I moved my mother here and am very pleased - Scott and the staff are caring, friendly, and exceptionally helpful; the administrator was kind and professional and the move-in was calm and organized. The campus is beautiful and spotless, rooms are private and spacious, the food and daily activities are appealing, and she feels happy and safe, so I would recommend this community.
Loved one of resident
Jul 2026
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Reviews
3.82·(11)
Overall rating
5
4
3
2
1
Care
5.0
Staff
5.0
Meals
4.5
Amenities
4.7
Value
3.8
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Location
New Friends by Coos Bay is located at 955 Kentucky Ave, Coos Bay, OR, 97420.
About New Friends by Coos Bay
New Friends of Coos Bay sits on a scenic three-acre campus at 955 Kentucky Avenue in Coos Bay, Oregon, right off Highway 101, and it has a long-standing reputation for high standards of care and community involvement. The community has 55 private studio rooms, each approved for Medicaid use, and these can be personalized with family photos and special belongings, which helps residents feel at home and keep their memories close. This facility is both an Assisted Living and Residential Care Facility, with a special focus on Memory Care, where 24/7 staff and skilled nursing teams help residents with memory needs, taking care to treat everyone with dignity and respect, just like loved ones.
Residents at New Friends of Coos Bay get personalized support, including help with daily activities, medication management, and regular housekeeping, along with laundry and dry cleaning for linens and clothing. The team is available at all hours to provide mobility assistance, personal care, and transportation on and off campus, making life easier for those who like to stay active but may need a little help getting around. Meals are served restaurant-style with chef-inspired menus, which means attention is paid to nutrition while still offering a variety of flavors, and staff consider each person's taste preferences and dietary needs. Spaces for common dining make meals an opportunity for conversation and togetherness.
Each resident has the freedom to decorate their private studio room, and there's a focus on creating a warm, familiar environment rather than a clinical or impersonal one. People tend to fill spaces with their own treasures, memories, and hobbies, and staff pay special attention to the small things that make each person unique. Activities include gardening groups, a resident musical group, arts and crafts, story time, and game nights, all designed to support independence, creativity, and socialization. Outdoor patios and gardens invite residents outside, while indoor common areas have TVs and areas for gathering.
Memory care services are available, with a dedicated approach to empowering residents to express their individuality. Staff members keep communication open with residents and families, making sure everyone is included in the care process. The facility has a secured campus and supervised grounds, which keeps people safe while still allowing for freedom and movement. There's also free high-speed WiFi and transportation for outings, errands, or appointments at no cost. Housekeeping, in-house laundry, and dry cleaning help people stay comfortable without having to keep up with chores. The facility accepts checks, credit cards, and insurance payments for added convenience.
For those needing extra support or a short-term stay, respite care is available. The community welcomes people from different backgrounds and is committed to upholding dignity, independence, and respect for every resident. With a full team of seasoned caregivers and well-planned activities, New Friends of Coos Bay aims to meet the needs of older adults who need extra help, while making sure each person's interests and preferences are honored every day.
People often ask...
New Friends by Coos Bay offers assisted living and memory care.
There are 1 photos of New Friends by Coos Bay on Mirador.
The full address for this community is 955 Kentucky Ave, Coos Bay, OR 97420.
No, New Friends by Coos Bay does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Identified deficiencies in sanitation and meal service, infection control, and administration compliance, including unsafe kitchen conditions, improper cold storage, and serving uncovered meals.
Investigated and found that the care plan for fall prevention was not followed and a whistle to call for help was not provided, contributing to injuries.
Abuse—Failed to provide safe environment
08 Nov 2025Inspection
08 Nov 2025Inspection
Determined that a safe environment was not provided for a resident and that an alleged perpetrator neglected the resident by not following the care plan.
Licensing—Failed to provide safe environment
08 Nov 2025Inspection
08 Nov 2025Inspection
Investigated and concluded there was a failure to protect a resident from verbal abuse.
Licensing—Failed to provide inservice
30 Oct 2025Abuse: Neglect
30 Oct 2025Abuse: Neglect
Investigated found a failure to provide a safe environment and to prevent elopement that placed a resident at risk of harm. A $1125 fine was assessed.
Abuse—Failed to provide safe environment
30 Oct 2025Inspection
30 Oct 2025Inspection
Investigated a complaint and found that service plans did not reflect residents' needs or include preferences supporting dignity, privacy, choice, individuality, and independence. This violated Oregon Administrative Rules.
Licensing—Failed to properly plan care
15 Oct 2025License Condition
15 Oct 2025License Condition
Determined non-compliance with safety rules due to failure to provide a safe environment. The Change of Ownership survey conducted on or about August 28, 2025 identified safety deficiencies.
Regulatory Action—Failed to provide safe environment
29 Sept 2025Inspection
29 Sept 2025Inspection
Investigated a complaint and found that a resident was exposed to potential harm after a fall, and that staff did not follow the care plan.
Licensing—Failed to provide inservice
24 Sept 2025Inspection
24 Sept 2025Inspection
Investigated the wrongful restraint and residents' rights issue; concluded a rights-related deficiency occurred and the restraint allegation was confirmed.
Licensing—Failed to provide inservice
18 Sept 2025Inspection
18 Sept 2025Inspection
Concluded that a caregiver failed to attach leg pegs to a resident's wheelchair, resulting in a fall with head injury, and that a safe environment was not provided.
Licensing—Failed to provide safe environment
28 Aug 2025Change of Owner
28 Aug 2025Change of Owner
Investigated multiple deficiencies across resident activities, health services, infection control, treatment orders, restraints, fire safety, privacy, and administration. Deficiencies found related to inadequate activities, wound care management, infection control during meals, improper orders, use of restraints, incomplete fire drills, and residents lacking privacy and keys to their rooms.
Deficiency—Resident Services: Activities
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Restraints and Supportive Devices
Deficiency—Fire and Life Safety: Safety
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Individual Rights Settings Right to Freedom
Deficiency—Individual Privacy: Own Unit
Deficiency—Individual Door Locks: Key Access
Deficiency—Administration Compliance
Deficiency—Compliance with Rules Health Care
06 Jul 2025Inspection
06 Jul 2025Inspection
Investigated a medication administration issue and found that ordered medication was not administered, with no negative outcome for the resident.
Licensing—Failed to provide inservice
06 Jul 2025Inspection
06 Jul 2025Inspection
Investigated the allegation of failing to administer ordered medication and found a rule violation; the resident experienced no negative outcome.
Licensing—Failed to provide inservice
04 Jul 2025Inspection
04 Jul 2025Inspection
Investigated a complaint and found that ordered medication was not administered to a resident, with no risk of serious harm.
Licensing—Failed to provide inservice
29 Jun 2025Inspection
29 Jun 2025Inspection
Investigated an allegation of failing to provide a safe environment and identified a licensing violation; the allegation of neglect by a staff member for not following the service plan was supported.
Licensing—Failed to provide safe environment
14 Jun 2025Abuse: Neglect
14 Jun 2025Abuse: Neglect
Investigated a complaint and found a failure to properly plan care that contributed to a fall resulting in a femur fracture requiring hospitalization.
Abuse—Failed to properly plan care
05 May 2025Inspection
05 May 2025Inspection
Found neglect and abuse due to failure to follow the care plan, resulting in discomfort and being grabbed.
Licensing—Failed to follow care plan
03 May 2025Inspection
03 May 2025Inspection
Investigated an allegation that staff did not provide required inservice and did not follow the care plan, leading to a resident fall with elbow injury.
Licensing—Failed to provide inservice
30 Apr 2025Abuse: Neglect
30 Apr 2025Abuse: Neglect
Investigated a fall from a wheelchair caused by an unplugged alarm and found that in-service training was not provided, resulting in harm and discomfort; a $250 fine was assessed.
Abuse—Failed to provide inservice
24 Feb 2025Inspection
24 Feb 2025Inspection
Investigated and found that a staff member physically abused a resident and protections against abuse were not upheld. The care setting failed to protect the resident from physical abuse.
Licensing—Failed to provide inservice
24 Feb 2025Inspection
24 Feb 2025Inspection
Investigated a verbal abuse allegation and found a staff member verbally harassed a resident with profanity and sexual comments, causing distress and hospital transport.
Licensing—Failed to protect resident from verbal abuse
24 Feb 2025Inspection
24 Feb 2025Inspection
Investigated an allegation of failure to follow the care plan; found neglect and abuse resulting in harm, including a skin tear requiring hospital transport.
Licensing—Failed to provide inservice
24 Feb 2025Inspection
24 Feb 2025Inspection
Determined that a resident was subjected to involuntary seclusion and neglect, causing distress and hospital transport, in violation of state rules.
Licensing—Failed to provide inservice
11 Feb 2025Abuse: Neglect
11 Feb 2025Abuse: Neglect
Investigated a case of neglect involving a resident being hit and wandering into other residents' apartments, with inadequate safety planning. A $500 fine was assessed.
Abuse—Failed to provide safe environment
26 Jan 2025Abuse: Neglect
26 Jan 2025Abuse: Neglect
Investigated a neglect/abuse allegation and found that staff failed to follow the care plan, contributing to a resident fall and hip fracture.
Abuse—Failed to provide safe environment
13 Dec 2024Inspection
13 Dec 2024Inspection
Investigated and identified neglect and abuse due to failure to follow the care plan, which put a resident at risk of serious harm and a fall resulting in hospitalization.
Licensing—Failed to provide inservice
11 Dec 2024Abuse: Neglect
11 Dec 2024Abuse: Neglect
Found insufficient staffing that left residents unsupervised, leading to a fall with skin tears; a fine was assessed.
Abuse—Failed to meet the scheduled and unscheduled needs of residents
14 Nov 2024Complaint
14 Nov 2024Complaint
Investigated the staffing complaint and found no deficiencies cited.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Acuity Based Staffing Tool - Updates & Plan
14 Nov 2024Complaint
14 Nov 2024Complaint
Identified deficiencies in service planning, medication administration, and staffing.
Deficiency—Service Plan: General
Deficiency—Systems: Medication Administration
Deficiency—Staffing Requirements and Training: Staffing
26 Oct 2024Inspection
26 Oct 2024Inspection
Investigated a complaint about physical restraint of a resident during personal care and found neglect and abuse with violations of resident rights. The restraint occurred when a staff member held the resident's hands during care as they refused help, causing anger and discomfort.
Licensing—Failed to provide inservice
12 Oct 2024Inspection
12 Oct 2024Inspection
Investigated the failure to monitor a resident's change in condition and document PRN pain medications, leading to prolonged pain and discomfort and constituting neglect and abuse.
Licensing—Failed to provide service
23 Sept 2024Inspection
23 Sept 2024Inspection
Identified deficiencies in acuity-based staffing and ABST data alignment, with staffing not aligned to resident needs.
Licensing—Failed to staff as indicated by ABST
22 Sept 2024Inspection
22 Sept 2024Inspection
Determined that a staff member did not follow the care plan, leading to a resident fall and injuries.
Licensing—Failed to follow care plan
02 Sept 2024Inspection
02 Sept 2024Inspection
Identified deficiencies in the Acuity-Based Staffing Tool accuracy and resulting staffing levels not aligning with resident needs. Inconsistencies were found between the resident roster, care plans, and ABST data.
Licensing—Failed to staff as indicated by ABST
02 Sept 2024Inspection
02 Sept 2024Inspection
Identified staffing deficiencies based on ABST, with inconsistencies between the resident roster, care plans, and ABST data, and insufficient staffing to meet needs.
Licensing—Failed to staff as indicated by ABST
02 Sept 2024Inspection
02 Sept 2024Inspection
Investigated the staffing allegation and identified that the Acuity-Based Staffing Tool did not reflect resident needs and ADLs, with inconsistencies between roster, care plans, and ABST data, and staffing not aligned with ABST indicators.
Licensing—Failed to staff as indicated by ABST
29 Aug 2024Inspection
29 Aug 2024Inspection
Identified a staffing deficiency tied to an inaccurate ABST, with inconsistencies between roster, care plans, and ABST data, and insufficient staff to meet residents' needs as indicated by the ABST.
Licensing—Failed to staff as indicated by ABST
31 Jul 2024Inspection
31 Jul 2024Inspection
Identified insufficient direct care staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
31 Jul 2024Inspection
31 Jul 2024Inspection
Investigated and found failure to provide or assist with hygiene.
Licensing—Failed to provide or assist with hygiene
29 Jul 2024Inspection
29 Jul 2024Inspection
Identified failure to administer medication as ordered. This constitutes a licensing violation for minor harm or potential for moderate harm.
Licensing—Failed to administer medication as ordered
15 Jul 2024Inspection
15 Jul 2024Inspection
Investigated and found a violation for failing to administer medication as ordered.
Licensing—Failed to provide a safe medication administration system
11 Jul 2024Inspection
11 Jul 2024Inspection
Identified deficiencies in an ABST that failed to reflect resident needs and ADLs, and related staffing levels were not aligned with ABST indications.
Licensing—Failed to use an ABST
10 Jul 2024Complaint
10 Jul 2024Complaint
Investigated the complaint and identified deficiencies in the service plan and treatment orders.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
09 Jul 2024License Condition
09 Jul 2024License Condition
Found that the acuity-based staffing tool was not fully implemented or updated, resulting in unmet resident needs.
Regulatory Action—Failed to use an ABST
09 Jul 2024License Condition
09 Jul 2024License Condition
Found that qualified awake direct care staff were not sufficient to meet residents' 24-hour needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
04 Jul 2024Abuse: Neglect
04 Jul 2024Abuse: Neglect
Found neglect due to failure to follow the care plan and provide supervision, resulting in an unwitnessed fall with a fractured collarbone; a $1,500 fine was assessed.
Abuse—Failed to provide safe environment
25 Jun 2024Inspection
25 Jun 2024Inspection
Investigated and found neglect and abuse due to failing to follow the care plan, leaving a resident unsupervised and causing a fall with injury.
Licensing—Failed to follow care plan
23 May 2024Inspection
23 May 2024Inspection
Investigated an allegation that a system to prevent theft or misuse of medication was not provided; findings showed a failure to have a pharmacist-approved system for tracking controlled substances and for disposal of unused, outdated, or discontinued medications.
Licensing—Failure to provide a system that prevents theft or misuse of medication
06 May 2024Abuse: Neglect
06 May 2024Abuse: Neglect
Identified deficiencies in care planning and interventions for aggressive behavior that led to minor harm.
Abuse—Failed to properly plan care
03 May 2024Inspection
03 May 2024Inspection
Found that services were not properly implemented, constituting a minor licensing violation; a $500 fine was assessed.
Licensing—Failed to provide service
24 Apr 2024Abuse: Neglect
24 Apr 2024Abuse: Neglect
Identified deficiencies in medication administration safety that left a resident without multiple doses of medications, increasing fall risk and causing injuries.
Abuse—Failed to provide a safe medication administration system
19 Apr 2024Abuse: Neglect
19 Apr 2024Abuse: Neglect
Investigated and found neglect and abuse due to failure to provide safe environment and adequate supervision, leading to an incident with inappropriate touching and emotional distress.
Abuse—Failed to provide safe environment
29 Mar 2024Inspection
29 Mar 2024Inspection
Investigated the allegation that a resident's medication was not administered as ordered and found a violation of medication administration rules.
Licensing—Failed to administer medication as ordered
27 Mar 2024Abuse: Neglect
27 Mar 2024Abuse: Neglect
Investigated and found a failure to maintain an up-to-date service plan and grooming schedule reflecting care needs, resulting in a resident not being groomed regularly and experiencing loss of dignity. The findings identified a violation of resident rights constituting abuse and neglect.
Abuse—Failed to provide service
25 Mar 2024Inspection
25 Mar 2024Inspection
Found that a care plan was not followed, leaving a resident unattended and resulting in an injury after a physical altercation.
Licensing—Failed to follow care plan
17 Mar 2024Inspection
17 Mar 2024Inspection
Investigated an abuse allegation and found that staff used physical force against a resident and failed to protect the resident from abuse.
Licensing—Failed to protect resident from physical abuse
17 Mar 2024Inspection
17 Mar 2024Inspection
Investigated a complaint and found violations related to failure to provide necessary assistance and protection from abuse. Dressing assistance was not provided, resulting in loss of personal dignity and violation of resident rights.
Licensing—Failed to provide service
17 Mar 2024Inspection
17 Mar 2024Inspection
Found verbal abuse through a threat and failure to protect a resident from abuse.
Licensing—Failed to protect resident from verbal abuse
15 Mar 2024Inspection
15 Mar 2024Inspection
Found a violation for failing to administer ordered medication. The finding indicates noncompliance with applicable rules.
Licensing—Failed to administer ordered medication
14 Mar 2024Inspection
14 Mar 2024Inspection
Investigated a medication administration failure where a staff member did not give a resident the needed diabetes medication, risking harm. Violations related to safe medication administration and resident rights were found.
Licensing—Failed to provide a safe medication administration system
11 Mar 2024Complaint
11 Mar 2024Complaint
Identified staffing shortages and failure to implement an acuity-based staffing tool, with discrepancies between planned, posted, ABST, and actual staffing.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
19 Feb 2024Inspection
19 Feb 2024Inspection
Found that the care plan for mobility assistance was not followed, resulting in an injury fall and resident rights violations.
Licensing—Failed to follow care plan
16 Feb 2024Inspection
16 Feb 2024Inspection
Found that staff did not follow the resident's incontinence care plan, though no pain or skin breakdown occurred.
Licensing—Failed to provide service
10 Feb 2024Inspection
10 Feb 2024Inspection
Investigated the allegation of failing to provide a safe environment and found a deficiency where pod doors were left open, allowing a resident to wander in common areas without adequate staff monitoring, creating risk of harm. The issues relate to resident safety and supervision.
Licensing—Failed to provide safe environment
08 Feb 2024Inspection
08 Feb 2024Inspection
Found a violation of safe medication administration practices that resulted in overmedication from duplicate patches.
Licensing—Failed to provide a safe medication administration system
18 Jan 2024Inspection
18 Jan 2024Inspection
Investigated and found a failure to protect a resident from financial exploitation due to a missing PRN and potential medication theft.
Licensing—Failed to protect resident from financial exploitation
12 Dec 2023Abuse: Neglect
12 Dec 2023Abuse: Neglect
Investigated and found that care planning failed to address resident behaviors during meals, resulting in neglect and abuse; a $250 fine was assessed.
Abuse—Failed to properly plan care
12 Dec 2023Licensure
12 Dec 2023Licensure
Identified deficiencies in dining dignity for residents, kitchen sanitation, and service plan accuracy; a follow-up visit later found substantial compliance with meals and sanitation rules.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
Investigated a complaint and found failure to provide toileting assistance as needed, causing discomfort and loss of personal dignity.
Abuse—Failed to provide service
27 Nov 2023Inspection
27 Nov 2023Inspection
Investigated an allegation of neglect and abuse involving failure to follow the care plan, which led to a physical altercation and risk of harm to a resident; findings substantiated.
Licensing—Failed to follow care plan
27 Nov 2023Inspection
27 Nov 2023Inspection
Concluded that neglect and abuse occurred due to failure to follow the care plan, resulting in a physical altercation and injury.
Licensing—Failed to follow care plan
20 Nov 2023Inspection
20 Nov 2023Inspection
Found that care plan implementation was not ensured, resulting in a violation of Oregon Administrative Rules.
Licensing—Failed to follow care plan
12 Nov 2023Abuse: Neglect
12 Nov 2023Abuse: Neglect
Found a failure to provide a safe environment resulting in a resident injury. A $375 fine was assessed.
Abuse—Failed to provide safe environment
31 Oct 2023Abuse: Neglect
31 Oct 2023Abuse: Neglect
Found failures to follow the care plan for safety checks and supervision, which led to an unwitnessed fall and hospitalization.
Abuse—Failed to follow care plan
30 Oct 2023Inspection
30 Oct 2023Inspection
Investigated a failure to follow a resident's care plan that left a pressure pad alarm inactive, resulting in a fall with injury and findings of neglect and abuse.
Licensing—Failed to follow care plan
11 Aug 2023Abuse: Neglect
11 Aug 2023Abuse: Neglect
Concluded neglect due to inadequate supervision that allowed an individual to elope from a secured area, creating risk of harm.
Abuse—Failed to provide safe environment
30 Jul 2023Complaint
30 Jul 2023Complaint
Investigated compliance and identified isolated issues related to staffing and the physical environment.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Doors, Walls, Elevators, Odors
19 Jul 2023Inspection
19 Jul 2023Inspection
Investigated and found that interior doors and equipment were not kept in good repair, creating a risk to residents' health and safety.
Licensing—Failed to provide safe environment
09 Jul 2023Abuse: Neglect
09 Jul 2023Abuse: Neglect
Found failure to address and obtain medical assistance for toenail condition, resulting in nail loss, bleeding, and discomfort, constituting neglect and abuse.
Abuse—Failed to properly plan care
08 Jul 2023Inspection
08 Jul 2023Inspection
Identified a violation of the care plan leading to an unwitnessed fall; staff actions were considered neglect and abuse.
Licensing—Failed to follow care plan
26 Jun 2023Abuse: Neglect
26 Jun 2023Abuse: Neglect
Investigated a complaint and found neglect due to failure to reposition per the care plan, creating risk of serious harm.
Abuse—Failed to provide service
26 Jun 2023Inspection
26 Jun 2023Inspection
Found insufficient numbers of qualified awake direct care staff to meet residents' 24-hour needs, creating risk of harm.
Licensing—Failed to provide service
30 May 2023Inspection
30 May 2023Inspection
Determined a resident was abused and the facility failed to protect the resident from physical abuse by another resident.
Licensing—Failed to protect resident from physical abuse
10 May 2023Inspection
10 May 2023Inspection
Found a deficiency in administering a psychotropic medication as prescribed.
Licensing—Failed to provide a safe medication administration system
07 May 2023Abuse: Neglect
07 May 2023Abuse: Neglect
Investigated an allegation of abuse and neglect and found failures in care planning and supervision that led to a physical altercation and discomfort for a resident.
Abuse—Failed to provide safe environment
22 Apr 2023Abuse: Neglect
22 Apr 2023Abuse: Neglect
Investigated a complaint alleging neglect and unsafe environment; findings showed inadequate supervision leading to an incident where a resident was pushed and experienced discomfort.
Abuse—Failed to provide safe environment
16 Apr 2023Abuse: Neglect
16 Apr 2023Abuse: Neglect
Investigated an allegation of abuse and neglect; found that failure to provide one-on-one supervision resulted in a resident entering another resident's room and causing discomfort.
Abuse—Failed to provide safe environment
07 Apr 2023Inspection
07 Apr 2023Inspection
Found that care plan procedures were not followed, leaving a resident alone and causing a fall with injury, constituting neglect and abuse and violations of Oregon Administrative Rules.
Licensing—Failed to follow care plan
24 Mar 2023Inspection
24 Mar 2023Inspection
Investigated a failure to follow the care plan that left a resident without skin protectors and with a scratch, and found neglect and abuse.
Licensing—Failed to follow care plan
15 Mar 2023Abuse: Neglect
15 Mar 2023Abuse: Neglect
Determined that staff failed to monitor an aggressive resident per the care plan, resulting in wandering and a physical altercation that caused discomfort to a resident and risk to others.
Abuse—Failed to provide safe environment
15 Mar 2023Abuse: Neglect
15 Mar 2023Abuse: Neglect
Found neglect and abuse due to failure to follow a care plan and provide proper supervision, leading to a physical altercation and discomfort. A $375 fine was assessed.
Abuse—Failed to provide safe environment
15 Mar 2023Abuse: Neglect
15 Mar 2023Abuse: Neglect
Investigated a failure to provide a safe environment that led to a physical altercation and discomfort, constituting neglect and abuse.
Abuse—Failed to provide safe environment
10 Mar 2023Complaint
10 Mar 2023Complaint
Investigated and found no deficiencies.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
Deficiency—Resident Services
05 Mar 2023Inspection
05 Mar 2023Inspection
Found that staff did not follow the care plan, which led to a resident fall during showering.
Licensing—Failed to follow care plan
03 Mar 2023Abuse: Neglect
03 Mar 2023Abuse: Neglect
Investigated and found that staff failed to provide a safe environment due to inadequate supervision, resulting in a physical altercation; a fine was assessed.
Abuse—Failed to provide safe environment
27 Feb 2023Abuse: Neglect
27 Feb 2023Abuse: Neglect
Found failures to plan and implement care related to an alleged resident's fall history, resulting in unwitnessed falls and skin injuries.
Abuse—Failed to properly plan care
21 Feb 2023Abuse: Neglect
21 Feb 2023Abuse: Neglect
Found neglect and abuse due to failure to properly plan care for a resident's fall history, resulting in multiple unwitnessed falls and ongoing discomfort.
Abuse—Failed to properly plan care
10 Feb 2023Inspection
10 Feb 2023Inspection
Investigated the allegation and found a deficiency in medication administration safety. It involved failing to carry out medication and treatment orders as prescribed.
Licensing—Failed to provide a safe medication administration system
06 Feb 2023Inspection
06 Feb 2023Inspection
Investigated and determined that a staff member took a Pepsi from a resident's refrigerator, resulting in financial exploitation. The setting did not protect the resident from exploitation.
Licensing—Failed to protect resident from financial exploitation
05 Feb 2023Inspection
05 Feb 2023Inspection
Investigated a complaint and found a staff member made an inappropriate verbal remark to a resident, causing discomfort and loss of personal dignity, and protection from verbal comments was not provided.
Licensing—Failed to protect resident from verbal abuse
05 Feb 2023Inspection
05 Feb 2023Inspection
Investigated and found that turning off pressure pad alarms violated the care plan and endangered a resident.
Licensing—Failed to follow care plan
25 Jan 2023Abuse: Neglect
25 Jan 2023Abuse: Neglect
Investigated an allegation of neglect and abuse; concluded that failures to plan and implement care for behaviors caused unnecessary discomfort and breached resident rights.
Abuse—Failed to properly plan care
16 Jan 2023Abuse: Neglect
16 Jan 2023Abuse: Neglect
Investigated and found that a provider failed to provide a safe environment, leading to harm and constituting abuse and neglect.
Abuse—Failed to provide safe environment
16 Jan 2023Abuse: Neglect
16 Jan 2023Abuse: Neglect
Investigated a complaint of abuse and neglect and identified violations for failing to provide a safe environment, which led to a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
07 Jan 2023Abuse: Neglect
07 Jan 2023Abuse: Neglect
Investigated allegations of abuse and neglect regarding care planning and supervision. Found that known aggressive behaviors were not planned for and staff failed to intervene or monitor during a verbal altercation, leading to a physical confrontation and harm.
Abuse—Failed to properly plan care
07 Jan 2023Inspection
07 Jan 2023Inspection
Investigated and found a violation for failing to provide a safe environment, involving neglect and abuse during an altercation.
Licensing—Failed to provide safe environment
07 Jan 2023Abuse: Neglect
07 Jan 2023Abuse: Neglect
Found neglect and abuse due to failure to implement appropriate care planning, which led to a physical altercation and unreasonable discomfort.
Abuse—Failed to properly plan care
30 Dec 2022Inspection
30 Dec 2022Inspection
Investigated and found a staff member verbally abused a resident, violating resident rights and constituting neglect.
Licensing—Failed to protect resident from verbal abuse
29 Dec 2022Inspection
29 Dec 2022Inspection
Found that residents without a dementia diagnosis could reside in memory care, violating state rules.
Licensing—Failed to provide service
24 Dec 2022Abuse: Neglect
24 Dec 2022Abuse: Neglect
Determined that inadequate care planning and failure to implement interventions led to a resident's serious harm and death. Safety and resident rights were violated.
Abuse—Failed to properly plan care
21 Dec 2022Complaint
21 Dec 2022Complaint
Investigated a complaint and found deficiencies in multiple regulatory areas, including resident services, service plans, condition monitoring, treatment orders, and staffing.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Rqmt and Training: Training Rqmts
19 Dec 2022Abuse: Neglect
19 Dec 2022Abuse: Neglect
Found that a resident did not receive timely medical treatment for a known recurrent issue, resulting in unnecessary discomfort and abuse/neglect.
Abuse—Failed to provide oversight and monitoring of change of condition
16 Dec 2022Inspection
16 Dec 2022Inspection
Investigated the allegation of failed service provision and found that a training program to determine direct care staff competency through evaluation, observation, or written testing was not implemented.
Licensing—Failed to provide service
16 Dec 2022Inspection
16 Dec 2022Inspection
Investigated a failure to identify and respond to changes of condition. Found a violation of Oregon Administrative Rules.
Licensing—Failed to provide oversight and monitoring of change of condition
16 Dec 2022Inspection
16 Dec 2022Inspection
Determined that medication and treatment orders were not carried out as prescribed, creating potential for harm.
Licensing—Failed to provide a safe medication administration system
16 Dec 2022Inspection
16 Dec 2022Inspection
Identified a deficiency related to providing a safe environment.
Licensing—Failed to provide safe environment
15 Dec 2022Inspection
15 Dec 2022Inspection
Investigated an allegation of inadequate oversight of change of condition. Found training gaps for staff to identify changes in residents and missing documentation/reporting protocols, including 24/7 access to a designated staff to determine if further action was needed, resulting in substantiated findings.
Licensing—Failed to provide oversight and monitoring of change of condition
14 Dec 2022Abuse: Neglect
14 Dec 2022Abuse: Neglect
Found verbal abuse by a staff member and a failure to protect a resident from a violent outburst, causing emotional harm; a $500 fine was assessed.
Abuse—Failed to provide safe environment
13 Dec 2022Inspection
13 Dec 2022Inspection
Investigated a complaint and found failure to provide assistance with toileting in accordance with the rule.
Licensing—Failed to provide service
10 Dec 2022Abuse: Neglect
10 Dec 2022Abuse: Neglect
Investigated found neglect and abuse due to failure to follow care plan; a pressure alarm was not in place or alerting when needed, risking harm and resulting in a fine.
Abuse—Failed to follow care plan
06 Dec 2022Abuse: Neglect
06 Dec 2022Abuse: Neglect
Investigated and found violations of resident rights due to abusive verbal conduct and failure to protect a resident from violence, with a $500 fine assessed.
Abuse—Failed to provide safe environment
06 Dec 2022Abuse: Neglect
06 Dec 2022Abuse: Neglect
Concluded that a staff member verbally abused residents and failed to protect a resident from a violent outburst, resulting in abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
06 Dec 2022Abuse: Neglect
06 Dec 2022Abuse: Neglect
Investigated a complaint about abuse and neglect; found that a staff member verbally abused a resident and the provider failed to protect the resident, causing emotional harm.
Abuse—Failed to provide safe environment
06 Dec 2022Abuse: Neglect
06 Dec 2022Abuse: Neglect
Found that the care plan for toileting and skin care wasn't followed, with missed checks and barrier cream applications, contributing to an ongoing rash.
Abuse—Failed to follow care plan
05 Dec 2022Abuse: Neglect
05 Dec 2022Abuse: Neglect
Investigated a complaint and found that staff failed to provide hygiene care to a resident despite knowledge of long toenails, constituting neglect and abuse.
Abuse—Failed to provide or assist with hygiene
05 Dec 2022Abuse: Neglect
05 Dec 2022Abuse: Neglect
Found that the licensee failed to properly plan care for a resident with known behavioral issues, leading to neglect and abuse.
Abuse—Failed to properly plan care
05 Dec 2022Abuse: Neglect
05 Dec 2022Abuse: Neglect
Determined that transportation required by the resident's service plan was not provided, leading to canceled or missed medical care and constituting neglect and abuse.
Abuse—Failed to provide transportation for medical or social purposes
04 Dec 2022Abuse: Neglect
04 Dec 2022Abuse: Neglect
Found neglect of care and abuse due to inadequate supervision and failure to follow the service plan. This resulted in pain and worsening of a known pressure ulcer.
Abuse—Failed to provide service
22 Nov 2022Complaint
22 Nov 2022Complaint
Investigated and identified deficiencies in condition monitoring, resident health services, and acuity-based staffing.
Deficiency—Licensing Complaint Investigation
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Acuity-Based Staffing Tool
01 Nov 2022Abuse: Neglect
01 Nov 2022Abuse: Neglect
Investigated and found that the care plan for the resident was not followed, resulting in neglect and abuse due to inadequate showers, skin checks, and nail care; a $1500 fine assessed.
Abuse—Failed to follow care plan
27 Oct 2022Abuse: Neglect
27 Oct 2022Abuse: Neglect
Found neglect and abuse due to an unsafe environment and improper footwear that led to an unwitnessed fall; a $375 fine was assessed.
Abuse—Failed to provide safe environment
19 Oct 2022Inspection
19 Oct 2022Inspection
Investigated an allegation of failing to provide a safe environment. Found a licensing violation for not implementing a 24-hour resident monitoring and reporting system.
Licensing—Failed to provide safe environment
19 Oct 2022Inspection
19 Oct 2022Inspection
Investigated and found a licensing violation for failing to provide adequate staffing to meet residents' 24-hour care needs.
Licensing—Failed to provide appropriate staffing
06 Sept 2022Initial
06 Sept 2022Initial
Identified multiple deficiencies across administration, resident care, health services, activities, and safety controls with numerous cited violations.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Infection Prevention & Control
Deficiency—Systems: Tracking Control Substances
Deficiency—Restraints and Supportive Devices
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—General Building Interior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
03 Aug 2022Inspection
03 Aug 2022Inspection
Investigated reported concerns about abuse and safe environment; found failure to report a bruise and follow abuse reporting guidelines, risking harm and violating resident rights.
Licensing—Failed to provide safe environment
18 Jul 2022Abuse: Neglect
18 Jul 2022Abuse: Neglect
Investigated a complaint about a scalp wound not being medically treated; found neglect of care and abuse due to failure to ensure physician services.
Abuse—Failed to assure physician services
22 Jun 2022Abuse: Neglect
22 Jun 2022Abuse: Neglect
Determined neglect and abuse due to failure to monitor and treat a resident's skin condition, resulting in harm and death; a civil penalty was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
12 Jun 2022Abuse: Neglect
12 Jun 2022Abuse: Neglect
Investigated a case where staff held a resident's insulin without offering a snack to raise blood sugar, and care planning did not authorize such intervention, resulting in a fall and fracture.
Abuse—Failed to properly plan care
07 Apr 2022Abuse: Neglect
07 Apr 2022Abuse: Neglect
Investigated found delays in providing pain medication and failure to promptly respond to a call light, resulting in neglect and abuse.
Abuse—Failed to answer call light in a timely manner
15 Mar 2022Abuse: Neglect
15 Mar 2022Abuse: Neglect
Investigated and found failure to obtain a medical order to diagnose a recurrent UTI, resulting in unnecessary discomfort.
Abuse—Failed to obtain medical order
08 Mar 2022Abuse: Neglect
08 Mar 2022Abuse: Neglect
Found neglect and abuse for failing to follow the care plan, resulting in inadequate oral care and loss of dignity; a $500 fine was assessed.
Abuse—Failed to follow care plan
08 Mar 2022Abuse: Neglect
08 Mar 2022Abuse: Neglect
Found neglect and abuse due to failure to follow the care plan, resulting in inadequate hygiene and skin issues for a resident; a 500 fine was assessed.
Abuse—Failed to follow care plan
25 Jul 2021Inspection
25 Jul 2021Inspection
Investigated a medication incident and found neglect and abuse due to giving the wrong medication and a lack of a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
18 Jun 2021Inspection
18 Jun 2021Inspection
Investigated a failure to follow the care plan and provide 1-on-1 supervision that enabled an elopement after the courtyard alarm sounded.
Licensing—Failed to follow care plan
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Mirador Living is not affiliated with the owner or operator(s) of New Friends by Coos Bay. The information above has not been verified or approved by the owner or operator. For exact information, please contact New Friends by Coos Bay directly. There is no cost for this service. We are compensated by the community you select.
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