I toured Keizer Bonaventure and my mom loves it - the staff are warm, attentive, and genuinely engaged, leadership was pleasant and responsive, and caregivers made her feel comfortable. The building is bright, clean and well-appointed with roomy, fully outfitted apartments, excellent amenities (bowling alley, theater, fitness, library) and lively social programming that keeps residents active; overall we're very pleased with the care and community.
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
Coordination with health care providers
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 (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
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
3.49·(72)
Overall rating
5
4
3
2
1
Care
3.0
Staff
3.2
Meals
2.4
Amenities
4.0
Value
2.1
Pros
Extensive on-site amenities (bowling alley, theater, game rooms)
Spacious, well-appointed apartments with large kitchens and balconies
Bright, clean, well-maintained common areas
Multiple dining venues and attractive dining rooms
Varied activity programming including live music, church services, and classes
Accessible transportation to local shopping and services
On-site salon and therapy services
Social atmosphere with resident engagement and community events
Memory-care unit availability and dedicated programming
Responsive and personable sales and leadership presence at times
Laundry and in-unit washer/dryer hookup options
Convenient location near Keizer Station and local amenities
Cons
High staff turnover and frequent leadership changes
Inconsistent staffing levels and under-staffing at peak times
Delayed responsiveness to call buttons and assistance requests
Inconsistent training and variability in caregiver competence
Inconsistent housekeeping and sanitation practices
Variable dining quality and unreliable meal delivery
Gaps in medication administration and clinical processes
Maintenance delays and property-service follow-through issues
Unclear fee transparency and perceived poor value with price increases
Limited after-hours communication and follow-up
Variability in memory-care staffing and program consistency
Gaps in infection-control transparency and related policies
Summary of reviews
Bonaventure at Keizer Station presents a clear split between physical environment and operational consistency. The campus is frequently described as new or recently renovated, with spacious, bright apartments, large kitchens, balconies, and well-maintained common areas. The property offers a broad set of on-site amenities — including a bowling alley, theater, game rooms, salon, exercise areas, and multiple dining venues — and a social atmosphere with many resident activities and community events. Its location near Keizer Station and local shopping, plus transportation services, add practical convenience for residents and families.
Care and staffing receive mixed assessments. Many accounts praise individual caregivers, memory-care staff, and certain leaders for compassion and resident-focused interactions; these staff members are credited with fostering social engagement and clinical support. However, a substantial pattern of high staff turnover and frequent leadership changes contributes to variability in day-to-day care. Reported operational consequences include delayed responses to assistance calls, inconsistent caregiver training, occasional medication-administration concerns, and uneven scheduling of therapy services. These patterns appear to affect resident safety perceptions and family confidence in clinical reliability.
Dining and housekeeping are additional areas of variability. The dining rooms and menu are often described as attractive and varied, with some residents enjoying meals and special events. At the same time, multiple accounts describe declining meal quality, problems with meal temperature or timely delivery, and portion/quantity management issues. Housekeeping and maintenance performance also varies across units: while common areas are generally well kept, some families described sanitation concerns in resident rooms, delayed maintenance responses, and service follow-through gaps such as lost or delayed laundry and unresolved repairs.
Management, communication, and value issues are recurring themes. Some families singled out sales or executive staff for helpfulness and strong engagement; others criticized inconsistent communication, slow after-hours contact, and a lack of follow-through on service or billing concerns. Several comments raise questions about pricing, fee transparency, and recent price increases relative to perceived service quality. There are also mentions of limited clarity around infection-control policies and staff vaccination practices, which prospective residents and families may want to clarify directly with administration.
What stands out is the polarized nature of experiences: for some residents the community provides an engaging, well-appointed, and supportive setting; for others, operational weaknesses meaningfully affect daily life. Prospective residents and families should arrange an in-person visit, inquire specifically about current staffing levels, turnover, call-response times, medication-management protocols, dining service procedures, housekeeping practices, infection-control policies, and contract/fee details. Confirming who will be regular point contacts and asking for examples of recent improvements or staffing stability may help set realistic expectations and identify whether the facility matches an individual’s care and lifestyle priorities.
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Location
Bonaventure at Keizer Station is located at 5525 McLeod Ln NE, Keizer, OR, 97303.
About Bonaventure at Keizer Station
Bonaventure at Keizer Station sits at 5525 McLeod Ln NE in Keizer, Oregon, close to I-5, just outside Salem, and not too far from Portland and the Oregon Coast, and it's got a lot of different options for seniors who need independent living, assisted living, or memory care, without getting into a lot of fancy promises, just pretty much giving people choices depending on what help they might need as they get older, and having staff on site 24 hours a day to keep an eye out and provide support. The place is set up with suites in various sizes, like studios, one-bedrooms, and two-bedrooms, and the memory care part also has its own studio, one-bedroom, and larger suites, all designed to help people feel comfortable, and especially in the memory care area, things are put together to keep folks safe, ease confusion, and prevent wandering.
There are federal rules protecting residents from discrimination based on gender identity, orientation, and income, so everyone's supposed to be able to feel safe living there. They're pet friendly, so residents can bring pets. There's high-speed Wi-Fi through the community but nothing too clear about what kind of internet or satellite service is standard in the rooms, just that it's available. Residents get private mailboxes, and many of the suites have things like full kitchens or kitchenettes with individually controlled thermostats and handicapped accessible bathrooms.
People can enjoy a movie theater, billiard room, exercise center, activity center, gardening areas, hobby center, and a cozy fireplace with a sitting area for quiet chats, a library for those who like to relax with a book, an on-site salon and beautician, private and public dining rooms, outdoor patios in some areas, and spacious common rooms that let in a lot of natural light. It's one of the only places in the area that has a real bowling alley. There's also a swimming pool, gardens for strolling, and delicious meals served daily, with snacks, and weekly housekeeping and linen service, plus complimentary laundry facilities, transportation when residents need to go out, and a wireless emergency call system in case anyone needs help.
They have an Activity Director named Kate Hinman and an Executive Director named Chloe Gray, both helping organize things and keep the place running smoothly with the goal of keeping folks independent while supporting individual needs. They plan activities to keep people busy both onsite and offsite, with options for social, hobby, educational, and devotional interests. There's a structured program for residents with Alzheimer's and dementia, with wellness strategies and secure settings. For seniors who are active, the independent living options make it easy to keep up with yard work, gardening, hobbies, and social activities, with transportation for those who want it, and a good number of open spaces and beautiful, landscaped gardens. There are no extra details given about parking or exactly how things are laid out inside or outside except to mention things like high ceilings, front entrance, front view, and modern, comfortable design throughout the community. The facility has a total of 59 beds and offers specialized assisted living with personal care and continuous staff support for those who need help.
Bonaventure at Keizer Station isn't listed for sale or rent on Trulia, and there aren't specific details about interior building features or exact care services, but it's made to help seniors find community, keep their independence as much as they can, and get support if their needs change over time.
About Bonaventure
Bonaventure at Keizer Station is managed by Bonaventure.
Founded in 1999 and headquartered in Salem, Oregon, Bonaventure Senior Living is a family-owned company operating 28 communities across Washington, Oregon, and Colorado. They offer independent living, assisted living, and memory care services with their "Retirement Perfected™" philosophy.
People often ask...
Bonaventure at Keizer Station offers competitive pricing, with rates starting at a cost of $6,697 per month.
Bonaventure at Keizer Station offers independent living, assisted living, and memory care.
There are 43 photos of Bonaventure at Keizer Station on Mirador.
Yes, Bonaventure at Keizer Station allows residents to age in place and adjust their level of care as needed.
The full address for this community is 5525 McLeod Ln NE, Keizer, OR 97303.
No, Bonaventure at Keizer Station 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 documentation deficiency due to failure to provide requested records; determined that this violated Oregon Administrative Rules.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Determined that the allegation of failing to cooperate with an investigation was sustained.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Investigated a complaint and found a violation for failing to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Determined that a documentation deficiency occurred due to failure to provide requested documentation.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Investigated and found that documentation was not provided when requested.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Found a violation for failing to provide requested documentation during an investigation.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Investigated the allegation of failing to cooperate with an investigation and found that requested documentation was not provided.
Licensing—Failed to cooperate with an investigation
18 Dec 2025Inspection
18 Dec 2025Inspection
Investigated found that requested documentation wasn't provided.
Licensing—Failed to cooperate with an investigation
16 Dec 2025Abuse: Neglect
16 Dec 2025Abuse: Neglect
Investigated a report of neglect and found a failure to provide a safe environment, leading to a resident injury.
Abuse—Failed to provide safe environment
15 Dec 2025Abuse: Neglect
15 Dec 2025Abuse: Neglect
Investigated a neglect report tied to an unsafe environment. Found safety failures left a resident at risk during an altercation.
Abuse—Failed to provide safe environment
13 Dec 2025Inspection
13 Dec 2025Inspection
Found a violation of Oregon Administrative Rules for failing to provide service to the alleged victim.
Licensing—Failed to provide service
05 Dec 2025Inspection
05 Dec 2025Inspection
Found deficiencies related to the Acuity-Based Staffing Tool not reflecting current residents’ care needs and inconsistencies with the roster and care plans.
Licensing—Failed to use an ABST
03 Dec 2025Inspection
03 Dec 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data and determined a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
17 Nov 2025License Condition
17 Nov 2025License Condition
Investigated the allegation of insufficient staffing and found a deficiency related to acuity-based staffing requirements. Specifically, the acuity-based staffing tool was not developed, maintained, or implemented as required.
Regulatory Action—Failed to staff as indicated by ABST
11 Nov 2025Inspection
11 Nov 2025Inspection
Investigated and found the ABST was not updated to reflect resident needs. Inconsistencies existed between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
31 Oct 2025Inspection
31 Oct 2025Inspection
Found inconsistencies between the resident roster, care plans, and the Acuity-Based Staffing Tool, indicating ABST accuracy issues. The ABST was not up to date to reflect resident needs.
Licensing—Failed to use an ABST
19 Oct 2025Inspection
19 Oct 2025Inspection
Found an updated ABST was not maintained and inconsistencies existed between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
15 Oct 2025Inspection
15 Oct 2025Inspection
Found the ABST not updated to reflect resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
13 Oct 2025Abuse: Neglect
13 Oct 2025Abuse: Neglect
Investigated a neglect allegation where supervision failed for a resident using a motorized powerchair, resulting in a foot injury requiring stitches.
Abuse—Failed to provide service
13 Oct 2025Inspection
13 Oct 2025Inspection
Identified deficiencies in the Acuity-Based Staffing Tool (ABST) with inconsistencies between the roster, care plans, and ABST data that did not reflect resident needs.
Licensing—Failed to use an ABST
09 Oct 2025Inspection
09 Oct 2025Inspection
Identified deficiencies in the Acuity-Based Staffing Tool that did not reflect the resident population and care needs. Found inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
06 Oct 2025Inspection
06 Oct 2025Inspection
Investigated an allegation of neglect and abuse and found supervision failures where a resident was left alone during an activity, and proper supervision was not ensured.
Licensing—Failed to provide service
06 Oct 2025Inspection
06 Oct 2025Inspection
Identified deficiencies in the ABST accuracy and staffing levels, with inconsistencies between the resident roster, care plans, and ABST data. Staffing did not align with ABST indications to meet residents' scheduled and unscheduled needs.
Licensing—Failed to use an ABST
02 Oct 2025Kitchen
02 Oct 2025Kitchen
Identified extensive kitchen sanitation and food storage deficiencies with repeated citations. Noted ongoing plan of correction and administration compliance issues.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
02 Oct 2025Kitchen
02 Oct 2025Kitchen
Identified multiple deficiencies in kitchen sanitation and food safety, including unsafe cooler temperatures, dirty surfaces, unlabelled or uncovered foods, and improper hygiene practices.
Deficiency—Inspections and Investigation: Insp Interval
30 Sept 2025Inspection
30 Sept 2025Inspection
Found that an updated ABST was not maintained to reflect residents' needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
23 Sept 2025Inspection
23 Sept 2025Inspection
Identified that the Acuity-Based Staffing Tool was not up to date and did not accurately reflect residents' needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
11 Sept 2025Inspection
11 Sept 2025Inspection
Investigated and identified a violation due to an outdated ABST not reflecting residents' care needs. Evidence showed inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
04 Sept 2025Inspection
04 Sept 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data due to an outdated Acuity-Based Staffing Tool.
Licensing—Failed to use an ABST
02 Sept 2025Inspection
02 Sept 2025Inspection
Investigated and determined a deficiency in oversight and monitoring of change of condition.
Licensing—Failed to provide oversight and monitoring of change of condition
02 Sept 2025Inspection
02 Sept 2025Inspection
Found inconsistencies between the resident roster, care plans, and ABST data due to an outdated ABST.
Licensing—Failed to use an ABST
30 Aug 2025Inspection
30 Aug 2025Inspection
Identified deficiencies in updating and aligning the ABST with the resident population and care needs. Inconsistencies between the roster, care plans, and ABST data were found.
Licensing—Failed to use an ABST
27 Aug 2025Inspection
27 Aug 2025Inspection
Identified an outdated ABST and inconsistencies between the resident roster, care plans, and ABST data, indicating a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
18 Jul 2025Inspection
18 Jul 2025Inspection
Found an outdated Acuity-Based Staffing Tool and inconsistencies between the resident roster, care plans, and ABST data. Determined this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
24 Jun 2025Inspection
24 Jun 2025Inspection
Investigated the allegation and found inconsistencies between the resident roster, care plans, and the ABST data, identifying a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
23 Jun 2025Inspection
23 Jun 2025Inspection
Determined a deficiency in updating the Acuity-Based Staffing Tool to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
09 May 2025Abuse: Neglect
09 May 2025Abuse: Neglect
Investigated found neglect due to failure to supervise a resident, who was found outside the building, risking harm.
Abuse—Failed to provide safe environment
03 May 2025Inspection
03 May 2025Inspection
Found deficiencies in the ABST reflecting resident needs, with inconsistencies between the roster, care plans, and ABST data. Concluded that this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
03 May 2025Abuse: Neglect
03 May 2025Abuse: Neglect
Found a safety deficiency that led to elopement and injury; assessed a $500 fine.
Abuse—Failed to provide safe environment
29 Jan 2025Complaint
29 Jan 2025Complaint
Investigated a licensure complaint about an acuity-based staffing tool and identified potential for moderate harm in a limited area.
Deficiency—Acuity Based Staffing Tool - Abst Time
07 Nov 2024Licensure
07 Nov 2024Licensure
Identified deficiencies in meals sanitation, coordination of outside health services, direct-care staff training, and residents' fire safety training.
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Training Within 30 Days of Hire – Direct Care Staff
Deficiency—Fire and Life Safety: Training for Residents
04 Nov 2024Kitchen
04 Nov 2024Kitchen
Identified deficiencies in kitchen sanitation practices and administration compliance, with numerous storage, equipment, and personal hygiene issues observed.
Investigated and found staff did not follow the care plan regarding toileting checks. This resulted in neglect and abuse and a fine was assessed.
Abuse—Failed to provide service
10 Sept 2024Abuse: Neglect
10 Sept 2024Abuse: Neglect
Investigated an allegation of falls-related neglect and abuse and identified a failure to plan for and mitigate fall risk, resulting in a resident fall and injury.
Abuse—Failed to properly plan care
29 Jul 2024Abuse: Neglect
29 Jul 2024Abuse: Neglect
Investigated a safety incident where a resident was harmed during an interaction with another resident known to be aggressive; found the provider failed to provide a safe environment, placing the resident at risk.
Abuse—Failed to provide safe environment
14 Jul 2024Abuse: Neglect
14 Jul 2024Abuse: Neglect
Found failures to properly plan care and mitigate falls risk, resulting in injuries from two falls.
Abuse—Failed to properly plan care
06 Jul 2024Inspection
06 Jul 2024Inspection
Found failure to administer medication as ordered; no observable or documented negative outcome.
Licensing—Failed to administer medication as ordered
28 Jun 2024Abuse: Neglect
28 Jun 2024Abuse: Neglect
Investigated an allegation of unsafe environment; found that a resident eloped three times in one month due to lack of a safe window locking and inadequate safeguards.
Abuse—Failed to provide safe environment
26 Jun 2024Complaint
26 Jun 2024Complaint
Identified deficiencies in verifying 30-day competency for direct care staff, with no documented evidence of satisfactory performance within 30 days of hire and missing training records.
Deficiency—Training Within 30 Days: Direct Care Staff
26 Jun 2024Inspection
26 Jun 2024Inspection
Found that direct care staff were not verified as having demonstrated satisfactory performance for any duties they were assigned. The issue was identified as a licensing violation.
Investigated a safety complaint and found a failure to provide a safe environment for a resident. An aggressive resident punched another resident after an interaction, and staff had not kept them separated after a prior incident.
Abuse—Failed to provide safe environment
15 Apr 2024Inspection
15 Apr 2024Inspection
Investigated the allegation and found three daily nutritious meals with snacks were not provided seven days a week. The investigation determined no licensing violation occurred.
Licensing—Failed to provide proper food/nutrition
12 Apr 2024Abuse: Neglect
12 Apr 2024Abuse: Neglect
Found that a known fall-risk resident did not have access to a walker as required by the care plan, leading to a fall and hip fracture.
Abuse—Failed to follow care plan
08 Apr 2024Validation
08 Apr 2024Validation
Identified multiple deficiencies in move-in evaluations, nursing delegation, medication handling, staff training, fire safety, and housekeeping, with a later revisit showing substantial compliance.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Housekeeping and Laundry
Deficiency—Individual Door Locks: Key Access
Deficiency—Limitations: Threats to Health and Safety
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Resident Services
Deficiency—Compliance With Rules Health Care
06 Apr 2024Abuse: Neglect
06 Apr 2024Abuse: Neglect
Found that the care plan was not followed, leading to repeated cleanliness failures and alleged abuse.
Abuse—Failed to follow care plan
01 Apr 2024Inspection
01 Apr 2024Inspection
Found that a staff member forced a crushed-pill medication and did not follow the care plan, constituting neglect and abuse; the setting did not ensure the care plan around crushed medications was followed.
Licensing—Failed to follow care plan
14 Mar 2024Inspection
14 Mar 2024Inspection
Identified deficiencies in the Acuity-Based Staffing Tool, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
14 Feb 2024Abuse: Neglect
14 Feb 2024Abuse: Neglect
Investigated found that required checks per the service plan were not performed during several night shifts, leading to discomfort and skin breakdown.
Abuse—Failed to follow care plan
17 Jan 2024Abuse: Neglect
17 Jan 2024Abuse: Neglect
Investigated a fall-risk case and found that new interventions to reduce the risk of falls were not implemented.
Abuse—Failed to properly plan care
06 Dec 2023Licensure
06 Dec 2023Licensure
Identified extensive sanitation and food safety deficiencies in the kitchen. A follow-up visit found substantial compliance with the applicable rules.
Identified extensive deficiencies in kitchen sanitation, storage, and food handling during the initial assessment. A follow-up visit found substantial compliance with applicable rules.
Investigated and found neglect related to failing to protect a resident from financial exploitation. A $1,500 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
30 Oct 2023Abuse: Neglect
30 Oct 2023Abuse: Neglect
Found violations for failing to protect a resident from financial exploitation; a $500 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
14 Aug 2023License Condition
14 Aug 2023License Condition
Investigated an allegation that an Acuity Based Staffing Tool was not used; findings indicate failure to use ABST.
Regulatory Action—Failed to use an ABST
01 Aug 2023Abuse: Neglect
01 Aug 2023Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in multiple missed doses and a $500 fine.
Abuse—Failed to provide a safe medication administration system
13 Jun 2023Abuse: Neglect
13 Jun 2023Abuse: Neglect
Investigated an allegation of neglect and abuse; found failure to properly plan care that led to falls and injury, with a $1,500 fine assessed.
Abuse—Failed to properly plan care
24 May 2023Complaint
24 May 2023Complaint
Found no deficiencies.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
19 May 2023Inspection
19 May 2023Inspection
Concluded a deficiency for failure to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority, ongoing for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
11 May 2023Abuse: Neglect
11 May 2023Abuse: Neglect
Investigated a fall-related care issue and found neglect and abuse due to failure to properly plan around falls.
Abuse—Failed to properly plan care
17 Mar 2023Inspection
17 Mar 2023Inspection
Investigated and found a violation of Oregon administrative rules for not fully implementing an acuity-based staffing tool.
Licensing—Failed to use an ABST
15 Mar 2023Abuse: Neglect
15 Mar 2023Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in withdrawal symptoms for a resident and a civil penalty.
Abuse—Failed to provide a safe medication administration system
12 Feb 2023Abuse: Neglect
12 Feb 2023Abuse: Neglect
Investigated and identified neglect related to wound care coordination; a $500 fine was assessed.
Abuse—Failed to provide service
11 Jan 2023Complaint
11 Jan 2023Complaint
Identified deficiencies in posting the latest survey, providing ADL assistance, staffing adequacy, ABST use, and condition reporting.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Conditions
11 Jan 2023Complaint
11 Jan 2023Complaint
Identified deficiencies in resident rights and staffing, including failure to treat residents with dignity and respect and insufficient staff to meet needs.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection - General
Deficiency—Staffing Requirements and Training: Staffing
11 Jan 2023Complaint
11 Jan 2023Complaint
Identified deficiencies related to treatment orders.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
06 Jan 2023Inspection
06 Jan 2023Inspection
Investigated a complaint and found deficiencies in daily living assistance, including bathing, washing hair, and dressing.
Licensing—Failed to provide service
05 Jan 2023Inspection
05 Jan 2023Inspection
Investigated an allegation and found failure to carry out medication and treatment orders as prescribed.
Licensing—Failed to provide a safe medication administration system
30 Dec 2022Abuse: Neglect
30 Dec 2022Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in neglect and abuse; assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
30 Dec 2022Abuse: Neglect
30 Dec 2022Abuse: Neglect
Investigated a medication administration failure and found a lack of a safe medication system, causing the resident to feel sick and constituting abuse and neglect.
Abuse—Failed to provide a safe medication administration system
22 Dec 2022Inspection
22 Dec 2022Inspection
Investigated an allegation that resident rights were not assured and determined that a violation occurred, with a finding that the resident was not treated with dignity and respect.
Licensing—Failed to assure resident rights
22 Dec 2022Inspection
22 Dec 2022Inspection
Investigation found insufficient direct care staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
14 Dec 2022Licensure
14 Dec 2022Licensure
Identified deficiencies in kitchen cleanliness and improper food storage; follow-up visits showed substantial compliance.
Deficiency—Inspections and Investigation: Insp Interval
29 Nov 2022License Condition
29 Nov 2022License Condition
Found a deficient medication administration system, including instances of incorrect dosing and marking medications as administered when not on hand.
Regulatory Action—Failed to provide a safe medication administration system
29 Nov 2022License Condition
29 Nov 2022License Condition
Investigated the allegation and found that an acuity-based staffing tool was not used.
Regulatory Action—Failed to use an ABST
29 Nov 2022Abuse: Neglect
29 Nov 2022Abuse: Neglect
Found that a resident did not receive prescribed pain medications on two dates, violating resident rights. A $250 fine was assessed.
Abuse—Failed to provide service
14 Nov 2022Abuse: Neglect
14 Nov 2022Abuse: Neglect
Investigated and found that a medication order was not administered, causing significant pain and constituting neglect and abuse.
Abuse—Failed to administer ordered medication
04 Nov 2022Inspection
04 Nov 2022Inspection
Found that a resident was not protected from financial exploitation after four figurines disappeared from the resident's apartment. This indicates abuse/neglect related to safeguarding residents from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
19 Oct 2022Inspection
19 Oct 2022Inspection
Found failure to post the most recent re-licensure survey, including revisits and plans of correction.
Licensing—Failed to provide safe environment
05 Oct 2022Inspection
05 Oct 2022Inspection
Investigated an allegation that a provider failed to provide a safe environment and found a deficiency.
Licensing—Failed to provide safe environment
05 Oct 2022Inspection
05 Oct 2022Inspection
Investigated a complaint and found a failure to provide services to assist a resident with activities of daily living, including toileting, showering, and dressing.
Licensing—Failed to provide service
05 Oct 2022Inspection
05 Oct 2022Inspection
Found insufficient direct care staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
30 Sept 2022Abuse: Neglect
30 Sept 2022Abuse: Neglect
Found a failure to follow the care plan, resulting in neglect and abuse.
Abuse—Failed to follow care plan
27 Sept 2022Complaint
27 Sept 2022Complaint
Found deficiencies related to staffing requirements and the acuity-based staffing tool.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
27 Sept 2022Complaint
27 Sept 2022Complaint
Investigated a complaint and identified deficiencies in safety precautions and meal sanitation, including unsecured laundry rooms with chemicals and improper food handling and temperatures.
Determined that proper meals were not provided, violating nutrition rules.
Licensing—Failed to provide proper food/nutrition
29 Jul 2022Abuse: Neglect
29 Jul 2022Abuse: Neglect
Found that a safe environment was not provided for a resident, constituting abuse and neglect.
Abuse—Failed to provide safe environment
03 Jun 2022Inspection
03 Jun 2022Inspection
Found that a resident experienced emotional abuse and protection failed, with staff using an elevated voice and withholding food and drink after an incident.
Licensing—Failed to protect resident from mental or emotional abuse
01 Mar 2022Inspection
01 Mar 2022Inspection
Investigated a restraint-related incident and found a gait belt strapped to the front of a wheelchair, which could prevent the person from getting up.
Licensing—Failed to use restraint properly
01 Feb 2022Abuse: Neglect
01 Feb 2022Abuse: Neglect
Found a violation in medication administration that led to a seizure and neglect/abuse; a $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
07 Jan 2022Inspection
07 Jan 2022Inspection
Found a deficiency for failing to provide a safe environment.
Licensing—Failed to provide safe environment
04 Jan 2022Abuse: Neglect
04 Jan 2022Abuse: Neglect
Identified deficiencies in fall-risk care planning and mitigation after multiple falls, resulting in a $500 fine.
Abuse—Failed to properly plan care
01 Jan 2022Abuse: Neglect
01 Jan 2022Abuse: Neglect
Found a failure to provide a safe environment that caused a bruise from staff gripping too tightly; the finding was substantiated and a $500 fine assessed.
Abuse—Failed to provide safe environment
22 Dec 2021Abuse: Neglect
22 Dec 2021Abuse: Neglect
Investigated a medication administration failure that resulted in missed doses and patient harm; a $1500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
07 Dec 2021Abuse: Neglect
07 Dec 2021Abuse: Neglect
Identified a failure to maintain a safe medication administration system that led to missed anxiety medication doses and subsequent seizures.
Abuse—Failed to provide a safe medication administration system
13 Nov 2021Abuse: Neglect
13 Nov 2021Abuse: Neglect
Found failure to properly plan care to mitigate fall risk, leading to injuries after a resident fall; a fine was assessed.
Abuse—Failed to properly plan care
27 Oct 2021Validation
27 Oct 2021Validation
Identified deficiencies across quarterly resident evaluations, service planning, medication management, self-administration oversight, staff training, and fire safety. Follow-up determined substantial compliance.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Self-Administration of Meds
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
20 Oct 2021Inspection
20 Oct 2021Inspection
Found that a resident experienced mental and emotional abuse and staff failed to protect them.
Licensing—Failed to protect resident from mental or emotional abuse
05 Oct 2021Abuse: Neglect
05 Oct 2021Abuse: Neglect
Investigated and found a failure to provide a safe environment resulting in injuries, constituting abuse and neglect.
Abuse—Failed to provide safe environment
02 Oct 2021Abuse: Neglect
02 Oct 2021Abuse: Neglect
Investigated a safety lapse that allowed a resident to be bitten, including prior bites. This reflects abuse and neglect.
Abuse—Failed to provide safe environment
01 Oct 2021Inspection
01 Oct 2021Inspection
Investigated the allegation that a safe medication administration system was not provided. Determined that no wrongdoing occurred.
Licensing—Failed to provide a safe medication administration system
12 Sept 2021Inspection
12 Sept 2021Inspection
Investigated a medication administration safety issue and found a failure to provide a safe medication administration system, resulting in hospitalization after an insulin dosing error.
Licensing—Failed to provide a safe medication administration system
28 Aug 2021Abuse: Neglect
28 Aug 2021Abuse: Neglect
Investigated and found violations related to care planning to prevent resident-to-resident altercations, with a $188 fine assessed.
Abuse—Failed to properly plan care
07 Jul 2021Abuse: Neglect
07 Jul 2021Abuse: Neglect
Investigated a complaint and found a failure to provide a safe medication administration system, leading to neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
11 Sept 2020Abuse: Neglect
11 Sept 2020Abuse: Neglect
Found that care planning failed to address fall risk, resulting in multiple falls and injuries for a resident with a history of falls.
Abuse—Failed to properly plan care
14 Apr 2020Abuse: Neglect
14 Apr 2020Abuse: Neglect
Found failure to provide a safe medication administration system, resulting in hospital transfer after a stroke and identified as abuse/neglect.
Abuse—Failed to provide a safe medication administration system
20 Dec 2019Inspection
20 Dec 2019Inspection
Investigated an allegation that residents were not safe; found that policies and procedures addressing wandering and egress prevention were not developed or implemented in accordance with OAR 411-057-0140(5)(c).
Licensing—Failed to assure resident was safe
08 Nov 2019Inspection
08 Nov 2019Inspection
Investigated allegation of failing to report suspected abuse and found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
08 Nov 2019Abuse: Neglect
08 Nov 2019Abuse: Neglect
Investigated the complaint and found neglect by failing to provide transportation for medical appointment, placing AV at risk of serious harm. A $250 fine was assessed.
Abuse—Failed to provide transportation for medical or social purposes
17 Oct 2019Abuse: Neglect
17 Oct 2019Abuse: Neglect
Found neglect for failing to implement effective interventions and monitor a resident's falls and catheter care, leading to an unwitnessed fall and removal of the catheter; a $500 fine was assessed.
Abuse—Failed to provide service
25 Sept 2019Abuse: Neglect
25 Sept 2019Abuse: Neglect
Found neglect and abuse due to inadequate supervision, resulting in multiple restraints on a resident and risk to safety and dignity. A fine was assessed.
Abuse—Failed to assure resident was safe
20 Sept 2019Inspection
20 Sept 2019Inspection
Found failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
20 Sept 2019Abuse: Neglect
20 Sept 2019Abuse: Neglect
Found inadequate supervision related to falls, resulting in five falls with one causing a contusion. A $500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
09 Sept 2019Abuse: Neglect
09 Sept 2019Abuse: Neglect
Investigated a neglect allegation and found inadequate care and supervision, resulting in a fractured finger during medication pass.
Abuse—Failed to follow care plan
14 Mar 2019Abuse: Neglect
14 Mar 2019Abuse: Neglect
Determined that neglect occurred by failing to follow the care plan to check on the resident hourly, allowing wandering. A $375 fine was assessed.
Abuse—Failed to assure resident was safe
24 Jan 2019Abuse: Neglect
24 Jan 2019Abuse: Neglect
Found neglect due to failure to oversee change of condition, resulting in sores and skin breakdown from inadequate peri care.
Abuse—Failed to provide oversight and monitoring of change of condition
24 Nov 2018Abuse: Neglect
24 Nov 2018Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered, which placed the resident at serious risk of harm. A $250 fine was assessed.
Abuse—Failed to administer medication as ordered
24 Nov 2018Inspection
24 Nov 2018Inspection
Found failure to report suspected abuse; assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
03 Aug 2018Abuse: Neglect
03 Aug 2018Abuse: Neglect
Investigated a neglect allegation and found failure to maintain health and safety of an adult in care, resulting in physical harm. A $500 fine was assessed.
Abuse—Failed to provide safe environment
27 Jun 2018Abuse: Neglect
27 Jun 2018Abuse: Neglect
Investigated an allegation of inadequate fall care planning and found a deficiency resulting in a forehead hematoma; a $1,500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
20 May 2018Inspection
20 May 2018Inspection
Investigated an allegation that resident behavior was not addressed. Found a resident-to-resident altercation occurred, resulting in a resident being hit on both arms.
Licensing—Failed to address resident's behavior
09 Apr 2018Abuse: Neglect
09 Apr 2018Abuse: Neglect
Investigated a neglect allegation related to falls; found that care needs were not adequately assessed or intervened, resulting in injuries, and a $500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
09 Apr 2018Inspection
09 Apr 2018Inspection
Found that care needs were not assessed or intervened, resulting in elopement.
Licensing—Failed to provide safe environment
09 Apr 2018Inspection
09 Apr 2018Inspection
Identified a failure to report suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
01 Feb 2018Inspection
01 Feb 2018Inspection
Concluded that appropriate staffing was not provided. This identified a licensing violation.
Licensing—Failed to provide appropriate staffing
29 Jan 2018Inspection
29 Jan 2018Inspection
Found violations for insufficient staffing that caused excessive wait times for call light responses.
Licensing—Failed to answer call light in a timely manner
26 Dec 2017Condition
26 Dec 2017Condition
Found violations related to failing to provide a safe environment, with moderate risk.
Regulatory Action—Failed to provide safe environment
07 Dec 2017Abuse: Financial abuse
07 Dec 2017Abuse: Financial abuse
Found financial abuse involving the theft of $300 due to failure to protect assets.
Abuse—Failed to provide safe environment
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Mirador Living is not affiliated with the owner or operator(s) of Bonaventure at Keizer Station. The information above has not been verified or approved by the owner or operator. For exact information, please contact Bonaventure at Keizer Station directly. There is no cost for this service. We are compensated by the community you select.
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