inspection
08 Dec 2022Inspection
Found that medication orders were not followed, resulting in oxycodone being administered at an incorrect time.
Licensing—Failed to administer medication as ordered
05 Dec 2022Abuse: Neglect
05 Dec 2022Abuse: Neglect
Found failure to provide a safe medication administration system, resulting in an incorrect dose of a blood thinner and significant risk of harm to a resident.
Abuse—Failed to provide a safe medication administration system
17 Nov 2022Abuse: Neglect
17 Nov 2022Abuse: Neglect
Investigated and found that the service plan was not adjusted and reasonable interventions were not implemented, leading to continued aggressive behavior and abuse; a $500 fine was assessed.
Abuse—Failed to address resident's behavior
04 Nov 2022Inspection
04 Nov 2022Inspection
Determined a resident could be locked out of or inside their room at any time, requiring staff to unlock the door.
Licensing—Failed to assure resident rights
31 Oct 2022Abuse: Neglect
31 Oct 2022Abuse: Neglect
Investigated found neglect of care and abuse due to an unsafe environment and inadequate safety plan for elopement risk; a $500 fine was assessed.
Abuse—Failed to provide safe environment
08 Oct 2022Abuse: Neglect
08 Oct 2022Abuse: Neglect
Investigated a complaint and found a failure to follow the care plan, leading to a resident-to-resident altercation and injury.
Abuse—Failed to follow care plan
01 Oct 2022Inspection
01 Oct 2022Inspection
Found a licensing violation for failing to submit timely weekly vaccination reporting for vaccinated individuals, residents, and staff. The failure occurred from September 1 to September 30, 2022, for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
23 Sept 2022Licensure
23 Sept 2022Licensure
Found substantial compliance with applicable meal service and sanitation requirements.
Deficiency—Comment
22 Sept 2022Abuse: Neglect
22 Sept 2022Abuse: Neglect
Investigated a complaint and found a care plan was not followed, resulting in abuse/neglect and a $375 fine.
Abuse—Failed to follow care plan
22 Sept 2022Abuse: Neglect
22 Sept 2022Abuse: Neglect
Investigated a complaint and found a failure to follow the care plan that resulted in abuse/neglect. A $375 fine was assessed.
Abuse—Failed to follow care plan
31 Aug 2022Inspection
31 Aug 2022Inspection
Determined that a safe medication administration system was not provided, and a resident received another resident's medications.
Licensing—Failed to provide a safe medication administration system
15 Aug 2022Abuse: Neglect
15 Aug 2022Abuse: Neglect
Investigated and found that feeding did not follow the care plan, placing the resident at risk; a fine was assessed.
Abuse—Failed to follow care plan
02 Aug 2022Inspection
02 Aug 2022Inspection
Found that medication orders were not administered as prescribed. The deficiency included off-schedule dosing, lack of documentation, and a resident not receiving medication for months.
Licensing—Failed to administer medication as ordered
19 Jul 2022Abuse: Neglect
19 Jul 2022Abuse: Neglect
Investigated identified violations for failure to provide a safe environment due to inadequate supervision and staff support, following an incident where a resident punched another resident; a fine was assessed.
Abuse—Failed to provide safe environment
19 Jul 2022Inspection
19 Jul 2022Inspection
Found that a staff member administered an incorrect medication dosage, causing discomfort, and a safe medication administration system was not provided, constituting neglect and abuse.
Licensing—Failed to administer medication as ordered
18 Jul 2022Abuse: Neglect
18 Jul 2022Abuse: Neglect
Identified failures to properly care plan for a resident with wandering behavior, resulting in neglect and abuse; assessed a fine.
Abuse—Failed to properly plan care
08 Jul 2022Inspection
08 Jul 2022Inspection
Found violations for not following the care plan, which led to a resident fall and injuries.
Licensing—Failed to follow care plan
30 Jun 2022Inspection
30 Jun 2022Inspection
Investigated a safety violation in medication administration when a staff member served coffee mixed with medication to a resident, and another resident drank it, resulting in hospitalization. The deficiency reflected a failure to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
29 Jun 2022Inspection
29 Jun 2022Inspection
Found improper showering procedures caused bruising and discomfort to a resident, and a failure to protect the resident from physical abuse.
Licensing—Failed to protect resident from physical abuse
26 Jun 2022Abuse: Neglect
26 Jun 2022Abuse: Neglect
Investigated and found that a resident's medication was inadvertently discontinued for about two months due to a computer glitch, creating risk of serious harm.
Abuse—Failed to administer medication as ordered
22 Jun 2022Abuse: Neglect
22 Jun 2022Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in a resident not receiving prescribed medication from about April 8, 2022, through June 22, 2022.
Abuse—Failed to provide a safe medication administration system
26 May 2022Abuse: Neglect
26 May 2022Abuse: Neglect
Investigated a failure to follow the care plan that left a walker out of reach, leading to a resident's fall and broken hip. A fine was assessed.
Abuse—Failed to follow care plan
26 Dec 2021Abuse: Neglect
26 Dec 2021Abuse: Neglect
Investigated a complaint and found a failure to properly plan care that led to abuse and neglect.
Abuse—Failed to properly plan care
30 Nov 2021Abuse: Neglect
30 Nov 2021Abuse: Neglect
Investigated a complaint alleging neglect and abuse; found failure to properly plan care and to mitigate wandering and aggressive behavior, with a fine assessed.
Abuse—Failed to properly plan care
15 Nov 2021Inspection
15 Nov 2021Inspection
Found a licensing violation for failing to respond to residents' change of condition and implement interventions when residents were falling.
Licensing—Failed to provide oversight and monitoring of change of condition
15 Nov 2021Inspection
15 Nov 2021Inspection
Found the medication was not administered as ordered, resulting in dosing at an unscheduled time.
Licensing—Failed to administer medication as ordered
12 Oct 2021Inspection
12 Oct 2021Inspection
Investigated an allegation of unsafe medication administration and found a failure to provide a safe system, with a scheduled dose followed by a PRN dose within four hours, resulting in sedation and risk of harm.
Licensing—Failed to provide a safe medication administration system
12 Oct 2021Abuse: Neglect
12 Oct 2021Abuse: Neglect
Investigated a neglect allegation and found failure to provide a safe environment, risking serious harm to a resident.
Abuse—Failed to provide safe environment
28 Sept 2021Abuse: Neglect
28 Sept 2021Abuse: Neglect
Identified failure to follow a resident's care plan resulting in neglect and abuse, with a $1125 fine assessed.
Abuse—Failed to follow care plan
10 Sept 2021Abuse: Neglect
10 Sept 2021Abuse: Neglect
Investigated a care plan neglect allegation and found failure to follow ambulation-related care, leading to a fall for a high-risk resident.
Abuse—Failed to follow care plan
10 Sept 2021Abuse: Neglect
10 Sept 2021Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failure to plan care to address falls.
Abuse—Failed to properly plan care
31 Aug 2021Abuse: Neglect
31 Aug 2021Abuse: Neglect
Found that staff failed to follow the care plan, allowing wandering and a resident-to-resident altercation that caused harm.
Abuse—Failed to follow care plan
31 Aug 2021Abuse: Neglect
31 Aug 2021Abuse: Neglect
Found that a safe environment was not provided, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to provide safe environment
17 Jul 2021Abuse: Neglect
17 Jul 2021Abuse: Neglect
Investigated allegations of neglect and abuse involving failure to follow a care plan. A $500 fine was assessed.
Abuse—Failed to follow care plan
14 Jul 2021Abuse: Neglect
14 Jul 2021Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in neglect and abuse.
Abuse—Failed to provide a safe medication administration system
11 Jul 2021Inspection
11 Jul 2021Inspection
Identified violations of resident rights and safety procedures after a resident left the courtyard undetected overnight, resulting in injuries. The findings indicate staff did not properly monitor and secure residents during safety checks.
Licensing—Failed to provide safe environment
28 May 2021Abuse: Neglect
28 May 2021Abuse: Neglect
Determined a failure to provide a safe environment due to inadequate supervision, resulting in an incident between residents and a finding of neglect and abuse; a fine was assessed.
Abuse—Failed to provide safe environment
30 Apr 2021Abuse: Neglect
30 Apr 2021Abuse: Neglect
Found violations of the resident's care plan that led to an unwitnessed fall and constituted neglect and abuse.
Abuse—Failed to follow care plan
01 Apr 2021Inspection
01 Apr 2021Inspection
Investigated a complaint and found medication administration violations. A staff member failed to administer medication as ordered, and a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
12 Mar 2021Inspection
12 Mar 2021Inspection
Investigated a medication safety lapse where a resident took another resident's medication. Found violations of resident rights and unsafe medication administration practices.
Licensing—Failed to provide a safe medication administration system
29 Jan 2021Abuse: Neglect
29 Jan 2021Abuse: Neglect
Found a failure to provide a safe environment that resulted in abuse and neglect; a fine was assessed.
Abuse—Failed to provide safe environment
21 Dec 2020Abuse: Neglect
21 Dec 2020Abuse: Neglect
Identified a failure to provide a safe environment that allowed inappropriate sexual behavior toward a resident, constituting abuse and neglect.
Abuse—Failed to provide safe environment
17 Dec 2020Abuse: Neglect
17 Dec 2020Abuse: Neglect
Found the care plan was not followed, resulting in a resident-to-resident altercation.
Abuse—Failed to follow care plan
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Mountain Park Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Mountain Park Memory Care directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of this community?
Claim this listing to receive messages from prospective customers and manage your community page.
