Inconsistent responsiveness to call-for-assistance requests
Medication-management and care-delivery concerns
Inconsistent meal-service continuity and sanitation concerns
Management turnover and uneven family communication
Limited or unreliable transportation services
Activity availability gaps during holidays and infection-control periods
Layout and navigation challenges to key areas
Variable housekeeping and maintenance in some areas
Perceived high cost relative to consistent value
Summary of reviews
Prestige Senior Living West Hills elicits a strongly mixed but consistent pattern of strengths and operational weaknesses. Many families describe the staff as warm, personable, and dedicated: direct caregivers, marketing and administrative personnel, and specific leaders (named by several families) receive praise for compassion, individualized attention, and timely problem‑solving. The community offers an active program calendar with arts, bingo, yoga, outings, and exercise classes; reviewers frequently mention a lively social atmosphere, frequent events (including outdoor socially distanced concerts during the pandemic), and amenities such as a gym, salon, activity room, and a pleasant dining environment. Physically the property is often described as clean, well‑kept, and attractive — with an upscale dining room, remodeled rooms, and a scenic rural setting overlooking a sheep farm that many residents and visitors appreciated.
Dining and on-site services are a noted strength for many: multiple reviewers praised homemade breads, soups, and entrées like salmon, and several described positive restaurant-style meals and a welcoming dining area. At the same time, a portion of families raised concerns about inconsistent meal quality, temporary dining-room closures, and sanitation-related issues in the kitchen/dining operation. Activity programming is otherwise robust, but reviewers also reported interruptions — especially around holidays and during COVID‑related schedule adjustments — and some families said exercise classes and bus outings were suspended for extended periods.
Care quality shows a bifurcated pattern. Numerous accounts commend responsive, attentive caregivers and describe good rehabilitative support and quick responses in many situations. Conversely, there are multiple operational concerns that recur across reviews: staffing shortages and turnover that leave caregivers overextended, inconsistent response times to resident calls, and descriptions of medication‑management or care‑delivery errors and billing for services that family members believed were not provided. These comments suggest variability in clinical consistency and oversight; several families attributed improvements to a newer executive director, while others still cited uneven follow-through and communication gaps.
Management and communication emerge as another mixed area. Some families highlight helpful, engaged leadership and clearer updates under new management; others describe dismissive interactions, long phone waits, an unstaffed front desk at times, and frustration over unexpected charges or service gaps. Physical plant observations are also mixed: many find the facility attractive and well maintained, while others note tired or dated areas that are undergoing remodeling and occasional maintenance variability. A few reviewers pointed out navigation challenges within the layout (for example, finding the dining room) and limited transportation options when the community’s bus service is not available.
For prospective residents and families: the community clearly offers a warm social environment, strong communal activities, appealing amenities, and many staff members who are described as attentive and kind. At the same time, the consistent themes of staffing instability, variable clinical and operational consistency, intermittent dining and activity interruptions, and management turnover warrant targeted questions during a tour. Recommended items to review in person include current staffing ratios and turnover, medication administration protocols, recent inspection or incident follow-ups, dining sanitation practices and meal continuity plans, activity schedules (including holiday and pandemic contingencies), transportation availability, and a clear itemized list of fees and services. These checks will help determine whether the community’s positive attributes align with your expectations for consistent care and value.
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Location
Prestige Senior Living West Hills is located at 5595 SW West Hills Rd, Corvallis, OR, 97333.
About Prestige Senior Living West Hills
Prestige Senior Living West Hills sits in Corvallis, Oregon, and offers several types of care for older adults, like independent living, assisted living, memory care for Alzheimer's or dementia, skilled nursing, adult day care programs, and home health care. Folks here find a well-kept place with friendly, outgoing staff-some who've worked there over ten years-and apartments people describe as very nice, some with kitchenettes and natural light in the bedrooms and bathrooms. Residents enjoy fresh, restaurant-style meals in a big, naturally lit dining room, even getting daily fresh baked bread and desserts, and meals change often to keep things interesting.
The grounds have lush grass, colorful leaves, a big gazebo, walking paths, and a welcoming front porch with plants, making it a fine spot for those who like to be outside, plus there's a covered patio with good seating and views of the area. Pets are welcome, and the whole place is accessible for those with disabilities. The inside has comfortable common spaces like a cozy fireplace area, a big theater room with soft seats, and a movie room, which are nice for socializing and relaxing, while the arts and crafts room and garden club let folks get creative or work in the dirt. There's also a clean spa room, an on-site salon with a barber chair and hair tools, and a fish tank in the lobby.
There's always something happening, with a full calendar of activities-Bingo, Wii bowling, weekly outings, resident-led art and cooking classes, happy hours, fashion shows, and more. They run special wellness programs like Celebrations, Energize exercise classes for all abilities, Ageless Grace®, and Mind Masters to keep minds and bodies sharp. For those needing extra help, care staff are on duty 24/7, whether it's with bathing, dressing, medication management, housekeeping, or specialized therapies like physical, occupational, or speech therapy, and there's an emergency pendant system plus weight-bearing grab bars and call cords in each apartment. Transportation is available for errands, appointments, and outings, and caregivers offer short-term respite stays as well as hospice and palliative care if needed.
People looking for a peaceful, active, and social place will find the community clean and inviting, with scenic views, pet-friendly policies, and lots of space to gather both inside and out, while residents and guests often talk about the good meals and the welcoming feeling from staff and neighbors alike. Prestige West Hills is part of Prestige Care, which brings more than 35 years of experience looking after seniors, and the facility's close to shopping, parks, and clinics, making it convenient for outings or visits. The variety of care, activities, and support helps folks age safely and enjoyably, no matter how much help they may need.
About Prestige Care
Prestige Senior Living West Hills is managed by Prestige Care.
Founded in 1985 but tracing its roots to 1946, Prestige Care began with Sarah Delamarter, a nursing pioneer who started caring for seniors in her Troutdale, Oregon home. What began as a compassionate effort to support her family evolved into a multi-generational legacy when her grandsons Harold and Dr. Rick Delamarter, along with business partner Greg Vislocky, expanded the business throughout the western United States. Today, this family-owned company remains headquartered in Vancouver, Washington, maintaining Sarah's original spirit of personalized, compassionate care. Prestige Care operates over 75 communities across seven western states including Oregon, Washington, California, Arizona, Nevada, Idaho, and Montana.
People often ask...
Prestige Senior Living West Hills offers competitive pricing, with rates starting at a cost of $4,691 per month.
Prestige Senior Living West Hills offers assisted living.
There are 41 photos of Prestige Senior Living West Hills on Mirador.
The full address for this community is 5595 SW West Hills Rd, Corvallis, OR 97333.
No, Prestige Senior Living West Hills 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 a deficiency for failing to issue a less than 30-day move-out notice.
Licensing—Failed to assure resident rights
14 May 2026Inspection
14 May 2026Inspection
Found that ABST evaluations were not completed, updated, or reviewed quarterly for each resident.
Licensing—Failed to use an ABST
30 Mar 2026Inspection
30 Mar 2026Inspection
Found failure to provide records to the Department upon request, violating state rules.
Licensing—Failed to make facility or resident records accessible
25 Feb 2026Licensure
25 Feb 2026Licensure
Found deficiencies in service planning, change-of-condition monitoring, resident health services, and exterior pathways. The failures included outdated or non-reflective service plans, unaddressed significant changes in condition, insufficient RN assessments, and unsafe outdoor pathways.
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—General Building Exterior
09 Feb 2026Inspection
09 Feb 2026Inspection
Found that ABST results were not used to develop and routinely update the posted staffing plan.
Licensing—Failed to use an ABST
23 Jan 2026Kitchen
23 Jan 2026Kitchen
Identified multiple sanitation and food safety deficiencies in the kitchen, including unclean areas, unlabeled or expired foods, and cross-contamination hazards. The resident meals sanitation rule was not met.
Investigated the ABST staffing issue and determined the licensee failed to use ABST results to develop and routinely update the posted staffing plan.
Licensing—Failed to use an ABST
24 Dec 2025Inspection
24 Dec 2025Inspection
Identified a violation for failing to use ABST results to develop and routinely update the posted staffing plan and to complete or update ABST evaluations for each resident quarterly.
Licensing—Failed to use an ABST
23 Dec 2025Inspection
23 Dec 2025Inspection
Found failure to use ABST results to develop and routinely update the posted staffing plan and to complete or update ABST evaluations for each resident quarterly.
Licensing—Failed to use an ABST
17 Dec 2025Inspection
17 Dec 2025Inspection
Found that ABST results were not used to develop and routinely update the posted staffing plan or complete/update ABST evaluations for each resident quarterly.
Licensing—Failed to use an ABST
16 Dec 2025Inspection
16 Dec 2025Inspection
Identified that ABST quarterly evaluations for residents were not completed or updated. This was cited as a licensing violation.
Licensing—Failed to use an ABST
18 Oct 2025Inspection
18 Oct 2025Inspection
Found failure to use ABST results to develop and routinely update the posted staffing plan and to complete or update ABST evaluations for each resident quarterly.
Licensing—Failed to use an ABST
11 Oct 2025Abuse: Neglect
11 Oct 2025Abuse: Neglect
Found that the care plan was not followed, resulting in a fall and injuries during a shopping trip.
Abuse—Failed to follow care plan
21 Sept 2025Inspection
21 Sept 2025Inspection
Investigated and concluded that a violation occurred involving failure to provide a safe environment and verbal abuse that caused unreasonable discomfort to a resident. The actions violated resident rights and constituted neglect of care.
Licensing—Failed to provide safe environment
21 Sept 2025Inspection
21 Sept 2025Inspection
Investigated a complaint and found rough handling caused discomfort and a failure to provide a safe environment.
Licensing—Failed to provide safe environment
22 Jun 2025Inspection
22 Jun 2025Inspection
Found the ABST not updated to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
16 May 2025Abuse: Neglect
16 May 2025Abuse: Neglect
Found a failure to provide a safe environment, constituting abuse and neglect after an altercation, with a fine assessed.
Abuse—Failed to provide safe environment
16 Mar 2025Abuse: Neglect
16 Mar 2025Abuse: Neglect
Investigated found that medication was not administered as ordered, causing a resident to fall, with training gaps identified; a fine was assessed.
Abuse—Failed to administer medication as ordered
28 Jan 2025Kitchen
28 Jan 2025Kitchen
Identified serious deficiencies in kitchen sanitation and food safety, including extensive cleanliness and maintenance problems, improper food temperatures, and unsafe handling practices.
Found that an up-to-date Acuity-Based Staffing Tool reflecting resident needs was not maintained, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
10 Dec 2024Inspection
10 Dec 2024Inspection
Found that a resident was financially exploited when another person took possession of the resident's car and failed to pay; this violated Oregon Administrative Rules.
Licensing—Failed to protect resident from financial exploitation
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated the complaint and found that inadequate care planning and interventions failed to address fall risk, leading to a resident sustaining two spinal fractures and requiring surgery.
Abuse—Failed to properly plan care
05 Sept 2024Inspection
05 Sept 2024Inspection
Found deficiencies in the Acuity-Based Staffing Tool (ABST) usage and data accuracy, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
05 Sept 2024Inspection
05 Sept 2024Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data due to an outdated Acuity-Based Staffing Tool.
Licensing—Failed to use an ABST
03 Sept 2024Inspection
03 Sept 2024Inspection
Found deficiencies in updating the ABST to reflect residents' needs, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
21 Feb 2024Licensure
21 Feb 2024Licensure
Concluded substantial compliance with rules governing meals and food sanitation.
Deficiency—Comment
07 Feb 2024Inspection
07 Feb 2024Inspection
Investigated and found a deficiency in tracking and disposing of controlled substances due to absence of an approved system.
Licensing—Failure to provide a system that prevents theft or misuse of medication
05 Feb 2024Inspection
05 Feb 2024Inspection
Found failure to ensure a system for tracking controlled substances and disposal of unused medications.
Licensing—Failure to provide a system that prevents theft or misuse of medication
01 Jan 2024Inspection
01 Jan 2024Inspection
Investigated an allegation of failing to provide a safe medication administration system and failing to administer prescribed pain medication, resulting in the resident experiencing unnecessary discomfort.
Licensing—Failed to provide a safe medication administration system
13 Sept 2023License Condition
13 Sept 2023License Condition
Found failure to update the staffing plan based on ABST. This violated the required ABST update provisions.
Regulatory Action—Failed to update staffing plan based on ABST
13 Sept 2023License Condition
13 Sept 2023License Condition
Investigated a complaint about meals and sanitation and found deficiencies in providing proper food/nutrition. Residents received meals they did not order and the quality was very poor, with reused dirty dishes observed.
Regulatory Action—Failed to provide proper food/nutrition
13 Sept 2023License Condition
13 Sept 2023License Condition
Found insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled resident needs, with a resident's call button going unanswered for about 35 minutes.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
03 Aug 2023Complaint
03 Aug 2023Complaint
Found deficiencies in meals and staffing that affected resident care, including inconsistent meals, long call-light response times, and failure to update an acuity-based staffing tool.
Found a deficiency in developing and implementing effective methods for responding to and resolving resident complaints.
Licensing—Failed to assure resident rights
05 May 2023Inspection
05 May 2023Inspection
Determined that a resident was financially exploited and that the provider failed to protect the resident from financial exploitation, violating state rules.
Licensing—Failed to protect resident from financial exploitation
28 Mar 2023Abuse: Neglect
28 Mar 2023Abuse: Neglect
Found neglect and abuse due to failure to provide needed services after a resident's condition changed, resulting in skin breakdown and hospital transfer.
Abuse—Failed to provide service
27 Mar 2023Abuse: Neglect
27 Mar 2023Abuse: Neglect
Investigated and found neglect of care due to failure to provide medications and allowing the resident to leave unsupervised, posing a serious risk of harm. A $500 fine was assessed.
Abuse—Failed to provide service
01 Feb 2023Inspection
01 Feb 2023Inspection
Investigated the allegation of failing to submit timely weekly vaccination reporting; found ongoing noncompliance with reporting requirements for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
23 Jan 2023Validation
23 Jan 2023Validation
Investigated deficiencies in meals sanitation, medication administration, RN delegation, and staff training, with substantial compliance reached after follow-up.
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
09 Jan 2023Abuse: Neglect
09 Jan 2023Abuse: Neglect
Investigated a change-in-condition care lapse after a denture issue and found failures to plan and intervene, causing hunger and weight loss.
Abuse—Failed to properly plan care
03 Nov 2022License Condition
03 Nov 2022License Condition
Found deficiencies in providing a safe environment.
Regulatory Action—Failed to provide safe environment
03 Nov 2022License Condition
03 Nov 2022License Condition
Identified violations for failing to provide a safe environment.
Regulatory Action—Failed to provide safe environment
20 Oct 2022Inspection
20 Oct 2022Inspection
Identified deficiencies related to cleanliness and maintenance that created safety risks. Observed stained carpets, damaged doors, exposed light fixtures, and dirty dishes in common areas, along with reports of delays in removing meal trays.
Licensing—Failed to maintain a safe physical environment
20 Oct 2022Complaint
20 Oct 2022Complaint
Investigated pest control failures and maintenance issues, including pests entering the building and poor upkeep of interior and exterior surfaces.
Identified deficiencies in resident services related to ADLs, staffing requirements and training, and the acuity-based staffing tool, with potential for moderate harm.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
20 Oct 2022Inspection
20 Oct 2022Inspection
Found failure to prevent entry of pests, with flies observed in dining areas and gnats in a resident's room along with scattered dirty meal trays.
Licensing—Failed to control pests
18 Oct 2022Abuse: Neglect
18 Oct 2022Abuse: Neglect
Determined that timely medical treatment was not assured, constituting neglect and abuse, with a fine assessed.
Abuse—Failed to assure timely medical treatment
05 Oct 2022Inspection
05 Oct 2022Inspection
Investigated the allegation and determined staffing levels were insufficient to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
05 Oct 2022Inspection
05 Oct 2022Inspection
Found that essential household services necessary for health and comfort were not provided.
Licensing—Failed to assure resident rights
05 Oct 2022Inspection
05 Oct 2022Inspection
Identified deficiencies in acuity-based staffing practices. ABST data did not reflect resident needs and showed inconsistencies with the roster and care plans, with staffing not aligned to ABST indications.
Licensing—Failed to use an ABST
31 Aug 2022Abuse: Neglect
31 Aug 2022Abuse: Neglect
Concluded that neglect occurred due to failure to plan care, leading to a fall and serious injury.
Abuse—Failed to properly plan care
11 Aug 2022Abuse: Neglect
11 Aug 2022Abuse: Neglect
Investigated and found that medication was not administered as ordered, causing unnecessary discomfort and constituting neglect and abuse; a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
12 Jul 2022Abuse: Neglect
12 Jul 2022Abuse: Neglect
Found sexual abuse and neglect involving a staff member and a resident, with a fine assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
12 Jul 2022Abuse: Neglect
12 Jul 2022Abuse: Neglect
Investigated and identified violations for failing to provide a safe environment, resulting in sexual abuse and violations of resident rights.
Abuse—Failed to provide safe environment
10 Jul 2022Inspection
10 Jul 2022Inspection
Found that a staff member made an inappropriate sexual comment to a resident, causing emotional distress, and that protection from such comments was not provided.
Licensing—Failed to protect resident from inappropriate sexual contact
10 Jul 2022Abuse: Neglect
10 Jul 2022Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failure to provide a safe environment; a $188 fine was assessed.
Abuse—Failed to provide safe environment
18 May 2022Abuse: Neglect
18 May 2022Abuse: Neglect
Investigated a complaint and found a lack of a safe medication administration system and failure to protect a resident from financial exploitation; seven narcotic pills were missing and a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
18 May 2022Abuse: Neglect
18 May 2022Abuse: Neglect
Investigated and identified deficiencies in safe medication administration and protection from financial exploitation; a fine of $375 was assessed.
Abuse—Failed to protect resident from financial exploitation
08 Mar 2022Abuse: Neglect
08 Mar 2022Abuse: Neglect
Found violations of resident rights due to delayed assistance after a fall, resulting in a sprained ankle.
Abuse—Failed to answer call light in a timely manner
20 Dec 2021Abuse: Neglect
20 Dec 2021Abuse: Neglect
Investigated a complaint and found a failure to provide a safe medication administration system, resulting in a patient not receiving prescribed pain medication, with staff lacking training to manage pending medications.
Abuse—Failed to provide a safe medication administration system
12 Nov 2021Abuse: Neglect
12 Nov 2021Abuse: Neglect
Found neglect and abuse due to failure to administer medication as ordered, and a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
25 Sept 2021Abuse: Neglect
25 Sept 2021Abuse: Neglect
Investigated allegations of neglect for failing to provide a safe environment, which led to a fracture after multiple falls.
Abuse—Failed to provide safe environment
23 Aug 2021Abuse: Neglect
23 Aug 2021Abuse: Neglect
Investigated a resident care complaint and found neglect for failing to intervene when a resident's condition declined, resulting in skin injuries and a fine.
Abuse—Failed to intervene when resident's condition changed
31 Jul 2021Abuse: Neglect
31 Jul 2021Abuse: Neglect
Found failures to mitigate fall risk and protect a resident from injury, resulting in multiple falls and injuries.
Abuse—Failed to properly plan care
28 Jun 2021Abuse: Neglect
28 Jun 2021Abuse: Neglect
Investigated and found failure to care plan for a resident's known history of falls, constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
26 Jun 2021Abuse: Neglect
26 Jun 2021Abuse: Neglect
Found violations for administering a medication not prescribed to a resident and for failing to train staff and maintain a safe medication administration system. The incident caused side effects and constituted abuse/neglect.
Abuse—Failed to administer medication as ordered
10 Jun 2021Inspection
10 Jun 2021Inspection
Determined that a resident's money went missing due to theft and protection of the resident's property failed.
Licensing—Failed to protect resident from financial exploitation
10 Jun 2021Inspection
10 Jun 2021Inspection
Found that a resident’s money went missing due to theft by an unknown person, and protection of the resident’s property was inadequate.
Licensing—Failed to protect resident from financial exploitation
04 Jan 2021Inspection
04 Jan 2021Inspection
Found temperatures in resident areas below the required minimum. The heating concern was verified.
Licensing—Failed to maintain a safe physical environment
18 Sept 2020Abuse: Neglect
18 Sept 2020Abuse: Neglect
Found a neglect/abuse violation due to failure to administer ordered narcotic medication, leaving a resident without pain relief and at risk of harm.
Abuse—Failed to administer ordered medication
04 Jun 2020Inspection
04 Jun 2020Inspection
Investigated and found a lapse in medication administration safety when a resident did not receive prescribed evening medications after returning from the emergency department, and a COVID screening was not performed prior to re-entry.
Licensing—Failed to provide a safe medication administration system
07 Mar 2020Abuse: Neglect
07 Mar 2020Abuse: Neglect
Found that medication was not available, causing unnecessary discomfort and violating resident rights, and assessed a fine.
Abuse—Failed to have medication available
19 Jan 2020Abuse: Neglect
19 Jan 2020Abuse: Neglect
Found a failure to provide a safe environment that led to a resident injury. This constitutes neglect and abuse.
Abuse—Failed to provide safe environment
17 Jan 2020Inspection
17 Jan 2020Inspection
Determined that a staff member failed to assess an injury after a resident fall and delayed notifying others, causing prolonged pain. Identified an unsafe environment in the care setting.
Licensing—Failed to provide safe environment
21 Nov 2019Abuse: Neglect
21 Nov 2019Abuse: Neglect
Found neglect due to failure to care plan for a known fall risk, contributing to a hip fracture and resulting in a $500 fine assessed.
Abuse—Failed to provide safe environment
07 Nov 2019Inspection
07 Nov 2019Inspection
Found that staff did not follow the care plan during a transfer, resulting in a fall and injury and constituting neglect and abuse.
Licensing—Failed to follow care plan
20 Sept 2019Abuse: Neglect
20 Sept 2019Abuse: Neglect
Investigated allegations found that a staff member administered 45 units of fast-acting metabolic medication instead of the long-acting version, requiring hospital treatment, and that a safe medication administration system was not provided, constituting abuse and neglect.
Abuse—Failed to provide a safe medication administration system
19 Sept 2019Inspection
19 Sept 2019Inspection
Found that a staff member neglected a resident during a transfer, causing injury and an unsafe environment.
Licensing—Failed to provide safe environment
09 Sept 2019Abuse: Neglect
09 Sept 2019Abuse: Neglect
Found a failure to provide a safe medication administration system, including administration of a narcotic without an active order and a lack of regular medication system audits. This was identified as neglect and abuse.
Abuse—Failed to provide a safe medication administration system
09 Sept 2019Abuse: Neglect
09 Sept 2019Abuse: Neglect
Investigated a medication-handling incident and found abuse and neglect due to inadequate medication oversight, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
08 Sept 2019Abuse: Neglect
08 Sept 2019Abuse: Neglect
Concluded that neglect led to failure to provide a safe medication administration system, creating a risk of serious harm.
Abuse—Failed to provide a safe medication administration system
07 Jun 2019Abuse: Neglect
07 Jun 2019Abuse: Neglect
Found neglect resulting in physical harm and assessed a $15,000 fine.
Abuse—Failed to provide service
06 Jun 2019Inspection
06 Jun 2019Inspection
Found deficiencies in sanitary conditions due to unclean interior and exterior surfaces and sticky floors.
Licensing—Failed to provide sanitary food service conditions
07 May 2019Abuse: Verbal/Mental abuse
07 May 2019Abuse: Verbal/Mental abuse
Investigated abuse and neglect allegations; findings substantiated verbal/mental abuse and neglect of a resident, with a $375 fine assessed.
Abuse—Failed to protect resident from mental or emotional abuse
27 Mar 2019Inspection
27 Mar 2019Inspection
Found insufficient staff to meet residents' needs.
Licensing—Failed to provide appropriate staffing
11 Mar 2019Abuse: Neglect
11 Mar 2019Abuse: Neglect
Investigated neglect due to failure to provide or assist with hygiene, which posed a risk of serious harm. A $250 fine was assessed.
Abuse—Failed to provide or assist with hygiene
11 Mar 2019Inspection
11 Mar 2019Inspection
Investigated allegation of failing to report suspected abuse; found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
05 Mar 2019Inspection
05 Mar 2019Inspection
Investigated the allegation that a safe environment was not provided; concluded there was noncompliance with safety requirements.
Licensing—Failed to provide safe environment
23 Jan 2019Abuse: Neglect
23 Jan 2019Abuse: Neglect
Found neglect due to passively failing to provide basic services, which caused unreasonable discomfort. A $250 fine was assessed.
Abuse—Failed to administer medication as ordered
23 Jan 2019Inspection
23 Jan 2019Inspection
Found failure to report suspected abuse; the violation was substantiated and a $750 fine assessed.
Licensing—Failed to report potential or suspected abuse
20 Jan 2019Abuse: Neglect
20 Jan 2019Abuse: Neglect
Found neglect related to unsafe medication administration that risked serious harm to a resident; a $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
20 Jan 2019Inspection
20 Jan 2019Inspection
Fined for failing to report suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
25 Oct 2018Abuse: Financial abuse
25 Oct 2018Abuse: Financial abuse
Determined financial exploitation occurred by failing to protect a resident from the wrongful taking of medications, causing financial loss; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
25 Oct 2018Abuse: Financial abuse
25 Oct 2018Abuse: Financial abuse
Investigated a complaint and concluded that a resident was financially exploited; a fine of $1,125 was assessed.
Abuse—Failed to protect resident from financial exploitation
19 Sept 2018Inspection
19 Sept 2018Inspection
Found failure to monitor residents' change in condition in accordance with the rule, and that residents were not assessed after a change in condition was identified.
Licensing—Failed to provide oversight and monitoring of change of condition
19 Sept 2018Inspection
19 Sept 2018Inspection
Found a deficiency in safe medication administration due to staff leaving medications, including PRN doses, in residents' rooms and not administering as prescribed.
Licensing—Failed to provide a safe medication administration system
31 May 2018Inspection
31 May 2018Inspection
Found insufficient qualified awake direct care staffing to meet 24-hour needs, resulting in potential resident harm such as falls, laundry delays, and incomplete cleaning.
Licensing—Failed to provide appropriate staffing
20 Apr 2018Inspection
20 Apr 2018Inspection
Investigated the staffing allegation and found insufficient staffing.
Licensing—Failed to provide appropriate staffing
22 Feb 2018Inspection
22 Feb 2018Inspection
Investigated and found a deficiency in the medication administration system that could affect resident safety.
Licensing—Failed to provide a safe medication administration system
21 Jan 2018Inspection
21 Jan 2018Inspection
Found failure to maintain an adequate medication system. This presented potential for harm.
Licensing—Failed to provide a safe medication administration system
12 Oct 2017Abuse: Verbal/Mental abuse
12 Oct 2017Abuse: Verbal/Mental abuse
Investigated and found the verbal/mental abuse allegation substantiated, with violations cited and a $300 fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
03 Jul 2017Inspection
03 Jul 2017Inspection
Found that resident housekeeping services were not provided as required by OAR 4110540030(1)(g). The allegation was substantiated.
Licensing—Failed to provide appropriate housekeeping services
20 Apr 2017Inspection
20 Apr 2017Inspection
Investigated an allegation of inadequate food service and found a deficiency for not providing palatable meals in compliance with food sanitation rules.
Licensing—Failed to provide sanitary food service conditions
20 Apr 2017Inspection
20 Apr 2017Inspection
Investigated the allegation that the care plan wasn't followed and identified a licensing violation for providing inappropriate care.
Licensing—Failed to follow care plan
08 Apr 2017Abuse: Financial abuse
08 Apr 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
28 Apr 2016Inspection
28 Apr 2016Inspection
Found a failure to provide a safe medication administration system, including improper storage temperature of medications.
Licensing—Failed to provide a safe medication administration system
21 Apr 2016Abuse: Neglect
21 Apr 2016Abuse: Neglect
Investigated and found a deficiency for failing to provide appropriate care to a resident.
Abuse—Failed to provide service
20 Apr 2016Abuse: Neglect
20 Apr 2016Abuse: Neglect
Investigated an allegation of failing to answer call lights promptly and found deficiencies in assessment and intervention.
Abuse—Failed to answer call light in a timely manner
13 Oct 2014Inspection
13 Oct 2014Inspection
Investigated an allegation of unsafe environment and found deficiencies in ensuring resident safety.
Licensing—Failed to provide safe environment
22 Sept 2014Abuse: Neglect
22 Sept 2014Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
26 Nov 2013Inspection
26 Nov 2013Inspection
Found a deficiency for failing to protect a resident from verbal abuse.
Licensing—Failed to assure resident rights
18 Nov 2013Inspection
18 Nov 2013Inspection
Found that care plan was not followed.
Licensing—Failed to follow care plan
25 Jun 2013Abuse: Financial abuse
25 Jun 2013Abuse: Financial abuse
Concluded the allegation of financial exploitation; found that residents' money and medications were not protected from theft.
Abuse—Failed to protect resident from financial exploitation
27 Mar 2013Abuse: Neglect
27 Mar 2013Abuse: Neglect
Investigated an allegation of neglect and found deficiencies in oversight of change of condition.
Abuse—Failed to provide oversight and monitoring of change of condition
07 Mar 2012Abuse: Neglect
07 Mar 2012Abuse: Neglect
Investigated a neglect allegation and identified a safety lapse that resulted in a $300 fine.
Abuse—Failed to provide safe environment
27 Oct 2010Abuse: Financial abuse
27 Oct 2010Abuse: Financial abuse
Found that the financial abuse allegation was supported and residents were not protected from theft or missing money.
Abuse—Failed to provide safe environment
25 Sept 2010Inspection
25 Sept 2010Inspection
Investigated an allegation of failing to provide a safe environment and found that theft/missing money was not prevented.
Licensing—Failed to provide safe environment
06 Mar 2010Abuse: Neglect
06 Mar 2010Abuse: Neglect
Investigated an allegation of unsafe medication administration and found noncompliance with state rules; a $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
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