I placed my mom here and I'm very happy with the decision. The staff are warm, professional and genuinely caring; the facility is bright, clean, spacious, and well maintained. Engaging activities, good meals, attentive caregivers, and personalized memory care give me confidence recommending this community to other families.
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
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.13·(71)
Overall rating
5
4
3
2
1
Care
4.3
Staff
4.1
Meals
3.1
Amenities
4.4
Value
2.0
Pros
Compassionate, respectful caregiving staff
Personalized, consistent caregiver attention
Strong life-enrichment and activity programming
24/7 clinical staffing and med-tech presence
Memory-care expertise and dementia navigation support
Clean, well-maintained newer facility
Spacious, well-lit rooms and common areas
Secure grounds with wide walkways and courtyards
On-site salon and personal services
Responsive housekeeping and maintenance
Regular family communication and updates
Transportation and community outings
Faith-based services and spiritual programming
Physical therapy and rehabilitative services
Smaller dining groups and social dining options
Helpful admissions and administrative staff
Cons
Inconsistent staffing levels and understaffing
High staff turnover and operational instability after ownership changes
Communication gaps between clinical staff and families
Medication-administration and clinical follow-up inconsistencies
Variable meal quality and meal-service delays
Inconsistent activities coverage and program continuity
Cleanliness and sanitation issues in specific areas
Supervision and resident-safety gaps including wandering and misplacement risk
Management professionalism and billing-process concerns
Limited intermediate care options between assisted living and memory care
Transportation and logistics management lapses
Summary of reviews
Evergreen Memory Care presents as a newer, well-appointed memory-care campus with many elements that families and residents find reassuring. Reviewers consistently highlight a warm, home-like atmosphere, spacious and well-lit accommodations, secure landscaped grounds, and useful on-site amenities such as a salon and regular transportation for outings. Housekeeping and maintenance are commonly described as responsive, and the physical environment — wide walkways, courtyards, and thoughtfully planned common areas — supports mobility and socialization.
Care quality is perceived positively by many families. Staff are frequently characterized as compassionate, respectful, and willing to provide individualized attention; several accounts emphasize personalized caregiving, continuity with familiar caregivers, and staff who help families navigate the challenges of dementia. The facility maintains clinical staffing including med-techs and 24/7 coverage, and there are also physical-therapy and rehabilitative services available. That said, reviewers identify important operational weaknesses: understaffing and episodes of high staff turnover recur as concerns, and there are descriptions of inconsistent clinical follow-up and gaps in medication-administration practices. These clinical and staffing inconsistencies have, in some accounts, led to delayed responses and confusing caregiver-to-family communication.
Dining and programming are mixed strengths. Evergreen offers a broad range of life-enrichment activities — daily exercise, music, arts, games, bus outings, worship services, and special events led by an enthusiastic activities director in many accounts — and those programs are a clear asset when consistently staffed. However, activity coverage appears uneven at times (notably when leadership changes or a director is absent). Meal quality receives varied feedback: some families praise the food and small-group dining format, while others report menu preferences not being met, gravy-heavy or less healthy options, and occasional long dining waits.
Facility management and operational practices show a split picture. Several reviewers commend administrative staff for being communicative and helpful during transitions, admissions, and dementia-care planning. Conversely, other accounts describe concerns with management professionalism, billing errors, internal communication breakdowns, and the operational effects of ownership change—including increased staff turnover. Safety-related patterns also appear: instances of insufficient supervision, misplacement/theft concerns, and lapses in incident communication point to areas needing process reinforcement rather than isolated personnel critique.
For prospective residents and families, Evergreen offers many desirable memory-care features — a supportive environment, active programming, and hands-on caregiving — but also exhibits recurring operational challenges that warrant direct inquiry during visits. Recommended focus areas when evaluating the community include current staffing ratios and turnover, medication-administration protocols and clinical escalation pathways, how activities are covered during staff transitions, dining-menu options and mealtime logistics, and processes for personal-item security and incident communication. These targeted questions can help align expectations with the facility’s strengths and identify how management addresses the documented patterns of inconsistency.
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Location
Evergreen Memory Care is located at 3720 N Clarey St, Eugene, OR, 97402.
About Evergreen Memory Care
Evergreen Memory Care sits in a quiet residential area northwest of downtown Eugene, Oregon, with a medical center and hospital close by, and it's on the busline, so family and friends can visit easily and residents can get to appointments. The facility's purpose-built for memory care, with a secured property and technology like bracelets that help stop residents from wandering, which matters for folks with Alzheimer's, dementia, or other memory issues. The community's got 64 beds and people there can age in place because they offer different levels of care, from independent living and assisted living to memory care, so residents don't have to move when their health needs change.
There's always staff awake day and night and a licensed nurse available, with healthcare professionals like dentists, physical, occupational, and speech therapists visiting on a regular schedule, providing extra support. Staff know how to help residents with tough care needs, including physical and behavioral challenges, assisting with daily tasks, lifts, and even two-person transfers for those who can't walk, and they take care of people with bladder or bowel incontinence, diabetes (including insulin injections), and behavioral issues like physical outbursts. Meals and snacks are served any time of night or day, and there's an atrium with cafe seating, a beauty and barber shop, library, private mailboxes, and both indoor and outdoor gathering spaces, like walking paths and a landscaped courtyard.
Activities happen daily, giving people movement, games like bingo, music, exercise, and cognitive programs that help keep their minds sharp, with a dedicated activities director who puts together structured activities for socializing, stimulation, and fun. Therapy rooms try to bring back familiar memories by looking like a woodshop or office. Evergreen Memory Care goes out of its way to help residents stay independent but safe, meeting people where they are with care plans made just for them, checking and adjusting those plans with family input. Friends and family can pop by any time, and there's free laundry, housekeeping every week, and maintenance handled for residents, so folks don't have to worry about chores. Residents can keep a cat and smoke outdoors in designated spots if they'd like.
Church and devotional services happen both onsite and offsite. The memory care side's in its own building and stays secured. The focus is always on dignity and comfort, keeping life full for residents even with memory concerns. If people need to stay for a short time, Evergreen also provides respite care and hospice services. Complimentary and scheduled transportation helps residents get to local appointments or stores, plus there's parking for those who drive. Rates start at $7,495 per month, which includes utilities except for the phone. The community's part of the Evergreen Senior Living Campus, and right across the street, there are independent cottages and assisted living, so folks can stay close to their friends as their needs change.
People often ask...
Evergreen Memory Care offers competitive pricing, with rates starting at a cost of $6,995 per month.
Evergreen Memory Care offers assisted living and memory care.
There are 19 photos of Evergreen Memory Care on Mirador.
The full address for this community is 3720 N Clarey St, Eugene, OR 97402.
No, Evergreen Memory Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Identified a supervision deficiency that allowed an individual to elope from the secured building without staff knowledge, exposing them to potential harm.
Licensing—Failed to provide safe environment
05 Feb 2026License Condition
05 Feb 2026License Condition
Found staffing deficiencies based on ABST, with inconsistencies between the roster, care plans, and ABST data, and staffing not aligned with ABST indications to meet resident needs.
Regulatory Action—Failed to staff as indicated by ABST
14 Jan 2026Change of Owner
14 Jan 2026Change of Owner
Found multiple deficiencies across move-in evaluations, service plans, medication management, staffing, environment, and resident privacy.
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Plumbing Systems
Deficiency—Individual Privacy: Own Unit
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Administration Compliance
Deficiency—Compliance with Rules Health Care
Deficiency—Activities
08 Oct 2025Inspection
08 Oct 2025Inspection
Identified an inaccuracy in the MAR for Olanzapine, showing administrations that did not occur due to the medication being unavailable.
Licensing—Failed to provide a safe medication administration system
08 Oct 2025Inspection
08 Oct 2025Inspection
Investigated and found that a mood-stabilizing medication was not administered as prescribed for about a month, leading to increased agitation and missing refill actions.
Licensing—Failed to provide a safe medication administration system
08 Oct 2025Inspection
08 Oct 2025Inspection
Found deficiencies in medication administration oversight and training that compromised safe medication practices.
Licensing—Failed to provide a safe medication administration system
07 Aug 2025Kitchen
07 Aug 2025Kitchen
Identified deficiencies in meals sanitation and administration compliance, including unsanitary kitchen conditions and failure to follow licensing rules.
Found deficiencies in kitchen sanitation and temperature control, plus administration compliance issues. A follow-up visit showed substantial compliance.
Investigated found neglect and abuse due to failure to follow the care plan, leading to an unwitnessed fall and injuries.
Licensing—Failed to follow care plan
19 May 2024Abuse: Neglect
19 May 2024Abuse: Neglect
Investigated and found that fall interventions were not properly planned or communicated, risking resident safety and constituting abuse and neglect. A $250 fine was assessed.
Abuse—Failed to properly plan care
03 Oct 2023Licensure
03 Oct 2023Licensure
Determined substantial compliance with meal service and food sanitation rules.
Deficiency—Comment
28 Aug 2023License Condition
28 Aug 2023License Condition
Found that an ABST was not used to determine staffing levels. It also noted the ABST was not updated quarterly or after changes of condition.
Regulatory Action—Failed to use an ABST
10 Jul 2023Validation
10 Jul 2023Validation
Identified multiple deficiencies in move-in evaluations, service plans, changes of condition, medication administration, coordination of outside providers, acuity staffing, and nutrition planning during a re-licensure review.
Deficiency—Comment
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—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Medication Administration
Deficiency—Acuity-Based Staffing Tool
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
17 Feb 2023Abuse: Neglect
17 Feb 2023Abuse: Neglect
Investigated an abuse/neglect allegation and found delays in providing timely medical treatment for a known risk of urinary infection.
Abuse—Failed to assure timely medical treatment
01 Feb 2023Inspection
01 Feb 2023Inspection
Identified a Level 2 licensing violation for failing to submit timely or adequate weekly vaccination reporting to the proper authority for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
15 Nov 2022Licensure
15 Nov 2022Licensure
Identified deficiencies in kitchen sanitation and administration compliance; later review showed substantial compliance.
Found failures to plan and implement care for a resident's falls history, leading to multiple falls and pain. A $1500 fine was assessed.
Abuse—Failed to properly plan care
23 Aug 2022Abuse: Neglect
23 Aug 2022Abuse: Neglect
Investigated a neglect allegation and found that insufficient services were provided to meet the resident's needs, resulting in a fall and hospital treatment.
Abuse—Failed to provide service
24 Jul 2021Abuse: Neglect
24 Jul 2021Abuse: Neglect
Investigated an allegation of a sexually inappropriate comment toward a resident; found a failure to provide a safe environment and a substantiated finding with a $500 fine assessed.
Abuse—Failed to provide safe environment
14 Jul 2021Abuse: Neglect
14 Jul 2021Abuse: Neglect
Identified a failure to provide a safe environment that placed residents at risk of harm.
Abuse—Failed to provide safe environment
14 Jul 2021Abuse: Neglect
14 Jul 2021Abuse: Neglect
Investigated a complaint about safety; found that staff failed to provide a safe environment and address concerns about inappropriate behavior, putting residents at risk.
Abuse—Failed to provide safe environment
03 Jun 2021Abuse: Neglect
03 Jun 2021Abuse: Neglect
Found a failure to provide a safe medication administration system that risked resident safety, with a $250 fine assessed.
Abuse—Failed to provide a safe medication administration system
30 Sept 2020Abuse: Neglect
30 Sept 2020Abuse: Neglect
Found that a resident did not receive a homelike environment, constituting abuse and neglect, and a fine was assessed.
Abuse—Failed to provide a homelike environment
04 Sept 2020License Condition
04 Sept 2020License Condition
Found failure to provide infection control and to follow infection-control recommendations, placing residents and staff at risk.
Regulatory Action—Failed to provide infection control
29 Aug 2020Abuse: Neglect
29 Aug 2020Abuse: Neglect
Found that staff failed to follow the resident's care plan and provide basic care, signing off on incomplete tasks and failing to document refusals, which led to loss of personal dignity; missing shower sheets for March and August 2020; a $500 fine was assessed.
Abuse—Failed to follow care plan
28 Jun 2020Abuse: Neglect
28 Jun 2020Abuse: Neglect
Investigated found that care plan changes were not followed or communicated, resulting in a resident injury. A fine was assessed.
Abuse—Failed to follow care plan
15 Jun 2020Abuse: Neglect
15 Jun 2020Abuse: Neglect
Found neglect and abuse due to failure to provide basic care and a safe environment, resulting in an unexplained skin discoloration on a resident. A $188 fine was assessed.
Abuse—Failed to provide safe environment
01 Jun 2020Inspection
01 Jun 2020Inspection
Investigated allegations of unsafe care and improper transfers; found that a staff member did not follow the resident's care plan for transfers, used improper transfer techniques with a gait belt, caused a bruise, and that the environment did not provide a safe setting.
Licensing—Failed to provide safe environment
24 May 2020Inspection
24 May 2020Inspection
Found that a staff member forcibly opened a resident's door, striking the knee and causing an abrasion, indicating failure to protect from abuse.
Licensing—Failed to protect resident from physical abuse
06 Apr 2020Abuse: Neglect
06 Apr 2020Abuse: Neglect
Investigated a complaint and found failure to follow the care plan and inadequate incontinence care leading to a severe dermatitis requiring medical attention, with a fine assessed.
Abuse—Failed to follow care plan
01 Apr 2020Inspection
01 Apr 2020Inspection
Investigated a complaint and concluded that an individual abused a resident through physical and verbal means, and safety of the care environment was not provided.
Licensing—Failed to provide safe environment
20 Mar 2020Abuse: Neglect
20 Mar 2020Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
14 Mar 2020Inspection
14 Mar 2020Inspection
Investigated and found that staff attempted to administer medication after the patient refused, constituting neglect. Another staff member was cleared of wrongdoing; overall supervision and conduct violated rules.
Licensing—Failed to provide safe environment
10 Mar 2020License Condition
10 Mar 2020License Condition
Found violations related to not providing a safe environment during the COVID-19 emergency, with multiple rule citations.
Regulatory Action—Failed to provide safe environment
08 Feb 2020Abuse: Neglect
08 Feb 2020Abuse: Neglect
Found violations related to neglect and abuse due to inadequate care planning and safety measures. A $375 fine was assessed.
Abuse—Failed to properly plan care
02 Feb 2020Abuse: Neglect
02 Feb 2020Abuse: Neglect
Investigated a complaint of neglect and found insufficient care planning that contributed to a resident's fall and injuries, identifying neglect and abuse.
Abuse—Failed to properly plan care
25 Jan 2020Abuse: Neglect
25 Jan 2020Abuse: Neglect
Investigated care planning for falls risk found inadequate, leading to multiple falls and a fracture; a fine was assessed.
Abuse—Failed to properly plan care
02 Jan 2020Abuse: Neglect
02 Jan 2020Abuse: Neglect
Found violations of resident rights and abuse due to improper care planning for a high fall risk resident. Investigated allegations determined care plans were not updated timely, interventions were ineffective, and safety checks did not reflect increased staffing needs.
Abuse—Failed to properly plan care
16 May 2019Inspection
16 May 2019Inspection
Determined that failure to administer ordered medication and neglect of medical needs created a risk of serious harm.
Licensing—Failed to administer ordered medication
15 Apr 2019Abuse: Neglect
15 Apr 2019Abuse: Neglect
Investigated the allegation of neglect and found inadequate supervision leading to injury.
Abuse—Failed to maintain a safe physical environment
14 Mar 2019Inspection
14 Mar 2019Inspection
Investigated and found a failure to report potential or suspected abuse; assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
14 Mar 2019Abuse: Neglect
14 Mar 2019Abuse: Neglect
Investigated and substantiated a neglect allegation for failing to provide basic care, which caused unreasonable discomfort. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
03 Mar 2019Abuse: Neglect
03 Mar 2019Abuse: Neglect
Found neglect in administering medications as ordered, causing unreasonable discomfort.
Abuse—Failed to provide a safe medication administration system
01 Mar 2019Inspection
01 Mar 2019Inspection
Found failure to report suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
20 Feb 2019Abuse: Neglect
20 Feb 2019Abuse: Neglect
Investigated a complaint of neglect and abuse and found that care plans were not followed, causing a resident to fall and injure.
Abuse—Failed to follow care plan
22 Jan 2019Abuse: Neglect
22 Jan 2019Abuse: Neglect
Investigated a neglect allegation and found that basic care was not provided, resulting in physical harm. A $1500 fine was assessed.
Abuse—Failed to follow care plan
26 Nov 2018Abuse: Neglect
26 Nov 2018Abuse: Neglect
Found neglect of a resident due to inadequate supervision, which led to harm and discomfort.
Abuse—Failed to assure resident was safe
24 Nov 2018Abuse: Neglect
24 Nov 2018Abuse: Neglect
Found inadequate supervision resulting in actual physical harm to a resident; a $1,500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
14 Sept 2018Abuse: Neglect
14 Sept 2018Abuse: Neglect
Found violations for failing to provide a safe medication administration system, creating a risk of serious harm. The allegations were substantiated.
Abuse—Failed to provide a safe medication administration system
10 Sept 2018Abuse: Neglect
10 Sept 2018Abuse: Neglect
Investigated a neglect allegation related to falls care and found that basic care was not provided, causing harm and discomfort.
Abuse—Failed to adequately care plan related to falls
05 Sept 2018Abuse: Neglect
05 Sept 2018Abuse: Neglect
Found neglect by failing to administer medications as ordered, resulting in actual harm. The related allegation of an unsafe medication administration system was substantiated.
Abuse—Failed to provide a safe medication administration system
12 Aug 2018Abuse: Neglect
12 Aug 2018Abuse: Neglect
Determined abuse/neglect occurred due to inadequate supervision that caused unreasonable discomfort.
Abuse—Failed to provide safe environment
13 Jun 2018Inspection
13 Jun 2018Inspection
Determined there was inadequate supervision that created a risk of serious harm.
Licensing—Failed to provide safe environment
22 Apr 2018Abuse: Neglect
22 Apr 2018Abuse: Neglect
Identified deficiencies in assessing and intervening to prevent resident-to-resident altercations and assessed a fine.
Abuse—Failed to provide safe environment
17 Apr 2018Abuse: Neglect
17 Apr 2018Abuse: Neglect
Found a deficiency for failing to provide a safe environment, which led to a resident-to-resident altercation.
Abuse—Failed to provide safe environment
09 Apr 2018Inspection
09 Apr 2018Inspection
Found that a secure environment was not provided, resulting in a resident-to-resident altercation.
Licensing—Failed to provide safe environment
08 Apr 2018Inspection
08 Apr 2018Inspection
Investigated a complaint and found a failure to provide a secure environment, resulting in a resident to resident altercation.
Licensing—Failed to provide safe environment
07 Apr 2018Inspection
07 Apr 2018Inspection
Found a violation involving safe medication administration; medications were not administered as directed, creating potential for harm.
Licensing—Failed to provide a safe medication administration system
06 Apr 2018Inspection
06 Apr 2018Inspection
Investigated and found a failure to provide a secure environment, which led to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
05 Apr 2018Inspection
05 Apr 2018Inspection
Found a licensing violation related to failing to hire according to administrative rules.
Licensing—Failed to hire according to administrative rules
01 Apr 2018Inspection
01 Apr 2018Inspection
Investigated and found a deficiency for failing to provide a safe environment. A $375 fine was assessed.
Licensing—Failed to provide safe environment
05 Mar 2018Inspection
05 Mar 2018Inspection
Concluded that the provider failed to protect a resident from inappropriate verbal comments.
Licensing—Failed to protect resident from verbal abuse
03 Mar 2018Inspection
03 Mar 2018Inspection
Investigated an allegation of an unsafe environment and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
01 Mar 2018Inspection
01 Mar 2018Inspection
Determined a licensing violation for failing to provide a secure environment.
Licensing—Failed to provide safe environment
28 Feb 2018Abuse: Neglect
28 Feb 2018Abuse: Neglect
Concluded violations for failing to provide a secure environment and assessed a fine.
Abuse—Failed to provide safe environment
24 Feb 2018Inspection
24 Feb 2018Inspection
Found failure to follow the care plan and failure to provide a secure environment, with minor harm or potential for moderate harm.
Licensing—Failed to follow care plan
20 Feb 2018Abuse: Neglect
20 Feb 2018Abuse: Neglect
Investigated the allegation of not following the care plan and found a failure to assess and intervene; a $281 fine was assessed.
Abuse—Failed to follow care plan
11 Feb 2018Abuse: Neglect
11 Feb 2018Abuse: Neglect
Determined that a safe environment was not provided and assessed a $750 fine.
Abuse—Failed to provide safe environment
09 Feb 2018Inspection
09 Feb 2018Inspection
Investigated a licensing allegation and found inadequate supervision that led to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
10 Nov 2017Inspection
10 Nov 2017Inspection
Investigated the safety allegation and found a failure to assess and intervene with potential for harm.
Licensing—Failed to provide safe environment
30 Oct 2017Abuse: Neglect
30 Oct 2017Abuse: Neglect
Investigated an allegation of neglect and determined that medication records were not kept current or accurate and that appropriate care was not provided.
Abuse—Failed to keep medication record current or accurate
10 Oct 2017Abuse: Neglect
10 Oct 2017Abuse: Neglect
Investigated the allegation about transportation for medical or social purposes; found that coordination of medical appointments was not provided.
Abuse—Failed to provide transportation for medical or social purposes
26 Aug 2017Abuse: Neglect
26 Aug 2017Abuse: Neglect
Concluded that an abuse/neglect allegation was substantiated, finding failure to follow a care plan and to provide basic services to prevent injury; a $300 fine was assessed.
Abuse—Failed to follow care plan
06 Jul 2017Abuse: Neglect
06 Jul 2017Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
21 Jun 2017Inspection
21 Jun 2017Inspection
Identified a deficiency that delegation training by a licensed nurse to staff was not provided as required.
Licensing—Failed to comply with nursing delegation requirement
17 Jun 2017Abuse: Neglect
17 Jun 2017Abuse: Neglect
Investigated a neglect allegation and found problems with delegation of catheter care causing negative outcomes; a $300 fine was assessed.
Abuse—Failed to comply with nursing delegation requirement
04 Apr 2017Inspection
04 Apr 2017Inspection
Identified a licensing violation for inadequate supervision that led to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
28 Feb 2017Abuse: Financial abuse
28 Feb 2017Abuse: Financial abuse
Concluded that the financial abuse allegation involving personal incidental funds was sustained.
Abuse—Failed to provide safe environment
17 Feb 2017Abuse: Neglect
17 Feb 2017Abuse: Neglect
Investigated and found a failure to assess and intervene per the care plan.
Abuse—Failed to follow care plan
13 Feb 2017Abuse: Physical Abuse
13 Feb 2017Abuse: Physical Abuse
Investigated an abuse allegation and found a failure to provide a safe environment and to protect a resident from forced feeding.
Abuse—Failed to provide safe environment
13 Feb 2017Abuse: Verbal/Mental abuse
13 Feb 2017Abuse: Verbal/Mental abuse
Found a violation for failing to protect a resident from emotional distress and profane comments.
Abuse—Failed to provide safe environment
29 Nov 2016Inspection
29 Nov 2016Inspection
Investigated the allegation that meals were not cooked properly and served cold; identified a violation of food sanitation rules.
Licensing—Failed to provide proper food/nutrition
18 Nov 2016Inspection
18 Nov 2016Inspection
Investigated and identified a deficiency in not checking on residents and not providing basic ADL care.
Licensing—Failed to provide service
18 Nov 2016Inspection
18 Nov 2016Inspection
Investigated a complaint and found residents were not monitored according to assessment, leaving them in soiled undergarments.
Licensing—Failed to care plan in accordance with assessment
10 Nov 2016Abuse: Neglect
10 Nov 2016Abuse: Neglect
Investigated a complaint and found deficiencies in pest control and care and treatment for scabies. A $300 fine was assessed.
Abuse—Failed to control pests
02 Nov 2016Inspection
02 Nov 2016Inspection
Concluded that the allegation of inadequate care planning for falls was substantiated and assessed a $250 fine.
Licensing—Failed to adequately care plan related to falls
01 Nov 2016Abuse: Neglect
01 Nov 2016Abuse: Neglect
Found a neglect issue related to falls and failure to prevent a resident from falling; a fine was assessed.
Abuse—Failed to adequately care plan related to falls
28 Oct 2016Inspection
28 Oct 2016Inspection
Investigated an allegation and found inadequate staffing to meet residents' needs.
Licensing—Failed to provide appropriate staffing
18 Oct 2016Abuse: Neglect
18 Oct 2016Abuse: Neglect
Found neglect due to failing to assure timely medical treatment, resulting in moderate harm or potential for serious harm.
Abuse—Failed to assure timely medical treatment
12 Oct 2016Condition
12 Oct 2016Condition
Found a failure to provide a safe environment and issued a condition request due to substantial noncompliance.
Regulatory Action—Failed to provide safe environment
11 Oct 2016Inspection
11 Oct 2016Inspection
Investigated the complaint and found failure to perform adequate screening or assessment and to intervene when needed.
Licensing—Failed to perform adequate screening or assessment
29 Sept 2016Inspection
29 Sept 2016Inspection
Found a deficiency in the safe medication administration system.
Licensing—Failed to provide a safe medication administration system
29 Sept 2016Inspection
29 Sept 2016Inspection
Investigated an allegation of inadequate staffing and found staffing was not provided as required.
Licensing—Failed to provide appropriate staffing
29 Sept 2016Abuse: Neglect
29 Sept 2016Abuse: Neglect
Investigated a failure to intervene when a resident's condition changed; found deficiencies in assessing and intervening and a $400 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
29 Sept 2016Inspection
29 Sept 2016Inspection
Investigated a hygiene-related allegation and found a deficiency for failing to assist a resident with bathing.
Licensing—Failed to provide or assist with hygiene
28 Sept 2016Abuse: Neglect
28 Sept 2016Abuse: Neglect
Determined that the allegation of failing to administer medication as ordered was upheld, and overmedication may have caused a fall with fracture.
Abuse—Failed to administer medication as ordered
28 Sept 2016Abuse: Neglect
28 Sept 2016Abuse: Neglect
Found failure to obtain timely medical treatment for a resident's skin condition; involved a neglect allegation about care planning.
Abuse—Failed to properly plan care
20 Sept 2016Inspection
20 Sept 2016Inspection
Investigated a complaint alleging failure to provide a safe medication administration system; findings indicate inadequate medication services as prescribed.
Licensing—Failed to provide a safe medication administration system
02 Aug 2016Abuse: Neglect
02 Aug 2016Abuse: Neglect
Found failure to assess and intervene regarding changes in condition, with a related fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
12 Jul 2016Inspection
12 Jul 2016Inspection
Determined that the safety allegation was sustained and that the medication system was inadequate.
Licensing—Failed to provide safe environment
29 Jun 2016Abuse: Neglect
29 Jun 2016Abuse: Neglect
Investigated and identified a failure to provide a safe environment. A $300 fine was assessed.
Abuse—Failed to provide safe environment
24 May 2016Abuse: Neglect
24 May 2016Abuse: Neglect
Investigated the allegation and found a failure to provide a secure environment, which led to a resident-to-resident altercation. A $300.00 fine was assessed.
Abuse—Failed to provide safe environment
09 Apr 2016Abuse: Neglect
09 Apr 2016Abuse: Neglect
Found a failure to provide a safe environment, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
15 Mar 2016Abuse: Neglect
15 Mar 2016Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
10 Mar 2016Inspection
10 Mar 2016Inspection
Found a failure to provide a safe environment and appropriate care. A $200 fine was assessed.
Licensing—Failed to provide safe environment
04 Mar 2016Abuse: Neglect
04 Mar 2016Abuse: Neglect
Investigated the complaint and found failure to provide appropriate care and a safe environment; a $300 fine was assessed.
Abuse—Failed to provide safe environment
03 Mar 2016Inspection
03 Mar 2016Inspection
Investigated and substantiated failure to ensure that a qualified caregiver was present.
Licensing—Failed to assure that a qualified caregiver was present
03 Mar 2016Inspection
03 Mar 2016Inspection
Investigated the staffing allegation and substantiated insufficient staffing.
Licensing—Failed to provide appropriate staffing
18 Feb 2016Abuse: Neglect
18 Feb 2016Abuse: Neglect
Found a failure to protect residents from harm.
Abuse—Failed to provide safe environment
01 Feb 2016Abuse: Neglect
01 Feb 2016Abuse: Neglect
Investigated an allegation of neglect where staff failed to intervene when a resident's condition changed, and a $350 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
28 Jan 2016Abuse: Neglect
28 Jan 2016Abuse: Neglect
Investigated and found failures to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
14 Jan 2016Abuse: Neglect
14 Jan 2016Abuse: Neglect
Determined that deficiencies existed related to care planning.
Abuse—Failed to properly plan care
14 Jan 2016Abuse: Neglect
14 Jan 2016Abuse: Neglect
Investigated an abuse/neglect allegation and found deficiencies in care planning and administrative oversight.
Abuse—Failed to properly plan care
29 Dec 2015Abuse: Neglect
29 Dec 2015Abuse: Neglect
Found a violation for failing to provide a safe environment, risking harm to residents; a $300 fine was assessed.
Abuse—Failed to provide safe environment
25 Nov 2015Inspection
25 Nov 2015Inspection
Investigated a staffing allegation and found inadequate staffing that violated staffing requirements.
Licensing—Failed to provide appropriate staffing
19 Nov 2015Abuse: Neglect
19 Nov 2015Abuse: Neglect
Investigated a neglect allegation and found that appropriate care was not provided.
Abuse—Failed to provide service
18 Nov 2015Abuse: Neglect
18 Nov 2015Abuse: Neglect
Investigated the alleged neglect related to change of condition and found an unsafe environment.
Abuse—Failed to provide oversight and monitoring of change of condition
18 Nov 2015Abuse: Neglect
18 Nov 2015Abuse: Neglect
Investigated the neglect allegation and concluded hygiene assistance was not provided and the environment not kept clean.
Abuse—Failed to provide or assist with hygiene
18 Nov 2015Abuse: Neglect
18 Nov 2015Abuse: Neglect
Found a deficiency for failing to provide oral care to a resident. This related to neglect of basic hygiene.
Abuse—Failed to provide or assist with hygiene
18 Nov 2015Abuse: Neglect
18 Nov 2015Abuse: Neglect
Found failure to intervene when a resident's condition changed, resulting in a $300 fine.
Abuse—Failed to intervene when resident's condition changed
18 Nov 2015Abuse: Neglect
18 Nov 2015Abuse: Neglect
Found neglect due to failure to manage pain and administer prescribed pain medications.
Abuse—Failed to administer medication as ordered
16 Oct 2015Abuse: Financial abuse
16 Oct 2015Abuse: Financial abuse
Investigated the allegation and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
09 Sept 2015Abuse: Neglect
09 Sept 2015Abuse: Neglect
Found a failure to provide a secure environment that led to a resident-to-resident altercation.
Abuse—Failed to provide safe environment
11 Jun 2015Inspection
11 Jun 2015Inspection
Investigated the allegation of an unsafe environment and identified a safety deficiency.
Licensing—Failed to provide safe environment
01 Jun 2015Inspection
01 Jun 2015Inspection
Investigated and found a failure to provide a safe environment and appropriate care.
Licensing—Failed to provide safe environment
08 May 2015Abuse: Neglect
08 May 2015Abuse: Neglect
Investigated an allegation of neglect and found a failure to follow the care plan. A $300 fine was assessed.
Abuse—Failed to follow care plan
08 May 2015Abuse: Neglect
08 May 2015Abuse: Neglect
Investigated and found a failure to protect a resident from unwanted sexual contact by another resident.
Abuse—Failed to provide safe environment
02 May 2015Abuse: Neglect
02 May 2015Abuse: Neglect
Investigated an allegation of neglect and found failure to provide safe environment and appropriate care.
Abuse—Failed to provide safe environment
25 Apr 2015Abuse: Neglect
25 Apr 2015Abuse: Neglect
Investigated an allegation of neglect and found deficiencies in assessing and intervening when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
23 Mar 2015Abuse: Neglect
23 Mar 2015Abuse: Neglect
Investigated a failure to provide a safe environment and found evidence supporting the allegation. A $300 fine was assessed.
Abuse—Failed to provide safe environment
20 Mar 2015Abuse: Neglect
20 Mar 2015Abuse: Neglect
Investigated an allegation of abuse/neglect; found failure to assess and intervene, and a $300 fine was assessed.
Abuse—Failed to provide safe environment
17 Mar 2015Abuse: Neglect
17 Mar 2015Abuse: Neglect
Investigated a complaint and found a failure to provide a secure environment. A $300 fine was assessed.
Abuse—Failed to provide safe environment
14 Mar 2015Abuse: Neglect
14 Mar 2015Abuse: Neglect
Found neglect-related deficiency in care planning and assessed a $300 fine.
Abuse—Failed to provide safe environment
23 Feb 2015Abuse: Neglect
23 Feb 2015Abuse: Neglect
Investigated an abuse allegation and found inadequate supervision, resulting in a $350 fine.
Abuse—Failed to provide safe environment
13 Feb 2015Abuse: Neglect
13 Feb 2015Abuse: Neglect
Found a failure to provide a safe environment. A $400 fine was assessed.
Abuse—Failed to provide safe environment
09 Feb 2015Abuse: Neglect
09 Feb 2015Abuse: Neglect
Investigated a complaint alleging failure to administer medication as ordered and found deficiencies in assessment and intervention.
Abuse—Failed to administer medication as ordered
28 Jan 2015Abuse: Neglect
28 Jan 2015Abuse: Neglect
Found a failure to provide a secure environment that led to a resident-to-resident altercation; a $300 fine was assessed.
Abuse—Failed to provide safe environment
12 Jan 2015Abuse: Neglect
12 Jan 2015Abuse: Neglect
Investigated and found that a safe environment was not provided.
Abuse—Failed to provide safe environment
11 Jan 2015Abuse: Neglect
11 Jan 2015Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
02 Jan 2015Abuse: Neglect
02 Jan 2015Abuse: Neglect
Concluded that a safe environment was not provided.
Abuse—Failed to provide safe environment
06 Dec 2014Abuse: Neglect
06 Dec 2014Abuse: Neglect
Found that a safe environment was not provided and assessment and intervention were lacking.
Abuse—Failed to provide safe environment
01 Dec 2014Inspection
01 Dec 2014Inspection
Investigated the allegation of failing to provide a safe medication administration system and found a deficiency in maintaining an adequate medication system.
Licensing—Failed to provide a safe medication administration system
09 Oct 2014Abuse: Neglect
09 Oct 2014Abuse: Neglect
Found deficiencies in medication administration safety and in maintaining an adequate medication regimen.
Abuse—Failed to provide a safe medication administration system
01 Sept 2014Abuse: Neglect
01 Sept 2014Abuse: Neglect
Investigated a neglect allegation and substantiated a failure to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
13 Aug 2014Abuse: Neglect
13 Aug 2014Abuse: Neglect
Identified deficiencies in care planning for falls that led to multiple falls, hip fractures, and hospitalization.
Abuse—Failed to adequately care plan related to falls
06 Aug 2014Abuse: Neglect
06 Aug 2014Abuse: Neglect
Found that a secure environment was not provided.
Abuse—Failed to provide safe environment
03 Aug 2014Inspection
03 Aug 2014Inspection
Identified that the provider failed to provide appropriate care.
Licensing—Failed to properly plan care
06 Jul 2014Inspection
06 Jul 2014Inspection
Found a deficiency for failing to provide appropriately sized undergarments to a resident, resulting in a rash.
Licensing—Failed to keep resident record current or accurate
06 Jul 2014Abuse: Neglect
06 Jul 2014Abuse: Neglect
Found failures to assess and intervene, resulting in a resident falling three times, and a $300 fine assessed.
Abuse—Failed to intervene when resident's condition changed
03 Mar 2014Abuse: Neglect
03 Mar 2014Abuse: Neglect
Investigated an allegation of neglect and found failure to oversee changes in condition, resulting in a $300 fine.
Abuse—Failed to provide oversight and monitoring of change of condition
04 Feb 2014Inspection
04 Feb 2014Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
28 Jan 2014Abuse: Verbal/Mental abuse
28 Jan 2014Abuse: Verbal/Mental abuse
Investigated the allegation and found a failure to protect a resident from inappropriate verbal comments.
Abuse—Failed to protect resident from verbal abuse
19 Jan 2014Abuse: Neglect
19 Jan 2014Abuse: Neglect
Found a failure to assess and intervene, which led to a resident-to-resident altercation.
Abuse—Failed to address resident's behavior
31 Dec 2013Abuse: Neglect
31 Dec 2013Abuse: Neglect
Investigated the allegation of a failed safe environment and found deficiencies in the care provided to residents.
Abuse—Failed to provide safe environment
26 Oct 2013Abuse: Neglect
26 Oct 2013Abuse: Neglect
Found failure to assess and intervene regarding a resident's behavior, with a fine assessed.
Abuse—Failed to address resident's behavior
07 Oct 2013Abuse: Neglect
07 Oct 2013Abuse: Neglect
Investigated a neglect allegation and found care failed to minimize risk to other residents.
Abuse—Failed to address resident's behavior
27 Sept 2013Abuse: Neglect
27 Sept 2013Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe environment. A $250 fine was assessed.
Abuse—Failed to address resident's behavior
14 Sept 2013Inspection
14 Sept 2013Inspection
Found a violation of resident rights and failure to protect a resident from inappropriate sexual contact.
Licensing—Failed to assure resident rights
02 Aug 2013Abuse: Neglect
02 Aug 2013Abuse: Neglect
Found an abuse/neglect allegation involving failure to provide a secure environment.
Abuse—Failed to address resident's behavior
01 Aug 2013Inspection
01 Aug 2013Inspection
Investigated the allegation and found failure to properly plan and provide appropriate care.
Licensing—Failed to properly plan care
15 Jul 2013Abuse: Neglect
15 Jul 2013Abuse: Neglect
Investigated and found failure to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
14 May 2013Abuse: Neglect
14 May 2013Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
23 Mar 2013Inspection
23 Mar 2013Inspection
Found that the facility failed to assess or intervene with a resident's behavior.
Licensing—Failed to address resident's behavior
31 Dec 2012Abuse: Physical Abuse
31 Dec 2012Abuse: Physical Abuse
Determined that a resident was not protected from rough treatment.
Abuse—Failed to protect resident from rough treatment
20 May 2012Inspection
20 May 2012Inspection
Determined a Level 2 licensing violation occurred for failing to protect a resident from punishment.
Licensing—Failed to assure resident rights
15 Mar 2012Inspection
15 Mar 2012Inspection
Investigated and found a failure to protect a resident from rough handling.
Licensing—Failed to provide safe environment
02 Feb 2012Abuse: Neglect
02 Feb 2012Abuse: Neglect
Investigated the allegation of abuse/neglect and found the provider failed to assess and intervene to provide a safe environment.
Abuse—Failed to provide safe environment
23 Oct 2011Abuse: Neglect
23 Oct 2011Abuse: Neglect
Investigated and identified deficiencies in care planning with potential for moderate harm.
Abuse—Failed to properly plan care
05 Sept 2011Inspection
05 Sept 2011Inspection
Investigated and substantiated an allegation that a safe environment was not provided; a resident was not protected from rough handling by a staff member.
Licensing—Failed to provide safe environment
24 Mar 2011Abuse: Neglect
24 Mar 2011Abuse: Neglect
Investigated a report of neglect and found that staff failed to assess and intervene when a resident's condition declined.
Abuse—Failed to intervene when resident's condition changed
11 Oct 2010Abuse: Neglect
11 Oct 2010Abuse: Neglect
Investigated allegations of neglect and found the care plan was not followed.
Abuse—Failed to follow care plan
29 Sept 2010Inspection
29 Sept 2010Inspection
Investigated an allegation that care was not planned properly. Found deficiencies related to providing appropriate care.
Licensing—Failed to properly plan care
12 Sept 2010Abuse: Verbal/Mental abuse
12 Sept 2010Abuse: Verbal/Mental abuse
Investigated and found residents were not protected from verbal abuse.
Abuse—Failed to protect resident from verbal abuse
12 Sept 2010Abuse: Neglect
12 Sept 2010Abuse: Neglect
Investigated allegations of neglect related to care planning and protection; findings showed a resident was not protected from rough treatment.
Abuse—Failed to care plan in accordance with assessment
21 Jun 2010Inspection
21 Jun 2010Inspection
Found failure to follow the care plan.
Licensing—Failed to follow care plan
23 Feb 2010Inspection
23 Feb 2010Inspection
Substantiated a failure to provide a safe environment.
Licensing—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Evergreen Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Evergreen Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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