I toured and moved my aunt here and I'm very pleased - the staff (Beatriz, Lori and Lindsey were standouts) are welcoming, professional and genuinely compassionate, and care is prompt and attentive. The community is spotless, bright and beautifully furnished, with spacious units (courtyard views and cottage-style options), excellent dining, abundant activities and smooth transitions to assisted living/memory care. Overall I would highly recommend this warm, well-run place for families seeking quality, person-centered senior care.
Loved one of resident
Jul 2026
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
3.70·(67)
Overall rating
5
4
3
2
1
Care
3.7
Staff
3.8
Meals
2.8
Amenities
3.8
Value
2.1
Pros
Cottage-style and varied apartment options (studio, 1BR, 2BR)
Modern, recently remodeled building and attractive interior design
Well-maintained grounds, courtyard, and outdoor patio/garden
On-site salon and library
Regular housekeeping and responsive maintenance
Wide range of scheduled activities and social programming
Exercise classes and wellness-focused programming
Field trips and off-site outings including memory-care outings
Friendly, compassionate and advocacy-oriented staff
Staff known to go above and beyond for residents
Seamless age-in-place transitions to assisted living and memory care
Dining services with varied menu options and social dining environment
Transportation services and coordinated community events
COVID-19 precautions and controlled visitor procedures
Cons
Inconsistent staffing levels and workforce shortages
Gaps in clinical incident response and family communication
Inconsistent medication administration and pain-management timeliness
Gaps in personal-care assistance and ADL support
Unreliable meal-service execution and diet accommodation variability
Front-desk and scheduling coordination weaknesses
Variability in staff training and caregiving experience
Insufficient supervision in some communal and memory-care interactions
Limited elevator capacity affecting upper-floor access
Allegations of staff theft and inadequate incident response
Sanitation concerns in certain areas
High cost relative to perceived service consistency
Summary of reviews
Avamere at Hillsboro presents as a modern, well-appointed senior living community with strengths in physical environment, amenities, and social programming. Reviewers consistently highlight attractive, recently remodeled interiors, cottage-style apartment options across studio to two-bedroom layouts, and well-kept landscaping including courtyards and gated patios. On-site amenities such as a salon, library, transportation, and regular maintenance/housekeeping are repeatedly mentioned as positive contributors to residents’ daily life.
Activity programming and engagement are clear assets. The community offers a broad calendar — exercise classes, games, social hours, arts, music, ice cream socials, and off-site field trips — and several accounts describe active, meaningful memory-care activities. For many families, staff members are a standout: staff are described as compassionate, advocacy-minded, and willing to go the extra mile. There are multiple remarks about staff coordination during moves and transitions, and the community’s age-in-place model (seamless transition from independent to assisted and memory care) is viewed positively by many families.
Care quality descriptions are mixed and present a pattern of variability. Positive experiences note attentive direct-care staff and successful recoveries, while other accounts describe concerning lapses in clinical responsiveness, medication timing, and assistance with activities of daily living (bathing, oral care, hearing-aid support). Communication with families during clinical events and care transitions is an area of recurrent concern: delays in relaying hospital notes, confusion around medication intake, and the need for family advocacy were reported in several narratives.
Dining and nutritional services receive both praise and criticism. Many reviewers enjoyed the dining room, social mealtimes, and menu variety, while other reports point to inconsistent meal delivery, portions that did not match menu descriptions, and challenges meeting special-diet needs. These inconsistencies feed into broader concerns about meal-service reliability and diet accommodation practices.
Operational and management themes include scheduling and front-desk coordination gaps, variability in staff training and experience, and staffing shortages that appear to affect care continuity and supervision. Specific operational constraints — for example, a single elevator serving multiple floors — can create access challenges for upper-floor residents. A small number of serious allegations, including claims of staff theft and insufficient administrative response, were raised and should prompt prospective families to request details about incident reporting, security measures, and management follow-up.
Taken together, Avamere at Hillsboro offers strong environmental and social features with many examples of caring staff and effective programming. However, there are recurring patterns of inconsistency in clinical responsiveness, personal-care assistance, meal-service execution, and administrative communication. Prospective residents and families would be well served to tour the units, ask for recent staffing and training information, review incident- and complaint-handling procedures, confirm diet- and medication-management protocols, and observe activity participation and supervision in memory-care spaces before making a placement decision.
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Location
Avamere at Hillsboro is located at 2000 SE 30th Ave, Hillsboro, OR, 97123.
About Avamere at Hillsboro
Avamere at Hillsboro sits in a spot where the staff really put care and daily life in the front, and you'll find a choice of independent living, assisted living, memory care, skilled nursing, respite care, and even rehabilitation and transitional care, all in one place, which can make things easier if needs change down the line. Folks living there use spaces they call The Atrium, plus there are 89 apartments and several independent living cottages, so there's some variety depending on what someone's looking for, from studio and one-bedroom assisted living apartments to two-bedroom cottages that start at $5,326 a month, while memory care studios range up to $13,478, and there are set fees for community and pets. Residents don't have to worry about basics like housekeeping or maintenance, since staff take care of that, and the place has lots of the things people expect now-a dining room with restaurant-style meals, a library, computer room, landscaped grounds with walking paths and a courtyard pond, plus a fitness center and classes, indoor seating areas, and pet-friendly spots. Memory care is set up with two secured spaces and specialized programming for people with Alzheimer's and other kinds of memory loss, designed to really tailor support while keeping folks safe, and there's help for daily activities in assisted living, with nurses, physical and occupational therapists, even podiatry and dental care, all coming in as needed. There's a full calendar of activities, so plenty to keep busy, whether that's social events, educational programs, or just spending time outdoors in one of the common areas, and while staff are around 24 hours and safety features like emergency call systems are in place, the whole place is set up to feel comfortable and dignified, not clinical. The community does wellness checks, medication reminders, and offers things like hospice, in-house transportation, and even access to devotional services, both onsite and offsite, so there's room for different routines. Pets can come along with a fee, and there's a focus on individualized care that tries to match support with what each person actually needs, rather than a one-size-fits-all schedule, which can matter as things change over the years. The facility's won an award-the American Health Care Association's Bronze Commitment to Quality-so staff know what they're doing, and people can choose virtual or in-person tours to see the details for themselves without any pressure to make a decision right away.
Founded in 1995 by Rick Miller in Oregon, Avamere is headquartered in Wilsonville and operates skilled nursing and rehabilitation facilities across the Pacific Northwest. Originally growing to 33 facilities, the company spun off its senior living division (Arete Living) in 2022, refocusing on skilled nursing care.
People often ask...
Avamere at Hillsboro offers competitive pricing, with rates starting at a cost of $5,732 per month.
Avamere at Hillsboro offers independent living, assisted living, memory care, and continuing care retirement community.
There are 20 photos of Avamere at Hillsboro on Mirador.
Yes, Avamere at Hillsboro allows residents to age in place and adjust their level of care as needed.
The full address for this community is 2000 SE 30th Ave, Hillsboro, OR 97123.
No, Avamere at Hillsboro 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.
Found a failure to provide a safe medication administration system, including no insulin order after hospitalization and CBGs recorded without a corresponding insulin order.
Licensing—Failed to provide a safe medication administration system
19 Aug 2025License Condition
19 Aug 2025License Condition
Found deficiencies in providing a safe environment, including not following physician-ordered dietary and treatment orders, which could put a resident at risk of choking.
Regulatory Action—Failed to provide safe environment
18 Aug 2025Inspection
18 Aug 2025Inspection
Investigated found that a resident's prescribed mechanical soft diet was not followed, with meals served that could cause choking and posed immediate risk.
Licensing—Failed to provide safe environment
18 Aug 2025Inspection
18 Aug 2025Inspection
Identified that the resident's service plan did not reflect dietary and feeding assistance needs, creating a choking risk.
Licensing—Failed to properly plan care
18 Aug 2025Inspection
18 Aug 2025Inspection
Found that a resident with a mechanical soft diet was served regular-textured meals, creating immediate jeopardy due to unsafe dietary practices; identified broader dietary order and chart-management failures affecting multiple residents.
Licensing—Failed to provide a safe medication administration system
01 Jul 2025Kitchen
01 Jul 2025Kitchen
Observed sanitation deficiencies in the kitchen, including dust and grease buildup, damaged surfaces, and improper staff beverage storage. Violations cited.
Investigated sanitation and maintenance deficiencies in the kitchen and MCC kitchenette, including dust buildup, grease on equipment, worn surfaces, and unsafe food handling practices. Also found administration compliance issues related to licensing rules.
Investigated the complaint and found the facility failed to provide a safe environment, causing pain and discomfort to the resident due to rough caregiving. The investigation found no abuse by staff.
Abuse—Failed to provide safe environment
07 May 2025Abuse: Neglect
07 May 2025Abuse: Neglect
Found neglect and abuse due to inadequate supervision that left a resident with a head injury after a fall; a fine was assessed.
Abuse—Failed to provide safe environment
12 Sept 2024Licensure
12 Sept 2024Licensure
Identified deficiencies across fire drills, exterior maintenance, interior conditions, administration compliance, and staff training.
Deficiency—Fire and Life Safety: Safety
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
12 Sept 2024Licensure
12 Sept 2024Licensure
Identified numerous deficiencies across complaints handling, health services, service plans, change of condition monitoring, medication management, staffing, fire safety, and building maintenance.
Found substantial compliance with meal-related rules overall, but identified significant deficiencies in kitchen sanitation practices and administration compliance.
Found neglect and abuse due to failure to properly plan care, resulting in painful toenails and discomfort for the resident.
Abuse—Failed to properly plan care
31 Jan 2024Abuse: Neglect
31 Jan 2024Abuse: Neglect
Investigated and identified violations related to failure to plan for residents' known sexualized behaviors and inadequate safeguards to protect others, which resulted in sexual abuse and neglect of care.
Abuse—Failed to provide safe environment
27 Jul 2023Inspection
27 Jul 2023Inspection
Investigated a report of financial exploitation and found that a resident was not protected from financial abuse, resulting in about $3,000 in losses.
Licensing—Failed to protect resident from financial exploitation
08 Jul 2023Abuse: Neglect
08 Jul 2023Abuse: Neglect
Investigated medication safety and found a deficient safe medication administration system; narcotics were not administered as ordered and two narcotics went unaccounted for, with a resulting fine assessed for abuse and neglect concerns.
Abuse—Failed to provide a safe medication administration system
09 May 2023Licensure
09 May 2023Licensure
Investigated kitchen operations found sanitation and handling deficiencies, including improper storage and temperature issues, with a follow-up showing substantial compliance.
Deficiency—Inspections and Investigation: Insp Interval
09 May 2023Licensure
09 May 2023Licensure
Investigated multiple food-safety and administrative concerns; identified sanitation and storage deficiencies, with substantial compliance noted on the final visit.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
12 Mar 2023Inspection
12 Mar 2023Inspection
Investigated the medication administration allegation and found a failure to visually observe the resident take medications, with evening meds found on the floor in the resident's room.
Licensing—Failed to provide a safe medication administration system
18 Feb 2023Inspection
18 Feb 2023Inspection
Identified a failure to provide a safe medication administration system that led to a hospital transfer and neglect.
Licensing—Failed to provide a safe medication administration system
16 Feb 2023Inspection
16 Feb 2023Inspection
Investigated non-submission of weekly vaccination reporting for residents and staff; found non-compliance spanning several months and a civil penalty was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
08 Feb 2023License Condition
08 Feb 2023License Condition
Found staffing levels did not meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
08 Feb 2023License Condition
08 Feb 2023License Condition
Found failure to fully implement and update an Acuity Based Staffing Tool as required.
Regulatory Action—Failed to use an ABST
08 Feb 2023License Condition
08 Feb 2023License Condition
Determined that toileting and bowel/bladder management assistance was not provided as required.
Regulatory Action—Failed to assist with toileting
18 Jan 2023Inspection
18 Jan 2023Inspection
Found a licensing violation for failing to submit timely weekly vaccination reporting; assessed a $7,500 civil penalty.
Licensing—Failed to submit timely or adequate staffing documentation
16 Jan 2023Abuse: Neglect
16 Jan 2023Abuse: Neglect
Determined that improper and insufficient wound care followed medical orders, causing discomfort and constituting abuse and neglect. A $500 fine was assessed.
Abuse—Failed to properly plan care
06 Jan 2023Inspection
06 Jan 2023Inspection
Found that the Acuity-Based Staffing Tool was not maintained to reflect current resident needs, with updates missing and inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
21 Dec 2022Inspection
21 Dec 2022Inspection
Found failure to submit timely weekly vaccination reporting to the proper authority for October and November 2022, resulting in a civil penalty of $7,500.
Licensing—Failed to submit timely or adequate staffing documentation
18 Nov 2022Inspection
18 Nov 2022Inspection
Investigated the allegation of incomplete weekly reporting of vaccination data and staffing information; found noncompliance with weekly reporting requirements for vaccinated individuals, residents, and staff.
Licensing—Failed to submit timely or adequate staffing documentation
16 Nov 2022Inspection
16 Nov 2022Inspection
Investigated and identified deficiencies in the Acuity-Based Staffing Tool, with inconsistencies between resident rosters, care plans, and ABST data, and staffing not aligned to meet residents' needs.
Licensing—Failed to use an ABST
15 Nov 2022Complaint
15 Nov 2022Complaint
Found deficiencies in resident services, staffing, and building-related areas; some sections had no deficiencies identified.
Investigated allegation found a deficiency in the medication administration system and failure to carry out orders as prescribed.
Licensing—Failed to provide a safe medication administration system
15 Nov 2022Complaint
15 Nov 2022Complaint
Identified deficiencies related to meals/food sanitation and building cleanliness during a complaint investigation, with isolated potential for moderate harm. Severity was rated at 2.
Investigated a complaint and identified deficiencies related to move-in evaluations, care planning, infection prevention, medication administration, staffing, and building cleanliness.
Deficiency—Licensing Complaint Investigation
Deficiency—Licensing Standard
Deficiency—Resident Services: Adls
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Infection Prevention & Control
Deficiency—Systems: Medication Administration
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Investigated a failure to notify a resident's emergency contact during hospitalization and a dementia-diagnosis eligibility issue for memory care; deficiencies were identified.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Resident Services
15 Nov 2022Complaint
15 Nov 2022Complaint
Identified deficiencies across administration, infection prevention, medication administration, treatment orders, and staffing.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
15 Nov 2022Complaint
15 Nov 2022Complaint
Identified multiple deficiencies in complaint handling, resident services, staffing, acuity-based staffing, and building maintenance. Observed gaps in responding to complaints, updating service plans, adequate staffing, and safe, clean conditions.
Investigated the allegation that only individuals with a dementia diagnosis who need support may reside in memory care for safety. Found a violation of the applicable rule.
Licensing—Failed to provide safe environment
31 Oct 2022Inspection
31 Oct 2022Inspection
Found that a resident's emergency contact was not notified in an emergency.
Licensing—Failed to provide safe environment
16 Oct 2022Abuse: Neglect
16 Oct 2022Abuse: Neglect
Found neglect related to incontinence care and assessed a $250 fine.
Abuse—Failed to follow care plan
13 Oct 2022Inspection
13 Oct 2022Inspection
Found insufficient staff to meet scheduled and unscheduled needs, compromising a safe environment.
Licensing—Failed to provide safe environment
13 Oct 2022Inspection
13 Oct 2022Inspection
Identified a violation due to an ABST not reflecting resident needs and inconsistencies between roster, care plans, and ABST data. The investigation determined this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
13 Oct 2022Inspection
13 Oct 2022Inspection
Identified a deficiency for failing to provide a safe environment by not maintaining separate and distinct facilities.
Licensing—Failed to provide safe environment
13 Oct 2022Abuse: Neglect
13 Oct 2022Abuse: Neglect
Found failure to provide a safe medication administration system and proper use of medical equipment, which led to health decline and hospitalization, constituting neglect and abuse with a fine assessed.
Abuse—Failed to provide a safe medication administration system
01 Oct 2022Inspection
01 Oct 2022Inspection
Identified failure to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority for September 2022.
Licensing—Failed to submit timely or adequate staffing documentation
22 Sept 2022Abuse: Neglect
22 Sept 2022Abuse: Neglect
Investigated and found neglect and abuse due to failure to provide a safe environment, resulting in multiple falls with injury and discomfort.
Abuse—Failed to provide safe environment
21 Sept 2022Inspection
21 Sept 2022Inspection
Investigated the allegation and found that resident assistance with daily living activities was not provided.
Licensing—Failed to provide service
21 Sept 2022Inspection
21 Sept 2022Inspection
Found that personal and other laundry services were not provided, violating Oregon Administrative Rules.
Licensing—Failed to provide service
12 Sept 2022Inspection
12 Sept 2022Inspection
Investigated and identified a violation for failing to keep interior and exterior materials and surfaces clean, creating an unsafe environment.
Licensing—Failed to provide safe environment
12 Sept 2022Inspection
12 Sept 2022Inspection
Found a violation related to medication administration safety.
Licensing—Failed to provide a safe medication administration system
12 Sept 2022Inspection
12 Sept 2022Inspection
Investigated a staffing allegation and found direct care staffing insufficient to meet residents' needs, compromising safety.
Licensing—Failed to provide appropriate staffing
12 Sept 2022Inspection
12 Sept 2022Inspection
Found failure to properly plan and implement care and services, resulting in a licensing violation.
Licensing—Failed to properly plan care
12 Sept 2022Inspection
12 Sept 2022Inspection
Found a failure to provide a safe environment and essential household services based on resident needs and preferences.
Licensing—Failed to provide safe environment
12 Sept 2022Inspection
12 Sept 2022Inspection
Found a deficiency in safe medication administration due to not visually observing residents take medications.
Licensing—Failed to provide a safe medication administration system
12 Sept 2022Inspection
12 Sept 2022Inspection
Found a deficiency for failure to meet masking requirements, related to infection control.
Licensing—Failed to provide infection control
12 Sept 2022Inspection
12 Sept 2022Inspection
Investigated and found a violation for failing to provide a safe environment due to ineffective methods for responding to and resolving resident complaints.
Licensing—Failed to provide safe environment
12 Sept 2022Inspection
12 Sept 2022Inspection
Found failure to comply with masking requirements to control the spread of Covid-19.
Licensing—Failed to provide infection control
12 Sept 2022Inspection
12 Sept 2022Inspection
Found deficiencies in the acuity-based staffing tool, which did not accurately reflect resident needs and showed inconsistencies with rosters and care plans.
Licensing—Failed to use an ABST
11 Sept 2022Inspection
11 Sept 2022Inspection
Investigated and found a sanitary food service condition deficiency.
Licensing—Failed to provide sanitary food service conditions
11 Sept 2022Inspection
11 Sept 2022Inspection
Found failure to keep interior materials, surfaces, and equipment clean, leading to an unsafe environment.
Licensing—Failed to provide safe environment
10 Sept 2022Inspection
10 Sept 2022Inspection
Found deficiencies in keeping interior and exterior materials, surfaces, and equipment clean and in good repair, affecting residents' health and safety.
Licensing—Failed to provide safe environment
10 Sept 2022Inspection
10 Sept 2022Inspection
Investigated an allegation of inadequate mobility assistance and found a failure to assist with ambulation.
Licensing—Failed to assist with ambulation or mobility
30 Aug 2022Inspection
30 Aug 2022Inspection
Investigated and found deficiencies in the acuity-based staffing tool, with inconsistencies among the roster, care plans, and ABST data. Concluded this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
30 Aug 2022Inspection
30 Aug 2022Inspection
Identified a deficiency for failing to provide a safe environment and failing to respond adequately to resident complaints.
Licensing—Failed to provide safe environment
30 Aug 2022Inspection
30 Aug 2022Inspection
Determined that direct care staffing was insufficient in number to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide safe environment
03 Jul 2022Inspection
03 Jul 2022Inspection
Found that weekly reporting of vaccinated individuals, residents, and staff was not submitted for 30 days and staffing documentation was not adequately submitted. A fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
28 Jun 2022Inspection
28 Jun 2022Inspection
Investigated and found that a resident's money and personal property were stolen and protections against theft were inadequate under state rules.
Licensing—Failed to provide safe environment
22 Jun 2022Abuse: Neglect
22 Jun 2022Abuse: Neglect
Investigated and found the resident's care plan was not followed, leading to an unwitnessed fall and hospital transfer, constituting neglect and abuse.
Abuse—Failed to follow care plan
09 Jun 2022Inspection
09 Jun 2022Inspection
Investigated a safety complaint and found a resident's property went missing due to theft with inadequate protection against theft. Investigations concluded no wrongdoing by two other individuals.
Licensing—Failed to provide safe environment
10 May 2022Inspection
10 May 2022Inspection
Investigated a licensing matter and found the resident service plan was not completed quarterly.
Licensing—Failed to properly plan care
07 May 2022Abuse: Neglect
07 May 2022Abuse: Neglect
Determined neglect and abuse due to failing to implement interventions and an adequate care plan, leading to an unwitnessed fall and injuries. A $500 fine was assessed.
Abuse—Failed to provide safe environment
28 Apr 2022Inspection
28 Apr 2022Inspection
Investigated an allegation that a staff member did not administer medication as ordered, risking harm; found neglect of care and an unsafe medication administration system.
Licensing—Failed to provide a safe medication administration system
03 Feb 2022Inspection
03 Feb 2022Inspection
Investigated the allegation of inadequate screening before admission and determined a rule violation.
Licensing—Failed to perform adequate screening or assessment
03 Feb 2022Inspection
03 Feb 2022Inspection
Investigated the allegation and determined that the resident's service plan was not completed before move-in, violating an Oregon Administrative Rule.
Licensing—Failed to properly plan care
03 Jan 2022Abuse: Neglect
03 Jan 2022Abuse: Neglect
Found that a resident was admitted without a care plan, creating an unsafe environment. This resulted in abuse and neglect.
Abuse—Failed to provide safe environment
09 Dec 2021Inspection
09 Dec 2021Inspection
Investigated a licensing allegation and found that equipment was not kept in good repair, creating an unsafe environment.
Licensing—Failed to provide safe environment
27 Sept 2021Inspection
27 Sept 2021Inspection
Investigated and found that residents could not promptly access all of their records or obtain photocopies.
Licensing—Failed to make facility or resident records accessible
27 Sept 2021Inspection
27 Sept 2021Inspection
Determined that staffing levels were insufficient to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
27 Sept 2021Inspection
27 Sept 2021Inspection
Investigated and found transportation for medical and social appointments was not provided.
Licensing—Failed to provide transportation for medical or social purposes
28 Apr 2021Abuse: Neglect
28 Apr 2021Abuse: Neglect
Investigated an allegation that a safe medication administration system was not provided, resulting in a resident going about a month without prescribed medication.
Abuse—Failed to provide a safe medication administration system
26 Apr 2021Abuse: Neglect
26 Apr 2021Abuse: Neglect
Found a failure to provide a safe medication administration system that led to a resident self-administering another resident’s medication and needing medical treatment; a $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
13 Apr 2021Abuse: Neglect
13 Apr 2021Abuse: Neglect
Investigated a medication-management deficiency in which a regularly scheduled medication was not transcribed to the MAR after a doctor's order change, risking serious harm to the resident.
Abuse—Failed to administer medication as ordered
28 Dec 2020Inspection
28 Dec 2020Inspection
Investigated the allegation of failing to administer ordered medication and verified it.
Licensing—Failed to administer ordered medication
01 Dec 2020Abuse: Neglect
01 Dec 2020Abuse: Neglect
Investigated a safety-related allegation and found that staff failed to implement a care plan for a known room-confusion, risking harm to residents; a $500 fine was assessed.
Abuse—Failed to provide safe environment
06 Oct 2020Inspection
06 Oct 2020Inspection
Found a failure to implement a medication change and maintain a safe medication administration system after a medication order was issued, with no harm to the resident. No negative outcome occurred.
Licensing—Failed to provide a safe medication administration system
01 Jul 2020Inspection
01 Jul 2020Inspection
Found that medication was not administered as ordered on several dates, constituting a licensing violation.
Licensing—Failed to administer medication as ordered
27 Mar 2020Inspection
27 Mar 2020Inspection
Confirmed medication orders were not administered as prescribed.
Licensing—Failed to administer medication as ordered
04 Feb 2020Abuse: Neglect
04 Feb 2020Abuse: Neglect
Found a failure to provide a safe environment that risked serious harm to an elopement-risk resident, constituting neglect and abuse. A $375 fine was assessed.
Abuse—Failed to provide safe environment
30 Dec 2019Inspection
30 Dec 2019Inspection
Investigated and found that staff pinched and twisted the resident, and the provider failed to protect the resident from physical abuse.
Licensing—Failed to protect resident from physical abuse
28 Dec 2019Abuse: Neglect
28 Dec 2019Abuse: Neglect
Found that staff did not follow the shower-assistance care plan, resulting in harm, and a fine was assessed.
Abuse—Failed to follow care plan
25 Nov 2019Abuse: Neglect
25 Nov 2019Abuse: Neglect
Investigated and found the facility failed to provide a safe environment when a resident with elopement history left the premises and was found near a highway, with door code cards accessible.
Abuse—Failed to provide safe environment
04 Nov 2019Abuse: Neglect
04 Nov 2019Abuse: Neglect
Investigated allegations of neglect related to falls. Found neglect of care that led to serious harm and a fine was assessed.
Abuse—Failed to adequately care plan related to falls
27 Jun 2019Abuse: Neglect
27 Jun 2019Abuse: Neglect
Investigated the neglect allegation and found a failure to provide a safe medication administration system, creating risk of serious harm.
Abuse—Failed to provide a safe medication administration system
04 Apr 2019Inspection
04 Apr 2019Inspection
Investigated a suspected abuse case and found a failure to report it; a $1000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
04 Apr 2019Abuse: Neglect
04 Apr 2019Abuse: Neglect
Found neglect of care related to falls that resulted in serious harm, with a fine assessed.
Abuse—Failed to adequately care plan related to falls
08 Jan 2019Abuse: Neglect
08 Jan 2019Abuse: Neglect
Found a Level 2 neglect violation for failing to follow the care plan. A $375 fine was assessed.
Abuse—Failed to follow care plan
18 Dec 2018Inspection
18 Dec 2018Inspection
Investigated the allegation and found a deficiency in documenting a resident's weekly progress with interventions after a short-term change of condition.
Licensing—Failed to provide oversight and monitoring of change of condition
16 Dec 2018Abuse: Neglect
16 Dec 2018Abuse: Neglect
Investigated the complaint and found neglect due to failing to provide a safe environment, which resulted in risk of physical harm; a $375 fine was assessed.
Abuse—Failed to properly plan care
02 Dec 2018Inspection
02 Dec 2018Inspection
Investigated an abuse reporting allegation and found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
02 Dec 2018Abuse: Neglect
02 Dec 2018Abuse: Neglect
Found neglect due to failure to properly plan care, including an incident where a staff member struck a resident in the chest; no injuries were observed.
Abuse—Failed to properly plan care
01 Dec 2018Abuse: Neglect
01 Dec 2018Abuse: Neglect
Found neglect of an individual due to failure to provide appropriate care, leading to a fall and injury; a $1125 fine was assessed.
Abuse—Failed to follow care plan
20 Nov 2018Inspection
20 Nov 2018Inspection
Investigated an allegation of failing to follow a care plan, found neglect of care due to improper supervision and monitoring that led to checks not being done in a timely manner. A $375 fine was assessed.
Licensing—Failed to follow care plan
16 Nov 2018Abuse: Neglect
16 Nov 2018Abuse: Neglect
Found neglect due to failure to provide a safe environment, resulting in a $1,125 fine.
Abuse—Failed to properly plan care
02 Nov 2018Abuse: Neglect
02 Nov 2018Abuse: Neglect
Investigated the neglect allegation and found a failure to properly plan care leading to an unsafe environment. The finding was substantiated and a fine was assessed.
Abuse—Failed to properly plan care
15 Oct 2018Abuse: Neglect
15 Oct 2018Abuse: Neglect
Investigated a complaint alleging neglect and failure to properly plan care. Found deficiencies related to care planning and providing a safe environment, with a fine assessed.
Abuse—Failed to properly plan care
06 Oct 2018Abuse: Neglect
06 Oct 2018Abuse: Neglect
Investigated an allegation of neglect and found inadequate care; a $375 fine was assessed.
Abuse—Failed to follow care plan
27 Sept 2018Abuse: Neglect
27 Sept 2018Abuse: Neglect
Identified safety deficiencies and failure to address resident behavior.
Abuse—Failed to address resident's behavior
11 Jun 2018Abuse: Neglect
11 Jun 2018Abuse: Neglect
Investigated a complaint alleging inadequate care planning related to falls; found a safety-related deficiency and a $500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
11 Jun 2018Inspection
11 Jun 2018Inspection
Found a licensing violation for failing to self-report potential or suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
15 May 2018Abuse: Neglect
15 May 2018Abuse: Neglect
Investigated a neglect allegation and found failure to provide adequate care and to follow the care plan, with a $500 fine assessed.
Abuse—Failed to follow care plan
15 May 2018Inspection
15 May 2018Inspection
Investigated and determined that there was a failure to self-report potential or suspected abuse, with a civil penalty assessed.
Licensing—Failed to report potential or suspected abuse
23 Apr 2018Inspection
23 Apr 2018Inspection
Determined that a secured environment was not provided, creating a safety deficiency.
Licensing—Failed to provide safe environment
05 Jan 2018Condition
05 Jan 2018Condition
Found violations for failing to provide service and immediate jeopardy due to multiple residents experiencing severe weight loss. A $0 fine was assessed.
Regulatory Action—Failed to provide service
07 Nov 2017Inspection
07 Nov 2017Inspection
Investigated the allegation that a safe medication administration system was not provided and found inadequate care.
Licensing—Failed to provide a safe medication administration system
27 Oct 2017Inspection
27 Oct 2017Inspection
Determined that a failure to provide service occurred, resulting in a substantiated licensing violation.
Licensing—Failed to provide service
14 Mar 2017Inspection
14 Mar 2017Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
30 Sept 2016Abuse: Neglect
30 Sept 2016Abuse: Neglect
Found violations of the care plan and safety requirements.
Abuse—Failed to follow care plan
29 Sept 2016Abuse: Neglect
29 Sept 2016Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
30 Oct 2015Abuse: Neglect
30 Oct 2015Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to protect a resident from inappropriate sexual contact.
Abuse—Failed to provide safe environment
10 Aug 2015Abuse: Neglect
10 Aug 2015Abuse: Neglect
Investigated and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
23 Jul 2015Abuse: Neglect
23 Jul 2015Abuse: Neglect
Investigated a complaint alleging failure to protect a resident from inappropriate sexual contact and identified a safety deficiency.
Abuse—Failed to protect resident from inappropriate sexual contact
13 Jul 2015Inspection
13 Jul 2015Inspection
Investigated and concluded that there was a failure to provide a safe environment for residents.
Licensing—Failed to provide safe environment
11 Feb 2015Abuse: Neglect
11 Feb 2015Abuse: Neglect
Found deficiencies in the medication administration system. Assessed a $300 fine for the deficiency.
Abuse—Failed to provide a safe medication administration system
04 Feb 2015Inspection
04 Feb 2015Inspection
Investigated the allegation and found an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
03 Jan 2015Abuse: Neglect
03 Jan 2015Abuse: Neglect
Investigated a neglect allegation and found failure to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
02 Sept 2014Abuse: Neglect
02 Sept 2014Abuse: Neglect
Concluded that the allegation of failing to follow the care plan was supported, with potential neglect of care.
Abuse—Failed to follow care plan
26 Jun 2014Abuse: Neglect
26 Jun 2014Abuse: Neglect
Investigated an allegation of inadequate care planning for falls and found an unsafe environment.
Abuse—Failed to adequately care plan related to falls
15 Nov 2013Inspection
15 Nov 2013Inspection
Found a safety deficiency due to failure to address resident behavior, resulting in an unsafe environment.
Licensing—Failed to address resident's behavior
06 Aug 2013Abuse: Neglect
06 Aug 2013Abuse: Neglect
Found failure to provide a safe environment.
Abuse—Failed to provide safe environment
13 Apr 2012Abuse: Neglect
13 Apr 2012Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to protect a resident from injury.
Abuse—Failed to provide safe environment
04 Jan 2012Abuse: Verbal/Mental abuse
04 Jan 2012Abuse: Verbal/Mental abuse
Investigated an abuse allegation and found a failure to provide a safe environment.
Abuse—Failed to protect resident from verbal abuse
13 Apr 2011Abuse: Physical Abuse
13 Apr 2011Abuse: Physical Abuse
Investigated the allegation of physical abuse and found a resident was not protected from rough treatment.
Abuse—Failed to protect resident from rough treatment
13 Apr 2011Inspection
13 Apr 2011Inspection
Found a safety-related deficiency involving resident rights.
Licensing—Failed to assure resident rights
07 Apr 2011Abuse: Verbal/Mental abuse
07 Apr 2011Abuse: Verbal/Mental abuse
Found a failure to protect a resident from verbal/mental abuse and to provide a safe environment.
Abuse—Failed to protect resident from mental or emotional abuse
25 Mar 2011Abuse: Financial abuse
25 Mar 2011Abuse: Financial abuse
Found that the RV was not protected from theft.
Abuse—Failed to provide safe environment
10 Mar 2011Abuse: Neglect
10 Mar 2011Abuse: Neglect
Investigated an allegation of neglect and found failure to provide timely medical intervention resulting in the resident going to the emergency room.
Abuse—Failed to provide oversight and monitoring of change of condition
08 Nov 2010Inspection
08 Nov 2010Inspection
Investigated the allegation that necessary information wasn't communicated. Found that a resident did not receive appropriate care.
Licensing—Failed to communicate necessary information
16 Jan 2010Abuse: Neglect
16 Jan 2010Abuse: Neglect
Investigated and found that medical treatment ordered by a physician was not provided; an allegation of neglect was sustained with a $250 fine assessed.
Abuse—Failed to provide medical treatment as ordered
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