Compassionate, attentive staff; dementia-aware home
I'm so grateful we chose this community - the staff are dedicated, compassionate, and remember residents by name. My loved one settled in quickly, enjoys the food, outings and lively activities, and the dementia-aware, long-tenured team gives our family real peace of mind. The campus is spotless, welcoming and feels like home; staff consistently go above and beyond.
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
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Internet
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Located close to restaurants
Located close to shopping centers
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 patio
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
4.45·(206)
Overall rating
5
4
3
2
1
Care
4.4
Staff
4.5
Meals
3.9
Amenities
4.3
Value
2.4
Pros
Attentive, compassionate staff
Long staff tenure and staff stability
Clean, well‑maintained facility and grounds
Robust, varied activities and outings
Restaurant‑style dining with flexible hours
Memory‑care Bridges program and dementia‑aware programming
Multiple comfortable common areas and outdoor spaces
On‑site salon and concierge Move‑In support
Transportation and appointment van service
High nursing capability and clinical competence
Personalized care plans and regular care conferences
Family‑focused, home‑like atmosphere
Proactive management responsive to feedback
Cons
Inconsistent meal quality and temperature control
Staffing shortages and caregiver turnover
Gaps in clinical communication and care‑plan follow‑through
Incontinence‑care concerns and inconsistent hygiene practices
High cost with opaque or confusing billing
Variable memory‑care implementation and unit layout challenges
Limited or inflexible transportation availability
Maintenance and cleanliness inconsistencies in some areas
Administrative paperwork and long staff shifts affecting responsiveness
Gaps in incident documentation and family communication
Summary of reviews
Merrill Gardens at Sheldon Park presents as a modern, well‑appointed assisted living and memory‑care community with many strengths noted by families and residents. Commonly cited positives include an attentive and compassionate staff, long staff tenure in many roles, a clean and well‑maintained building with multiple pleasant common areas and outdoor spaces, and a wide schedule of activities and outings. The community offers restaurant‑style dining with flexible hours, on‑site salon services, a concierge-style move‑in process, and a Bridges memory‑care program designed for residents with dementia. Several accounts describe high nursing capability, orderly medication management, and personalized care plans with regular care conferences.
Care and staff: Many families praised the clinical skill and personability of caregivers, nurses, and management. Long‑tenured staff and a family‑like culture are recurring themes; reviewers frequently noted staff who know residents by name and engage proactively. That said, there are consistent operational concerns: staffing shortages and turnover appear to affect day‑to‑day consistency, and a number of accounts describe delays or variability in responsiveness, paperwork burden on staff, and gaps in follow‑through with primary‑care providers and care plans. A limited number of family accounts described serious individual incidents that raised concerns about incident documentation and the quality of communication during transitions; those descriptions suggest uneven execution of incident‑response processes rather than a uniform practice across the community.
Dining and activities: The dining program is generally regarded as a strength — restaurant‑style service, varied menus, and flexible meal times are appreciated. Multiple reports highlight positive dining experiences, holiday meals, and residents eating better than at home. Conversely, reviewers also raised recurring issues with inconsistent meal temperature, limited menu choices for special diets (for example, vegetarian options), and uneven kitchen performance at times. Activities are a clear asset: reviewers consistently describe a robust calendar (bingo, exercise classes, music, field trips, lectures, and specialty programs for dementia), engaged activity staff, and meaningful social opportunities that contribute to resident well‑being.
Facilities and operations: Physically, the building and grounds receive positive comments for cleanliness, light, and amenity variety (library, theater, game rooms, courtyard). Some layout features used for memory care (non‑separate entrances, Jack‑and‑Jill bathrooms, darker wing in one unit) were noted as potentially confusing or less desirable for cognitively impaired residents. Operationally, recurring issues include opaque or confusing billing practices, additional medication or service charges, limited transportation schedules, and some maintenance/cleanliness inconsistencies (for example, localized mold or deferred maintenance observations). Several reviewers advised that these operational areas can affect perceived value given the community’s premium pricing.
Overall pattern and recommendation guidance: The dominant pattern is a community that delivers strong social programming, a caring staff culture, and attractive facilities, with several families expressing high satisfaction and trust. However, operational variability—particularly around staffing consistency, dining execution, clinical communication, billing transparency, and certain memory‑care implementation details—appears often enough to warrant careful due diligence. Prospective residents and families should prioritize an in‑person tour including the memory‑care unit, ask for specifics about staffing ratios and turnover, request sample menus and meal observations, review copies of typical bills and fee schedules, and ask how the community documents and communicates clinical incidents and care‑plan updates. These targeted questions will help distinguish consistent strengths from the areas where execution has been variable.
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Location
Merrill Gardens at Sheldon Park is located at 2440 Willakenzie Rd, Eugene, OR, 97401.
About Merrill Gardens at Sheldon Park
Merrill Gardens at Sheldon Park sits in Eugene, Oregon, and is part of the Merrill Gardens family of senior living communities, offering different types of care on one campus. The community provides assisted living and memory care, with all 32 beds set aside for residents who need memory support, especially those living with Alzheimer's or dementia. People who need a higher level of help can find skilled nursing care right on site, and those looking for independence can join in an active social setting. The facility stands out for its friendly staff, who focus on positive support and meaningful connections with residents, making it feel comfortable and close-knit. Apartments here are studios, with views of a peaceful courtyard, and you'll find tree-lined paths for easy walks or time spent outside in the sun. There's a pet-friendly policy, so residents can bring their dogs or cats with them, which often brings comfort and company. Activities happen often, giving everyone a chance to stay engaged and meet others in the community. Meals come with attention to nutrition, using quality ingredients to help residents get what they need. The whole place is decorated with simple, calm colors for a welcoming feel, and you'll notice modern touches but nothing too flashy. The surrounding area mixes that small-town warmth with the conveniences of bigger city living, and greenery is everywhere, giving residents a bit of nature close by. Merrill Gardens at Sheldon Park tries to meet each resident where they are in terms of their needs, focusing on supporting their independence while making sure care is always there if needed.
About Merrill Gardens
Merrill Gardens at Sheldon Park is managed by Merrill Gardens.
Founded in 1993 with a single community in Seattle, Merrill Gardens has grown into one of the nation's most respected senior living providers, operating 65 communities across 17 states. As a fifth-generation family-owned company with roots extending back to the 1890s, Merrill Gardens is headquartered in Seattle, Washington, and maintains the values of integrity, compassion, and excellence that have defined the Merrill family for generations. The company has expanded strategically through both organic growth and selective acquisitions, recently adding five new communities in 2024 including locations in South Carolina, Missouri, and Oregon, while maintaining its commitment to quality over quantity in expansion decisions.
Merrill Gardens offers a comprehensive continuum of senior living services including independent living, assisted living, and specialized memory care programs. Their innovative Anytime Dining program provides restaurant-style meals seven days a week, while their assisted living services include personalized care plans covering bathing, dressing, medication management, and safety checks. The company's memory care communities utilize a Montessori approach designed specifically for residents with Alzheimer's and dementia, creating environments that promote independence and well-being. Through their Inspire Connection program, Merrill Gardens focuses on connection and community, ensuring residents can engage in meaningful activities that bring a sense of belonging and purpose to their daily lives.
The company's philosophy centers on their "Yes You Can" mentality, believing that life should be defined by possibilities rather than limitations. Merrill Gardens emphasizes person-centered care that celebrates each resident as a whole person, honoring their individuality and supporting their ability to make their own decisions. As innovators in the industry, they invest in technology and data-driven operations to enhance resident care while maintaining the personal touch that comes from their family-owned heritage. Their approach focuses on treating residents like family, with staff who are passionate about senior care rather than simply collecting a paycheck, creating environments where residents can live their fullest lives.
Merrill Gardens has earned significant recognition for their excellence, including being ranked #6 in the nation by Fortune Magazine as a Best Workplace in Aging Services and receiving Great Place to Work certification for three consecutive years. The company has been honored as Family Business of the Year by both the Puget Sound Business Journal and Seattle Business Magazine, recognizing their longevity, community commitment, and long-term vision. With over 2,500 reviews averaging 4.4 out of 5 stars, multiple communities have received Best of Senior Living Awards, demonstrating their consistent delivery of high-quality care and services. Their commitment to innovation and excellence has established Merrill Gardens as a leader in the senior living industry, with a satisfaction guarantee that reflects their confidence in providing exceptional lifestyle experiences for seniors and their families.
People often ask...
Merrill Gardens at Sheldon Park offers competitive pricing, with rates starting at a cost of $6,520 per month.
Merrill Gardens at Sheldon Park offers assisted living and memory care.
There are 46 photos of Merrill Gardens at Sheldon Park on Mirador.
The full address for this community is 2440 Willakenzie Rd, Eugene, OR 97401.
No, Merrill Gardens at Sheldon Park 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 serious sanitation and temperature-control deficiencies in the kitchen. Noted multiple areas requiring cleaning, repair, and staff training.
Found no deficiencies. Confirmed substantial compliance with meals and food sanitation rules.
Deficiency—Comment
23 Aug 2024Licensure
23 Aug 2024Licensure
Determined substantial compliance with meal service requirements and food sanitation rules.
Deficiency—Comment
24 Mar 2024Inspection
24 Mar 2024Inspection
Determined that an unknown alleged perpetrator failed to protect a resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
05 Jul 2023Licensure
05 Jul 2023Licensure
Identified extensive sanitation and food-handling deficiencies in the kitchen during the initial visit; a follow-up found substantial compliance with the applicable meals and sanitation requirements.
Identified widespread deficiencies in kitchen sanitation and administration compliance, including dirty conditions, equipment damage, and improper food handling, with follow-up confirming substantial compliance.
Found failure to plan and implement appropriate catheter care, resulting in resident discomfort and loss of dignity.
Abuse—Failed to properly plan care
22 Sept 2022Inspection
22 Sept 2022Inspection
Investigated a complaint and found a failure to provide a safe medication administration system that placed a resident at risk by giving another resident's medication.
Licensing—Failed to provide a safe medication administration system
16 Aug 2022Complaint
16 Aug 2022Complaint
Found no deficiencies identified during the complaint investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
10 Aug 2022Inspection
10 Aug 2022Inspection
Investigated a staffing allegation and found insufficient staff to meet scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
04 Aug 2022Inspection
04 Aug 2022Inspection
Investigated an allegation of financial exploitation and found the resident's cash was missing, indicating a failure to protect from financial exploitation and resulting in abuse.
Licensing—Failed to protect resident from financial exploitation
22 Jul 2022Abuse: Neglect
22 Jul 2022Abuse: Neglect
Found that a staff member failed to follow a care plan during bathing, resulting in neglect and abuse; a $500 fine was assessed.
Abuse—Failed to follow care plan
11 Apr 2022Validation
11 Apr 2022Validation
Identified deficiencies in move-in evaluations and in staff life-safety instruction; substantial compliance was determined on follow-up.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Fire and Life Safety: Safety
06 Apr 2022Abuse: Neglect
06 Apr 2022Abuse: Neglect
Found that staff failed to follow the care plan for toileting, resulting in the resident being found in wet briefs.
Abuse—Failed to follow care plan
08 Jan 2022Abuse: Neglect
08 Jan 2022Abuse: Neglect
Investigated and found improper monitoring of a resident's falls history, resulting in a bruise and discomfort and indicating neglect and abuse.
Abuse—Failed to properly plan care
07 Nov 2021Abuse: Neglect
07 Nov 2021Abuse: Neglect
Investigated a financial exploitation claim and found a resident’s cash missing due to a broken locking drawer and lack of secure storage, with a fine assessed.
Abuse—Failed to protect resident from financial exploitation
02 Nov 2021Abuse: Neglect
02 Nov 2021Abuse: Neglect
Investigated and found a resident was financially exploited and there was no lockable cabinet or safe in the room. A staff member entered the resident's room without justification.
Abuse—Failed to protect resident from financial exploitation
20 Sept 2021Validation
20 Sept 2021Validation
Investigated found multiple deficiencies across administration, resident care, health services, safety, and food sanitation, resulting in violations cited.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Fire and Life Safety: Safety
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Activities
Deficiency—Secure Outdoor Recreation Area
03 Sept 2021Abuse: Neglect
03 Sept 2021Abuse: Neglect
Found violations for not following a required safety plan, which led to an injury from a fall after multiple prior falls.
Abuse—Failed to follow care plan
11 Aug 2021Abuse: Neglect
11 Aug 2021Abuse: Neglect
Identified violations related to falls-risk care planning and safety interventions, and assessed a $250 fine.
Abuse—Failed to properly plan care
20 Jun 2021Abuse: Neglect
20 Jun 2021Abuse: Neglect
Found that a resident eloped due to failure to provide a safe environment, placing them at risk of harm; a $188 fine was assessed.
Abuse—Failed to provide safe environment
07 Jul 2020Inspection
07 Jul 2020Inspection
Found a violation where a resident's funds disappeared due to theft and protections against theft were inadequate. The finding noted a failure to protect the resident's property from theft.
Licensing—Failed to protect resident from financial exploitation
06 Sept 2019Abuse: Neglect
06 Sept 2019Abuse: Neglect
Found neglect related to failing to administer medications as ordered, creating risk of serious harm; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
11 Jul 2019Inspection
11 Jul 2019Inspection
Investigated and found that a staff member secretly recorded an inappropriate audio/video of a resident in a bathroom and posted it online for 24 hours. The organization failed to protect the resident from emotional and verbal abuse.
Licensing—
03 Jun 2019Abuse: Neglect
03 Jun 2019Abuse: Neglect
Found neglect due to failing to provide adequate supervision, risking serious harm to a resident. The violations cited relate to care plan adherence and supervision standards.
Abuse—Failed to follow care plan
05 Mar 2019Abuse: Financial abuse
05 Mar 2019Abuse: Financial abuse
Investigated a financial exploitation allegation and found that inadequate supervision allowed loss of assets.
Abuse—Failed to protect resident from financial exploitation
04 Mar 2019Abuse: Financial abuse
04 Mar 2019Abuse: Financial abuse
Investigated a financial exploitation allegation and found neglect contributed to the loss of a resident's personal property.
Abuse—Failed to protect resident from financial exploitation
19 Feb 2019Abuse: Financial abuse
19 Feb 2019Abuse: Financial abuse
Investigated a financial exploitation allegation and found neglect due to inadequate supervision, creating a risk of serious harm to a resident.
Abuse—Failed to protect resident from financial exploitation
23 Jan 2019Abuse: Neglect
23 Jan 2019Abuse: Neglect
Investigated a neglect allegation and found that a resident did not receive basic care, creating risk of serious harm. This resulted in violations of care requirements.
Abuse—Failed to follow care plan
30 Nov 2018Abuse: Neglect
30 Nov 2018Abuse: Neglect
Found neglect due to inadequate supervision that led to serious loss of personal dignity; a fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
06 Nov 2018Abuse: Neglect
06 Nov 2018Abuse: Neglect
Found a failure to administer medications as ordered, risking serious harm, and assessed a $375 fine.
Abuse—Failed to provide a safe medication administration system
30 Oct 2018Inspection
30 Oct 2018Inspection
Determined that there was a failure to provide a safe medication administration system. The findings noted a related financial abuse issue in connection with that failure.
Licensing—Failed to provide a safe medication administration system
10 Apr 2018Inspection
10 Apr 2018Inspection
Investigated and found a failure to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
31 Jan 2018Inspection
31 Jan 2018Inspection
Investigated the allegation and found a failure to follow the care plan.
Licensing—Failed to follow care plan
28 Oct 2017Abuse: Neglect
28 Oct 2017Abuse: Neglect
Found that a resident did not receive appropriate medications.
Abuse—Failed to provide a safe medication administration system
27 Oct 2017Abuse: Financial abuse
27 Oct 2017Abuse: Financial abuse
Substantiated a financial abuse allegation, finding a resident safety failure related to theft.
Abuse—Failed to provide safe environment
15 Sept 2017Abuse: Neglect
15 Sept 2017Abuse: Neglect
Found neglect for failing to intervene when a resident's condition changed and failing to provide a secure environment.
Abuse—Failed to intervene when resident's condition changed
07 Sept 2017Inspection
07 Sept 2017Inspection
Identified inadequate supervision that led to a resident altercation and failure to follow a care plan.
Licensing—Failed to follow care plan
05 Sept 2017Inspection
05 Sept 2017Inspection
Found inadequate care planning that created a safety risk.
Licensing—Failed to properly plan care
26 Aug 2017Abuse: Financial abuse
26 Aug 2017Abuse: Financial abuse
Found a failure to provide a safe environment by not protecting a resident from theft.
Abuse—Failed to provide safe environment
17 Aug 2017Abuse: Financial abuse
17 Aug 2017Abuse: Financial abuse
Investigated a complaint alleging financial abuse and found a deficiency in safeguarding medications from theft.
Abuse—Failure to provide a system that prevents theft or misuse of medication
12 Jul 2017Abuse: Financial abuse
12 Jul 2017Abuse: Financial abuse
Concluded that a safe environment was not provided and theft protection was lacking.
Abuse—Failed to provide safe environment
03 Jul 2017Abuse: Financial abuse
03 Jul 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to prevent theft or misuse of medications.
Abuse—Failure to provide a system that prevents theft or misuse of medication
01 Jul 2017Abuse: Financial abuse
01 Jul 2017Abuse: Financial abuse
Investigated and found a safety deficiency involving failure to protect a resident from theft.
Abuse—Failed to provide safe environment
12 Jun 2017Abuse: Financial abuse
12 Jun 2017Abuse: Financial abuse
Investigated the financial abuse allegation and found a failure to maintain a safe and secure environment.
Abuse—Failed to provide safe environment
07 Jun 2017Inspection
07 Jun 2017Inspection
Found a deficiency for failing to coordinate with offsite providers, resulting in a resident being sent to the emergency room without a medication administration record.
Licensing—Failed to provide service
06 Jun 2017Abuse: Financial abuse
06 Jun 2017Abuse: Financial abuse
Found that a resident was not protected from theft.
Abuse—Failed to provide safe environment
06 Jun 2017Abuse: Financial abuse
06 Jun 2017Abuse: Financial abuse
Investigated the safety allegation and found a failure to protect RV1 from theft.
Abuse—Failed to provide safe environment
31 May 2017Abuse: Financial abuse
31 May 2017Abuse: Financial abuse
Investigated the allegation and concluded that a resident was not protected from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
26 May 2017Inspection
26 May 2017Inspection
Found inadequate staffing as alleged.
Licensing—Failed to provide appropriate staffing
26 May 2017Inspection
26 May 2017Inspection
Found failure to provide oversight and monitoring of change of condition. The finding cited a licensing violation.
Licensing—Failed to provide oversight and monitoring of change of condition
06 Apr 2017Inspection
06 Apr 2017Inspection
Investigated and found that victims did not receive their medications.
Licensing—Failed to provide a safe medication administration system
04 Feb 2017Abuse: Financial abuse
04 Feb 2017Abuse: Financial abuse
Investigated and concluded a failure to provide a safe environment, including failing to protect a resident from theft, with a $300 fine assessed.
Abuse—Failed to provide safe environment
18 Jan 2017Abuse: Financial abuse
18 Jan 2017Abuse: Financial abuse
Determined that a safe environment was not provided and medication theft occurred.
Abuse—Failed to provide safe environment
06 Jan 2017Abuse: Financial abuse
06 Jan 2017Abuse: Financial abuse
Investigated the financial exploitation allegation and determined it to be substantiated. Also identified a safety deficiency.
Abuse—Failed to protect resident from financial exploitation
10 Dec 2016Abuse: Financial abuse
10 Dec 2016Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from theft, resulting in a $300 fine.
Abuse—Failed to address resident's behavior
13 Nov 2016Abuse: Financial abuse
13 Nov 2016Abuse: Financial abuse
Investigated and found ongoing thefts of residents' cash and identified a safe-environment deficiency, with a $300 fine assessed.
Abuse—Failed to provide safe environment
09 Nov 2016Abuse: Financial abuse
09 Nov 2016Abuse: Financial abuse
Investigated an allegation of financial abuse and safety concerns; money was stolen from a resident and a $300 fine was assessed.
Abuse—Failed to provide safe environment
08 Nov 2016Abuse: Financial abuse
08 Nov 2016Abuse: Financial abuse
Investigated and found a failure to provide a secure environment and medication theft from a resident's room. A $300 fine was assessed.
Abuse—Failed to provide safe environment
29 Oct 2016Abuse: Financial abuse
29 Oct 2016Abuse: Financial abuse
Found financial abuse; $240 cash taken from a resident's room, with a $200 fine assessed.
Abuse—Failed to provide safe environment
24 Oct 2016Abuse: Financial abuse
24 Oct 2016Abuse: Financial abuse
Investigated a financial abuse allegation and found money was stolen.
Abuse—Failed to provide safe environment
22 Sept 2016Abuse: Financial abuse
22 Sept 2016Abuse: Financial abuse
Found that residents were not adequately protected from theft.
Abuse—Failed to provide safe environment
11 Sept 2016Abuse: Financial abuse
11 Sept 2016Abuse: Financial abuse
Investigated and found a safety concern due to missing pain medication, with the financial abuse allegation confirmed.
Abuse—Failed to provide safe environment
10 Aug 2016Inspection
10 Aug 2016Inspection
Determined that care plan requirements were not followed when a one-person transfer occurred, resulting in a resident falling without injury.
Licensing—Failed to follow care plan
13 Jun 2016Abuse: Financial abuse
13 Jun 2016Abuse: Financial abuse
Investigated allegations of financial abuse and failure to provide a safe environment; found residents were not adequately protected from theft.
Abuse—Failed to provide safe environment
08 Jun 2016Inspection
08 Jun 2016Inspection
Found a failure to maintain a safe medication administration system. Violations cited.
Licensing—Failed to provide safe environment
28 Apr 2016Abuse: Financial abuse
28 Apr 2016Abuse: Financial abuse
Concluded that financial exploitation occurred and found an inadequate medication regimen was not maintained.
Abuse—Failed to protect resident from financial exploitation
22 Apr 2016Abuse: Financial abuse
22 Apr 2016Abuse: Financial abuse
Concluded financial abuse substantiation and a safety deficiency for failing to protect residents from theft.
Abuse—Failed to provide safe environment
12 Dec 2015Abuse: Financial abuse
12 Dec 2015Abuse: Financial abuse
Investigated a financial abuse allegation and a safety lapse, and found theft was not prevented.
Abuse—Failed to provide safe environment
09 Dec 2015Abuse: Neglect
09 Dec 2015Abuse: Neglect
Found failure to follow the care plan and provide appropriate care.
Abuse—Failed to follow care plan
01 Oct 2015Abuse: Neglect
01 Oct 2015Abuse: Neglect
Investigated a neglect allegation and found a failure to administer medications as directed.
Abuse—Failed to provide a safe medication administration system
01 Sept 2015Abuse: Financial abuse
01 Sept 2015Abuse: Financial abuse
Concluded a resident's property was not protected and a financial abuse allegation existed.
Abuse—Failed to provide safe environment
01 Sept 2015Inspection
01 Sept 2015Inspection
Investigated and found failure to provide appropriate care.
Licensing—Failed to provide service
11 Aug 2015Inspection
11 Aug 2015Inspection
Identified inadequate staffing to meet 24-hour needs due to insufficient qualified awake caregivers.
Licensing—Failed to provide appropriate staffing
11 Jun 2015Abuse: Neglect
11 Jun 2015Abuse: Neglect
Investigated the neglect allegation and identified a safety deficiency where a resident could be struck by another, risking minor to moderate harm.
Abuse—Failed to provide safe environment
08 Apr 2015Inspection
08 Apr 2015Inspection
Determined that appropriate hygiene care was not provided; the allegation was substantiated.
Licensing—Failed to provide or assist with hygiene
22 Mar 2015Inspection
22 Mar 2015Inspection
Determined that the care plan was not followed, leading to a licensing violation.
Licensing—Failed to follow care plan
12 Mar 2015Inspection
12 Mar 2015Inspection
Investigated and found a deficiency due to failure to provide a safe environment. The finding was substantiated.
Licensing—Failed to provide safe environment
08 Feb 2015Abuse: Neglect
08 Feb 2015Abuse: Neglect
Determined that neglect occurred due to failure to administer medications as ordered.
Abuse—Failed to administer medication as ordered
09 Oct 2014Inspection
09 Oct 2014Inspection
Investigated a failure to intervene when a resident's condition changed; findings showed the care provider failed to assess and intervene.
Licensing—Failed to intervene when resident's condition changed
19 Apr 2014Abuse: Involuntary Seclusion
19 Apr 2014Abuse: Involuntary Seclusion
Investigated the allegation of involuntary seclusion and found a resident locked inside a room.
Abuse—Failed to protect resident from involuntary seclusion
16 Apr 2014Abuse: Neglect
16 Apr 2014Abuse: Neglect
Investigated an allegation of neglect and found deficiencies in assessing and intervening to maintain a safe environment.
Abuse—Failed to provide safe environment
02 Dec 2013Abuse: Neglect
02 Dec 2013Abuse: Neglect
Investigated the allegation of neglect and found a failure to follow the resident's care plan.
Abuse—Failed to follow care plan
22 Mar 2012Inspection
22 Mar 2012Inspection
Investigated a failure to follow a care plan, which was substantiated as a licensing violation.
Licensing—Failed to follow care plan
01 Jan 2012Inspection
01 Jan 2012Inspection
Found failure to provide a secure environment.
Licensing—Failed to provide safe environment
21 Dec 2011Abuse: Neglect
21 Dec 2011Abuse: Neglect
Investigated neglect and found a failure to provide a PRN medication in a timely manner, with potential for moderate harm.
Abuse—Failed to assure timely medical treatment
21 Nov 2011Inspection
21 Nov 2011Inspection
Found failure to administer medications as ordered.
Licensing—Failed to administer medication as ordered
15 Nov 2011Inspection
15 Nov 2011Inspection
Found failure to follow the care plan.
Licensing—Failed to follow care plan
15 Sept 2011Inspection
15 Sept 2011Inspection
Investigated the allegation and found an inadequate care environment.
Licensing—Failed to provide safe environment
07 Jul 2011Inspection
07 Jul 2011Inspection
Found that a secure environment was not provided.
Licensing—Failed to provide service
09 Jun 2011Abuse: Financial abuse
09 Jun 2011Abuse: Financial abuse
Found a failure to protect RV1 from theft. This indicated a safety issue related to financial abuse.
Abuse—Failed to provide safe environment
07 Jun 2011Inspection
07 Jun 2011Inspection
Found that an adequate medication system was not maintained.
Licensing—Failed to provide a safe medication administration system
16 May 2011Inspection
16 May 2011Inspection
Investigated and found a deficiency in providing a secure environment.
Licensing—Failed to provide safe environment
21 Feb 2011Abuse: Financial abuse
21 Feb 2011Abuse: Financial abuse
Determined that a safe environment was not provided, risking loss of a resident's property.
Abuse—Failed to provide safe environment
06 Oct 2010Abuse: Neglect
06 Oct 2010Abuse: Neglect
Determined that a safe environment was not provided, resulting in a resident’s fractured hip.
Abuse—Failed to provide safe environment
10 Sept 2010Abuse: Financial abuse
10 Sept 2010Abuse: Financial abuse
Investigated a financial exploitation allegation and found a resident was not protected from theft. The allegation was substantiated.
Abuse—Failed to protect resident from financial exploitation
15 Aug 2010Inspection
15 Aug 2010Inspection
Investigated an allegation of failing to provide a safe environment and found a resident was not protected from theft. The finding was substantiated.
Licensing—Failed to provide safe environment
17 Jun 2010Inspection
17 Jun 2010Inspection
Found a failure to maintain an adequate medication system. The issue was classified as a licensing violation with potential for moderate harm.
Licensing—Failed to provide a safe medication administration system
10 Jun 2010Abuse: Neglect
10 Jun 2010Abuse: Neglect
Investigated an allegation of neglect and found a failure to maintain a safe physical environment, with a $300 fine assessed.
Abuse—Failed to maintain a safe physical environment
08 Apr 2010Abuse: Neglect
08 Apr 2010Abuse: Neglect
Found that appropriate care was not provided, with potential for minor to moderate harm.
Abuse—Failed to provide service
08 Apr 2010Abuse: Neglect
08 Apr 2010Abuse: Neglect
Investigated the complaint and found a failure to follow the care plan. The issue involved potential for minor to moderate harm.
Abuse—Failed to follow care plan
01 Apr 2010Abuse: Neglect
01 Apr 2010Abuse: Neglect
Found a neglect violation due to failure to oversee and monitor changes in condition.
Abuse—Failed to provide oversight and monitoring of change of condition
06 Feb 2010Abuse: Neglect
06 Feb 2010Abuse: Neglect
Identified a failure to dispense medication as ordered, indicating a deficient medication administration system. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
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