This community has permanently closed

    Monterey Court Memory Care

    8915 SE Monterey Ave, Happy Valley, OR 97086
    • Assisted Living
    • Memory Care

    Warm attentive staff, excellent memory-care

    I placed my mom here and I'm very pleased - Director Amy and the entire staff are warm, professional, and attentive, residents clearly enjoy the active, homey atmosphere. The community is bright, clean, and safe with lots of activities (gardening, outings, daily events), meals made from scratch, and strong caregiver support - a very good choice for memory-care families.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.98·(48)

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      3.8
    • Amenities

      3.8
    • Value

      2.8

    Pros

    • friendly, attentive front-desk and caregiving staff
    • compassionate and patient caregiver interactions
    • knowledgeable and informative directors
    • engaging, structured activity program
    • gardening and outdoor courtyard amenities
    • home-cooked meals prepared daily
    • clean, remodeled and bright rooms
    • memory-care specialization
    • secure, locked community layout
    • small, boutique-sized environment
    • private and semi-private room options
    • library/book room and salon availability
    • regular outings and field trips
    • responsive family communication and updates
    • good housekeeping and laundry services
    • proactive care coordination and navigation support
    • visible staff-to-resident attention during staffed periods

    Cons

    • inconsistent staffing levels
    • management turnover and administrative instability
    • cleanliness and sanitation inconsistencies
    • incontinence-care and hygiene-response delays
    • variable meal quality and limited therapeutic-diet options
    • inconsistent billing and fee transparency
    • gaps in resident supervision during some shifts
    • restrictive visitation policies
    • small resident rooms with limited living space
    • language and communication barriers
    • location distance for some families
    • regulatory compliance and licensing concerns

    Summary of reviews

    The reviews present a mixed but detailed picture of Monterey Court Memory Care. Many families and visitors emphasize the facility's strengths as a small, memory-care–focused community with a strong emphasis on activities, outdoor gardening, and a secure, locked campus. Multiple comments highlight friendly, patient and compassionate caregivers, informed directors, home-cooked meals, and amenities such as a library, salon, and planned outings. Several reviewers noted recent remodeling and bright, clean rooms, and the boutique size is frequently described as contributing to a home-like atmosphere and close staff–resident interaction.

    Care quality and staffing are central themes with divergent experiences. A substantial number of reviewers describe attentive, knowledgeable staff who provide proactive assistance, clear family communication, and respectful resident interactions. At the same time, a recurring operational concern is inconsistent staffing levels and gaps in supervision during some shifts; this appears to affect responsiveness to resident needs at times. There are also isolated accounts that indicate delays in addressing incontinence care and bedding changes. Prospective families should weigh the positive caregiver reports against these operational variability signals and ask about current staffing ratios and peak-shift coverage.

    Dining and activities are generally positive but uneven. Home-style, scratch-made meals are praised by many, and the activity schedule (daily events board, crafts, gardening, field trips) is frequently cited as engaging and appropriate for memory-care residents. However, reviewers also describe variability in food quality and note limited therapeutic-diet options in certain cases; questions about diabetic or specialized meal plans and menu consistency are prudent during a tour.

    Facilities and accommodations reflect the facility's boutique approach: secure courtyards, outdoor planting beds, and small, remodeled rooms. The small-room footprint and some shared bathroom configurations (Jack-and-Jill) suit many single occupants but may be too limited for families wanting more living-space flexibility or room for additional furniture and televisions. Cleanliness receives positive mention from many reviewers, though there are also comments flagging sanitation and housekeeping inconsistencies; confirm current housekeeping schedules and sanitation protocols when evaluating the site.

    Management and administrative patterns are mixed and require attention. There are repeated observations of executive turnover and some instances of administrative instability, along with concerns around billing transparency, unexpected fees, and a few contract or compensation disputes. Additionally, there are references that raise regulatory compliance and licensing concerns; these are serious enough to merit verification through state licensing records and asking management directly about any recent citations or corrective actions. Language barriers and variable communication quality are also noted, so ask how the facility accommodates non-English-speaking families and how it documents and communicates care changes.

    Overall, Monterey Court Memory Care appears to offer a warm, activity-rich memory-care environment with many families experiencing compassionate caregiving and good communication. However, the facility also exhibits operational variability—particularly around staffing consistency, certain aspects of sanitation and incontinence response, meal therapeutic options, and administrative transparency. Recommended next steps for prospective families are an in-person tour focused on current staffing ratios, sample menus and diet accommodations, housekeeping and incontinence-care protocols, a review of the fee schedule and contract terms, and a review of state licensing and inspection history to confirm regulatory standing.

    Reviews written on Mirador

    We have no reviews to show about Monterey Court Memory Care.

    Help other families by writing a review about your experience with this community.

    Location

    Map showing location of Monterey Court Memory Care

    Monterey Court Memory Care is located at 8915 SE Monterey Ave, Happy Valley, OR, 97086.

    About Monterey Court Memory Care

    Monterey Court Memory Care stands as a premier community dedicated to serving individuals navigating the challenges of dementia and Alzheimer’s disease. Located in Happy Valley, Oregon, the community extends its services to families throughout the surrounding areas such as Coos Bay, Astoria, Clackamas, Damascus, Barton, Boring, Gladstone, and Oregon City. Monterey Court takes pride in creating a sophisticated and comforting environment, making residents feel at home from the moment they walk through the doors. The interiors are stylish and thoughtfully designed, featuring inviting living rooms adorned with comfortable couches and chairs, beautiful rugs, and a large television for residents to enjoy. Bedrooms offer tranquil retreats complete with cozy beds and comfortable sitting areas, while common areas include spaces such as a patio with tables and chairs, and serene spots like a bench in the driveway where residents can relax and connect with nature.

    The services provided at Monterey Court Memory Care are centered on meeting the physical, emotional, and spiritual needs of every resident. Round-the-clock personalized care ensures safety and well-being at all times. The dining experience is elevated by chef-prepared, gourmet meals served daily, making every meal an opportunity for enjoyment and connection. Residents engage in a wide array of enriching activities and social programs designed to spark joy and foster a vibrant community atmosphere. Wellness classes encourage both physical activity and mental engagement, supporting a holistic approach to health for those living with memory loss.

    A distinctive feature of Monterey Court is the Spark™ program, a thoughtfully crafted initiative aimed at empowering each resident to live with intention and purpose. Spark™ places emphasis on supporting residents’ unique ideas, promoting both independence and choice. Staff are dedicated to fostering the innate spark within every individual, encouraging new ideas and helping to bring them to life, thereby creating a true sense of community that reflects the personalities and preferences of its members. This resident-centered philosophy ensures that every aspect of life at Monterey Court is built around the choices and well-being of those who call it home.

    Monterey Court Memory Care has been recognized with multiple awards, reflecting its commitment to excellence. Achievements include the Family Assets Excellence Award for Oregon as well as the Pinnacle Customer Experience Award in both 2022 and 2024, alongside acknowledgment as a Great Place To Work in February 2024. These accolades underscore the community’s dedication to delivering compassionate and high-quality care in a warm and welcoming setting. Residents and their families can find reassurance in Monterey Court’s longstanding reputation for providing a nurturing and vibrant environment where every individual is supported in living a life of joyful purpose.

    About Frontier Senior Living

    Monterey Court Memory Care is managed by Frontier Senior Living.

    Frontier Management is a leading senior living provider in the United States, operating over 120 communities across 19 states. Headquartered in Durham, Oregon, Frontier offers a range of senior living options, including independent living, assisted living, and memory care. Founded in 2000, Frontier has grown significantly and has been recognized for its excellence in senior care, earning multiple prestigious industry awards.

    One of Frontier's hallmark programs is the Spark program, rooted in Montessori-style practices, which promotes purpose and engagement among residents. Initially designed for memory care, this program has been expanded to other types of care within Frontier's communities. The Spark program empowers residents to have an active role in their community, enhancing their daily lives through meaningful activities.

    Frontier is also known for its dedication to resident health and well-being. Their communities offer comprehensive services tailored to individual needs, including customized healthcare plans through the Frontier Advantage Network, which aims to extend residents' stay by keeping them healthier for longer periods.

    The company has undergone significant changes and growth in recent years, including a rebranding effort to refresh its image and enhance its services. Frontier's communities are spread across various states including Arizona, California, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Mississippi, Missouri, Montana, Nebraska, Nevada, Oregon, Tennessee, Texas, Utah, Washington, and Wisconsin.

    Frontier Management's commitment to quality care, innovative programs, and extensive service options makes it a prominent name in senior living, continually striving to meet the evolving needs of its residents.

    People often ask...

    Monterey Court Memory Care offers competitive pricing, with rates starting at a cost of $6,118 per month.

    Monterey Court Memory Care offers assisted living and memory care.

    There are 40 photos of Monterey Court Memory Care on Mirador.

    The full address for this community is 8915 SE Monterey Ave, Happy Valley, OR 97086.

    No, Monterey Court Memory Care 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 number50A214
    StatusClosed-owner
    Facility typeResidential Care Facility
    LicenseeWell Frontier Tenant LLC
    EffectiveAugust 13th, 1999
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    181

    Reports

    0

    Type A Citations

    0

    Type B Citations

    2

    Complaints

    15

    Years

    06 Mar 2025Inspection
    Found that resident service plans were not reflective of resident needs or updated within the first 30 days, violating OAR 411-054-0036(2).
    • LicensingFailed to properly plan care
    28 Jan 2025License Condition
    Found a deficiency in maintaining functional exit door alarms. The finding noted failure to have exit door alarms in accordance with applicable requirements.
    • Regulatory ActionFailed to maintain functional door alarm or call system
    28 Jan 2025License Condition
    Investigated the ABST-related allegation and identified deficiencies related to acuity-based staffing and ABST use. Found issues with staffing as indicated by ABST and with developing and maintaining an acuity-based staffing tool.
    • Regulatory ActionFailed to use an ABST
    11 Jan 2025Abuse: Neglect
    Found a failure to provide a safe environment that resulted in neglect and abuse.
    • AbuseFailed to provide safe environment
    05 Jan 2025Abuse: Neglect
    Investigation determined neglect and abuse due to failure to update the care plan addressing footwear, contributing to falls and resulting in a broken pelvis.
    • AbuseFailed to properly plan care
    04 Jan 2025Abuse: Neglect
    Investigated and found neglect in care planning for seizure activity, resulting in a resident fall with injuries. A $1500 fine was assessed.
    • AbuseFailed to properly plan care
    31 Dec 2024Abuse: Neglect
    Investigated findings showed a failure to provide a safe environment resulting in an unwitnessed fall with serious injury; a $1500 fine was assessed.
    • AbuseFailed to provide safe environment
    30 May 2024Abuse: Neglect
    Identified a safety violation due to inadequate supervision and staff support regarding known behaviors, resulting in an incident where a resident was scratched and hit.
    • AbuseFailed to provide safe environment
    15 May 2024Inspection
    Found that accounting records for residents' personal incidental funds were not maintained, violating Oregon Administrative Rules.
    • LicensingFailed to protect resident from financial exploitation
    14 May 2024Inspection
    Investigated and found deficiencies in resident records and interim service plan accuracy, including a wrong last name and failure to update after notification.
    • LicensingFailed to provide safe environment
    06 May 2024Complaint
    Found deficiencies in resident records accuracy, medication administration, and handling of personal incidental funds.
    • DeficiencyFacility Administration: Records
    • DeficiencySystems: Treatment Orders
    • DeficiencyMedicaid Personal Incidental Funds
    25 Apr 2024Abuse: Neglect
    Found a staff failure to provide a safe environment that allowed abuse and neglect of a resident.
    • AbuseFailed to provide safe environment
    16 Mar 2024Abuse: Neglect
    Found neglect and abuse due to failure to properly plan for aggressive behaviors, placing a resident at risk.
    • AbuseFailed to properly plan care
    04 Mar 2024Inspection
    Investigated a resident abuse allegation and found a staff member pushed a resident onto a bed, causing a head bump and violating resident rights.
    • LicensingFailed to protect resident from physical abuse
    14 Dec 2023Licensure
    Determined the operation was in substantial compliance with applicable meal service and food sanitation rules.
    • DeficiencyComment
    15 Nov 2023Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe medication administration system, resulting in a resident missing medications for several days and at risk of serious harm; found neglect and abuse.
    • AbuseFailed to provide a safe medication administration system
    28 Oct 2023Inspection
    Found that medication orders were not carried out as prescribed, indicating a licensing violation with potential for harm.
    • LicensingFailed to administer medication as ordered
    14 Oct 2023Abuse: Neglect
    Investigated the allegation of improper fall care planning and found that falls were not adequately addressed in the care plan, resulting in neglect and abuse.
    • AbuseFailed to properly plan care
    06 Oct 2023Abuse: Neglect
    Investigated a safety concern and found a failure to provide a safe environment resulting in an injury and an abuse/neglect finding, with a $500 fine assessed.
    • AbuseFailed to provide safe environment
    18 Sept 2023Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment. This resulted in neglect and abuse findings with a fine assessed.
    • AbuseFailed to provide safe environment
    14 Sept 2023Abuse: Neglect
    Found failure to administer prescribed blood pressure medication as ordered, risking harm to a resident. This conduct was identified as neglect and abuse.
    • AbuseFailed to provide a safe medication administration system
    18 Aug 2023Abuse: Neglect
    Found that staff did not follow the care plan for night checks, leading to an unwitnessed fall and fracture.
    • AbuseFailed to follow care plan
    06 Aug 2023Abuse: Neglect
    Investigated a nail care neglect and abuse allegation. Found failure to provide nail hygiene care led to a scratch.
    • AbuseFailed to provide or assist with hygiene
    02 Aug 2023License Condition
    Investigated and found a deficiency in providing a safe environment.
    • Regulatory ActionFailed to provide safe environment
    24 Jul 2023Abuse: Neglect
    Investigated the allegation and found a failure to properly plan care, constituting neglect and abuse; assessed a $375 fine.
    • AbuseFailed to properly plan care
    17 Jul 2023Validation
    Identified widespread deficiencies across administration, resident care, health services, infection control, and safety during a re-licensure review, including numerous repeated failures to meet licensing requirements.
    • DeficiencyComment
    • DeficiencyFacility Administration: Required Postings
    • DeficiencyReasonable Precautions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services: Adls
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyHeating and Ventilation
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyIndividual Door Locks: Key Access
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyBehavior
    • DeficiencyOutside Area
    • DeficiencySecure Outdoor Recreation Area
    • DeficiencyResident Rooms
    04 Jul 2023Abuse: Neglect
    Identified violations where a resident was left outside and placed at risk, constituting abuse and neglect; a fine was assessed.
    • AbuseFailed to provide safe environment
    13 May 2023Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, resulting in abuse/neglect.
    • AbuseFailed to provide safe environment
    13 Mar 2023License Condition
    Found that an Acuity Based Staffing Tool was not fully implemented as required.
    • Regulatory ActionFailed to use an ABST
    13 Mar 2023License Condition
    Found a deficiency in providing a safe medication administration system and failure to carry out medication orders as prescribed.
    • Regulatory ActionFailed to provide a safe medication administration system
    13 Mar 2023License Condition
    Found that daily staffing documentation was not posted and maintained as required by rule.
    • Regulatory ActionFailed to properly post and maintain daily staffing documentation
    13 Mar 2023License Condition
    Found a failure to maintain a safe medication administration system and an accurate MAR.
    • Regulatory ActionFailed to provide a safe medication administration system
    28 Feb 2023Abuse: Neglect
    Found failure to properly plan care that led to abuse/neglect, with a fine assessed.
    • AbuseFailed to properly plan care
    23 Feb 2023Abuse: Neglect
    Found failure to properly care plan for an unsafe resident, resulting in multiple falls and a hip fracture, constituting neglect and abuse, with a $2,500 fine assessed.
    • AbuseFailed to properly plan care
    23 Feb 2023Abuse: Neglect
    Found a violation of resident rights due to failure to provide prescribed pain medication after hospital return, constituting neglect and abuse; a fine was assessed.
    • AbuseFailed to provide appropriate pain control
    23 Feb 2023Abuse: Neglect
    Investigated the complaint and found neglect and abuse due to delaying a urine test, which caused discomfort and injuries; a $2,500 fine was assessed.
    • AbuseFailed to provide service
    14 Feb 2023Inspection
    Found that the service plan did not reflect the resident's current needs and care planning failures contributed to an incident resulting in a head wound requiring hospital treatment.
    • LicensingFailed to properly plan care
    09 Feb 2023Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment, resulting in abuse and neglect.
    • AbuseFailed to provide safe environment
    08 Feb 2023Abuse: Neglect
    Investigated a report and found a failure to provide a safe environment, resulting in an altercation that bruised a person; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    24 Jan 2023Complaint
    Investigated identified multiple deficiencies in staffing postings, abuse reporting, ADL assistance, service planning, and medication management. Found failures to post staffing plans, investigate abuse promptly, provide needed toileting support, maintain updated service plans, and ensure accurate medication administration.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Required Postings
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services: Adls
    • DeficiencyService Plan: General
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    13 Jan 2023Inspection
    Investigated the allegation of failing to report potential or suspected abuse and found failure to promptly investigate all reports of abuse.
    • LicensingFailed to report potential or suspected abuse
    13 Jan 2023Inspection
    Found a deficiency for failing to complete quarterly service plans. This indicates a violation of administrative rules.
    • LicensingFailed to properly plan care
    12 Jan 2023Abuse: Neglect
    Investigated a known fall-risk resident and found inadequate care planning for falls risk, leaving the resident at risk for harm. Identified violations of resident rights constituting neglect and abuse, with a $375 fine assessed.
    • AbuseFailed to properly plan care
    11 Dec 2022Inspection
    Determined that a staff member ran over a resident’s foot with a wheelchair, causing a bruise and violating resident rights, constituting neglect and abuse.
    • LicensingFailed to provide safe environment
    06 Dec 2022Licensure
    Determined substantial compliance with applicable food service and sanitation rules.
    • DeficiencyComment
    08 Oct 2022Abuse: Neglect
    Found neglect and abuse due to failure to properly plan care for an aggressive resident, placing another resident at risk. A $375 fine was assessed.
    • AbuseFailed to properly plan care
    04 Oct 2022Abuse: Neglect
    Investigated and concluded that a safe environment was not provided, resulting in abuse and neglect. A $375 fine was assessed.
    • AbuseFailed to provide safe environment
    30 Sept 2022Abuse: Neglect
    Found a failure to provide a safe environment, including a choke hold incident, resulting in neglect and abuse; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    30 Aug 2022Abuse: Neglect
    Found failures to properly plan care for a known fall risk, contributing to multiple falls and inability to bear weight. This involved violations of resident safety requirements and resulted in a fine.
    • AbuseFailed to properly plan care
    21 Aug 2022Inspection
    Found that staff failed to provide timely medical treatment after a resident was found on the floor, risking serious harm. A fine was assessed.
    • LicensingFailed to assure timely medical treatment
    21 Aug 2022Abuse: Neglect
    Found a failure to provide adequate supervision and staff support, placing a resident at risk of harm, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    21 Aug 2022Abuse: Neglect
    Determined that a safe environment was not provided due to inadequate supervision, with a resident punched multiple times. The incident caused unreasonable discomfort.
    • AbuseFailed to provide safe environment
    21 Aug 2022Abuse: Neglect
    Investigated a complaint and found failure to update the care plan for a known fall risk, with no fall-prevention measures in place, resulting in a fall and head injury; a fine was assessed.
    • AbuseFailed to properly plan care
    14 Aug 2022Abuse: Neglect
    Identified neglect for failing to properly plan care for a resident with a known fall history after the resident was found on the bathroom floor with injuries.
    • AbuseFailed to properly plan care
    26 Jul 2022Abuse: Neglect
    Found that a resident was injured after care plan was not followed, indicating abuse and neglect.
    • AbuseFailed to follow care plan
    25 Jul 2022Abuse: Neglect
    Investigated a case of neglect and financial exploitation where the resident's jewelry disappeared and an unknown person took it, and there was no lockable storage for valuables.
    • AbuseFailed to protect resident from financial exploitation
    05 Jul 2022Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment that allowed an individual to leave through an unlocked gate, creating risk.
    • AbuseFailed to provide safe environment
    23 May 2022Inspection
    Investigated and found failure to assist a resident with toileting and bowel and bladder management.
    • LicensingFailed to provide or assist with hygiene
    23 May 2022Inspection
    Identified a deficiency where care was not provided as listed in the service plan, including hygiene. This constitutes a violation of Oregon Administrative Rules.
    • LicensingFailed to provide or assist with hygiene
    23 May 2022Inspection
    Found insufficient staffing to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to provide appropriate staffing
    27 Apr 2022Inspection
    Investigated the complaint and found that a staff member verbally abused a resident and failed to protect the resident from verbal abuse.
    • LicensingFailed to protect resident from verbal abuse
    05 Apr 2022Inspection
    Found insufficient direct care staffing to meet scheduled and unscheduled needs. Violated Oregon Administrative Rules.
    • LicensingFailed to provide appropriate staffing
    22 Jan 2022Abuse: Neglect
    Found neglect and abuse due to failure to plan care to prevent a known wanderer from entering another resident's room, placing them at risk of harm; a fine was assessed.
    • AbuseFailed to properly plan care
    21 Jan 2022Abuse: Neglect
    Identified a failure to provide a safe medication administration system, resulting in two patches being used on the resident and potential harm; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    01 Nov 2021Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment, resulting in an abuse/neglect finding and a fine assessed.
    • AbuseFailed to provide safe environment
    01 Oct 2021Abuse: Neglect
    Investigated an incident where a resident wandered into another resident's room, assaulted them, and left the victim at risk due to a failure to provide a safe environment; findings substantiated abuse/neglect and a fine was assessed.
    • AbuseFailed to provide safe environment
    07 Jun 2021Inspection
    Investigated the allegation and found a failure to assist residents with bathing.
    • LicensingFailed to provide or assist with hygiene
    19 May 2021Abuse: Neglect
    Investigated a report of unsafe conditions that led to an injury; found a door to the outdoor area was not locked and staff were not advised when a resident attempted to exit, resulting in a fall and hip surgery.
    • AbuseFailed to maintain a safe physical environment
    26 Apr 2021Inspection
    Investigated the allegation of financial exploitation and found that a resident's jewelry was stolen due to a failure to protect property, resulting in a violation.
    • LicensingFailed to protect resident from financial exploitation
    26 Apr 2021Abuse: Neglect
    Identified a violation for failing to provide a safe environment that placed a resident at risk; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    12 Apr 2021Inspection
    Identified a deficiency in the training program for determining direct care staff competency through evaluation, observation, or written testing.
    • LicensingFailed to provide appropriate staffing
    08 Apr 2021Abuse: Neglect
    Found a violation of resident rights and neglect/abuse, with a $375 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    06 Apr 2021Abuse: Neglect
    Investigated allegations of abuse/neglect and found a failure to provide a safe environment that resulted in an injury.
    • AbuseFailed to provide safe environment
    16 Mar 2021Abuse: Neglect
    Investigated a care plan violation and found that staff did not follow the plan, resulting in a resident entering another resident's room and barricading themselves, placing someone at risk.
    • AbuseFailed to follow care plan
    15 Mar 2021Abuse: Neglect
    Found that a resident was placed at risk after an individual gained access to their room and attempted to remove their pants; the environment failed to provide safety, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    05 Mar 2021Abuse: Neglect
    Investigated and found safety and care-planning deficiencies after an unwitnessed altercation, with injury to a resident and a fine assessed.
    • AbuseFailed to properly plan care
    01 Mar 2021Abuse: Neglect
    Investigated and found neglect and abuse due to failure to implement interventions for a resident with behavioral issues, resulting in minor harm.
    • AbuseFailed to provide safe environment
    26 Feb 2021Abuse: Neglect
    Found neglect and abuse due to inadequate supervision and staff support for known behaviors, resulting in an incident where one resident slapped another after being asked to leave.
    • AbuseFailed to provide safe environment
    03 Feb 2021Inspection
    Found failure to administer medication as ordered, putting a resident at risk for harm.
    • LicensingFailed to provide a safe medication administration system
    03 Feb 2021Inspection
    Found a deficiency for failing to administer prescribed medication as ordered, placing a resident at risk of harm.
    • LicensingFailed to provide a safe medication administration system
    31 Dec 2020Inspection
    Determined that the licensee failed to administer medication as ordered.
    • LicensingFailed to administer medication as ordered
    28 Dec 2020Inspection
    Identified neglect and physical abuse by a staff member toward a resident, and found missing signed training documentation. Found safety and training deficiencies.
    • LicensingFailed to provide safe environment
    10 Dec 2020Inspection
    Found a deficiency in the safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    11 Nov 2020Inspection
    Investigated and found medication and treatment orders were not carried out.
    • LicensingFailed to administer medication as ordered
    10 Nov 2020Inspection
    Found a violation of Oregon Administrative Rules for failing to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    26 Oct 2020Inspection
    Determined that a safe medication administration system was not provided.
    • LicensingFailed to provide a safe medication administration system
    09 Oct 2020Abuse: Neglect
    Found neglect of care and abuse due to failing to follow the care plan, which led to a minor injury. A $375 fine was assessed.
    • AbuseFailed to follow care plan
    27 Sept 2020Abuse: Neglect
    Found neglect of care and abuse due to failure to provide a safe environment when an at-risk resident exited unsupervised because there was no front desk coverage and a broken interior door.
    • AbuseFailed to provide safe environment
    16 Sept 2020Inspection
    Investigated the allegation of failing to report potential or suspected abuse and found a violation of mandatory abuse reporting and investigation requirements.
    • LicensingFailed to report potential or suspected abuse
    07 Sept 2020Abuse: Neglect
    Investigated and found that the care plan was not followed, resulting in neglect and abuse. A $250 fine was assessed.
    • AbuseFailed to follow care plan
    04 Sept 2020Abuse: Neglect
    Investigated and found violations involving unsafe medication administration and incomplete training that placed a resident at risk of harm.
    • AbuseFailed to provide a safe medication administration system
    04 Aug 2020Inspection
    Determined a failure to verify that direct care staff demonstrated satisfactory performance for assigned duties.
    • LicensingFailed to assure a qualified caregiver was present
    04 Aug 2020Inspection
    Investigated the staffing allegation and found insufficient qualified awake direct care staff to meet 24-hour needs, violating Oregon Administrative Rules.
    • LicensingFailed to provide appropriate staffing
    31 Jul 2020Inspection
    Determined that 24-hour assistance with activities of daily living was not provided. Found a violation of Oregon Administrative Rules governing resident care.
    • LicensingFailed to provide service
    31 Jul 2020Inspection
    Found a deficiency in training to determine direct care staff competency and to document demonstrated competency.
    • LicensingFailed to assure a qualified caregiver was present
    31 Jul 2020Inspection
    Identified insufficient qualified awake direct care staffing to meet 24-hour scheduled and unscheduled needs.
    • LicensingFailed to provide appropriate staffing
    20 Jul 2020Inspection
    Investigated a staffing allegation and determined there was insufficient staff to meet residents' needs.
    • LicensingFailed to provide appropriate staffing
    20 Jul 2020Abuse: Neglect
    Found that a safe environment was not provided and wandering risk was not properly managed, resulting in a resident punching another resident.
    • AbuseFailed to provide safe environment
    20 Jul 2020Inspection
    Investigated the infection-control allegation and found a deficiency related to precautions when caring for residents with different COVID statuses on the same shift.
    • LicensingFailed to provide infection control
    24 Mar 2020Abuse: Neglect
    Investigated and found a failure to provide a safe environment and adequate staff supervision, resulting in an incident where one resident yelled at another and grabbed their wrist, causing scratches.
    • AbuseFailed to provide safe environment
    01 Dec 2019Inspection
    Investigated a complaint and found neglect during a resident transfer when adequate staff were not available, creating risk of harm. The setting was unsafe for residents.
    • LicensingFailed to provide safe environment
    28 Oct 2019Abuse: Neglect
    Investigated a fall and delayed medical treatment that resulted in a broken hip and pain; findings identified neglect and abuse with a monetary penalty.
    • AbuseFailed to assure timely medical treatment
    26 Sept 2019Inspection
    Found that the call system connecting resident units and bathrooms to the care staff center or pagers was not provided, leaving lights unanswered and requiring visitors to locate staff.
    • LicensingFailed to maintain functional door alarm or call system
    05 Sept 2019Inspection
    Determined that a required service was not provided.
    • LicensingFailed to provide service
    31 Aug 2019Abuse: Neglect
    Found neglect due to insufficient staff to monitor residents, resulting in physical injury.
    • AbuseFailed to follow care plan
    29 Aug 2019Abuse: Neglect
    Found neglect of basic care resulting in harm to an adult.
    • AbuseFailed to provide service
    29 Aug 2019Abuse: Neglect
    Investigated a complaint and found neglect of basic care resulting in harm; a $375 fine was assessed.
    • AbuseFailed to follow care plan
    24 Jul 2019Abuse: Neglect
    Found neglect due to failure to ensure adequate hydration for a resident, resulting in dehydration and related harm; a $250 fine was assessed.
    • AbuseFailed to assure proper hydration
    24 Jul 2019Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    23 Jun 2019Abuse: Neglect
    Found neglect of basic care creating risk of serious harm, with a $250 fine assessed.
    • AbuseFailed to follow care plan
    21 Jun 2019Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    20 Jun 2019Abuse: Neglect
    Identified neglect of basic care that created a risk of serious harm to an adult; a fine was assessed.
    • AbuseFailed to properly plan care
    28 May 2019Abuse: Neglect
    Investigated and found neglect and abuse from failure to supervise known fall risks, resulting in injuries among a resident.
    • AbuseFailed to provide safe environment
    28 May 2019Inspection
    Found that medication was not provided as ordered, constituting a rule violation and resulting in a $500 fine.
    • LicensingFailed to administer medication as ordered
    23 May 2019Abuse: Neglect
    Found neglect that led to harm by failing to provide basic care or services to maintain health and safety. A $375 fine was assessed.
    • AbuseFailed to provide safe environment
    28 Mar 2019Abuse: Financial abuse
    Investigated allegations found failures to prevent medication theft and to provide basic care, creating risk of serious harm; a $1,125 fine was assessed.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    14 Feb 2019Abuse: Neglect
    Found neglect related to failing to provide a safe environment, resulting in risk of harm; a fine was assessed.
    • AbuseFailed to provide safe environment
    12 Feb 2019Abuse: Financial abuse
    Investigated and identified violations involving failure to prevent theft or misuse of medication and neglect risking an adult's health and safety.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    07 Feb 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care was not provided, resulting in physical harm and discomfort. A fine of $188 was assessed.
    • AbuseFailed to follow care plan
    06 Feb 2019Abuse: Neglect
    Identified neglect by failing to provide basic care necessary to maintain health and safety, resulting in physical harm. A fine was assessed.
    • AbuseFailed to provide safe environment
    01 Feb 2019Abuse: Neglect
    Found neglect due to failure to provide a safe environment resulting in physical harm, with a $750 fine assessed.
    • AbuseFailed to provide safe environment
    25 Jan 2019Abuse: Neglect
    Determined neglect due to inadequate supervision resulting in physical harm; a fine was assessed.
    • AbuseFailed to provide safe environment
    25 Jan 2019Abuse: Neglect
    Found a neglect deficiency due to failing to provide adequate supervision, resulting in physical harm.
    • AbuseFailed to properly plan care
    24 Jan 2019Inspection
    Found a failure to report suspected abuse; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    24 Jan 2019Abuse: Neglect
    Investigated and found neglect due to failing to have a clear plan to prevent and treat sores, which resulted in physical injury.
    • AbuseFailed to properly plan care
    22 Jan 2019Inspection
    Found failure to report suspected abuse and assessed a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    22 Jan 2019Abuse: Neglect
    Determined neglect occurred with moderate risk of harm. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    17 Jan 2019Inspection
    Identified a deficiency in the safe medication administration system after a resident went six days without prescribed medication.
    • LicensingFailed to provide a safe medication administration system
    16 Dec 2018Abuse: Neglect
    Investigated and found neglect related to falls prevention, failing to provide necessary services to prevent physical harm.
    • AbuseFailed to adequately care plan related to falls
    10 Nov 2018Inspection
    Investigated and found a substantiated licensing violation for failing to provide a safe medication administration system, leading to potential harm to an adult.
    • LicensingFailed to provide a safe medication administration system
    28 Oct 2018Inspection
    Investigated a failure to properly plan care that resulted in neglect and physical harm.
    • LicensingFailed to properly plan care
    19 Oct 2018Abuse: Neglect
    Investigated a complaint and found neglect due to failing to provide a safe environment. The finding identified risk of serious harm and a fine was assessed.
    • AbuseFailed to provide safe environment
    08 Oct 2018Abuse: Neglect
    Investigated a complaint and found a failure to provide basic care necessary to maintain health and safety, resulting in physical harm, with a $250 fine assessed.
    • AbuseFailed to provide safe environment
    08 Oct 2018Inspection
    Found that suspected abuse was not reported, and a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    23 Sept 2018Abuse: Neglect
    Found neglect due to failure to provide basic care or services necessary to maintain health and safety, creating a risk of serious harm.
    • AbuseFailed to provide safe environment
    17 Sept 2018Inspection
    Investigated the complaint and found that the Service Planning Team was not included in developing the service plan as required by rule.
    • LicensingFailed to communicate necessary information
    17 Sept 2018Inspection
    Investigated a complaint about charges increasing without a corresponding increase in services; findings showed failure to provide immediate written notice as required.
    • LicensingFailed to protect resident from financial exploitation
    07 Aug 2018Abuse: Neglect
    Found that basic care was not provided, resulting in physical harm or discomfort to residents; a fine was assessed.
    • AbuseFailed to properly plan care
    03 Jul 2018Inspection
    Found neglect for failing to follow the care plan, creating risk of serious harm.
    • LicensingFailed to follow care plan
    26 May 2018Inspection
    Investigated a complaint alleging failure to address resident behavior. Found deficiencies in assessing and intervening with the resident, resulting in multiple altercations and no injuries to other residents.
    • LicensingFailed to address resident's behavior
    06 Apr 2018Inspection
    Investigated the allegation of failing to administer ordered medication and identified a deficient medication system.
    • LicensingFailed to administer ordered medication
    04 Feb 2018Inspection
    Investigated a licensing violation and found a failure to provide a safe environment and to protect residents from an altercation.
    • LicensingFailed to provide safe environment
    24 Jan 2018Inspection
    Investigated an allegation of failing to provide a safe environment and found a safety deficiency resulting in a resident incident; a fine was assessed.
    • LicensingFailed to provide safe environment
    24 Jan 2018Inspection
    Investigated a complaint alleging lack of a qualified caregiver and insufficient staff training; found a deficiency related to staff training.
    • LicensingFailed to assure that a qualified caregiver was present
    23 Jan 2018Inspection
    Investigated the allegation of failure to report potential or suspected abuse and assessed a $1,000 civil penalty.
    • LicensingFailed to report potential or suspected abuse
    23 Jan 2018Abuse: Neglect
    Investigated an allegation of neglect related to medical care; found an inadequate medication system and assessed a $500 fine.
    • AbuseFailed to provide medical treatment as ordered
    23 Jan 2018Inspection
    Found a deficiency for failing to provide hygiene assistance that could cause minor harm or potential for moderate harm.
    • LicensingFailed to provide or assist with hygiene
    17 Jan 2018Abuse: Neglect
    Investigated and found a failure to intervene when a resident's condition changed, leading to hospitalization from inadequate medical treatment.
    • AbuseFailed to intervene when resident's condition changed
    17 Jan 2018Inspection
    Determined that there was a failure to report potential or suspected abuse. A civil penalty was assessed.
    • LicensingFailed to report potential or suspected abuse
    08 Jan 2018Inspection
    Identified a safety deficiency for failing to provide a safe environment, resulting in a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    04 Jan 2018Inspection
    Investigated an allegation that a safe environment was not provided, resulting in a resident-to-resident altercation on 1/4/18.
    • LicensingFailed to provide safe environment
    31 Dec 2017Inspection
    Investigated an allegation of failing to provide a safe environment and found a violation leading to a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    31 Dec 2017Inspection
    Investigated an allegation of not following care plan and found a failure to provide a safe environment, resulting in a resident-to-resident altercation.
    • LicensingFailed to follow care plan
    31 Dec 2017Inspection
    Found a deficiency for failing to provide a safe environment, which led to a resident-to-resident altercation. The incident occurred on 12/26/17.
    • LicensingFailed to provide safe environment
    31 Dec 2017Inspection
    Investigated and found a lack of safe environment that resulted in a resident-to-resident altercation.
    • LicensingFailed to follow care plan
    20 Dec 2017Inspection
    Found insufficient caregivers to meet residents' scheduled and unscheduled needs, including meal assistance.
    • LicensingFailed to provide appropriate staffing
    20 Dec 2017Inspection
    Found that incident prevention and response policies were lacking, and incident reports were not reviewed.
    • LicensingFailed to provide service
    18 Jul 2017Abuse: Neglect
    Found safety deficiencies that led to multiple falls and a neck fracture.
    • AbuseFailed to follow care plan
    30 Apr 2017Inspection
    Investigated an allegation of failing to provide a safe environment and found a secure environment was not provided, leading to elopement from the memory care unit.
    • LicensingFailed to provide safe environment
    27 Apr 2017Inspection
    Concluded the allegation of failing to provide a safe environment; a $200 fine was assessed.
    • LicensingFailed to provide safe environment
    12 Apr 2017Inspection
    Investigated an allegation and found inadequate supervision that placed residents at risk.
    • LicensingFailed to assure resident was safe
    13 Mar 2017Abuse: Neglect
    Investigated a neglect allegation and found failure to protect residents from a physical altercation and to follow the care plan.
    • AbuseFailed to follow care plan
    11 Mar 2017Inspection
    Investigated the allegation and found a failure to provide a safe environment that led to a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    08 Mar 2017Inspection
    Found an inadequate medication administration system that led to a medication error.
    • LicensingFailed to provide a safe medication administration system
    28 Feb 2017Abuse: Neglect
    Identified deficiencies in providing appropriate interventions after a resident's condition changed, resulting in skin breakdown.
    • AbuseFailed to intervene when resident's condition changed
    22 Feb 2017Abuse: Neglect
    Investigated a neglect allegation and found substantial noncompliance at renewal survey.
    • AbuseFailed to provide safe environment
    20 Jan 2017Inspection
    Determined that a safety violation occurred due to failure to provide a safe environment and appropriate intervention, resulting in physical harm.
    • LicensingFailed to provide safe environment
    15 Jan 2017Inspection
    Found failure to provide a safe environment, resulting in a resident fall. Cited safety deficiencies.
    • LicensingFailed to provide safe environment
    05 Nov 2015Abuse: Neglect
    Investigated the allegation and identified a deficiency for failing to protect RV2 from physical injury, with a $300 fine assessed.
    • AbuseFailed to address resident's behavior
    12 Oct 2015Inspection
    Found that care planning did not adequately meet RV needs.
    • LicensingFailed to properly plan care
    31 Jan 2015Inspection
    Investigated an allegation of failing to address resident behavior and found that a resident to resident altercation was not prevented.
    • LicensingFailed to address resident's behavior
    05 Nov 2014Abuse: Neglect
    Investigated a reported abuse/neglect incident and found violations for failing to provide a safe environment, with a civil penalty assessed.
    • AbuseFailed to provide safe environment
    10 Sept 2014Inspection
    Identified a licensing violation for failing to delegate duties appropriately, placing someone at risk of harm in medication administration.
    • LicensingFailed to provide a safe medication administration system
    23 Aug 2014Abuse: Neglect
    Found a failure to protect a resident and to properly plan care; a fine was assessed.
    • AbuseFailed to properly plan care
    03 Apr 2014Abuse: Neglect
    Determined that inadequate supervision resulted in nonconsensual resident to resident contact.
    • AbuseFailed to address resident's behavior
    19 Mar 2014Abuse: Neglect
    Found failures to assess and intervene in a timely manner, leading to a resident-to-resident altercation.
    • AbuseFailed to provide safe environment
    06 Jul 2012Abuse: Restraints
    Found improper use of restraints that endangered a resident.
    • AbuseFailed to properly use restraint
    06 Jul 2012Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to assess and intervene promptly, risking resident safety.
    • AbuseFailed to assure resident was safe
    24 Oct 2011Inspection
    Found that residents were not provided with a safe and secure environment.
    • LicensingFailed to assure resident was safe
    14 Jul 2011Inspection
    Determined there was a deficiency in safe medication administration and failure to administer medications as ordered.
    • LicensingFailed to administer medication as ordered
    01 Jul 2011Abuse: Financial abuse
    Concluded that a secure environment was not maintained, resulting in the loss of a resident's belongings; the financial abuse allegation was substantiated.
    • AbuseFailed to provide safe environment

    Disclaimer

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

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 211 facilities$6,175/mo
    2. 188 facilities$6,132/mo
    3. 273 facilities$6,106/mo
    4. 184 facilities$6,027/mo
    5. 214 facilities$6,229/mo
    6. 162 facilities$6,098/mo
    7. 175 facilities$6,125/mo
    8. 272 facilities$6,059/mo
    9. 139 facilities$6,101/mo
    10. 112 facilities$6,429/mo
    11. 237 facilities$5,850/mo
    12. 96 facilities$5,818/mo
    © 2026 Mirador Living