Grove Pointe Senior Living

    3110 19th Ave, Forest Grove, OR 97116
    • Assisted Living

    Thorough staff, clean building, recommended

    I'm very pleased with the caring, responsive staff-Esther was thorough-and the excellent, unmatched level of care. The building is clean, apartments are very nice, they give rides and handled COVID disruptions professionally; I'd recommend this community with a minor reservation.

    Current/former resident
    Jul 2026

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    Reviews

    4.18·(11)

    Overall rating

    1. 5
    2. 4
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    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      4.2
    • Amenities

      5.0
    • Value

      4.2

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    Location

    Map showing location of Grove Pointe Senior Living

    Grove Pointe Senior Living is located at 3110 19th Ave, Forest Grove, OR, 97116.

    People often ask...

    Grove Pointe Senior Living offers assisted living.

    There are 12 photos of Grove Pointe Senior Living on Mirador.

    The full address for this community is 3110 19th Ave, Forest Grove, OR 97116.

    No, Grove Pointe Senior Living 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 number5MA146
    StatusActive
    Facility typeResidential Care Facility
    Capacity110 residents
    LicenseeVOP GROVE POINTE, LLC
    EffectiveJanuary 1st, 1980
    View the official license record

    Inspection Reports

    183

    Reports

    0

    Type A Citations

    0

    Type B Citations

    20

    Complaints

    16

    Years

    02 Apr 2026Change of Owner
    Identified multiple deficiencies across move-in evaluations, service plans, change of condition monitoring, medication management, safety, and staff training.
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyStaffing Requirements and Training – Pre-service
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyIndividual Door Locks: Key Access
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    27 Aug 2025Kitchen
    Identified deficiencies in kitchen sanitation and food storage that did not meet required food safety rules.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    18 Jul 2025Inspection
    Determined that a safe medication administration system was not provided, as a medication was not reordered and a potassium dose was missed, leading to hospitalization for low potassium.
    • LicensingFailed to provide a safe medication administration system
    04 Sept 2024Kitchen
    Identified extensive sanitation and food-storage deficiencies in the kitchen. Several areas required deep cleaning and improper labeling/storage was observed.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    12 Jul 2024Abuse: Neglect
    Investigated and found a lapse in timely medical treatment that constituted abuse and neglect, with a $250 fine assessed.
    • AbuseFailed to assure timely medical treatment
    29 Jan 2024Complaint
    Investigated a licensing complaint and identified deficiencies in policy and procedure, records, service plans, medications and treatments systems, medication administration, treatment orders, and staffing.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyFacility Administration: Records
    • DeficiencyService Plan: General
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Treatment Orders
    • DeficiencyStaffing Requirements and Training: Staffing
    18 Dec 2023Abuse: Neglect
    Found a violation for failing to provide a safe medication administration system, which left the Alleged Victim without prescribed medication and led to suicidal ideations and emergency care; a $250 fine was assessed.
    • AbuseFailed to administer medication as ordered
    16 Dec 2023Inspection
    Found failure to keep medications secure between set-up and administration, indicating a deficiency in safe medication practices.
    • LicensingFailed to provide a safe medication administration system
    16 Dec 2023Inspection
    Investigated a failure to implement services in accordance with the applicable rule, indicating potential harm from an unsafe environment.
    • LicensingFailed to provide safe environment
    30 Oct 2023Inspection
    Investigated and determined there was an inadequate number of awake direct care staff to meet residents' 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    30 Oct 2023Inspection
    Investigated an allegation that ABST wasn't used and that time and frequency for 22 required ADLs couldn't be determined.
    • LicensingFailed to use an ABST
    10 Sept 2023Abuse: Neglect
    Investigated a complaint and found a staff member failed to answer a resident's call light in a timely manner, contributing to the resident's death; a $2,500 fine was assessed.
    • AbuseFailed to answer call light in a timely manner
    21 Aug 2023Inspection
    Found that three daily nutritious, palatable meals were not provided seven days a week.
    • LicensingFailed to provide proper food/nutrition
    15 Aug 2023Inspection
    Found insufficient staff to meet residents' scheduled and unscheduled needs, causing delays in responding to call lights.
    • LicensingFailed to provide appropriate staffing
    15 May 2023Inspection
    Investigated and found that a smoking policy was not implemented in accordance with the rule.
    • LicensingFailed to provide safe environment
    20 Apr 2023Inspection
    Identified a violation for failing to submit timely weekly reporting of vaccinated individuals, residents, and staff; a $7,500 fine was assessed.
    • LicensingFailed to submit timely or adequate staffing documentation
    22 Mar 2023Inspection
    Investigated an allegation of failing to submit timely or adequate staffing documentation and found that the requirement was not met. A $7,500 fine was assessed.
    • LicensingFailed to submit timely or adequate staffing documentation
    21 Mar 2023Validation
    Investigated multiple deficiencies across administration, resident services, infection control, fire safety, and building systems; ultimately concluded in substantial compliance after follow-up.
    • DeficiencyComment
    • DeficiencyFacility Administration: Operation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyAnnual and Biennial Inservice For All Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyPlumbing Systems
    07 Mar 2023License Condition
    Found failure to provide three daily, palatable meals as required, resulting in an inadequate food supply.
    • Regulatory ActionFailed to assure adequate food supply
    07 Mar 2023Inspection
    Investigated an allegation of financial exploitation and found that a staff member did not protect a resident from exploitation, resulting in violations of state rules.
    • LicensingFailed to protect resident from financial exploitation
    07 Mar 2023License Condition
    Investigated an allegation that ABST was not used; found failure to implement and update the Acuity Based Staffing Tool as required by the rule.
    • Regulatory ActionFailed to use an ABST
    07 Mar 2023License Condition
    Found that direct care staffing was insufficient to meet residents' scheduled and unscheduled needs, with showers skipped due to lack of personnel.
    • Regulatory ActionFailed to meet the scheduled and unscheduled needs of residents
    07 Mar 2023License Condition
    Investigated an allegation that hygiene services did not follow the care plan, finding a deficiency in providing proper hygiene.
    • Regulatory ActionFailed to follow care plan
    07 Mar 2023Complaint
    Identified deficiencies in several regulatory areas during the investigation. The issues related to administration policy, resident rights, treatment orders, staffing, move-out criteria, and building interior.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyResident Rights and Protection - General
    • DeficiencySystems: Treatment Orders
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyInvoluntary Move-Out Criteria
    • DeficiencyGeneral Building Interior
    17 Feb 2023Abuse: Neglect
    Found neglect and abuse due to failure to provide appropriate services, causing pain to a resident after a fall; a fine was assessed.
    • AbuseFailed to provide service
    17 Feb 2023Inspection
    Investigated and found deficiencies in using the acuity-based staffing tool and matching staffing to resident needs. Inconsistencies between roster, care plans, and ABST data showed staffing levels did not align with ABST indications.
    • LicensingFailed to use an ABST
    17 Feb 2023Inspection
    Identified insufficient qualified awake direct care staff to meet residents' 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    01 Feb 2023Inspection
    Determined that weekly reporting of vaccinated individuals, residents, and staff was not submitted as required for January 1–31, 2023; a $7,500 fine was assessed.
    • LicensingFailed to submit timely or adequate staffing documentation
    17 Jan 2023Complaint
    Investigated a complaint and found deficiencies related to treatment orders and regulatory compliance.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Treatment Orders
    17 Jan 2023Complaint
    Identified deficiencies related to resident services meals/food sanitation and medication/treatment review.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencySystems: Medication and Treatment Review
    17 Jan 2023Complaint
    Investigated a complaint and identified deficiencies in resident services and staffing that could pose moderate harm.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services: Adls
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    17 Jan 2023Complaint
    Identified deficiencies in meals and food sanitation, fire safety, training for residents, and doors, walls, elevators, and odors.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyDoors, Walls, Elevators, Odors
    17 Jan 2023Complaint
    Identified deficiencies related to meals and food sanitation, resident services (ADLs), infection prevention and control, and staffing.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Services: Adls
    • DeficiencyInfection Prevention & Control
    • DeficiencyStaffing Requirements and Training: Staffing
    28 Dec 2022Inspection
    Determined staffing levels were insufficient to meet residents' needs, causing delays in care. Found this to be a violation of applicable Oregon rules.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    28 Dec 2022Inspection
    Investigated and found failure to provide toileting assistance and bowel and bladder management.
    • LicensingFailed to assist with toileting
    28 Dec 2022Inspection
    Investigated and identified deficiencies in using an acuity-based staffing tool and aligning staffing with resident needs.
    • LicensingFailed to use an ABST
    27 Dec 2022Inspection
    Found a deficiency in safe medication administration due to failure to carry out medication orders and provide morning insulin.
    • LicensingFailed to provide a safe medication administration system
    27 Dec 2022Inspection
    Identified a deficiency for not providing three daily nutritious meals with snacks seven days a week, including a holiday meal with rotten meat and discolored cheese.
    • LicensingFailed to provide proper food/nutrition
    18 Dec 2022Inspection
    Investigated the allegation and found that scheduled pain and anti-anxiety medications were not provided as prescribed.
    • LicensingFailed to provide a safe medication administration system
    13 Dec 2022Complaint
    Identified deficiencies related to meals and food sanitation with potential for moderate harm.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    13 Dec 2022Complaint
    Identified deficiencies cited during the investigation.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyBuilding Codes
    13 Dec 2022Complaint
    Identified deficiencies in staffing requirements and the acuity-based staffing tool.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    13 Dec 2022Complaint
    Found deficiencies related to service plan General and the service planning team.
    • DeficiencyDefinitions
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    13 Dec 2022Complaint
    Found deficiencies related to ADLs in resident services and to doors, walls, elevators, and odors during the complaint investigation.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services: Adls
    • DeficiencyDoors, Walls, Elevators, Odors
    13 Dec 2022Complaint
    Identified deficiencies in medications and treatments, meals and sanitation, treatment orders, and building systems affecting doors, walls, odors.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencyDoors, Walls, Elevators, Odors
    13 Dec 2022Complaint
    Identified a deficiency related to doors, walls, elevators, and odors.
    • DeficiencyDefinitions
    • DeficiencyDoors, Walls, Elevators, Odors
    13 Dec 2022Complaint
    Investigated deficiencies identified in meals and food sanitation, service plans, staffing requirements, and acuity-based staffing.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyService Plan: General
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    08 Dec 2022Inspection
    Investigated a complaint that staff were not wearing masks and found masking requirements were not met.
    • LicensingFailed to provide safe environment
    08 Dec 2022Inspection
    Investigated and found insufficient direct care staffing to meet scheduled and unscheduled resident needs, including a two-hour wait for a call light response and inadequate staff to transfer a resident requiring two-person assistance.
    • LicensingFailed to provide appropriate staffing
    08 Dec 2022Inspection
    Found that three daily nutritious meals were not provided seven days a week and food was not prepared or served in compliance with sanitation rules.
    • LicensingFailed to provide proper food/nutrition
    08 Dec 2022Inspection
    Found failure to provide services to assist residents with daily living activities, including mobility, dressing, grooming, and housekeeping.
    • LicensingFailed to provide service
    07 Dec 2022Inspection
    Investigated and substantiated a violation for inadequate meal provision and poor food sanitation.
    • LicensingFailed to provide proper food/nutrition
    07 Dec 2022Inspection
    Identified that residents were not instructed about fire and life safety procedures within 24 hours of admission and were not re-instructed at least annually on general safety, evacuation methods, fire drills, and meeting places.
    • LicensingFailed to provide safe environment
    07 Dec 2022Inspection
    Found failure to conduct and record unannounced fire drills every other month at different times of the day, resulting in no drills for four months.
    • LicensingFailed to provide safe environment
    07 Dec 2022Inspection
    Identified a deficiency due to equipment not being kept in good repair, compromising health and safety because the PA system was not working and residents had to guess the message.
    • LicensingFailed to provide safe environment
    01 Dec 2022Inspection
    Found that interior and exterior surfaces were not kept clean, creating health and safety concerns for residents.
    • LicensingFailed to provide safe environment
    01 Dec 2022Inspection
    Found a deficient safe medication administration system that led to two missed doses of allergy medication.
    • LicensingFailed to provide a safe medication administration system
    01 Dec 2022Inspection
    Determined that a modified therapeutic diet was not provided as required. A resident with dietary restrictions was not served an appropriate alternative to pizza.
    • LicensingFailed to provide a therapeutic diet
    01 Dec 2022Inspection
    Found direct care staffing insufficient to meet scheduled and unscheduled resident needs, leading to potential delayed help for call lights.
    • LicensingFailed to provide appropriate staffing
    01 Dec 2022Inspection
    Investigated a complaint and identified a deficiency in medication administration, including delaying morning doses and improper handling of medications for residents with COVID exposure.
    • LicensingFailed to provide a safe medication administration system
    30 Nov 2022Inspection
    Concluded that a safe environment was not provided, with the shower stall never cleaned and toilets not functioning properly.
    • LicensingFailed to provide safe environment
    30 Nov 2022Inspection
    Identified deficiencies for failing to provide daily living assistance, including bathing, grooming, and bladder management.
    • LicensingFailed to provide service
    28 Oct 2022Inspection
    Found failure to assure resident rights by not properly addressing and resolving a complaint about missing property and lack of follow-up.
    • LicensingFailed to assure resident rights
    28 Oct 2022Inspection
    Concluded that the licensee failed to provide 30-day notice to the resident, the resident's legal representative, and the resident's case manager, and did not submit written notice to the Department for review.
    • LicensingFailed to assure resident rights
    23 Oct 2022Inspection
    Investigated an allegation that the service plan team failed to include the resident's case manager; the finding identified this deficiency.
    • LicensingFailed to properly plan care
    23 Oct 2022Inspection
    Identified a failure to complete quarterly service plans as required. An allegation stated a care conference was repeatedly requested since a prior readmission.
    • LicensingFailed to properly plan care
    12 Oct 2022Inspection
    Identified a deficiency related to pest control and cleanliness. Observed heavily stained carpets and an odor of urine on the second floor.
    • LicensingFailed to control pests
    11 Oct 2022Abuse: Neglect
    Determined that a care plan was not followed, leaving an individual without a shower for a week and causing discomfort and loss of dignity; a $250 fine was assessed.
    • AbuseFailed to follow care plan
    11 Oct 2022Inspection
    Found a failure to maintain a clean environment, including dirty carpets, and a cleaning attempt that spread dirt instead of removing it.
    • LicensingFailed to provide safe environment
    08 Sept 2022Abuse: Neglect
    Investigated a medication administration issue and found prescribed pain medication was not given for about ten hours, causing pain and an ER visit. The finding noted neglect and abuse.
    • AbuseFailed to administer medication as ordered
    29 Aug 2022Complaint
    Found deficiencies related to reasonable precautions and the general service plan.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyReasonable Precautions
    • DeficiencyService Plan: General
    29 Aug 2022Complaint
    Identified deficiencies in staffing requirements and training.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    29 Aug 2022Complaint
    Investigated a complaint and identified deficiencies related to ADLs, staffing, and building conditions.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services: Adls
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyDoors, Walls, Elevators, Odors
    29 Aug 2022Complaint
    Identified failures to provide household services, with unsanitary conditions and inadequate housekeeping observed in resident apartments and common areas.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services: Adls
    29 Aug 2022Complaint
    Identified deficiencies related to staffing requirements and training.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    28 Aug 2022Abuse: Neglect
    Found that interventions and care planning for a resident's fall history were not properly implemented, leading to an unwitnessed fall and injury; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    22 Aug 2022Inspection
    Found that the resident service plan did not reflect identified needs or preferences, failing to support dignity, privacy, choice, individuality, and independence.
    • LicensingFailed to properly plan care
    22 Aug 2022Inspection
    Determined that a safe environment was not provided and reasonable precautions against threats to residents' health, safety, or welfare were not taken.
    • LicensingFailed to provide safe environment
    15 Aug 2022Inspection
    Investigated the complaint and found that essential household services were not provided for a resident, with a room smelling and appearing unclean.
    • LicensingFailed to provide service
    29 Jul 2022Inspection
    Investigated the allegation of inadequate housekeeping and found a deficiency.
    • LicensingFailed to provide appropriate housekeeping services
    29 Jul 2022Inspection
    Investigated an allegation of inadequate housekeeping and found interior odors not controlled.
    • LicensingFailed to provide appropriate housekeeping services
    29 Jul 2022Inspection
    Found insufficient staff to meet scheduled and unscheduled resident needs, with inconsistencies between the staffing schedule and ABST data.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    27 Jul 2022Inspection
    Found insufficient staffing to meet scheduled and unscheduled resident needs, including assistance with bathing and laundry.
    • LicensingFailed to provide appropriate staffing
    23 Jul 2022Abuse: Neglect
    Found neglect and abuse due to failure to implement interventions and care planning addressing fall history, resulting in a subsequent fall and injury.
    • AbuseFailed to properly plan care
    04 May 2022Inspection
    Investigated the allegation that the administrator/designee in charge was not posted; verified posting is required by rule.
    • LicensingFailed to communicate necessary information
    04 May 2022Inspection
    Determined that the allegation of failure to follow the care plan was verified.
    • LicensingFailed to follow care plan
    04 May 2022Inspection
    Investigated the allegation of failure to provide a safe environment and found a deficiency.
    • LicensingFailed to provide safe environment
    04 May 2022Inspection
    Investigated a complaint and found failure to administer medications as ordered.
    • LicensingFailed to administer medication as ordered
    18 Apr 2022Inspection
    Found deficiencies in bathing assistance for residents, including a resident not bathed for 8 weeks.
    • LicensingFailed to provide or assist with hygiene
    18 Apr 2022Inspection
    Investigated the complaint and found that direct care staffing numbers were insufficient to meet residents' scheduled and unscheduled needs, with long waits to respond to call lights and related tasks.
    • LicensingFailed to answer call light in a timely manner
    18 Apr 2022Inspection
    Found deficiencies related to cleanliness and maintenance, with interior materials and surfaces not kept clean and equipment not in good repair.
    • LicensingFailed to provide appropriate housekeeping services
    15 Apr 2022Inspection
    Investigated allegations of financial exploitation where an individual in a care relationship overcharged a resident and did not return the money, and protection against exploitation was insufficient.
    • LicensingFailed to protect resident from financial exploitation
    09 Mar 2022Abuse: Neglect
    Found neglect and abuse due to inadequate care planning for a bed-bound resident, resulting in worsened condition and hospital transfer. A $500 fine was assessed.
    • AbuseFailed to properly plan care
    01 Mar 2022Inspection
    Assessed a $7,500 fine for failing to submit timely weekly vaccination reporting for residents and staff.
    • LicensingFailed to submit timely or adequate staffing documentation
    24 Feb 2022Inspection
    Investigated the complaint and found a deficiency in housekeeping related to cleanliness of interior materials and surfaces.
    • LicensingFailed to provide appropriate housekeeping services
    24 Feb 2022Inspection
    Investigated the allegation that bathing assistance wasn’t provided for over a month and found a deficiency related to bathing assistance.
    • LicensingFailed to provide or assist with hygiene
    07 Feb 2022Inspection
    Investigated and determined that staffing levels were insufficient to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to provide safe environment
    03 Feb 2022Inspection
    Found deficiencies in cleanliness of interior materials and surfaces and in repair of equipment.
    • LicensingFailed to provide safe environment
    04 Dec 2021Inspection
    Found insufficient staff to meet residents' scheduled and unscheduled needs, including bathing.
    • LicensingFailed to provide or assist with hygiene
    29 Nov 2021Inspection
    Found staffing was insufficient to meet residents' needs, with call lights sometimes taking up to 30 minutes to respond.
    • LicensingFailed to answer call light in a timely manner
    19 Oct 2021Abuse: Neglect
    Investigated and found neglect and failure to provide a safe environment that led to a worsening condition. The alleged victim's care needs were not adequately met.
    • AbuseFailed to provide safe environment
    23 Sept 2021Inspection
    Identified failure to provide services according to the resident's service plan. Found to be a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    19 Apr 2021License Condition
    Determined that failures created a risk of immediate jeopardy and required a license condition to protect residents.
    • Regulatory ActionFailed to provide safe environment
    28 Feb 2021Inspection
    Investigated the allegation and found the interior had unpleasant odors.
    • LicensingFailed to provide a homelike environment
    28 Feb 2021Inspection
    Investigated the hygiene-related allegation and found a deficiency related to failing to exercise reasonable precautions that could affect residents' health, safety, or welfare.
    • LicensingFailed to provide or assist with hygiene
    14 Feb 2021Abuse: Neglect
    Identified neglect and abuse due to failure to provide a safe environment and appropriate care, leading to hospital transport.
    • AbuseFailed to provide safe environment
    19 Jan 2021Inspection
    Found that an allegation of failing to follow the care plan was substantiated, and services were not implemented as required.
    • LicensingFailed to follow care plan
    29 Dec 2020Inspection
    Found interior odors were unpleasant. This indicates a deficiency in odor control standards.
    • LicensingFailed to provide a homelike environment
    29 Dec 2020Inspection
    Investigated and found a deficiency for failing to provide a homelike environment and essential household services based on residents' needs and preferences.
    • LicensingFailed to provide a homelike environment
    29 Dec 2020Inspection
    Investigated a complaint and found deficiencies in how resident complaints were handled.
    • LicensingFailed to assure resident rights
    29 Dec 2020Inspection
    Found that resident safety was not assured due to inadequate precautions that could threaten health, safety, or welfare.
    • LicensingFailed to assure resident was safe
    21 Dec 2020Inspection
    Determined a deficiency in providing reasonable precautions to protect residents' health, safety, or welfare.
    • LicensingFailed to assure resident was safe
    11 Dec 2020Inspection
    Found a failure to assure resident safety by not exercising reasonable precautions against conditions that may threaten health, safety, or welfare.
    • LicensingFailed to assure resident was safe
    15 Oct 2020Inspection
    Found that interior and exterior materials, surfaces, and equipment necessary for health and safety were not kept clean and in good repair.
    • LicensingFailed to provide or maintain resident care equipment
    21 Sept 2020Inspection
    Found that the service plan did not reflect residents' needs.
    • LicensingFailed to care plan in accordance with assessment
    19 Sept 2020Inspection
    Identified a staffing deficiency due to insufficient awake, qualified direct care staff to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to assure a qualified caregiver was present
    18 Sept 2020Inspection
    Investigated and found that household services were not provided.
    • LicensingFailed to provide appropriate housekeeping services
    20 Jun 2020Inspection
    Determined that there was a facility failure to ensure adequate professional oversight of the medication and treatment administration system.
    • LicensingFailed to provide a safe medication administration system
    20 Jun 2020Inspection
    Found deficiencies in the preparation, completeness, accuracy and preservation of resident records.
    • LicensingFailed to provide a safe medication administration system
    20 Jun 2020Inspection
    Investigated the allegation related to housekeeping and found the building had unpleasant odors.
    • LicensingFailed to provide appropriate housekeeping services
    20 Jun 2020Inspection
    Investigated an allegation that call lights were not answered promptly and found a deficiency in assisting residents with activities of daily living.
    • LicensingFailed to answer call light in a timely manner
    20 Jun 2020Inspection
    Found insufficient caregiving staff to meet 24 hour needs and unacceptable call light response times.
    • LicensingFailed to answer call light in a timely manner
    20 Jun 2020Inspection
    Investigated a medication administration allegation and found orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    20 Jun 2020Inspection
    Identified a deficiency for failing to post the administrator or designee in charge.
    • LicensingFailed to comply with nursing delegation requirement
    20 Jun 2020Inspection
    Found that the service plan did not reflect the resident's needs and was not updated at move-in, within 30 days, and quarterly, with changes not initialed and dated.
    • LicensingFailed to follow care plan
    20 Jun 2020Inspection
    Investigated an allegation that screenings for self-medication were inadequate and determined that residents' competency to self-administer medicine required evaluation.
    • LicensingFailed to perform adequate screening or assessment
    07 May 2020Inspection
    Found the interior not kept free from unpleasant odors and not clean.
    • LicensingFailed to provide appropriate housekeeping services
    05 May 2020Inspection
    Found a violation for failing to provide a safe environment, where an improper transfer caused a fall and shoulder pain.
    • LicensingFailed to provide safe environment
    22 Aug 2019Inspection
    Investigated the allegation of failure to provide service and found a deficiency.
    • LicensingFailed to provide service
    22 Aug 2019Inspection
    Found a deficiency for failing to provide appropriate activities.
    • LicensingFailed to provide appropriate activities
    21 Mar 2019Inspection
    Investigated and substantiated a failure to provide or assist with hygiene.
    • LicensingFailed to provide or assist with hygiene
    04 Mar 2019Inspection
    Found violations for not maintaining hot water temperature within the required range in resident units.
    • LicensingFailed to provide or maintain resident care equipment
    03 Jan 2019Abuse: Neglect
    Investigated a complaint and found neglect by failing to provide a safe environment, risking serious harm to an individual. A financial penalty was assessed.
    • AbuseFailed to adequately care plan related to falls
    16 Oct 2018Inspection
    Concluded that a safe environment was not provided and substantial compliance was not maintained.
    • LicensingFailed to provide safe environment
    12 Sept 2018Abuse: Neglect
    Investigated a neglect allegation and found it substantiated. Assessed a $1500 fine for inadequate care.
    • AbuseFailed to answer call light in a timely manner
    07 Sept 2018Inspection
    Investigated failure to report suspected abuse and identified a deficiency, with a $1,000 fine assessed.
    • LicensingFailed to report potential or suspected abuse
    23 Aug 2018Abuse: Verbal/Mental abuse
    Investigated a verbal/mental abuse allegation and found a failure to provide a safe environment.
    • AbuseFailed to assure resident was safe
    23 Aug 2018Inspection
    Investigated and found failure to report suspected abuse; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    08 Aug 2018Abuse: Neglect
    Found failure to provide adequate care due to not answering a call light promptly, with a $250 fine assessed.
    • AbuseFailed to answer call light in a timely manner
    08 Aug 2018Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    18 Jul 2018Inspection
    Found neglect of care due to failure to administer medications as ordered, with a $500 fine assessed.
    • LicensingFailed to administer ordered medication
    31 May 2018Inspection
    Identified a violation for failing to provide a safe medication administration system. The issue was cited under a state rule.
    • LicensingFailed to provide a safe medication administration system
    31 May 2018Inspection
    Investigated a complaint about safe medication administration and found inadequate care, resulting in a $500 fine.
    • LicensingFailed to provide a safe medication administration system
    30 May 2018Inspection
    Investigated the allegation of failing to administer medication as ordered and found deficiencies in the medication management system, with a $500 fine assessed.
    • LicensingFailed to administer medication as ordered
    03 May 2018Inspection
    Investigated the allegation of failing to report potential or suspected abuse; found the allegation substantiated and imposed a civil penalty of $1,000.
    • LicensingFailed to report potential or suspected abuse
    03 May 2018Abuse: Neglect
    Investigated an abuse/neglect allegation and found medical treatment ordered was not provided, with findings of inadequate care and a fine assessed.
    • AbuseFailed to provide medical treatment as ordered
    10 Apr 2018Condition
    Investigated a complaint and found evidence supporting the failure to provide a safe environment.
    • Regulatory ActionFailed to provide safe environment
    08 Mar 2018Inspection
    Found a deficiency in safe medication management and assessed a $500 fine. The concern related to failing to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    28 Feb 2018Inspection
    Investigated the allegation of failure to report potential or suspected abuse and substantiated the finding; assessed a $750 civil penalty.
    • LicensingFailed to report potential or suspected abuse
    28 Feb 2018Abuse: Neglect
    Found violations for neglect and unsafe environment, including failing to administer medication as ordered, and assessed a $1,000 fine.
    • AbuseFailed to administer medication as ordered
    27 Oct 2017Abuse: Neglect
    Found a failure to administer medication as ordered and an inadequate medication system for the resident.
    • AbuseFailed to administer medication as ordered
    11 Jul 2017Abuse: Neglect
    Found failure to provide a safe environment. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    12 May 2017Abuse: Neglect
    Determined that the neglect allegation was supported by evidence and that adequate care was not provided, including failure to assist with toileting.
    • AbuseFailed to assist with toileting
    09 May 2017Inspection
    Determined that appropriate housekeeping services were not provided.
    • LicensingFailed to provide appropriate housekeeping services
    20 Mar 2017Inspection
    Determined that the allegation of not administering medication as ordered was supported. Found an inadequate medication administration system.
    • LicensingFailed to administer medication as ordered
    18 Feb 2017Abuse: Financial abuse
    Found a deficiency for failing to protect a resident from theft.
    • AbuseFailed to provide safe environment
    05 Feb 2017Abuse: Neglect
    Investigated and found a deficiency in protecting the RV from theft.
    • AbuseFailed to provide safe environment
    01 Feb 2017Other
    Investigated a neglect allegation and found a failure to provide a safe environment.
    • Regulatory ActionFailed to provide safe environment
    10 Jan 2017Abuse: Financial abuse
    Found residents were not kept safe from theft. An allegation of financial abuse was reviewed.
    • AbuseFailed to provide safe environment
    10 Nov 2016Abuse: Neglect
    Investigated a complaint and found a lack of safe environment resulting in resident-to-resident unwanted sexual touching, with a fine imposed.
    • AbuseFailed to provide safe environment
    10 Nov 2016Abuse: Neglect
    Investigated an allegation that medication was not administered as ordered and identified deficiencies in the medication administration system.
    • AbuseFailed to administer medication as ordered
    26 Jul 2016Inspection
    Identified a deficiency for failing to administer medication as ordered. The deficiency cited failure to carry out medication and treatment orders as prescribed.
    • LicensingFailed to administer medication as ordered
    14 Jul 2016Inspection
    Investigated a complaint about outdoor lighting and found the front parking area was very dimly lit, creating potential hazards.
    • LicensingFailed to provide safe environment
    18 Dec 2015Abuse: Neglect
    Investigated and found failure to provide a safe environment. The finding indicates minor harm or potential for moderate harm.
    • AbuseFailed to provide safe environment
    14 Oct 2015Inspection
    Found insufficient staff to meet resident needs. Staff turnover and shortages on later shifts compromised care for high-acuity residents.
    • LicensingFailed to provide appropriate staffing
    14 Oct 2015Inspection
    Identified deficiencies in staff training and hiring practices that did not meet administrative rules.
    • LicensingFailed to hire according to administrative rules
    12 Oct 2015Abuse: Neglect
    Investigated the allegation and found a safe environment was not provided; a $300 fine was assessed.
    • AbuseFailed to provide safe environment
    02 Oct 2015Abuse: Financial abuse
    Investigated and found a lack of a secure medication system, resulting in missing medications.
    • AbuseFailed to provide safe environment
    08 Jan 2015Inspection
    Identified an inadequate medication system and failure to provide medical treatment as ordered.
    • LicensingFailed to provide medical treatment as ordered
    10 Jun 2014Inspection
    Determined a licensing violation for failing to provide a safe environment and appropriate care.
    • LicensingFailed to provide safe environment
    01 Oct 2013Abuse: Neglect
    Found a deficiency for not maintaining a safe environment.
    • AbuseFailed to provide safe environment
    14 Jun 2013Inspection
    Investigated and found a licensing violation for failing to provide a safe environment by not protecting the RV from theft.
    • LicensingFailed to provide safe environment
    14 May 2013Inspection
    Investigated a claim that the environment wasn't safe. Identified a safety deficiency with potential for minor harm.
    • LicensingFailed to provide safe environment
    05 Sept 2012Inspection
    Investigated the allegation and found that appropriate care was not provided.
    • LicensingFailed to intervene when resident's condition changed
    31 Jul 2012Abuse: Financial abuse
    Investigated and found that there was a failure to protect the RV from theft of medications.
    • AbuseFailed to provide safe environment
    19 Jun 2012Inspection
    Found an inadequate medication administration system.
    • LicensingFailed to administer ordered medication
    02 Feb 2012Inspection
    Identified a deficiency in providing a safe environment.
    • LicensingFailed to provide safe environment
    30 Jan 2012Inspection
    Investigated and concluded that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    30 Sept 2010Abuse: Neglect
    Found deficiencies for failing to provide adequate care. A $300 fine was assessed.
    • AbuseFailed to provide service
    30 Sept 2010Abuse: Neglect
    Identified failures to provide an adequate medication administration system, risking residents' safety.
    • AbuseFailed to provide a safe medication administration system
    28 Sept 2010Abuse: Neglect
    Investigated a complaint and found failures to provide a safe medication administration system resulting in potential harm.
    • AbuseFailed to provide a safe medication administration system
    01 Jul 2010Inspection
    Found failure to follow the plan of care for RV1.
    • LicensingFailed to follow care plan
    01 Jul 2010Abuse: Neglect
    Identified a failure to prevent injury to a resident, with a $300 fine assessed.
    • AbuseFailed to assure resident was safe

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    Mirador Living is not affiliated with the owner or operator(s) of Grove Pointe Senior Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Grove Pointe Senior Living directly. There is no cost for this service. We are compensated by the community you select.

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