Regent Court

    400 NW Elks Dr, Corvallis, OR 97330
    • Assisted Living
    • Memory Care

    Attentive caring staff, clean facility

    I'm pleased with this community - staff are attentive, professional and genuinely caring, treating residents like family. The building is clean and well-maintained with bright common areas, ample outdoor space, good meals and varied activities. Communication and responsiveness are strong, and my family feels confident in the care.

    Loved one of resident
    Jul 2026

    Pricing

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

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.46·(56)

    Overall rating

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

      4.5
    • Staff

      4.5
    • Meals

      3.7
    • Amenities

      4.4
    • Value

      1.5

    Pros

    • Compassionate, attentive caregiving staff
    • Experienced, long-tenured nursing leadership
    • Prompt call-button response and alarm-assisted intervention
    • Memory-care–appropriate, non‑institutional common areas
    • Communal dining with fresh fruit and protein options
    • Varied activities program with regular outings
    • Enclosed, walkable outdoor spaces and large patios
    • Proximity to hospital and outpatient clinics
    • On-site support services (hair salon, housekeeping, laundry)
    • Clean, well‑maintained public areas
    • Flexible care plans that preserve resident dignity
    • Responsive intake and placement coordination

    Cons

    • Inconsistent administrative responsiveness and billing dispute risk
    • Sanitation and laundry-management lapses
    • Personal-property security gaps
    • Staffing variability leading to occasional care delays
    • Fall-prevention and transfer-safety practices needing reinforcement
    • Limited after-hours physician/clinical access
    • Aging physical plant with uneven upgrades
    • Perceived institutional feel for some residents
    • Variability in activity frequency and engagement across units

    Summary of reviews

    Regent Court presents as a community with clear strengths in frontline caregiving and nursing leadership. Many families and visitors describe staff interactions as compassionate, patient, and personable; multiple comments reference long‑tenured nurses and a strong memory‑care skillset. The facility is noted for attentive bedside care, flexible care plans that aim to preserve resident independence and dignity, and an alarm/call system that often facilitates prompt staff intervention.

    Dining and programming are commonly cited positives. The dining model emphasizes communal meals, accessible dining areas, and menu options that include fresh fruit and protein choices. Activity programming is varied and frequent in many accounts — exercise, trivia, baking, and regular off‑site outings are highlighted, and maintenance and activity staff are described as engaged. The physical campus includes enclosed outdoor spaces, large patios, and walkable landscaping; these features, together with proximity to local hospitals and clinics, are valued by families.

    Facility upkeep and services receive generally favorable remarks: common areas are described as clean and well maintained, and on‑site services such as a hair salon, housekeeping, and laundry are available. The intake and placement process is often characterized as smooth, with admissions staff praised for responsiveness and coordination with referring clinicians.

    Despite these strengths, a pattern of operational concerns appears across reviews. Administrative consistency varies — some families report responsive management and improvements under new leadership, while others raise serious concerns about billing, deposits, and escalation of disputes. Laundry and sanitation processes are an area of operational weakness for some residents, and there are reports pointing to gaps in personal‑property security. Staffing levels and scheduling sometimes create variability in response times and activity availability, and several comments imply that fall‑prevention and transfer safety protocols could be reinforced.

    The physical plant receives mixed feedback: many praise the layout of memory‑care spaces and outdoor amenities, but others note an older building condition and ongoing remodeling that affect comfort and aesthetics. A few families characterize the environment as feeling institutional for certain residents, suggesting that experience can vary by unit or roommate configuration. There are also mentions of limited after‑hours physician access in certain situations.

    Overall, Regent Court is frequently recommended for its caring staff, strong nursing presence, active programming, and convenient location. Prospective residents and families should consider touring multiple units, ask specific questions about laundry/housekeeping protocols, property-security measures, staffing ratios and fall‑prevention practices, and how administrative/billing issues are handled to ensure the community’s operational practices align with their expectations.

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    Location

    Map showing location of Regent Court

    Regent Court is located at 400 NW Elks Dr, Corvallis, OR, 97330.

    About Regent Court

    Regent Court - Assisted Living & Senior Care Community Corvallis stands in a quiet area near the Good Samaritan Regional Medical Center, with forests nearby and the Timberhill Shopping Center about a mile away, so residents can get out for errands and shopping without much trouble. The community focuses on helping seniors who need support with daily life, making sure to give each person their own care plan based on their history, what they like, and what they need each day, and you can see the effort to make it feel welcoming in the remodeled spaces finished in 2022 and 2023, where 48 private studio suites, about 210 square feet each, are divided into two neighborhoods, each with no more than 24 residents so people don't feel lost in a crowd. Staff stay dedicated to helping seniors be as independent as possible, though caregivers and nursing staff remain on site day and night and an emergency call system and 24-hour security bring some extra peace of mind for everyone.

    You'll find both assisted living and memory care here, with programs made for those living with Alzheimer's and other dementias, and the staff receive special training to handle the unique challenges of those illnesses, showing a lot of patience and treating folks with respect. Residents get support for bathing, dressing, managing medicines, and other basics, and families are encouraged to be involved in the care. Life-enrichment activities, cooking programs, pet-friendly apartments, and outdoor courtyards give people something to look forward to, and the community pays attention to comfort with things like high-speed internet, accessible features, daily chef-prepared meals, snacks, laundry, and local transportation. Residents can relax in indoor and outdoor spaces, join creative art or music programs, play memory games, and walk around without feeling confined, and the whole place aims to foster connections and dignity while balancing care and independence for older adults.

    People often ask...

    Regent Court offers competitive pricing, with rates starting at a cost of $4,858 per month.

    Regent Court offers assisted living and memory care.

    There are 27 photos of Regent Court on Mirador.

    The full address for this community is 400 NW Elks Dr, Corvallis, OR 97330.

    No, Regent Court does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.

    License number50A239
    StatusActive
    Facility typeResidential Care Facility
    Capacity48 residents
    LicenseeMC Op Co, LLC
    EffectiveMarch 15th, 2000
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    195

    Reports

    0

    Type A Citations

    0

    Type B Citations

    5

    Complaints

    16

    Years

    09 Oct 2025Licensure
    Identified multiple deficiencies involving improper diet textures, unsafe exterior pathways, unsecured interior doors and keys, and insufficient outdoor furniture in the memory care area.
    • DeficiencyReasonable Precautions
    • DeficiencyGeneral Building Exterior
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyIndividual Door Locks: Key Access
    • DeficiencyLimitations: Threats To Health And Safety
    • DeficiencyAdministration Compliance
    • DeficiencySecure Outdoor Recreation Area
    18 Jul 2025Inspection
    Investigated the allegation and found deficiencies in updating the Acuity-Based Staffing Tool and inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    28 May 2025Inspection
    Identified a deficiency in the Acuity-Based Staffing Tool not reflecting resident care needs. Inconsistencies were found between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    27 May 2025Inspection
    Investigated an allegation of failing to use an updated ABST and found inconsistencies between the resident roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    09 May 2025Abuse: Neglect
    Investigated and found abuse and neglect of a resident due to failure to provide care planning and address resident-on-resident aggression; a $500 fine was assessed.
    • AbuseFailed to provide service
    24 Apr 2025Inspection
    Investigated and identified noncompliance with the Acuity-Based Staffing Tool reflecting resident population and care needs.
    • LicensingFailed to use an ABST
    14 Mar 2025Abuse: Neglect
    Investigated the complaint and found neglect-related violations due to failure to provide a safe environment, resulting in a $375 fine.
    • AbuseFailed to provide safe environment
    21 Nov 2024Abuse: Neglect
    Investigated a wandering resident entering another resident’s room and causing discomfort, and found the wandering resident’s service plan lacked interventions to ensure safety.
    • AbuseFailed to properly plan care
    18 Nov 2024Abuse: Neglect
    Found failure to properly care plan for falls for a known fall risk, resulting in a skin tear after multiple falls; a fine was assessed.
    • AbuseFailed to properly plan care
    07 Nov 2024Abuse: Neglect
    Determined that a resident did not receive a safe environment and was punched repeatedly by an aggressor, due to lack of person-centered interventions for known aggressive behavior.
    • AbuseFailed to provide safe environment
    30 Oct 2024Abuse: Neglect
    Found a failure to properly plan care for falls, constituting abuse; assessed a $2,500 fine.
    • AbuseFailed to properly plan care
    23 Oct 2024Complaint
    Investigated a complaint about medication administration and found no deficiencies.
    • DeficiencySystems: Medication Administration
    08 Oct 2024Abuse: Neglect
    Investigated a fall-related care planning issue and found inadequate care planning for falls, indicating neglect and abuse.
    • AbuseFailed to properly plan care
    07 Oct 2024Abuse: Neglect
    Investigated a fall-related care planning issue for a known fall risk and found inadequate care planning for falls, contributing to a head injury after a later fall.
    • AbuseFailed to properly plan care
    01 Oct 2024Abuse: Neglect
    Found neglect and abuse due to failure to provide basic care, resulting in loss of personal dignity; a $250 fine was assessed.
    • AbuseFailed to provide service
    11 Sept 2024Abuse: Neglect
    Investigated found a failure to properly plan care for falls, constituting abuse and neglect.
    • AbuseFailed to properly plan care
    20 Aug 2024Inspection
    Found that medication and treatment orders were not administered as prescribed.
    • LicensingFailed to administer ordered medication
    19 Aug 2024Inspection
    Investigated and found that a resident was not kept in a safe environment and experienced wrongful restraint by a staff member who grabbed the resident under the arm and guided them down the hall against their will.
    • LicensingFailed to provide safe environment
    09 Jul 2024Abuse: Neglect
    Found that staff failed to follow a care plan and keep a resident safe, resulting in abuse and neglect. The incident involved an agitated individual striking a resident.
    • AbuseFailed to provide safe environment
    13 Apr 2024Inspection
    Investigated and found a violation for not providing a safe environment after a resident ingested bar soap on two occasions. A $3,000 fine was assessed.
    • LicensingFailed to provide safe environment
    11 Apr 2024Abuse: Neglect
    Determined that inadequate care planning and failure to manage aggressive behavior led to resident-to-resident altercations and an incident causing pain; a fine was assessed.
    • AbuseFailed to properly plan care
    24 Mar 2024Abuse: Neglect
    Identified neglect and abuse for failing to plan care after repeated falls, leading to an injury; a $3,000 fine was assessed.
    • AbuseFailed to properly plan care
    22 Feb 2024Abuse: Neglect
    Investigated a complaint and found neglect and abuse due to failure to implement new, reasonable interventions after repeated falls, which led to injuries. A $3,000 fine was assessed.
    • AbuseFailed to properly plan care
    31 Jan 2024Complaint
    Found there were not enough qualified awake direct care staff to meet 24-hour scheduled and unscheduled resident needs. Observed a single staff member performing two-person transfers and lifts that required two-person assistance per care plans.
    • DeficiencyStaffing Requirements and Training: Staffing
    23 Jan 2024Abuse: Neglect
    Investigated the allegation of improper care planning and found safety deficiencies after falls, resulting in a $1000 fine assessed.
    • AbuseFailed to properly plan care
    23 Jan 2024Abuse: Neglect
    Determined neglect due to failure to properly plan care, leading to multiple falls and injuries.
    • AbuseFailed to properly plan care
    04 Jan 2024Licensure
    Determined substantial compliance on follow-up; initial findings showed sanitation and temperature-control deficiencies in kitchen areas.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    08 Dec 2023Abuse: Neglect
    Found neglect due to failure to properly plan fall interventions, leading to a $2,000 fine.
    • AbuseFailed to properly plan care
    08 Dec 2023Abuse: Neglect
    Investigated and determined that staff were not adequately trained for 1:1 care, leading to an unwitnessed fall.
    • AbuseFailed to properly plan care
    08 Dec 2023Abuse: Neglect
    Found inadequate care planning for fall interventions, leading to a resident's fall and skin tear.
    • AbuseFailed to properly plan care
    08 Dec 2023Abuse: Neglect
    Found neglect for failing to properly care plan fall interventions, resulting in an unwitnessed fall and discomfort; a $2000 fine assessed.
    • AbuseFailed to properly plan care
    01 Oct 2023Abuse: Neglect
    Concluded neglect of care and abuse after a resident left the locked unit unsupervised and was found outside, after being let out by another resident’s family.
    • AbuseFailed to provide safe environment
    26 Sept 2023Abuse: Neglect
    Identified failures to implement fall interventions after a resident's fall history, leading to neglect and abuse findings and a fine.
    • AbuseFailed to properly plan care
    14 Sept 2023Abuse: Neglect
    Determined that there was a failure to properly plan care for falls, constituting neglect and abuse. A fine was assessed.
    • AbuseFailed to properly plan care
    13 Aug 2023Inspection
    Found that a staff member grabbed a resident's arm roughly during a brief change, causing three skin tears, violating resident rights and constituting neglect and physical abuse.
    • LicensingFailed to protect resident from physical abuse
    26 Jul 2023Abuse: Neglect
    Found a failure to properly plan care for a resident with exit-seeking history, which led to elopement and an elbow abrasion.
    • AbuseFailed to properly plan care
    19 Jul 2023Abuse: Neglect
    Found failure to properly plan care for a resident's fall risk, leading to a fall and risk of serious harm.
    • AbuseFailed to properly plan care
    12 Jul 2023Abuse: Neglect
    Found neglect for failing to provide a safe environment, resulting in a resident fall and injury; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    29 Jun 2023Inspection
    Investigated found a staff member failed to follow the care plan by not using a gait belt during transfer, resulting in bruising and constituting neglect and abuse.
    • LicensingFailed to follow care plan
    22 Jun 2023Complaint
    Identified deficiencies in service plan documentation and staffing, including unclear responsibility for services and delayed call-bell responses.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyService Plan: General
    • DeficiencyStaffing Requirements and Training: Staffing
    22 Jun 2023License Condition
    Investigated an allegation that ABST was not used during a change of ownership survey. Violations were identified regarding ABST usage and related rules.
    • Regulatory ActionFailed to use an ABST
    22 Jun 2023Complaint
    Investigated to determine compliance with applicable rules; on-site findings were documented.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Medication and Treatment Review
    16 Jun 2023Abuse: Neglect
    Found that a known exit seeker exited through an unlocked courtyard gate, was located about 1/8 mile away, and placed at risk; a fine was assessed.
    • AbuseFailed to provide safe environment
    03 Jun 2023Abuse: Neglect
    Investigated an allegation of neglect; found that failure to properly plan care allowed unwitnessed falls resulting in a brain bleed.
    • AbuseFailed to properly plan care
    31 May 2023Abuse: Neglect
    Investigated found bruising on a resident's inner thighs attributed to an alleged perpetrator and a failure to provide a safe environment; a fine was assessed.
    • AbuseFailed to provide safe environment
    23 May 2023Validation
    Identified multiple deficiencies across administration, resident rights, service planning, health care, medication management, staffing, safety, nutrition, activities, and outside access, showing insufficient oversight and adherence to regulations during the change of ownership/licensing review.
    • DeficiencyComment
    • DeficiencyFacility Administration: Operation
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    • DeficiencyBehavior
    • DeficiencyOutside Area
    • DeficiencySecure Outdoor Recreation Area
    11 May 2023Inspection
    Investigated the complaint and found that the service plan did not include a written description of who shall provide the services and how, when, and how often they shall be provided.
    • LicensingFailed to properly plan care
    11 May 2023Inspection
    Found insufficient staffing to meet residents' 24-hour needs and pull cords that did not work or were not answered.
    • LicensingFailed to provide appropriate staffing
    09 May 2023Abuse: Neglect
    Found failure to properly plan care after multiple falls, resulting in neglect and abuse findings and a $1500 fine.
    • AbuseFailed to properly plan care
    09 May 2023Abuse: Neglect
    Investigated a fall-risk resident’s care and found failures to implement proper interventions, resulting in substantiated abuse/neglect and a $1,500 fine.
    • AbuseFailed to properly plan care
    09 May 2023Inspection
    Investigated allegation found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    09 May 2023Abuse: Neglect
    Concluded neglect due to failure to properly plan care, leaving a known fall risk without adequate safety interventions.
    • AbuseFailed to properly plan care
    03 May 2023Abuse: Neglect
    Found that staff failed to follow the care plan, placing a resident at risk of harm during an incident; a $375 fine was assessed.
    • AbuseFailed to follow care plan
    02 May 2023Abuse: Neglect
    Found that care was not followed per the care plan, causing a knee pressure sore to worsen and constituting abuse and neglect.
    • AbuseFailed to follow care plan
    15 Apr 2023Abuse: Neglect
    Found neglect and abuse due to failure to address known behaviors, risking harm to the resident; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    28 Mar 2023Abuse: Neglect
    Investigated and found inadequate safety care planning for a known fall risk, resulting in abuse/neglect findings and a $1,000 fine.
    • AbuseFailed to properly plan care
    28 Mar 2023Abuse: Neglect
    Identified neglect due to failure to properly plan care for a known fall risk. This led to multiple falls and a skin tear.
    • AbuseFailed to properly plan care
    24 Mar 2023Abuse: Neglect
    Investigated found neglect and abuse due to failure to respond to a change in condition, resulting in serious harm and death.
    • AbuseFailed to provide service
    24 Feb 2023Abuse: Neglect
    Identified failures to properly plan care for a fall-risk resident, resulting in a fall with injury; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    15 Jan 2023Inspection
    Investigated the allegation that care plan was not followed and abnormal metabolic findings were not reported, resulting in the resident being found unresponsive and hospitalized.
    • LicensingFailed to follow care plan
    11 Jan 2023Licensure
    Determined substantial compliance with meal service and food sanitation requirements after a kitchen check.
    • DeficiencyComment
    04 Dec 2022Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to monitor a change in condition, including weight loss, that caused harm.
    • AbuseFailed to provide oversight and monitoring of change of condition
    04 Dec 2022Abuse: Neglect
    Found violations for failure to monitor a resident's health and ensure timely medical treatment, leading to hospitalization; a $500 fine was assessed.
    • AbuseFailed to assure timely medical treatment
    12 Oct 2022Abuse: Neglect
    Found deficiencies in care planning and fall-history interventions that led to an unwitnessed fall and injury.
    • AbuseFailed to properly plan care
    12 Oct 2022Abuse: Neglect
    Investigated and found that the care plan was not followed, causing pain and discomfort due to lack of toenail care.
    • AbuseFailed to follow care plan
    12 Oct 2022Abuse: Neglect
    Found that a prescribed antibiotic was not administered as ordered, resulting in pain and discomfort for a resident. The involvement of staff was investigated.
    • AbuseFailed to administer medication as ordered
    22 Sept 2022Complaint
    Identified deficiencies in service plan availability and staff orientation to residents' service plans, and noted a dietary safety issue where a resident with a pureed diet received solid foods.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyService Plan: General
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    16 Sept 2022Abuse: Neglect
    Found neglect and abuse due to not following a resident care plan for safety checks at night, resulting in the resident being found on the floor in pain. A $1,000 fine was assessed.
    • AbuseFailed to follow care plan
    16 Sept 2022Abuse: Neglect
    Found failure to implement interventions and an appropriate care plan for a resident's fall history, resulting in injury and discomfort. This constituted neglect and abuse.
    • AbuseFailed to properly plan care
    13 Sept 2022Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system, delaying or withholding medications ordered, which created a risk of harm.
    • AbuseFailed to provide a safe medication administration system
    06 Sept 2022Abuse: Neglect
    Found neglect due to failure to plan care for a resident's fall history and assessed a $375 fine.
    • AbuseFailed to properly plan care
    19 Aug 2022Inspection
    Found that service plans were not readily available to staff and did not provide clear direction for delivering services.
    • LicensingFailed to follow care plan
    19 Aug 2022Inspection
    Investigated and found staff were not oriented to the resident's service plan, resulting in the resident receiving a finger food plate when a pureed diet was needed.
    • LicensingFailed to provide safe environment
    06 Aug 2022Abuse: Neglect
    Investigated a complaint of neglect and found inadequate supervision led to the AV eloping from the secured area, placing them at risk.
    • AbuseFailed to provide safe environment
    30 Jul 2022Abuse: Neglect
    Identified neglect and abuse due to failure to plan care for a resident’s fall history, and assessed a $500 fine.
    • AbuseFailed to properly plan care
    24 Jul 2022Abuse: Neglect
    Found failures to implement interventions and care planning for a resident's fall history, resulting in injury and discomfort and constituting abuse and neglect.
    • AbuseFailed to properly plan care
    19 Jul 2022Abuse: Neglect
    Investigated a safety concern and found a resident exposed to risk when a courtyard gate was left unsecured at the main entrance.
    • AbuseFailed to provide safe environment
    12 Jul 2022Abuse: Neglect
    Found neglect and abuse due to failure to implement interventions and plan care for a resident's fall history, resulting in injury and discomfort; a fine was assessed.
    • AbuseFailed to properly plan care
    16 Jun 2022Inspection
    Found a deficiency in mobility and transfer assistance, leading to a resident attempting to self-transfer and falling after being told to wait.
    • LicensingFailed to provide appropriate staffing
    14 Jun 2022Abuse: Neglect
    Identified neglect and abuse due to failing to properly plan care for a resident's fall history, resulting in a head injury and discomfort; a $375 fine was assessed.
    • AbuseFailed to properly plan care
    06 Jun 2022Abuse: Neglect
    Investigated warrants found neglect and improper care planning after a change in condition, leading to a reddened area that was not turned or repositioned. A fine was assessed.
    • AbuseFailed to properly plan care
    03 Jun 2022Abuse: Neglect
    Investigated and found care plans were not followed, causing pain and discomfort to a resident and constituting abuse and neglect.
    • AbuseFailed to follow care plan
    03 Jun 2022Abuse: Neglect
    Found that the care plan for eating and hydration was not followed, causing pain and discomfort. A $500 fine was assessed.
    • AbuseFailed to follow care plan
    01 Jun 2022Abuse: Neglect
    Investigated and found neglect and abuse due to failure to plan and implement care for a resident's fall history, resulting in injury and discomfort; a fine was assessed.
    • AbuseFailed to properly plan care
    01 Jun 2022Abuse: Neglect
    Investigated and found violations related to providing a safe environment and resident rights; a fine was assessed.
    • AbuseFailed to provide safe environment
    26 May 2022Inspection
    Investigated the complaint and found a deficiency in toileting/incontinence care, with residents left wet or soiled for long periods.
    • LicensingFailed to assist with toileting
    16 May 2022Abuse: Neglect
    Found neglect and abuse due to failure to plan care for a resident's fall history, causing injury and discomfort. A $375 fine was assessed.
    • AbuseFailed to properly plan care
    01 May 2022Abuse: Neglect
    Found failures to plan and implement care related to a resident's fall history, resulting in injury and discomfort. This constitutes neglect and abuse.
    • AbuseFailed to properly plan care
    19 Apr 2022Abuse: Neglect
    Investigated a fall-history care-planning issue and found violations related to care planning and interventions, resulting in injury and discomfort to a resident.
    • AbuseFailed to properly plan care
    08 Apr 2022Abuse: Neglect
    Identified failures to plan and implement care for a resident’s fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    03 Apr 2022Abuse: Neglect
    Investigated a neglect allegation and found that interventions and a care plan for the resident's fall history were not properly implemented, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    26 Mar 2022Abuse: Neglect
    Found failures to plan and implement care for a resident's fall history, resulting in a forehead skin tear and discomfort; a $375 fine was assessed.
    • AbuseFailed to properly plan care
    24 Mar 2022Abuse: Neglect
    Found a failure to provide a safe medication administration system, leaving a resident at risk due to dual transdermal patches.
    • AbuseFailed to provide a safe medication administration system
    17 Mar 2022Abuse: Neglect
    Found neglect and abuse due to failing to implement interventions and an appropriate care plan for a resident's fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    14 Mar 2022Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, with an injury documented to the alleged victim; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    05 Mar 2022Abuse: Neglect
    Identified a failure to plan and implement new interventions after a resident fall, resulting in unnecessary pain.
    • AbuseFailed to properly plan care
    21 Feb 2022Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, resulting in a physical altercation between residents.
    • AbuseFailed to provide safe environment
    21 Feb 2022Abuse: Neglect
    Investigated a complaint of abuse and neglect; found that interventions and a care plan for a resident with known behavioral risks were not implemented, resulting in an inappropriate touching incident and loss of dignity.
    • AbuseFailed to protect resident from inappropriate sexual contact
    09 Feb 2022Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, resulting in an injury to an alleged victim.
    • AbuseFailed to provide safe environment
    17 Jan 2022Inspection
    Investigated the complaint and found that medications were not administered as prescribed.
    • LicensingFailed to provide a safe medication administration system
    12 Jan 2022Abuse: Neglect
    Found that a safe environment was not provided, resulting in an injury to a resident.
    • AbuseFailed to provide safe environment
    04 Jan 2022Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, constituting neglect and abuse.
    • AbuseFailed to provide safe environment
    22 Dec 2021Abuse: Neglect
    Found failures to properly plan care and implement interventions for the resident's fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    14 Dec 2021Abuse: Neglect
    Found failure to provide a safe environment for a resident, with bruising observed on the Alleged Victim's temple.
    • AbuseFailed to provide safe environment
    14 Dec 2021Abuse: Neglect
    Investigated and found fall-prevention care insufficient for a known fall risk, constituting neglect and abuse.
    • AbuseFailed to properly plan care
    14 Dec 2021Abuse: Neglect
    Found neglect of care and abuse due to failure to implement fall-risk interventions for a known fall-risk resident.
    • AbuseFailed to properly plan care
    11 Dec 2021Abuse: Neglect
    Investigated and found staffing and care planning failures contributed to a high fall risk resident's fall and skin injury.
    • AbuseFailed to properly plan care
    10 Dec 2021Abuse: Neglect
    Investigated the complaint and found the plan did not address a resident's fall risk, resulting in multiple falls and an injury.
    • AbuseFailed to properly plan care
    03 Dec 2021Abuse: Neglect
    Investigated a complaint about fall-history care planning and found failures to implement interventions and appropriate care planning, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    29 Nov 2021Abuse: Neglect
    Investigated a resident-to-resident incident and found that inadequate staffing led to an unsafe environment and injury.
    • AbuseFailed to provide safe environment
    20 Nov 2021Abuse: Neglect
    Investigated and found failures to properly plan care for a resident's fall history, resulting in injury and discomfort. Violations cited for neglect and abuse.
    • AbuseFailed to properly plan care
    13 Nov 2021Abuse: Neglect
    Identified failures to implement interventions and an appropriate care plan for a resident's fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    08 Nov 2021Abuse: Neglect
    Investigated the complaint and found failures to implement interventions and an appropriate care plan related to a resident's fall history, leading to injury and discomfort and categorized as neglect and abuse.
    • AbuseFailed to properly plan care
    03 Nov 2021Abuse: Neglect
    Investigated an allegation of failure to provide a safe environment. Found that a resident sustained bruising and that unsafe conditions existed.
    • AbuseFailed to provide safe environment
    26 Oct 2021Abuse: Neglect
    Found a failure to provide a safe environment resulting in a bruise to a resident; a fine was assessed.
    • AbuseFailed to provide safe environment
    16 Oct 2021Abuse: Neglect
    Found a violation for failing to provide a safe medication administration system, which led to the alleged victim not receiving insulin and experiencing discomfort.
    • AbuseFailed to provide a safe medication administration system
    14 Oct 2021Abuse: Neglect
    Found deficiencies in care planning and interventions related to a resident's fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    06 Oct 2021Abuse: Neglect
    Investigated and found a failure to provide a safe environment, resulting in abuse and neglect. A resident was found outside the locked area due to interior doors that could be opened from the inside.
    • AbuseFailed to provide safe environment
    04 Oct 2021Abuse: Neglect
    Found that care planning and interventions for falls were not properly implemented, resulting in injury and discomfort to the resident.
    • AbuseFailed to properly plan care
    04 Oct 2021Validation
    Identified multiple deficiencies across infection control, abuse reporting, resident evaluations, service plans, medication management, behavior management, safety systems, and staff training. Violations were cited for failing to follow licensing rules and ensure resident safety and proper care.
    • DeficiencyComment
    • DeficiencyReasonable Precautions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyRn Delegation and Teaching
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyGeneral Building Exterior
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyActivities
    02 Oct 2021Abuse: Neglect
    Found failure to implement interventions and care planning for a resident's fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    02 Oct 2021Abuse: Neglect
    Investigated a medication administration safety issue and found a failure to provide a safe medication administration system. A $375 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    06 Sept 2021Abuse: Neglect
    Identified a failure to provide a safe environment that led to abuse and neglect findings and a $500 fine.
    • AbuseFailed to provide safe environment
    08 Jul 2021Abuse: Neglect
    Found failures to plan and implement care for a resident's fall history, resulting in injury and undue discomfort. The issues were identified as abuse and neglect.
    • AbuseFailed to properly plan care
    26 Jun 2021Abuse: Neglect
    Investigated allegations of abuse and neglect; found failure to implement interventions and care plans related to the resident’s fall history, resulting in injury and discomfort.
    • AbuseFailed to properly plan care
    30 May 2021Abuse: Neglect
    Investigated an allegation that staff did not answer a call light promptly; found delays in response and a $500 fine was assessed.
    • AbuseFailed to answer call light in a timely manner
    16 Mar 2021Abuse: Neglect
    Found a failure to provide a safe environment after a resident eloped through an unlocked gate near busy streets; a fine was assessed.
    • AbuseFailed to provide safe environment
    22 Sept 2020Abuse: Neglect
    Found neglect and abuse due to failure to plan for fall risk, leading to a left femoral fracture. A $338 fine was assessed.
    • AbuseFailed to properly plan care
    16 Jun 2020Abuse: Neglect
    Identified verbal abuse toward a resident and a failure to protect the resident from verbal abuse, constituting abuse and neglect. A $250 fine was assessed.
    • AbuseFailed to protect resident from verbal abuse
    16 Apr 2020Abuse: Neglect
    Found a failure to provide a safe environment that led to a resident fall and injury. A $188 fine was assessed.
    • AbuseFailed to provide safe environment
    01 Feb 2020Abuse: Neglect
    Investigated a complaint of neglect and abuse related to medication administration and found a failure to provide a safe medication administration system, constituting abuse.
    • AbuseFailed to provide a safe medication administration system
    22 Jan 2020Abuse: Neglect
    Found improper restraint use and neglect related to falls risk; a $1,500 fine was assessed.
    • AbuseFailed to use restraint properly
    10 Oct 2019Abuse: Neglect
    Found that aggressive resident behavior was not adequately addressed, resulting in multiple resident-on-resident incidents and an injury. A $1,125 fine was assessed.
    • AbuseFailed to address resident's behavior
    02 Oct 2019Abuse: Neglect
    Investigated found neglect and abuse due to failure to plan for known aggressive behaviors, resulting in an injury to a resident.
    • AbuseFailed to properly plan care
    12 Aug 2019Abuse: Neglect
    Investigated the allegation of neglect and found neglect occurred, causing physical and emotional harm; a fine was assessed.
    • AbuseFailed to provide safe environment
    28 Jul 2019Abuse: Neglect
    Investigated a complaint of neglect and found failure to provide basic care and safety, creating risk of serious harm; a fine was assessed.
    • AbuseFailed to assure resident was safe
    06 Jul 2019Abuse: Neglect
    Investigated and found neglect related to falls care planning that resulted in physical harm; a fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    15 Jun 2019Abuse: Neglect
    Investigated an allegation of neglect resulting in harm due to failure to provide basic care and safety; a fine was assessed.
    • AbuseFailed to follow care plan
    04 Jun 2019Abuse: Neglect
    Found neglect that resulted in harm and a fine was assessed.
    • AbuseFailed to provide safe environment
    03 Jun 2019Inspection
    Investigated a staffing allegation and found insufficient staff to meet residents' scheduled and unscheduled needs. No nurse was on site for three weeks due to vacation.
    • LicensingFailed to provide appropriate staffing
    03 Jun 2019Inspection
    Investigated the complaint and found deficiencies in administering medications as ordered and in maintaining accurate MAR/medication records.
    • LicensingFailed to provide medical treatment as ordered
    18 May 2019Abuse: Neglect
    Investigated an abuse/neglect allegation and found unsafe transfer practices and poor care planning caused a bruise.
    • AbuseFailed to properly plan care
    29 Apr 2019Abuse: Neglect
    Investigated and found neglect and abuse due to failure to properly plan care and prevent elopements; a fine was assessed.
    • AbuseFailed to properly plan care
    02 Mar 2019Abuse: Neglect
    Found neglect due to failing to provide basic services, creating risk of serious harm; a $375 fine was assessed.
    • AbuseFailed to administer ordered medication
    08 Jan 2019Inspection
    Investigated an allegation of unsafe medication administration and found a safety deficiency that resulted in physical harm.
    • LicensingFailed to provide a safe medication administration system
    30 Dec 2018Abuse: Neglect
    Found neglect by passively failing to provide basic care and safety, resulting in risk of serious harm.
    • AbuseFailed to provide safe environment
    26 Nov 2018Inspection
    Investigated and found failure to report suspected abuse, and assessed a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    26 Nov 2018Abuse: Neglect
    Found neglect that caused harm. A $1,500 fine was assessed.
    • AbuseFailed to properly plan care
    30 Aug 2018Inspection
    Investigated the complaint and concluded that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    02 May 2018Inspection
    Investigated an allegation of failing to follow the care plan and found it substantiated; a fine was assessed.
    • LicensingFailed to follow care plan
    20 Apr 2018Inspection
    Investigated and found a deficiency for failing to assess and intervene regarding a resident's behavior.
    • LicensingFailed to address resident's behavior
    31 Mar 2018Inspection
    Found a failure to maintain an adequate medication system and that medication administration as ordered was not followed.
    • LicensingFailed to administer medication as ordered
    18 Jan 2018Abuse: Neglect
    Investigated and found deficiencies related to an unsafe environment and inadequate falls care planning.
    • AbuseFailed to adequately care plan related to falls
    08 Jul 2017Abuse: Neglect
    Investigated an allegation of neglect and found a failure to assess and intervene.
    • AbuseFailed to assure resident was safe
    16 Jun 2017Inspection
    Investigated and identified a deficiency involving rough treatment of a resident during clothing removal.
    • LicensingFailed to provide safe environment
    14 Mar 2017Abuse: Neglect
    Found neglect related to falls care planning and assessed a $300 fine.
    • AbuseFailed to adequately care plan related to falls
    14 Nov 2016Abuse: Neglect
    Investigated an allegation of neglect and found that staff failed to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    15 Aug 2016Abuse: Neglect
    Found a failure to assess and intervene when a resident's condition changed.
    • AbuseFailed to intervene when resident's condition changed
    25 Mar 2015Inspection
    Investigated the complaint and found a deficiency for failure to administer medication as prescribed.
    • LicensingFailed to administer medication as ordered
    11 Mar 2015Inspection
    Investigated the allegation of failing to follow care plan and found unsafe environment conditions occurred on two occasions.
    • LicensingFailed to follow care plan
    10 Mar 2015Abuse: Neglect
    Found that a resident was not protected from rough treatment.
    • AbuseFailed to provide safe environment
    23 Dec 2014Inspection
    Investigated the allegation of failing to provide a safe environment and found deficiencies.
    • LicensingFailed to provide safe environment
    22 Dec 2014Abuse: Neglect
    Identified failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    19 Dec 2014Abuse: Neglect
    Investigated a neglect allegation and found a failure to follow the care plan that created a safety risk; a $300 fine was assessed.
    • AbuseFailed to follow care plan
    10 Dec 2014Abuse: Neglect
    Investigated an allegation of an unsafe environment. Found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    14 Nov 2014Abuse: Physical Abuse
    Investigated a physical abuse allegation; found a failure to protect a resident from physical assault.
    • AbuseFailed to protect resident from rough treatment
    22 Oct 2014Abuse: Neglect
    Found that a safe environment was not provided. A $300 fine was assessed.
    • AbuseFailed to provide safe environment
    17 Aug 2014Inspection
    Investigated a complaint alleging failure to follow the care plan. Found a safety deficiency due to failure to provide a safe environment.
    • LicensingFailed to follow care plan
    13 Aug 2014Inspection
    Investigated a complaint alleging a failure to provide a safe environment and identified a safety deficiency.
    • LicensingFailed to provide safe environment
    25 Jul 2014Abuse: Neglect
    Investigated the allegation of neglect and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    18 Mar 2014Abuse: Physical Abuse
    Investigated a physical abuse allegation and determined that supervision failed to protect a resident.
    • AbuseFailed to protect resident from rough treatment
    16 Mar 2014Inspection
    Investigated and found a violation involving protecting residents from verbal abuse.
    • LicensingFailed to assure resident rights
    16 Mar 2014Inspection
    Found a deficiency for failing to provide a safe environment.
    • LicensingFailed to provide safe environment
    08 Mar 2014Abuse: Neglect
    Investigated an allegation of neglect and found failures to follow the care plan and to assure resident safety.
    • AbuseFailed to follow care plan
    03 Mar 2014Inspection
    Investigated the allegation that medication was not administered as ordered and identified a deficiency.
    • LicensingFailed to administer medication as ordered
    23 Dec 2013Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment. Violations were cited.
    • AbuseFailed to provide safe environment
    13 Oct 2013Inspection
    Investigated and found a resident was not kept safe.
    • LicensingFailed to assure resident was safe
    01 Jul 2012Abuse: Neglect
    Investigated the allegation of neglect and found failure to follow the service plan, with potential for harm.
    • AbuseFailed to follow care plan
    30 Jun 2012Abuse: Sexual abuse
    Investigated a sexual abuse allegation and identified a failure to protect residents from inappropriate sexual contact.
    • AbuseFailed to protect resident from inappropriate sexual contact
    22 May 2012Inspection
    Investigated an allegation of unsafe environment and found that residents were not protected from inappropriate sexual contact.
    • LicensingFailed to provide safe environment
    15 May 2012Inspection
    Investigated allegation of failing to provide a safe environment. Found a safety deficiency.
    • LicensingFailed to provide safe environment
    23 Mar 2012Abuse: Neglect
    Investigated and found a failure to assure resident safety.
    • AbuseFailed to assure resident was safe
    24 Feb 2012Abuse: Neglect
    Found failure to provide appropriate pain control.
    • AbuseFailed to provide appropriate pain control
    06 Feb 2012Inspection
    Investigated an allegation of failing to follow a care plan and identified a deficiency for not following the care plan.
    • LicensingFailed to follow care plan
    15 Dec 2011Inspection
    Found that the care plan was not followed.
    • LicensingFailed to follow care plan
    23 Nov 2011Inspection
    Investigated an allegation of resident rights violations and found residents were not protected from rough treatment.
    • LicensingFailed to assure resident rights
    31 Oct 2011Abuse: Neglect
    Investigated the allegation of failing to follow the care plan and identified a deficiency in following the plan.
    • AbuseFailed to follow care plan
    14 Sept 2011Abuse: Neglect
    Investigated and determined that medical treatment ordered was not provided.
    • AbuseFailed to provide medical treatment as ordered
    05 Jan 2011Inspection
    Found that the service plan was not followed.
    • LicensingFailed to follow care plan
    15 Sept 2010Abuse: Neglect
    Found deficiencies related to resident safety and addressing a resident's behavior.
    • AbuseFailed to address resident's behavior
    15 Sept 2010Abuse: Neglect
    Investigated an abuse/neglect allegation and found that a call light was not answered promptly.
    • AbuseFailed to answer call light in a timely manner
    29 Aug 2010Inspection
    Investigated the allegation and found that the care plan was not followed.
    • LicensingFailed to follow care plan
    06 May 2010Abuse: Neglect
    Investigated the neglect allegation and found the allegation substantiated. Deficiencies related to oversight of change of condition were identified, with no monetary fine assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    30 Apr 2010Inspection
    Found violations for failing to protect a resident from rough treatment. The violations were assessed at a minor-harm level.
    • LicensingFailed to follow care plan
    26 Jan 2010Abuse: Physical Abuse
    Investigated an abuse allegation and found a resident was not protected from rough treatment.
    • AbuseFailed to protect resident from rough treatment

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