Pricing ranges from
    $4,725 – 8,450/month

    The Springs at Greer Gardens

    1282 Goodpasture Island Rd, Eugene, OR 97401
    • Independent Living
    • Assisted Living
    • Memory Care

    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

    • 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 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

    4.03·(33)

    Overall rating

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

      4.0
    • Staff

      3.9
    • Meals

      4.6
    • Amenities

      4.5
    • Value

      3.8

    Pros

    • compassionate and attentive staff
    • multiple levels of care (independent, assisted, memory)
    • high-quality, varied dining with low-sodium options
    • resort-style amenities (pools, spa, theater, multiple dining venues)
    • modern, well-appointed facilities and attractive grounds
    • regular apartment cleaning and maintenance services
    • robust activity program (classes, clubs, fitness, arts)
    • on-site transportation services
    • support for medical appointments and transitions
    • spacious apartment floorplans
    • secure, gated campus with walking trails
    • positive professional endorsements and local reputation
    • large dedicated memory-care unit

    Cons

    • insufficient assisted-living staffing levels
    • high staff turnover and wage-related staffing instability
    • inconsistent staff quality and responsiveness
    • gaps in emergency and family communication protocols
    • building-system reliability issues (HVAC, elevators, alarms)
    • frequent false fire-alarm activations
    • transportation safety and reliability concerns
    • administrative and mail-handling errors
    • limited activity accessibility for hearing- and vision-impaired residents
    • complex cost structure and high monthly fees
    • wayfinding and supervision challenges in a large building footprint

    Summary of reviews

    The Springs at Greer Gardens presents as a well-appointed, resort-style senior community with a broad range of services and amenities across independent living, assisted living, and memory care. Reviewers consistently highlight attractive facilities — including multiple dining venues, a theater, spa and salon, indoor pools, fitness spaces, walking trails, and secure grounds — alongside spacious apartment layouts and routine cleaning/maintenance services. The property’s local reputation and professional endorsements suggest it is viewed by many as a high-quality retirement option, particularly for residents seeking an upscale environment and abundant on-site amenities.

    Care and staff are a central strength and a source of mixed feedback. Many reviewers describe staff as caring, attentive, and willing to go above and beyond; families noted personalized support during transitions and strong bonds between caregivers and residents. At the same time, there are recurring operational concerns: assisted living in particular is described as having insufficient staffing levels, frequent turnover, and uneven staff experience. These dynamics have been associated with delays in responsiveness and inconsistent day-to-day caregiving quality. Prospective families should assess current staffing ratios and turnover trends for the specific care level being considered, since independent living impressions are generally more positive than assisted-living experiences.

    Dining and activities receive strong praise for variety and quality. The food offerings are described as varied and accommodating of dietary needs, with multiple dining venues and regular menu options that include fresh produce and low-sodium choices. Activity programming is robust — painting, swimming, exercise classes, book clubs, and social events are commonly mentioned — and the community encourages resident engagement. Reviewers also suggested expanding musical offerings, increasing volunteer support in the activity department, and improving accessibility and inclusion for residents with hearing or vision impairments to ensure everyone can participate fully.

    Facility operations and management show both strengths and areas for improvement. Positive comments reference helpful administrative staff and instances of exceptional management responsiveness. However, other reviewers flagged maintenance and systems reliability problems (HVAC issues in assisted living, elevator outages, and frequent false fire-alarm activations) and noted gaps in emergency communication to families. Administrative errors such as misdirected mail or room-location confusion were also reported. Transportation service is available and widely used, but concerns about driver behavior and schedule/value were raised and warrant verification during tours.

    Cost and policy considerations are also notable. While some families regard the community as good value given amenities and support services, others find the monthly fees and ancillary policies (for example, tipping expectations) to be expensive or unclear. The campus size and layout can create wayfinding or supervision challenges for certain residents, particularly in higher-acuity care levels.

    Overall, The Springs at Greer Gardens is characterized by extensive amenities, strong dining, and many committed caregivers, making it a compelling choice for residents seeking an upscale, activity-rich environment. Families should weigh those strengths against operational issues identified in assisted living — particularly staffing stability, building-systems reliability, emergency-family communication, transportation safety, and fee transparency — and address these topics directly with leadership during tours and contract discussions.

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    Location

    The Springs at Greer Gardens is located at 1282 Goodpasture Island Rd, Eugene, OR, 97401.

    About The Springs at Greer Gardens

    The Springs at Greer Gardens offers a vibrant senior living community in Eugene, Oregon, designed to enhance the quality of life for residents as they age. The community provides a seamless blend of independent living, assisted living, and memory care, creating an environment where personalized support is always within easy reach. Residents are empowered to focus on what truly matters—cultivating relationships, pursuing passions, and enjoying a lifestyle of comfort—while the staff takes care of everyday chores. The community is built on a philosophy that celebrates life and aims to make aging a dignified and enjoyable experience.

    Dining at The Springs at Greer Gardens is an integral part of the experience, with a philosophy centered around not only offering nutritious and delicious food but also providing opportunities to savor every meal. The menu features fresh, seasonal ingredients, and meals are served in a setting designed to enhance social connection and enjoyment. Residents are invited to gather with friends and family and make every dining occasion memorable.

    Wellness and engagement are woven throughout daily life at The Springs at Greer Gardens. Residents can participate in a diverse selection of events, workshops, and live talks from guest speakers. For those interested in physical activity, there are specialty fitness classes, personal training sessions, and access to a fully equipped on-site gym, as well as a heated indoor pool and hot tub for relaxation and exercise. Fancho's Public House, the community’s on-site pub, serves as a popular gathering spot, while the putting green encourages friendly competition and outdoor activity.

    Creativity and exploration are encouraged through hands-on art projects and interactive events in dedicated community spaces, allowing residents to discover new hobbies and connect with their neighbors. Off-site excursions are regularly scheduled to shopping centers, museums, theaters, and other local attractions, all thoughtfully organized so that residents can return home to the comfort of their well-kept apartments.

    Memory care at The Springs at Greer Gardens is thoughtfully designed for residents living with Alzheimer’s or other forms of dementia. The program offers customized support from a compassionate team that focuses on promoting dignity, well-being, and a sense of belonging for each individual. The goal is to create a familiar, secure environment in which every resident can thrive at their own pace.

    The Springs at Greer Gardens was created with family values at its core, providing not only a welcoming home for residents but also peace of mind for their loved ones. The community stands out for its dedication to enriching the lives of all who move in through meaningful connections, attentive care, and a commitment to helping each person live well every day.

    People often ask...

    The Springs at Greer Gardens offers competitive pricing, with rates starting at a cost of $4,725 per month.

    The Springs at Greer Gardens offers independent living, assisted living, and memory care.

    There are 40 photos of The Springs at Greer Gardens on Mirador.

    Yes, The Springs at Greer Gardens allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 1282 Goodpasture Island Rd, Eugene, OR 97401.

    No, The Springs at Greer Gardens 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 number50R449
    StatusActive
    Facility typeResidential Care Facility
    Capacity32 residents
    LicenseeHsre - Springs Iv Trs, LLC
    EffectiveJuly 25th, 2017
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    128

    Reports

    0

    Type A Citations

    0

    Type B Citations

    6

    Complaints

    8

    Years

    09 Jun 2026License Condition
    Cited violations for failing to provide a safe environment.
    • Regulatory Action—Failed to provide safe environment
    05 Jun 2026Inspection
    Investigated the allegation of financial exploitation and found violations of resident rights and financial abuse.
    • Licensing—Failed to protect resident from financial exploitation
    02 Jun 2026Inspection
    Determined that oversight and monitoring of change of condition were not provided, violating change-of-condition requirements.
    • Licensing—Failed to provide oversight and monitoring of change of condition
    02 Jun 2026Inspection
    Identified a violation due to the Executive Director's failure to provide a safe environment and to oversee overall operation, quality of service, supervision, and conduct.
    • Licensing—Failed to provide safe environment
    02 Jun 2026Inspection
    Found a failure to provide a safe environment and to exercise reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    20 May 2026Inspection
    Concluded that the provider failed to implement and maintain an Acuity-Based Staffing Tool as required by OAR 411-054-0037(1-7).
    • Licensing—Failed to use an ABST
    20 May 2026Inspection
    Found that service plans did not reflect residents' needs or preferences and failed to support dignity, privacy, choice, individuality, and independence.
    • Licensing—Failed to properly plan care
    20 May 2026Abuse: Neglect
    Investigated found abuse by neglect due to an unassessed transfer pole remaining in a resident's room, creating an unsafe environment.
    • Abuse—Failed to provide safe environment
    20 May 2026Inspection
    Investigated an allegation of failing to provide a safe environment and found a deficiency in documenting the use of supportive devices with restraining qualities.
    • Licensing—Failed to provide safe environment
    21 Oct 2025Kitchen
    Identified extensive sanitation and administration compliance deficiencies in the kitchen and memory care areas, including dirty surfaces, improper storage, missing temperature monitoring, and care-related rule noncompliance.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    21 Oct 2025Kitchen
    Identified extensive sanitation and maintenance deficiencies in the kitchen, including debris and unclean surfaces, and several equipment and storage concerns.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    17 Aug 2025Inspection
    Investigated the allegation of failing to provide a safe environment and determined there was a failure to exercise reasonable precautions that may threaten residents’ health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    17 Aug 2025Inspection
    Investigated an allegation of failing to provide a safe environment and identified a failure to implement services in accordance with the applicable rule.
    • Licensing—Failed to provide safe environment
    17 Aug 2025Abuse: Neglect
    Investigated a neglect allegation related to elopement risk; found care planning did not address the resident's elopement history, and the resident left a secure area for about eight hours, creating risk of serious harm.
    • Abuse—Failed to properly plan care
    21 Jun 2025Abuse: Neglect
    Found a failure to follow the care plan to supervise residents in common areas, leading to a resident being struck and experiencing anxiety.
    • Abuse—Failed to follow care plan
    27 May 2025Complaint
    Investigated a complaint regarding the acuity-based staffing tool and related updates plan.
    • Deficiency—Acuity Based Staffing Tool - Abst Time
    • Deficiency—Acuity Based Staffing Tool - Updates & Plan
    08 May 2025Inspection
    Investigated an allegation of neglect and abuse related to a transfer. Found that the care plan was not followed, leading to bruising on the resident's hands and constituting abuse.
    • Licensing—Failed to follow care plan
    05 Apr 2025Abuse: Neglect
    Found that staff did not follow care plans by not keeping two residents with a history of altercations apart, which led to a physical altercation and an abuse/neglect finding. A $375 fine was assessed.
    • Abuse—Failed to follow care plan
    20 Mar 2025Licensure
    Identified multiple deficiencies including failure to report abuse incidents, insufficient night-shift staffing for fire evacuation, misalignment between acuity assessments and posted staffing, inadequate resident fire safety training, and lack of required emergency drills.
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
    • Deficiency—Fire and Life Safety: Training for Residents
    • Deficiency—Emergency and Disaster Planning
    13 Mar 2025Licensure
    Identified violations for failing to promptly report abuse, insufficient night staffing, lack of resident fire safety instruction, and gaps in staff training and administration compliance.
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Fire and Life Safety: Training for Residents
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    26 Feb 2025Inspection
    Investigated the allegation that records were not provided; found records were not made available to the Department.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Investigated and found that an acuity-based staffing tool was not fully implemented or kept up to date as required.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Investigated the allegation that records were not provided upon request and found that records were not made available to the Department.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Found a violation for failing to provide records to the Department upon request. The allegation that resident rights were not assured was substantiated.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Identified that records were not made available to the Department upon request.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Investigated and determined that records were not made available to the Department upon request.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Investigated an allegation about resident rights and found a deficiency in implementing and updating an acuity-based staffing tool as required by rule.
    • Licensing—Failed to assure resident rights
    19 Feb 2025Inspection
    Investigated an allegation that resident rights were not assured and found records were not made available upon request.
    • Licensing—Failed to assure resident rights
    07 Nov 2024Abuse: Neglect
    Found failures to implement fall-prevention interventions and to promptly aid a resident after a fall, resulting in injuries requiring hospital evaluation.
    • Abuse—Failed to properly plan care
    30 Oct 2024Abuse: Neglect
    Investigated found a failure to implement interventions to prevent resident-to-resident altercations, including an incident where a resident placed a hand over another's mouth to stop whistling, with a prior altercation noted.
    • Abuse—Failed to provide safe environment
    30 Oct 2024Abuse: Neglect
    Found that the provider failed to prevent resident-to-resident altercations, resulting in abuse and neglect with minor harm; a fine was assessed.
    • Abuse—Failed to provide safe environment
    09 Oct 2024Kitchen
    Identified multiple kitchen sanitation deficiencies and missing/expired food handler certificates for staff.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Staffing Requirements and Training ? Pre-service
    09 Oct 2024Kitchen
    Found multiple deficiencies in kitchen sanitation, equipment maintenance, and staff food-handling training.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Staffing Requirements and Training ? Pre-service
    • Deficiency—Administration Compliance
    04 Sept 2024Abuse: Neglect
    Found inadequate care planning for a resident with known behaviors, resulting in a resident-to-resident incident and constituting abuse and neglect.
    • Abuse—Failed to properly plan care
    21 Aug 2024Abuse: Neglect
    Found inconsistent staff training on safe resident transfers, resulting in bruises and pain for a resident.
    • Abuse—Failed to provide inservice
    17 May 2024Inspection
    Investigated an allegation of failing to provide a safe environment and found that an acuity-based staffing tool was not fully implemented or updated per OAR 411-054-0037.
    • Licensing—Failed to provide safe environment
    26 Feb 2024Abuse: Neglect
    Found failures to properly care plan interventions for known aggressive behavior, leading to resident-to-resident altercations.
    • Abuse—Failed to properly plan care
    13 Feb 2024Complaint
    Found deficiencies in medication administration, treatment orders, restraints assessment, and staffing tool updates, with examples including unobserved meds, missed doses, wrong medications, incomplete assessments, and outdated staffing data.
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Restraints and Supportive Devices
    • Deficiency—Acuity-Based Staffing Tool
    28 Jan 2024Inspection
    Determined that a licensing violation occurred due to failure to provide a safe environment and failure to carry out medication and treatment orders as prescribed.
    • Licensing—Failed to provide safe environment
    12 Jan 2024Inspection
    Investigated an allegation and determined a licensing violation occurred due to failure to fully implement and update an acuity-based staffing tool. The finding identified insufficient staffing tool implementation and updates.
    • Licensing—Failed to use an ABST
    06 Sept 2023Complaint
    Investigated and found that an acuity-based staffing tool was not fully implemented or updated, hindering accurate resident care planning and staffing.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Acuity-Based Staffing Tool
    06 Aug 2023Inspection
    Found violations of resident rights due to verbal abuse and failure to provide a safe environment.
    • Licensing—Failed to protect resident from verbal abuse
    25 Jul 2023Licensure
    Found significant kitchen sanitation and food handling deficiencies; a follow-up visit concluded substantial compliance.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections and Investigation: Insp Interval
    25 Jul 2023Licensure
    Investigated kitchen sanitation and food-safety deficiencies, including dirty equipment, uncovered foods, improper glove use, and temperature-control lapses across main and memory care areas.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—Administration Compliance
    21 Jul 2023License Condition
    Found failure to use an ABST as required.
    • Regulatory Action—Failed to use an ABST
    21 Jul 2023License Condition
    Found lack of a formal in-service training program and missing competency documentation for direct care staff.
    • Regulatory Action—Failed to provide inservice
    21 Jul 2023License Condition
    Found insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs, with long response times and residents left soiled overnight.
    • Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
    21 Jul 2023License Condition
    Found that required inservice training was not provided for direct care staff. The finding noted that new staff may have used lifts without proper training.
    • Regulatory Action—Failed to provide inservice
    07 Jul 2023Abuse: Neglect
    Found that a bed-rail was installed without a PCP order, leading to entanglement and injuries and constituting abuse and neglect.
    • Abuse—Failed to perform adequate screening or assessment
    07 Jul 2023Inspection
    Investigated and found a deficiency in care planning due to failure to conduct a thorough assessment.
    • Licensing—Failed to properly plan care
    12 Jun 2023Inspection
    Concluded that a licensing violation occurred due to failure to carry out medication orders as prescribed.
    • Licensing—Failed to provide a safe medication administration system
    01 May 2023Inspection
    Found a failure to submit timely weekly vaccination-related staffing reports, resulting in a $7,500 fine.
    • Licensing—Failed to submit timely or adequate staffing documentation
    14 Apr 2023Complaint
    Investigated complaint identified multiple deficiencies in abuse reporting, service planning, tracking controlled substances, and staffing practices.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Service Plan: General
    • Deficiency—Systems: Tracking Control Substances
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—Staffing Rqmt and Training: Training Rqmts
    • Deficiency—Training Within 30 Days: Direct Care Staff
    23 Mar 2023Inspection
    Investigated an abuse reporting failure and concluded a licensing violation occurred.
    • Licensing—Failed to provide safe environment
    23 Mar 2023Inspection
    Concluded that direct care staffing was insufficient to meet residents' scheduled and unscheduled needs, resulting in a licensing violation.
    • Licensing—Failed to provide appropriate staffing
    23 Mar 2023Inspection
    Investigated an allegation of unsafe medication administration and found a licensing violation for lacking a system to track controlled substances and to dispose of unused, outdated, or discontinued medications.
    • Licensing—Failed to provide a safe medication administration system
    10 Mar 2023Inspection
    Concluded that a staff member restrained a resident during care, violating the care plan and resident rights.
    • Licensing—Failed to protect resident from physical abuse
    14 Feb 2023Inspection
    Investigated an allegation of verbal abuse and found violations for failing to protect a resident from verbal abuse and for not providing a safe environment.
    • Licensing—Failed to protect resident from verbal abuse
    23 Jan 2023Inspection
    Determined a licensing violation occurred because staff did not visually observe the resident taking medication.
    • Licensing—Failed to provide safe environment
    01 Nov 2022Inspection
    Found a licensing violation substantiated for failure to submit timely staffing documentation and for failing to report weekly vaccination data; a $7,500 fine was assessed.
    • Licensing—Failed to submit timely or adequate staffing documentation
    14 Oct 2022Abuse: Neglect
    Found that timely medical treatment for skin care needs was not provided, leading to an open wound that became infected and caused pain. This was identified as neglect and abuse.
    • Abuse—Failed to assure timely medical treatment
    11 Oct 2022Complaint
    Found staffing shortages and lack of an acuity-based staffing tool.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity-Based Staffing Tool
    01 Oct 2022Inspection
    Found a violation for failing to submit timely staffing documentation and to report weekly vaccination data for residents and staff; a $7,500 fine was assessed.
    • Licensing—Failed to submit timely or adequate staffing documentation
    01 Sept 2022Inspection
    Found failure to submit timely or adequate staffing documentation and weekly vaccination reporting to the proper authority for 30 days. A $7,500 fine was assessed.
    • Licensing—Failed to submit timely or adequate staffing documentation
    23 Aug 2022Complaint
    Identified deficiencies in housekeeping, oral care documentation, and bowel monitoring within the medication process.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Resident Services: Adls
    • Deficiency—Systems: Medications and Treatments
    17 Aug 2022Licensure
    Determined substantial compliance with meal service and sanitation requirements. No deficiencies were cited.
    • Deficiency—Comment
    17 Aug 2022Licensure
    Confirmed substantial compliance with meal services and food sanitation rules. Found no deficiencies.
    • Deficiency—Comment
    16 Aug 2022Inspection
    Determined there was a deficiency because assistance with oral care was not provided.
    • Licensing—Failed to provide or assist with hygiene
    16 Aug 2022Inspection
    Found inadequate professional oversight of the medication and treatment administration system.
    • Licensing—Failed to provide a safe medication administration system
    16 Aug 2022Inspection
    Determined that general housekeeping services were not provided, violating state administrative rules.
    • Licensing—Failed to provide service
    11 Aug 2022Abuse: Neglect
    Found that a resident's incontinence brief was not changed for over 8 hours, causing redness and discomfort; this violated resident rights and constituted neglect and abuse.
    • Abuse—Failed to properly plan care
    12 Jul 2022Abuse: Neglect
    Investigated a complaint and found neglect of care and abuse for failing to follow the care plan. A $250 fine was assessed.
    • Abuse—Failed to follow care plan
    09 Jul 2022Abuse: Neglect
    Found that staff failed to provide a safe environment, constituting abuse and neglect.
    • Abuse—Failed to provide safe environment
    01 Jul 2022Inspection
    Found failure to submit weekly vaccination reporting to the proper authority for 30 days.
    • Licensing—Failed to submit timely or adequate staffing documentation
    01 Jul 2022Inspection
    Found failure to submit timely weekly vaccination reporting for vaccinated individuals, residents, and staff. The noncompliance occurred from June 1 to June 30, 2022.
    • Licensing—Failed to submit timely or adequate staffing documentation
    25 Jun 2022Abuse: Neglect
    Found failure to provide a safe medication administration system, placing a resident at serious risk of harm and constituting neglect and abuse. A $250 fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    21 May 2022Abuse: Neglect
    Identified failure to implement interventions and care planning for a resident with known behaviors, which led to an injury.
    • Abuse—Failed to provide safe environment
    13 May 2022Abuse: Neglect
    Found violations of resident rights and neglect of care for leaving a resident in a soiled brief for over 24 hours and not changing briefs during a shift, with a fine assessed.
    • Abuse—Failed to assist with toileting
    13 May 2022Abuse: Neglect
    Investigated a complaint and cited neglect of care and abuse for leaving a resident in a soiled brief for over 24 hours; a $500 fine was assessed.
    • Abuse—Failed to assist with toileting
    02 May 2022Inspection
    Found failure to submit weekly vaccination reporting for residents and staff to the proper authority for 30 days.
    • Licensing—Failed to submit timely or adequate staffing documentation
    02 May 2022Inspection
    Determined that there was a failure to submit timely or adequate weekly reporting of vaccinated individuals, residents and staff for a 30-day period.
    • Licensing—Failed to submit timely or adequate staffing documentation
    01 Mar 2022Abuse: Neglect
    Found neglect and abuse due to failure to plan care, resulting in multiple falls with injury.
    • Abuse—Failed to properly plan care
    15 Feb 2022Abuse: Neglect
    Identified failures to plan and implement interventions for a resident's fall risk, resulting in multiple falls and injuries; a fine was assessed.
    • Abuse—Failed to properly plan care
    10 Jan 2022Abuse: Neglect
    Investigated the complaint and found a failure to follow the safety-check care plan, which contributed to an unwitnessed fall and the resident's death.
    • Abuse—Failed to follow care plan
    10 Jan 2022Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to follow a resident's care plan, leaving them in a recliner all night and urine-soaked, risking serious harm. A $500 fine was assessed.
    • Abuse—Failed to follow care plan
    06 Dec 2021Inspection
    Found a deficiency for failing to provide a safe environment by not exercising reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    14 Sept 2021Validation
    Found deficiencies across infection control, service planning, monitoring of changes in condition, medication administration, and safety systems during a re-licensure review.
    • Deficiency—Comment
    • Deficiency—Reasonable Precautions
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Service Plan: General
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Rn Delegation and Teaching
    • Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Psychotropic Medication
    • Deficiency—Restraints and Supportive Devices
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—General Building Exterior
    • Deficiency—Doors, Walls, Elevators, Odors
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Compliance With Rules Health Care
    13 Sept 2021Validation
    Identified multiple deficiencies in oversight of care, resident rights, health services, and medication systems, with safety and quality concerns noted during relicensure/revisit activities.
    • Deficiency—Comment
    • Deficiency—Facility Administration: Operation
    • Deficiency—Reasonable Precautions
    • Deficiency—Resident Rights and Protection - General
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Move-In and Eval: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Rn Delegation and Teaching
    • Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
    • Deficiency—Systems: Medications and Treatments
    • Deficiency—Systems: Tracking Control Substances
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Self-Administration of Meds
    • Deficiency—Systems: Psychotropic Medication
    • Deficiency—Restraints and Supportive Devices
    • Deficiency—Training Within 30 Days: Direct Care Staff
    • Deficiency—Annual and Biennial Inservice For All Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—General Building Exterior
    • Deficiency—Heating and Ventilation
    05 Apr 2021Abuse: Neglect
    Found that inadequate monitoring led to a physical altercation and constitutes abuse and neglect.
    • Abuse—Failed to assure resident was safe
    08 Mar 2021Abuse: Neglect
    Found that improper supervision led to a physical altercation and violation of a resident's rights. A $375 fine was assessed.
    • Abuse—Failed to provide safe environment
    06 Feb 2021Abuse: Neglect
    Found neglect and abuse due to failing to keep a resident in line of sight per the care plan, which led to a physical altercation and unreasonable discomfort. A $375 fine was assessed.
    • Abuse—Failed to follow care plan
    21 Jan 2021Inspection
    Found failure to follow the service plan.
    • Licensing—Failed to follow care plan
    28 Dec 2020Abuse: Neglect
    Found violations of resident rights due to failure to monitor a resident's known behaviors, leading to a physical altercation and discomfort.
    • Abuse—Failed to provide safe environment
    21 Dec 2020Abuse: Neglect
    Identified neglect and abuse due to insufficient monitoring of a resident with known agitation, resulting in a physical altercation and discomfort.
    • Abuse—Failed to provide safe environment
    20 Dec 2020Abuse: Neglect
    Concluded that inadequate monitoring of a resident led to a physical altercation and unreasonable discomfort; findings indicate abuse and neglect.
    • Abuse—Failed to provide safe environment
    08 Dec 2020Abuse: Neglect
    Investigated and found inadequate supervision that led to a physical altercation and resident discomfort, constituting neglect and abuse.
    • Abuse—Failed to provide safe environment
    03 Dec 2020Abuse: Neglect
    Found safety deficiencies that led to a physical altercation and resident discomfort.
    • Abuse—Failed to provide safe environment
    03 Dec 2020Abuse: Neglect
    Investigated an allegation of neglect and abuse and found that a safe environment wasn't provided and residents weren't appropriately monitored, leading to a physical altercation and unreasonable discomfort.
    • Abuse—Failed to provide safe environment
    21 Nov 2020Abuse: Neglect
    Investigated a complaint and found that staff failed to monitor a resident with known agitation, leading to a physical altercation and unreasonable discomfort, indicating abuse and neglect.
    • Abuse—Failed to provide safe environment
    11 Nov 2020Abuse: Neglect
    Investigated a complaint and identified a failure to provide a safe environment that led to a physical altercation and resident discomfort.
    • Abuse—Failed to provide safe environment
    02 Oct 2020Abuse: Neglect
    Found neglect and abuse due to failure to provide a safe environment, resulting in a physical altercation and unreasonable discomfort.
    • Abuse—Failed to provide safe environment
    28 Sept 2020Abuse: Neglect
    Identified neglect and abuse due to failure to monitor an aggressive resident, leading to a physical altercation and unreasonable discomfort.
    • Abuse—Failed to provide safe environment
    25 Sept 2020Abuse: Neglect
    Found violations for failing to provide a safe environment, resulting in neglect and abuse. A $375 fine was assessed.
    • Abuse—Failed to provide safe environment
    24 Sept 2020Abuse: Neglect
    Investigated an allegation of failing to provide a safe environment and found neglect related to wandering, resulting in an altercation and discomfort for the resident.
    • Abuse—Failed to provide safe environment
    15 Sept 2020Inspection
    Investigated a financial exploitation allegation and found a resident was exploited and protection against exploitation failed.
    • Licensing—Failed to protect resident from financial exploitation
    28 May 2020Abuse: Neglect
    Determined that neglect and abuse occurred due to failure to plan care and address a resident's refusals to receive care, resulting in discomfort and loss of dignity from clothing and incontinence; a fine was assessed.
    • Abuse—Failed to properly plan care
    07 May 2020Abuse: Neglect
    Investigated the complaint and found that a resident's care plan was not followed, leading to an altercation and unreasonable discomfort, constituting abuse and neglect.
    • Abuse—Failed to follow care plan
    01 Apr 2020Abuse: Neglect
    Found neglect and abuse due to failure to properly plan care, which led to multiple falls with injuries; a $1,500 fine was assessed.
    • Abuse—Failed to properly plan care
    09 Feb 2020Abuse: Neglect
    Found neglect and abuse due to failure to properly plan care, leading to an unwitnessed fall with injury.
    • Abuse—Failed to properly plan care
    16 Dec 2019Abuse: Neglect
    Found that failure to provide a safe environment and adequate supervision allowed an altercation, constituting neglect and abuse; a $188 fine was assessed.
    • Abuse—Failed to provide safe environment
    14 Oct 2019Abuse: Neglect
    Investigated a complaint and found violations for neglect and abuse related to failing to follow a care plan and monitor known behaviors, which led to an altercation and injuries.
    • Abuse—Failed to provide safe environment
    12 Oct 2019Abuse: Neglect
    Investigated found that care planning and incontinence care failed to address a resident's hip injury and devices, leading to hip dislocations and skin problems; a $500 fine was assessed.
    • Abuse—Failed to properly plan care
    29 Sept 2019Abuse: Neglect
    Investigated deficiencies in medication administration and oversight, including failure to administer an ordered anticoagulant and failure to ensure hypertension medication was available, resulting in neglect and abuse.
    • Abuse—Failed to administer medication as ordered
    20 Sept 2019Abuse: Neglect
    Determined that a staff member misadministered medication, causing a temporary suspension of an anticoagulant and risk of harm. Found inadequate oversight of the medication system.
    • Abuse—Failed to administer medication as ordered
    13 Sept 2019Abuse: Neglect
    Found neglect of care and abuse due to unsafe medication administration, including switching orders and not suspending an anticoagulant order, which led to pain and postponed surgery; a fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    11 Sept 2019Abuse: Neglect
    Found failures to monitor aggressive behaviors and provide adequate supervision, leading to neglect and abuse. A $188 fine was assessed.
    • Abuse—Failed to provide safe environment
    10 Sept 2019Abuse: Neglect
    Found inadequate supervision and insufficient care-plan instructions for residents with aggressive behavior, leading to an altercation and fear, constituting abuse and neglect.
    • Abuse—Failed to provide safe environment
    29 Jul 2019Abuse: Neglect
    Investigated a neglect/abuse allegation and found that failure to implement interventions and an appropriate care plan led to a resident's fall and hospital transport, with a fine assessed.
    • Abuse—Failed to provide service
    28 Jun 2019Abuse: Neglect
    Found neglect and abuse due to failure to provide appropriate services during transfers, resulting in a resident fall and hospital transport. The finding indicated a violation of resident rights.
    • Abuse—Failed to provide service
    21 May 2019Inspection
    Found that a resident's personal information was not kept private.
    • Licensing—Failed to assure resident rights
    21 May 2019Inspection
    Found deficiencies in medication administration oversight and record-keeping, including incomplete MARs and untimely medication orders.
    • Licensing—Failed to keep medication record current or accurate
    01 May 2019Abuse: Neglect
    Found neglect for failing to administer medications as ordered, resulting in physical and emotional harm and loss of dignity.
    • Abuse—Failed to provide a safe medication administration system
    01 May 2019Inspection
    Found a licensing violation for failing to report suspected abuse.
    • Licensing—Failed to report potential or suspected abuse
    17 Apr 2019Abuse: Neglect
    Identified neglect due to inadequate supervision that caused actual harm, and a $375 fine was assessed.
    • Abuse—Failed to provide safe environment
    05 Aug 2018Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to provide a safe environment. A $375 fine was assessed.
    • Abuse—Failed to provide safe environment
    05 Jun 2018Abuse: Neglect
    Investigated a complaint and found neglect by failing to follow the care plan and provide basic care, causing unreasonable discomfort.
    • Abuse—Failed to follow care plan
    05 Jun 2018Inspection
    Identified failure to report suspected abuse. A $750 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    18 May 2018Inspection
    Found a failure to update a care plan that led to a resident-to-resident altercation.
    • Licensing—Failed to properly plan care

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