Pricing ranges from
    $6,415 – 8,339/month

    Adara Oaks

    931 NE Linden Ave, Gresham, OR 97030
    • 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
    • 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
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    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

    3.68·(22)

    Overall rating

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

      3.6
    • Staff

      4.1
    • Meals

      2.0
    • Amenities

      3.7
    • Value

      1.0

    Pros

    • Compassionate caregiving staff
    • Supportive staff teamwork
    • Individual caregivers recognized for strong support
    • Engaging, resident-focused activities program
    • Cook/culinary staff who prepare meals with evident care
    • Respectful treatment of residents
    • Safe, welcoming atmosphere
    • Improved leadership under new ownership
    • Management actively working on facility improvements
    • Positive workplace culture

    Cons

    • Inconsistent medication-management practices
    • Gaps in clinical oversight and nursing responsiveness
    • Inadequate family communication and care coordination
    • Inconsistent food-service quality
    • Sanitation concerns in dining and service areas
    • Operational instability during ownership transition
    • Staffing and interpersonal communication challenges
    • Inconsistent billing and meal-delivery policies

    Summary of reviews

    Overall impression: The reviews describe a facility in transition, with a mix of clear strengths in staffing and programming alongside operational weaknesses that have affected clinical consistency and dining service. Many comments praise individual caregivers and the activities program, while several describe significant concerns about medication administration, communication, and food-service reliability. The tone across comments is mixed — some families and staff express optimism about recent improvements under new ownership, while others remain cautious because of earlier operational problems.

    Care quality and clinical oversight: There are repeated concerns about medication-management processes, including late or missed doses and lapses in how medications are administered and tracked. These point to gaps in clinical oversight and nursing responsiveness that prospective families should probe. At the same time, reviewers also note new nursing hires and management efforts to address clinical issues, suggesting an ongoing effort to strengthen care standards. Overall, care quality appears variable, with notable strengths in individual caregiver engagement but enduring process-level risks around medication and clinical coordination.

    Staff and workplace culture: Many comments describe compassionate, helpful, and supportive staff members. Specific caregivers and support staff are named as providing strong, individualized attention. Staff morale and a sense of teamwork are cited as positives, and some reviewers call it an "amazing place to work." However, there are also indications of interpersonal communication challenges among staff and occasional workplace drama that have operational impact. Leadership turnover and staffing changes tied to ownership transition have contributed to this mixed picture.

    Dining and housekeeping: Feedback on dining is mixed. Several reviewers praise a cook who prepares meals with apparent care and residents who enjoy home-style dishes; others cite inconsistent food quality and sanitation concerns in dining service, including greasy plates and general dissatisfaction with some meals. Billing practices tied to meal delivery (for example, charges for meals delivered to rooms) were also questioned. These issues suggest variability in food-service execution and quality-control processes.

    Activities and environment: The activities program is consistently described as a strength. Reviewers note engaging, resident-focused programming and residents enjoying social opportunities. The facility atmosphere is often called welcoming and safe when staff are present and engaged. Facilities-related safety concerns were raised in connection with clinical lapses, indicating that environmental and procedural safety should be confirmed during a tour.

    Management and notable patterns: A recurring theme is change and improvement under new ownership and leadership: several comments point to proactive management efforts, new nurses, and positive cultural changes. At the same time, operational instability related to the ownership transition — staffing turnover, inconsistent processes, and uneven communication with families — remains a concern. The overall pattern is one of a facility attempting to correct earlier operational failures while retaining strengths in staffing and programming. Prospective residents and families should assess current medication policies, observe mealtime service, meet nursing leadership, and inquire about communication protocols and billing practices to determine whether recent improvements have fully addressed prior gaps.

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    Location

    Adara Oaks is located at 931 NE Linden Ave, Gresham, OR, 97030.

    About Adara Oaks

    Adara Oaks Manor is a residential care facility situated in the heart of Gresham, Oregon. The manor is dedicated to providing exquisite and personalized care to individuals with behavioral, psychological, medical, or physical needs. With a commitment to upholding the values of dignity and independence, the care home approaches each resident as an individual, shaping programs to suit their unique preferences and requirements. Residents at Adara Oaks Manor are supported in maintaining their autonomy, encouraged to make their own decisions, and welcomed into a vibrant community where every member is treated like family.

    Upon considering residency at Adara Oaks Manor, each prospective resident undergoes a comprehensive pre-placement assessment. This careful evaluation is conducted by the full-time, on-site Registered Nurses, ensuring that each care plan is developed thoughtfully and individually tailored prior to admission. The facility offers both short and long-term stays, fostering a home-like environment that is complemented by an assisted living touch. Full-time Activity Coordinators craft engaging programs to help residents remain active and connected, while Behavior Support Coordinators and Residential Care Coordinators work to address specific needs and challenges in a compassionate manner.

    Adara Oaks Manor features a team of dedicated professionals, including Registered Nurses, Licensed Practical Nurses, Activity Coordinators, Caregivers, and Medication Aides. Together, this multidisciplinary team provides 24-hour care, working to ensure that all clinical and caregiving decisions are made in close alignment with the residents’ physical and behavioral health requirements. The manor also offers special balanced diets and comprehensive medication management, recognizing the importance of holistic well-being.

    Holiday celebrations and daily activities are thoughtfully planned to help residents savor every day as part of a lively community. At Adara Oaks Manor, the emphasis is always on compassionate care provided with dignity and respect. Every effort is geared towards supporting residents to overcome personal limitations, enjoy fulfilling lives, and sustain the highest possible level of independence. The focus on patient-centered care ensures that everyone is embraced as a valued member of the community, respected for their individuality, and empowered to thrive in a caring environment.

    People often ask...

    Adara Oaks offers competitive pricing, with rates starting at a cost of $6,415 per month.

    Adara Oaks offers assisted living and memory care.

    There are 2 photos of Adara Oaks on Mirador.

    The full address for this community is 931 NE Linden Ave, Gresham, OR 97030.

    No, Adara Oaks 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 number50R378
    StatusActive
    Facility typeResidential Care Facility
    Capacity60 residents
    LicenseeTP Adara Oaks Operations, LLC
    EffectiveJune 30th, 2011
    View the official license record

    Inspection Reports

    106

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    15

    Years

    05 Jul 2025Inspection
    Found staffing was not appropriate as indicated by the posted staffing plan.
    • Licensing—Failed to provide appropriate staffing
    18 Jun 2025Licensure
    Identified multiple deficiencies across move-in evaluations, service planning, medication orders, staffing, and building environment. Deficiencies were observed during on-site visits and record reviews.
    • Deficiency—Resident Move-in & Evaluation: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Acuity Based Staffing Tool - ABST Time
    • Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
    • Deficiency—General Building Exterior
    • Deficiency—Doors, Walls, Elevators, Odors
    • Deficiency—Resident Move-in & Evaluation: Res Evaluation
    10 Jun 2025License Condition
    Investigated an allegation of an unsafe environment. Found that safety standards were not met.
    • Regulatory Action—Failed to provide safe environment
    07 Jun 2025Inspection
    Investigated and found deficiencies in updating the Acuity-Based Staffing Tool to reflect residents' care needs, with inconsistencies between roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    07 Jun 2025Abuse: Neglect
    Investigated a case where a resident with a history of unsafe smoking caused a fire near oxygen and sustained burns; care planning did not address the risk.
    • Abuse—Failed to properly plan care
    09 Dec 2024Complaint
    Investigated and found that an Acuity Based Staffing Tool was not fully implemented or updated, with nine residents not updated in the last quarter.
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Acuity Based Staffing Tool - Updates & Plan
    08 Oct 2024Inspection
    Identified a deficiency where the Acuity-Based Staffing Tool was not updated to reflect resident needs, causing inconsistencies between the roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    12 Sept 2024Inspection
    Investigated and found that the Acuity-Based Staffing Tool was not updated to reflect residents' care needs, with inconsistencies between the roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    17 Jan 2024Abuse: Neglect
    Found neglect and abuse due to failure to follow the care plan, with a fine assessed.
    • Abuse—Failed to follow care plan
    31 Aug 2023Licensure
    Substantial compliance was determined after the follow-up visit. Initial observations documented deficiencies in kitchen sanitation, including dust buildup on surfaces and uncleanable shelving.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    21 Jul 2023Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment outside the site, resulting in an injury and a fine.
    • Abuse—Failed to provide safe environment
    13 Jan 2023Inspection
    Identified a deficiency in the Acuity-Based Staffing Tool (ABST) that did not accurately reflect resident needs, with inconsistencies between roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    10 Dec 2022Abuse: Neglect
    Investigated and found violations related to monitoring and resident safety after an altercation outside the front door.
    • Abuse—Failed to provide safe environment
    23 Nov 2022Abuse: Neglect
    Found that the care plan was not followed, leading to a resident-to-resident altercation and a head injury from a metal water bottle; a $375 fine was assessed.
    • Abuse—Failed to follow care plan
    03 Oct 2022Abuse: Neglect
    Identified neglect and abuse due to failure to follow the care plan, causing a resident unreasonable discomfort; a $450 fine was assessed.
    • Abuse—Failed to follow care plan
    23 May 2022Validation
    Verified compliance following the change of ownership survey.
    • Deficiency—Comment
    25 Apr 2022Inspection
    Investigated an allegation of resident rights violation and found that services did not protect privacy and dignity.
    • Licensing—Failed to assure resident rights
    17 Apr 2022Inspection
    Found that a staff member verbally abused a resident and the organization failed to protect the resident from verbal abuse.
    • Licensing—Failed to protect resident from verbal abuse
    09 Apr 2022Abuse: Neglect
    Found violations for failing to provide a safe environment and protect residents, with a fine assessed.
    • Abuse—Failed to provide safe environment
    26 Sept 2021Inspection
    Investigated an allegation of unsafe environment and found that a staff member failed to follow a behavior plan, causing discomfort and abuse; safety violations were identified.
    • Licensing—Failed to provide safe environment
    17 May 2021Inspection
    Substantiated the allegation that daily staffing documentation was not properly posted and maintained in an accessible area.
    • Licensing—Failed to properly post and maintain daily staffing documentation
    17 May 2021Inspection
    Investigated the allegation of failure to provide infection control and found a licensing violation involving potential harm to residents.
    • Licensing—Failed to provide infection control
    09 Apr 2021Inspection
    Found that a staff member sent sexually explicit messages to a resident and planned to visit in the resident's room, violating resident rights and constituting neglect and sexual abuse.
    • Licensing—Failed to protect resident from inappropriate sexual contact
    02 Aug 2020Inspection
    Investigated the allegation of financial exploitation and found a violation for failing to protect the resident's property from theft.
    • Licensing—Failed to protect resident from financial exploitation
    09 Apr 2020Inspection
    Investigated an allegation of an unsafe environment and found neglect of care and abuse due to a staff member not applying a smoking apron during smoking, and care plans not being followed.
    • Licensing—Failed to provide safe environment
    05 Apr 2020Inspection
    Found that a staff member failed to follow the care plan for a two-person transfer, resulting in a resident fall and bruise. The actions were considered neglect and abuse.
    • Licensing—Failed to provide safe environment
    18 Oct 2019Abuse: Neglect
    Found failure to provide a safe environment due to inadequate supervision and staff support for known aggressive interactions, with repeated incidents and interventions not keeping residents safe.
    • Abuse—Failed to provide safe environment
    28 May 2019Abuse: Neglect
    Investigated an abuse allegation and found neglect that harmed a resident's dignity and emotional well-being.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    20 May 2019Abuse: Neglect
    Determined neglect occurred due to failing to follow medical orders, causing unreasonable discomfort; a $1,500 fine was assessed.
    • Abuse—Failed to administer medication as ordered
    20 May 2019Inspection
    Investigated and found failure to report suspected abuse. A $1,000 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    09 May 2019Inspection
    Investigated the allegation of failing to provide service and found inadequate staffing.
    • Licensing—Failed to provide service
    30 Apr 2019Abuse: Neglect
    Found neglect and abuse due to failure to assess and intervene when a resident's condition changed, delaying medical care after a breathing incident and risking harm.
    • Abuse—Failed to provide oversight and monitoring of change of condition
    25 Mar 2019Abuse: Physical Abuse
    Found neglect of a resident resulting in emotional and physical harm.
    • Abuse—Failed to protect resident from rough treatment
    13 Nov 2018Abuse: Neglect
    Found neglect due to failure to provide basic care and services to maintain health and safety, risking serious harm; a $375 fine assessed.
    • Abuse—Failed to follow care plan
    09 Nov 2018Abuse: Neglect
    Investigated the allegation of abuse/neglect and found failure to maintain substantial compliance.
    • Abuse—Failed to provide safe environment
    17 Aug 2018Condition
    Found a licensing violation for failing to carry out medication orders as prescribed, posing moderate harm or potential for serious harm.
    • Regulatory Action—Failed to provide safe environment
    15 Aug 2018Inspection
    Found a violation for failing to report suspected abuse. Assessed a $1000 fine.
    • Licensing—Failed to report potential or suspected abuse
    15 Aug 2018Abuse: Neglect
    Investigated a neglect allegation; failed to administer ordered medication, resulting in increased pain, and a $1350 fine was assessed.
    • Abuse—Failed to administer ordered medication
    10 Aug 2018Abuse: Neglect
    Determined neglect occurred due to failure to provide prescribed medication, resulting in missed doses and hospitalization.
    • Abuse—Failed to administer medication as ordered
    10 Aug 2018Inspection
    Investigated a report of suspected abuse and found failure to report; a $1,000 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    18 Jul 2018Inspection
    Investigated a complaint and found deficiencies in keeping the building interior clean and in good repair.
    • Licensing—Failed to provide safe environment
    18 Jul 2018Inspection
    Investigated the allegation of failing to provide a safe environment and identified a deficiency related to record-keeping accuracy and preventing falsification.
    • Licensing—Failed to provide safe environment
    18 Jul 2018Inspection
    Identified deficiencies in medication administration oversight that could affect resident safety.
    • Licensing—Failed to provide safe environment
    03 Jul 2018Abuse: Financial abuse
    Investigated a complaint alleging financial abuse and found a failure to protect medication from theft, with a $375 fine assessed.
    • Abuse—Failed to provide a safe medication administration system
    08 Jun 2018Inspection
    Investigated found that staff failed to help schedule an offsite dental appointment for a resident and ignored the resident and family's request.
    • Licensing—Failed to provide service
    04 Jun 2018Inspection
    Investigated a complaint about hot water lasting only five minutes and found a deficiency in hot water compliance.
    • Licensing—Failed to provide or maintain resident care equipment
    02 May 2018Inspection
    Investigated the allegation of failing to report potential or suspected abuse; concluded the allegation was sustained and a $1,000 civil penalty was assessed.
    • Licensing—Failed to report potential or suspected abuse
    02 May 2018Abuse: Neglect
    Found a substantiated medication-related violation and an inadequate medication system; a $500 fine was assessed.
    • Abuse—Failed to administer ordered medication
    25 Apr 2018Abuse: Financial abuse
    Investigated a complaint and found a failure to prevent theft of medication.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    23 Feb 2018Inspection
    Determined that a medication administration violation occurred. A $375 fine was assessed.
    • Licensing—Failed to administer medication as ordered
    10 Feb 2018Inspection
    Investigated the allegation and found that appropriate care was not provided to the reported victim.
    • Licensing—Failed to follow care plan
    10 Feb 2018Inspection
    Found that residents were not adequately protected from theft.
    • Licensing—Failed to provide safe environment
    02 Feb 2018Inspection
    Investigated the allegation of a failure to provide a safe environment and found substantial noncompliance.
    • Licensing—Failed to provide safe environment
    12 Jan 2018Inspection
    Found a deficiency for failing to promptly investigate and report suspected abuse to APS and rule out abuse or neglect as required.
    • Licensing—Failed to investigate injury of unknown origin to rule out abuse
    10 Jan 2018Inspection
    Investigated the allegation of failing to report potential or suspected abuse; found a failure to report and a $1,000 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    10 Jan 2018Abuse: Neglect
    Investigated a neglect allegation and found failure to assess and intervene for a reported victim; a $500 fine was assessed.
    • Abuse—Failed to intervene when resident's condition changed
    04 Jan 2018Inspection
    Investigated and concluded that a safe environment was not provided and the provider failed to assess and intervene.
    • Licensing—Failed to provide safe environment
    02 Jan 2018Abuse: Neglect
    Investigated the neglect allegation and found failure to follow the care plan, resulting in deficiencies and a $500 fine.
    • Abuse—Failed to follow care plan
    02 Jan 2018Inspection
    Cited failure to self-report potential or suspected abuse; a $750 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    27 Dec 2017Abuse: Neglect
    Investigated an allegation of neglect related to medication safety and found an inadequate medication system. Violations were identified.
    • Abuse—Failed to provide a safe medication administration system
    13 Dec 2017Inspection
    Found a deficiency for failing to assess and intervene, which compromised safety.
    • Licensing—Failed to provide safe environment
    07 Dec 2017Inspection
    Investigated and found failure to provide appropriate care, including inadequate hygiene assistance.
    • Licensing—Failed to provide or assist with hygiene
    30 Nov 2017Inspection
    Found a deficiency for failing to provide appropriate hygiene care.
    • Licensing—Failed to provide or assist with hygiene
    16 Nov 2017Abuse: Neglect
    Found neglect for failing to provide prescribed medical treatment to the reported victim, with potential for moderate harm.
    • Abuse—Failed to provide medical treatment as ordered
    17 Oct 2017Inspection
    Found a failure to administer medication as ordered and an inadequate medication system.
    • Licensing—Failed to administer medication as ordered
    13 Oct 2017Abuse: Neglect
    Investigated a complaint about peri care; found failure to provide appropriate care.
    • Abuse—Failed to provide peri care
    11 Oct 2017Abuse: Neglect
    Investigated the allegation that care was not followed and found the provider failed to provide appropriate care.
    • Abuse—Failed to follow care plan
    08 Oct 2017Abuse: Physical Abuse
    Investigated and found a failure to assess and intervene when a resident's condition changed.
    • Abuse—Failed to intervene when resident's condition changed
    21 Sept 2017Abuse: Financial abuse
    Found that a resident was not protected from financial exploitation, resulting in theft. The finding identifies a deficiency in safeguarding residents from financial harm.
    • Abuse—Failed to protect resident from financial exploitation
    15 Sept 2017Condition
    Concluded that the provider failed to provide a safe environment. Violations were cited for multiple regulatory requirements.
    • Regulatory Action—Failed to provide safe environment
    01 Sept 2017Inspection
    Identified insufficient staffing to meet residents' scheduled and unscheduled needs.
    • Licensing—Failed to provide appropriate staffing
    23 Aug 2017Inspection
    Investigated a complaint and found that medical treatment ordered was not provided.
    • Licensing—Failed to provide medical treatment as ordered
    15 Aug 2017Inspection
    Found that staff background checks were not completed as required.
    • Licensing—Failed to hire according to administrative rules
    01 Aug 2017Abuse: Neglect
    Determined that hygiene-related neglect occurred and appropriate care was not provided.
    • Abuse—Failed to provide or assist with hygiene
    19 Jul 2017Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to provide medical treatment as ordered, with potential for harm.
    • Abuse—Failed to provide medical treatment as ordered
    07 Jun 2017Inspection
    Found a deficiency in shower assistance and hygiene; the finding was substantiated.
    • Licensing—Failed to provide or assist with hygiene
    12 May 2017Inspection
    Investigated a complaint and found a violation of fire and life safety practices.
    • Licensing—Failed to provide safe environment
    01 May 2017Inspection
    Determined that a safe medication administration system was not maintained.
    • Licensing—Failed to provide a safe medication administration system
    20 Apr 2016Inspection
    Determined that a medication administration deficiency occurred because orders were not carried out and medications were recorded as unavailable when available.
    • Licensing—Failed to have medication available
    20 Apr 2016Inspection
    Found failure to maintain an accurate Medication Administration Record as required.
    • Licensing—Failed to keep resident record current or accurate
    14 Apr 2016Inspection
    Identified a failure to provide a safe medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    28 Oct 2015Abuse: Neglect
    Investigated an allegation of neglect related to medication safety, found a deficient medication system, and assessed a $400 fine.
    • Abuse—Failed to provide a safe medication administration system
    23 Apr 2015Inspection
    Found that medications were not administered as ordered, with potential for minor harm.
    • Licensing—Failed to administer ordered medication
    16 Apr 2015Inspection
    Found a deficiency in medication administration related to failing to administer medications as ordered.
    • Licensing—Failed to provide a safe medication administration system
    06 Apr 2015Abuse: Neglect
    Determined that inadequate administrative oversight resulted in deficient care and services for residents.
    • Abuse—Failed to provide safe environment
    31 Mar 2015Inspection
    Identified deficiencies in medication administration safety and that medications were not administered as ordered.
    • Licensing—Failed to provide a safe medication administration system
    24 Mar 2015Inspection
    Investigated an allegation of unsafe medication administration and found deficiencies in care for reported victims 1, 2, and 3.
    • Licensing—Failed to provide a safe medication administration system
    07 Feb 2015Inspection
    Found a deficiency in medication administration safety due to failing to administer medications as ordered.
    • Licensing—Failed to provide a safe medication administration system
    28 Sept 2014Inspection
    Investigated the allegation that ordered medication was not administered. Found a failure to maintain a safe medication system.
    • Licensing—Failed to administer ordered medication
    26 Sept 2014Abuse: Neglect
    Investigated an allegation of unsafe environment and identified violations related to the failure to provide a safe environment.
    • Abuse—Failed to provide safe environment
    25 Jun 2014Inspection
    Investigated an allegation about addressing resident behavior and found a deficiency in providing a safe environment.
    • Licensing—Failed to address resident's behavior
    10 Apr 2014Inspection
    Investigated the allegation and found a failure to administer the medication as ordered.
    • Licensing—Failed to provide a safe medication administration system
    09 Oct 2013Inspection
    Found deficiencies in the medication system that could pose harm.
    • Licensing—Failed to provide a safe medication administration system
    20 Nov 2012Inspection
    Found deficiencies in care related to transferring a resident.
    • Licensing—Failed to assist with transfer
    18 Nov 2012Inspection
    Investigated an allegation that a resident's medication complaint was not documented or investigated; found a failure to document and investigate the complaint.
    • Licensing—Failed to report potential or suspected abuse
    31 Oct 2012Abuse: Physical Abuse
    Investigated the allegation and found a failure to protect a resident from being hit by another person.
    • Abuse—Failed to provide safe environment
    02 Oct 2012Inspection
    Investigated the allegation of failing to provide a safe medication administration system and found the system was not maintained.
    • Licensing—Failed to provide a safe medication administration system
    07 Sept 2012Abuse: Neglect
    Found a failure to oversee and monitor change of condition, with a substantiated neglect finding and a condition issued.
    • Abuse—Failed to provide oversight and monitoring of change of condition
    30 Aug 2012Inspection
    Found a deficient medication administration system. Classified as a licensing violation.
    • Licensing—Failed to provide a safe medication administration system
    16 Jul 2012Abuse: Neglect
    Investigated and found a failure to follow the care plan, indicating neglect with potential for moderate harm.
    • Abuse—Failed to follow care plan
    08 Jul 2012Inspection
    Found failure to provide a safe environment for residents.
    • Licensing—Failed to provide safe environment
    01 Apr 2012Inspection
    Investigated and found that an internal investigation was not conducted and reporting to APS about a resident's property loss did not occur.
    • Licensing—Failed to provide safe environment
    01 Apr 2012Inspection
    Investigated the allegation of failing to provide service and found that appropriate care was not provided.
    • Licensing—Failed to provide service
    20 Mar 2012Inspection
    Found a safety deficiency related to failure to provide or maintain resident care equipment, resulting in an unsafe environment.
    • Licensing—Failed to provide or maintain resident care equipment
    28 Sept 2011Inspection
    Investigated a food-safety allegation and found failure to prepare and serve food according to the Oregon Food Sanitation Rules.
    • Licensing—Failed to assure food safety
    28 Sept 2011Inspection
    Investigated the allegation of failing to provide service and substantiated a deficiency in care.
    • Licensing—Failed to provide service

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