Farmington Square at Gresham

    1655 NE 18th St, Gresham, OR, 97030
    4.1 · 76 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    2.0

    Clean facility, caring staff, unsafe

    I like the clean facility, bright rooms, lovely courtyard, decent meals, therapy and many genuinely caring aides - staff I dealt with were often kind and communicative. But chronic understaffing, missed shifts and long delays for dressing/toileting/bathing (even soiled briefs and a fall left unattended) plus lost belongings and a dismissive management response make me worried about safety and high-dependency memory care. It's expensive with small rooms; visit in person and verify staffing/response practices before choosing.

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    Amenities

    4.05 · 76 reviews

    Overall rating

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

      3.8
    • Staff

      4.0
    • Meals

      3.0
    • Amenities

      3.4
    • Value

      2.3

    Pros

    • many staff described as caring, kind, and compassionate
    • clean, well-kept and frequently praised facility and rooms
    • helpful and honest office staff (several mentions by name: Betty, Diane, Cindy)
    • beautiful courtyard and pleasant outdoor spaces
    • physical therapy offered on-site
    • well-balanced meals and dessert noted by multiple reviewers
    • engaging activities and programs (including IN2L cognitive engagement)
    • smooth move-in and transition assistance in many cases
    • hospice support and 24-hour visitation reported
    • responsive communication from some administrators and wellness coordinators
    • pet-friendly policy
    • laundry and housekeeping services included in some buildings
    • homey, calm, and safe atmosphere described by many families
    • ability to accommodate same-day placement occasionally
    • staff willing to accommodate resident needs (room moves, special requests)
    • clean common areas and absence of strong odors in many reports
    • family updates and informative staff communications in several accounts
    • several reviewers highly recommend the community
    • memory care cottage (Diamond House) reported as compassionate and competent by some families
    • well-maintained building and grounds in many descriptions

    Cons

    • chronic understaffing and frequent caregiver shortages
    • long wait times for medication, bathroom assistance, and dressing
    • reports of caregivers not showing up and gaps in night staffing
    • incidents of residents left unattended (including a fall left for hours)
    • inconsistent or poor management attitude and communication in some cases
    • missing or lost personal belongings and linens
    • incontinence supplies paid for but sometimes not provided
    • bathing/showering inconsistencies and skipped baths for weeks
    • poor or traumatic bathing experiences for some residents
    • medication administration problems reported early after move-in
    • noise and lack of central air (loud window-unit heaters/AC)
    • small room sizes and limited in-room amenities (no kitchen, tight layouts)
    • frequently changing staff schedules creating inconsistency of care
    • food quality widely criticized by some reviewers
    • maintenance requests sometimes slow or unaddressed
    • accessibility issues (parking, entrance clarity, walker-unfriendly lot)
    • miscommunication after death and wrong-person notifications
    • Medicaid/private-pay room downgrades and policy-related placement concerns
    • memory care sometimes described as unsuitable or misapplied
    • some reports of rude or inexperienced staff and medical staff not following orders
    • lack of monitoring for dryness/incontinence leading to soiled briefs
    • requests for more or better activities from some families
    • old building/dated areas and dark/unappealing ambiance reported by some
    • safety/financial concerns (allowing residents to withdraw money)
    • shift-change misalignment and phone/communication problems
    • nonrefundable move-in fees and high cost complaints
    • reported odors in some memory care apartments (urine)
    • occasional discrepancies between promised and delivered care
    • calls for more cameras/security and improved tracking of belongings

    Summary review

    Overall sentiment across the reviews for Farmington Square at Gresham is mixed but centers on a consistent theme: many families and residents praise the compassion and warmth of direct care staff and the cleanliness and hominess of the facility, while operational and staffing problems create serious and recurring concerns about safety, consistency, and the execution of promised care.

    Care quality and staffing: A large number of reviewers explicitly commend caregivers as loving, attentive, and compassionate, and several single out office staff and coordinators by name (Betty, Diane, Cindy) for excellent communication and help during transitions. Physical therapy, hospice support, and dementia-focused care in the Diamond cottage earn positive comments for being knowledgeable and supportive. However, there are numerous, recurring reports of understaffing leading to long waits for assistance with medications, toileting, and dressing. Several reviews describe caregivers failing to show, shortages on weekends and nights, and staffing gaps that led to serious lapses—examples include residents waiting on the floor for hours after a fall, skipped baths for weeks, and supplies or incontinence needs not being met. This contradictory pattern—very caring staff when present but insufficient staffing levels—appears to be the single most significant operational issue noted across reviews.

    Staff, management, and communication: Families describe a wide variance in management and administrative responsiveness. On the positive side, there are many reports of proactive communication, regular family updates, responsiveness from wellness coordinators, and thoughtful office staff who assist with practical matters (Amazon orders, move coordination). Yet other reviews report rude or unresponsive administrators, miscommunication around sensitive events (including notifying the wrong person after a death), and complaints to administrators that reportedly produced no action. Issues such as staffing prioritization to fill rooms, occupancy pressures, policy-driven Medicaid downgrades, and unclear explanations about payment and timelines (private-pay periods, move-in fees) contributed to frustration among some families.

    Facilities and maintenance: Most reviewers describe the facility as clean, well-maintained, and homey, with frequent praise for common spaces, a beautiful courtyard, and spotless rooms. Some parts of the campus are newer or remodeled, while other reviewers note older sections with dated or darker ambiance. Specific maintenance concerns include noisy window-unit HVAC systems (lack of central air in bedrooms), slow responses to maintenance requests, and occasional odors in memory care apartments. Room size is a common practical complaint—many units are small and may not fit two people or sizable furniture, which factors into suitability decisions for some families.

    Dining and activities: Dining receives mixed feedback. Multiple reviewers report well-balanced meals with good portions and desserts, while others strongly criticize the food quality, describing it as unappealing or horrible. Activities programming is often cited as a strength—engaging offerings, cognitive programs like IN2L, and daily activities that keep residents involved—yet a subset of families feels there are too few activities for more active or social residents. Participation varies by resident preference and capability, which influences perceptions of the activities program.

    Safety and resident wellbeing: Several serious safety-related complaints arise repeatedly: missed incontinence care leading to soiled briefs, lack of supervision resulting in falls being unattended for extended periods, failure to provide call buttons or to respond promptly when called, and placement/policy decisions that led to residents being in inappropriate levels of care. Families report instances where promises of monitoring and observation were not consistently kept. These safety-related lapses contrast sharply with many other reviews that praise attentive nursing and competent Alzheimer’s care in specific units.

    Administrative policies and cost concerns: Multiple reviewers raise concerns about cost, nonrefundable move-in fees, Medicaid transition policies that can result in room downgrades, and an impression that occupancy and financial considerations influence placement decisions. Some families reported refunds for supplies that were not provided; others observed a mismatch between the care they paid for and care actually delivered. This creates distrust for some prospective residents and relatives.

    Patterns and takeaways: The reviews collectively paint a picture of a facility that has many strengths—compassionate direct caregivers, clean and pleasant common areas, good therapy services, and strong individual staff members who make meaningful differences. At the same time, systemic issues—primarily understaffing, inconsistent management response, lapses in basic care routines (bathing, incontinence care, timely assistance), and inconsistent dining and maintenance experiences—are recurring and significant. The community appears capable of providing excellent care in many situations, particularly where staffing and management are functioning well, but prospective residents and families should carefully evaluate staffing levels, ask specific questions about night and weekend coverage, verify policies around Medicaid transitions and fees, and consider room size and HVAC options. Visiting during different shifts, speaking directly with nursing leadership and the wellness coordinator, and asking for references from current families (especially in memory care) would help validate whether the positive experiences described by many are consistent and whether the operational concerns have been addressed.

    Location

    Map showing location of Farmington Square at Gresham

    About Farmington Square at Gresham

    Farmington Square at Gresham sits just off N 18th Street in Gresham, Oregon, and belongs to the Radiant Senior Living family of communities, and honestly, when you walk in, the first thing you'll notice are the cozy living rooms, comfortable furnishings, and a homelike feeling throughout, which they say comes from designing every part of the place with residents in mind, so no matter if someone's looking for wider doorways, wheelchair accessible showers, or just an armchair to relax in, they've worked those little details in. The staff stays extra attentive, offering continuous support with a kind of care that's meant to feel both supportive and honest-residents get help with daily routines like bathing, dressing, and taking medicine, but also the freedom to do things for themselves if they can, which is a fine balance to strike, and they do it with care.

    They've got 102 total beds, and out of those, 64 are dedicated to memory care, which matters, because memory loss requires a different sort of environment and Farmington Square was actually the first senior care company in Oregon to create a memory care community, so they know about working with Alzheimer's and dementia, and their Memory Care Community stays secure to prevent wandering, but it's also got walking paths and an enclosed courtyard for safe outdoor time, giving folks the chance to get fresh air. The caregivers get specialized training, and the programming, with names like Transitions™, is aimed at changing care as needs change, always adjusting to how someone's memory care needs might shift, so routines, engagement activities, and social events are worked around what helps most, from brain-stimulating games to group meals in a dining room that offers menus their way.

    The whole place feels small and home-like, which makes it less intimidating for new residents, and there's a strong effort put into making everyone feel connected, so communal spaces, both indoors and outside, are set up for conversations, activities, and friendships to grow-things like the beauty salon on site, visiting chaplains, offsite devotional services, and a healthy living life-enrichment program. Residents' families or caregivers are encouraged to stay involved, which adds to the sense of support, and there's easy-to-understand personal service plans for those needing more help, while independent folks get a hassle-free, social place with housekeeping, meal services, and activities that make each day a little easier and brighter.

    The community stays pet-friendly and transportation, including complimentary rides, lets residents stay connected with the local area, while amenities like beautician services and on-site parking make daily living smoother. Everything's set up so residents can participate in things that keep body, mind, and spirit active through a schedule packed with social, educational, and entertainment options. Staff remains present 24 hours a day, always ready to assist, and private suites are available for those who need a little more personal space and support. At Farmington Square at Gresham, every bit of the environment points to giving each person comfort, care, and community all under one roof, with careful attention paid to the little things that help people feel at home, whether they need independent living, assisted care, or more specialized memory care.

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