I moved my mom into The Arbor and have been very pleased - clean, bright, beautifully decorated common areas, tasty individually served meals, and engaging activities (our family loved the egg hunt). The memory-care team is compassionate and supportive, treated her with dignity, kept residents safe, and gave us real peace of mind; I would recommend this place.
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
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
4.38·(24)
Overall rating
5
4
3
2
1
Care
4.0
Staff
4.3
Meals
3.3
Amenities
3.8
Value
5.0
Pros
Clean, well-maintained rooms and common areas
Bright, attractive, and thoughtfully decorated living spaces
Private-room availability
Compassionate and attentive caregiving staff
Engaged executive leadership and memory-care expertise
Strong infection-control practices
Tasty, individually plated meals
Socially engaging activities and family-oriented events
Smooth move-in and transition support
Competitive/affordable pricing
Supportive family communication and emotional support
Safe, welcoming atmosphere
Cons
Inconsistent staff quality
High staff turnover and periodic staffing shortages
Medication-management concerns
Gaps in housekeeping and floor maintenance
Laundry management and resident-item security issues
Accessibility limitations for wheelchair users
Safety oversight concerns related to transfers and falls
Inconsistent meal quality and nutritional consistency
Communication and administrative responsiveness gaps
Summary of reviews
The Arbor at Avamere Court presents a mix of clear strengths and areas that warrant careful inquiry by prospective residents and families. Common positive themes include a clean, well-maintained physical environment with bright, attractive common areas and private rooms. Families frequently praised the facility's focus on memory-care programming, the engaged executive leadership, and an overall welcoming atmosphere. Several accounts also emphasized strong infection-control practices during COVID-19 and described smooth transitions into memory-care services.
Care quality is characterized by polarized experiences. Many families described compassionate, attentive caregivers and named individual staff who provided consistent support and emotional responsiveness. Those accounts emphasize staff who understand dementia care and who provide comfort to both residents and families. However, other families described variability in staff performance and intermittent staffing shortages. This variability appears to contribute to uneven daily care experiences, with some reports noting rough handling concerns during transfers, delays in floor-level care tasks, and occasional lapses in housekeeping attention. Medication management emerged as a notable concern for some families, who described changes in residents’ appetite and demeanor associated with psychotropic medication; these accounts suggest families should ask specifically about medication protocols and oversight.
Dining and activities receive generally positive remarks for social engagement and individualized meal presentation. Several families found meals appealing and appreciated organized events (for example seasonal activities and community gatherings). At the same time, there are comments about inconsistent food quality and nutrition, so prospective residents may wish to sample meals and discuss dietary accommodations. The Arbor appears to offer an active calendar of memory-focused programming and family-friendly events that many families valued for resident engagement.
On facilities and operations, the property is frequently described as clean and well-decorated, but reviewers also noted maintenance gaps such as inconsistent floor care and housekeeping coverage. Laundry handling and missing-item concerns were raised, indicating a need for clear labeling and inventory processes. Accessibility is another operational limitation: some dining and bathroom fixtures were reported as difficult for wheelchair users to use comfortably. Communication and administrative responsiveness were praised by some families—particularly with visible, caring leadership—but others experienced difficulty reaching administrators or resolving specific care concerns. Finally, safety oversight related to transfers and fall prevention was flagged and should be a topic of discussion during tours and care-planning meetings.
In summary, The Arbor at Avamere Court offers a well-appointed, socially active memory-care environment with many staff members and leaders who are highly regarded by families. At the same time, patterns of staffing variability, housekeeping and laundry process gaps, accessibility limitations, and medication-management concerns suggest areas for due diligence. Prospective residents and families should tour the facility, meet leadership and direct-care staff, review medication and transfer-safety protocols, sample meals, and ask about staffing continuity and laundry/housekeeping procedures before deciding.
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Location
The Arbor at Avamere Court is located at 450 Claggett St NE, Keizer, OR, 97303.
About The Arbor at Avamere Court
The Arbor at Avamere Court sits in Keizer, OR, and offers a secure memory care setting for seniors with Alzheimer's or other forms of dementia, featuring 96 beds and staff trained through the Dementia Live program, which helps them better understand what people with dementia experience, and you'll find the community keeps safety in mind with a sprinkler system, emergency call system, and 24-hour supervision along with regular health and wellness checks. The community supports independent living, assisted living, memory care, skilled nursing, and rehabilitation services, so residents with different needs can receive the right support at each stage, all under one roof, and there are also personalized care services like help with bathing, dressing, meals, and medication reminders. Residents can choose between studio apartments, like Deluxe Studio A at 259 square feet or Deluxe Studio B at 275 square feet, which feel cozy but still promote a sense of independence, and the rooms offer helpful features such as kitchens or kitchenettes, washer and dryer access, housekeeping, and safety or handicap accommodations. Nutritious meals come from a restaurant-style dining room, and there's always the option to join social, educational, and cultural programs-the community marks special months like Asian American and Pacific Islander Heritage Month and Native American Heritage Month, making sure residents can celebrate and share their backgrounds. Community amenities like walking paths, a community garden, fitness center, activities room, salon/barbershop, WiFi, and guest parking help residents stay active, social, and well-groomed, and services like laundry, housekeeping, maintenance, and transportation are all available on site. Staff can coordinate care with local health providers, and the community allows long term care insurance to help with costs, with a one-time community fee of $3,000. The Arbor at Avamere Court provides specialized dementia care to help reduce confusion and wandering, and respite care gives temporary relief to families or caregivers who need a break. Residents benefit from a calendar full of activities designed to engage them socially, physically, mentally, and emotionally, and a focus on kindness and being helpful helps everyone feel at home.
People often ask...
The Arbor at Avamere Court offers competitive pricing, with rates starting at a cost of $6,752 per month.
The Arbor at Avamere Court offers independent living, assisted living, and memory care.
There are 9 photos of The Arbor at Avamere Court on Mirador.
Yes, The Arbor at Avamere Court allows residents to age in place and adjust their level of care as needed.
The full address for this community is 450 Claggett St NE, Keizer, OR 97303.
No, The Arbor at Avamere Court 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.
Cited for failing to implement and maintain an Acuity-Based Staffing Tool.
Regulatory Action—Failed to use an ABST
27 Feb 2026Inspection
27 Feb 2026Inspection
Found failure to provide records upon request related to staffing documentation.
Licensing—Failed to submit timely or adequate staffing documentation
15 Jan 2026Inspection
15 Jan 2026Inspection
Found inconsistencies between staffing schedules and ABST data, showing staffing did not meet ABST indicators.
Licensing—Failed to staff as indicated by ABST
31 Dec 2025Inspection
31 Dec 2025Inspection
Found staffing levels did not align with ABST indications or meet scheduled and unscheduled resident needs. Inconsistencies between the staffing schedule and ABST data were identified.
Licensing—Failed to staff as indicated by ABST
21 Dec 2025Abuse: Neglect
21 Dec 2025Abuse: Neglect
Found failures in supervision and fall prevention for a high-risk resident, resulting in an unwitnessed fall with injuries.
Abuse—Failed to properly plan care
21 Dec 2025Inspection
21 Dec 2025Inspection
Investigated and identified that staffing levels indicated by the ABST were not met, with inconsistencies between the ABST data and the staffing schedule.
Licensing—Failed to staff as indicated by ABST
18 Dec 2025Inspection
18 Dec 2025Inspection
Found staffing levels, intensity, and qualifications did not consistently align with ABST guidance. Inconsistencies between the staffing schedule and ABST data were observed.
Licensing—Failed to staff as indicated by ABST
12 Dec 2025Inspection
12 Dec 2025Inspection
Found that the Acuity-Based Staffing Tool did not accurately reflect residents' needs and ADLs, with inconsistencies between the roster, care plans, and ABST, and staffing levels not aligned with scheduled and unscheduled needs.
Licensing—Failed to use an ABST
12 Dec 2025Abuse: Neglect
12 Dec 2025Abuse: Neglect
Investigated a resident-to-resident safety issue and found inadequate monitoring and separation, resulting in neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to provide safe environment
22 Nov 2025Abuse: Neglect
22 Nov 2025Abuse: Neglect
Investigated a failure to properly plan care for fall risk and found inadequate interventions and supervision that led to multiple falls and an injury.
Abuse—Failed to properly plan care
09 Nov 2025Abuse: Neglect
09 Nov 2025Abuse: Neglect
Found that staff failed to adequately supervise a resident-to-resident interaction, leading to a confrontational altercation and harm to a resident.
Abuse—Failed to provide safe environment
08 Nov 2025Inspection
08 Nov 2025Inspection
Identified a deficiency for failing to provide requested staffing documentation by the due date.
Licensing—Failed to submit timely or adequate staffing documentation
07 Nov 2025Abuse: Neglect
07 Nov 2025Abuse: Neglect
Investigated found that inadequate supervision allowed a resident-to-resident altercation, causing a visible injury and discomfort.
Abuse—Failed to provide safe environment
07 Nov 2025Abuse: Neglect
07 Nov 2025Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system that caused harm after an incorrect dose was given.
Abuse—Failed to provide a safe medication administration system
20 Oct 2025Abuse: Neglect
20 Oct 2025Abuse: Neglect
Found neglect of care and abuse due to failure to implement consistent fall-prevention measures, resulting in multiple unwitnessed falls and injuries.
Abuse—Failed to properly plan care
08 Sept 2025Inspection
08 Sept 2025Inspection
Identified inaccuracies in the ABST and inconsistencies between the roster, care plans, and ABST data, violating state rules.
Licensing—Failed to use an ABST
08 Sept 2025Kitchen
08 Sept 2025Kitchen
Identified failures to follow puree texture orders and multiple sanitation and administration requirements, resulting in safety and quality concerns.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
05 Sept 2025Abuse: Neglect
05 Sept 2025Abuse: Neglect
Found a failure to follow the fall-prevention plan that led to an unwitnessed fall and injuries; assessed a $1,000 fine.
Abuse—Failed to follow care plan
05 Sept 2025Abuse: Neglect
05 Sept 2025Abuse: Neglect
Investigated and found neglect of care for failing to assist with toileting, causing ongoing discomfort. A $1,000 fine was assessed.
Abuse—Failed to assist with toileting
04 Sept 2025Inspection
04 Sept 2025Inspection
Found deficiencies in updating the ABST and inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
01 Sept 2025Inspection
01 Sept 2025Inspection
Investigated and concluded there was a failure to maintain an updated ABST reflecting resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
01 Sept 2025Abuse: Neglect
01 Sept 2025Abuse: Neglect
Found violations of resident rights and neglect due to inadequate monitoring of a resident with a history of violent outbursts, leading to a physical altercation.
Abuse—Failed to provide safe environment
30 Aug 2025Inspection
30 Aug 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data, and determined a licensing violation.
Licensing—Failed to use an ABST
29 Aug 2025Inspection
29 Aug 2025Inspection
Identified a deficiency where an updated ABST did not reflect the resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
20 Aug 2025Inspection
20 Aug 2025Inspection
Found a licensing violation for failing to maintain an updated Acuity-Based Staffing Tool that accurately reflected resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
12 Aug 2025Inspection
12 Aug 2025Inspection
Found that the Acuity-Based Staffing Tool did not accurately reflect resident needs or ADLs, with inconsistencies among the roster, care plans, and ABST data, and staffing levels not aligned to ABST indicators for scheduled and unscheduled resident needs.
Licensing—Failed to use an ABST
10 Aug 2025Inspection
10 Aug 2025Inspection
Identified deficiencies in the Acuity-Based Staffing Tool, with inconsistencies between the resident roster, care plans, and ABST, and staffing not aligned with residents' needs.
Licensing—Failed to use an ABST
06 Aug 2025Inspection
06 Aug 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data, indicating the staffing tool did not accurately reflect care needs.
Licensing—Failed to use an ABST
27 Jul 2025Inspection
27 Jul 2025Inspection
Found inconsistencies between the resident roster, care plans, and ABST data, showing the ABST was not updated to reflect residents' care needs.
Licensing—Failed to use an ABST
20 Apr 2025Inspection
20 Apr 2025Inspection
Investigated and found that the Acuity-Based Staffing Tool was not updated to reflect current resident needs, causing data inconsistencies among the roster, care plans, and ABST entries.
Licensing—Failed to use an ABST
01 Apr 2025Inspection
01 Apr 2025Inspection
Identified inconsistencies in the ABST data that did not reflect resident care needs, resulting in a licensing violation.
Licensing—Failed to use an ABST
19 Mar 2025Inspection
19 Mar 2025Inspection
Found that the licensee failed to submit timely staffing records in response to a department request. The failure involved Acuity-Based Staffing Tool documentation with a due date of 03/19/25.
Licensing—Failed to submit timely or adequate staffing documentation
27 Feb 2025Abuse: Neglect
27 Feb 2025Abuse: Neglect
Identified neglect in toileting and peri-care that led to extensive soiling, discomfort, and loss of dignity due to inadequate cleansing after toileting.
Abuse—Failed to assist with toileting
18 Feb 2025Abuse: Neglect
18 Feb 2025Abuse: Neglect
Found failure to follow the care plan that resulted in a fall and injuries for a known fall-risk resident.
Abuse—Failed to follow care plan
17 Feb 2025Abuse: Neglect
17 Feb 2025Abuse: Neglect
Investigated a complaint and found a failure to redirect a wandering resident away from another resident, which led to harm.
Abuse—Failed to follow care plan
11 Jan 2025Abuse: Neglect
11 Jan 2025Abuse: Neglect
Investigated found that there was a failure to maintain a safe medication administration system, resulting in a resident not receiving prescribed opioid pain medication and experiencing pain. A $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
20 Nov 2024Abuse: Neglect
20 Nov 2024Abuse: Neglect
Investigated the case and found a failure to protect a resident from inappropriate sexual contact, constituting abuse and neglect.
Abuse—Failed to protect resident from inappropriate sexual contact
01 Nov 2024Inspection
01 Nov 2024Inspection
Investigated the allegation and found that records related to the Acuity-Based Staffing Tool were not provided to the Department by the due date after a request.
Licensing—Failed to submit timely or adequate staffing documentation
31 Oct 2024Inspection
31 Oct 2024Inspection
Found verbal and emotional abuse by staff toward a resident, including yelling to stop eating from another resident's plate, creating fear and an unsafe environment.
Licensing—Failed to provide safe environment
24 Oct 2024Licensure
24 Oct 2024Licensure
Found several deficiencies related to resident rights, health care practices, and building maintenance. These included not notifying physicians of medication refusals, privacy lapses, and inadequate activity planning and upkeep.
Determined that wound care oversight failed, resulting in a stage 4 pressure wound and hospital admission for a resident. A $2,500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
27 Apr 2024Abuse: Neglect
27 Apr 2024Abuse: Neglect
Found neglect and abuse due to failure to follow a resident's care plan, which led to two injury falls with facial hematomas on April 26 and 27, 2024.
Abuse—Failed to follow care plan
25 Apr 2024Complaint
25 Apr 2024Complaint
Investigated a staffing complaint and observed potential for moderate harm from staffing issues and general building interior concerns.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—General Building Interior
27 Mar 2024Abuse: Neglect
27 Mar 2024Abuse: Neglect
Investigated and found neglect of care and abuse due to failure to monitor a resident. The incident resulted in a bruise and violated resident rights.
Abuse—Failed to provide safe environment
14 Mar 2024Inspection
14 Mar 2024Inspection
Investigated an allegation of failing to provide or maintain resident care equipment. Found that equipment was not kept clean and in good repair.
Licensing—Failed to provide or maintain resident care equipment
14 Mar 2024Inspection
14 Mar 2024Inspection
Identified a staffing deficiency due to insufficient qualified awake direct care staff to meet 24-hour needs, with an average 20-minute response to call lights.
Licensing—Failed to provide appropriate staffing
14 Mar 2024Abuse: Neglect
14 Mar 2024Abuse: Neglect
Found failures to implement fall interventions and provide supervision for a resident with a history of falls, leading to multiple unwitnessed falls and a brain injury. A fine was assessed.
Abuse—Failed to follow care plan
12 Mar 2024Inspection
12 Mar 2024Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs, including toileting.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
20 Dec 2023Licensure
20 Dec 2023Licensure
Found no deficiencies and confirmed compliance with food service and sanitation rules.
Deficiency—Comment
03 Dec 2023Abuse: Neglect
03 Dec 2023Abuse: Neglect
Investigated a fall-related incident and found failures to plan and implement fall prevention interventions for a resident with a history of falls, resulting in an unwitnessed fall with rib fractures.
Abuse—Failed to properly plan care
09 Oct 2023Abuse: Neglect
09 Oct 2023Abuse: Neglect
Investigated and found that staff failed to implement fall prevention and provide adequate supervision for a resident with a history of falls, leading to a hip fracture and multiple bathroom falls.
Abuse—Failed to properly plan care
28 Aug 2023Abuse: Neglect
28 Aug 2023Abuse: Neglect
Found that monitoring failures allowed a resident-to-resident altercation, resulting in an injury and unreasonable discomfort, constituting abuse and neglect.
Abuse—Failed to provide safe environment
28 Aug 2023Abuse: Neglect
28 Aug 2023Abuse: Neglect
Found a violation of resident rights due to neglect and abuse after failing to monitor a resident with known aggressive behavior, which led to a physical altercation. A $375 fine was assessed.
Abuse—Failed to provide safe environment
22 Aug 2023Abuse: Neglect
22 Aug 2023Abuse: Neglect
Found failures to implement interventions and monitor known behavior, resulting in a resident-to-resident altercation and harm.
Abuse—Failed to provide safe environment
14 Aug 2023License Condition
14 Aug 2023License Condition
Found that staffing did not meet ABST indicators and the acuity-based staffing tool was not fully implemented per rule.
Regulatory Action—Failed to staff as indicated by ABST
18 Jul 2023Abuse: Neglect
18 Jul 2023Abuse: Neglect
Identified failures to provide a safe environment and to monitor a resident according to prior incidents, which led to a physical altercation and discomfort for residents.
Abuse—Failed to provide safe environment
15 Jun 2023Complaint
15 Jun 2023Complaint
Found staffing inadequacies and lack of an implemented acuity-based staffing tool. These deficiencies indicate violations of staffing requirements.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
13 Jun 2023Abuse: Neglect
13 Jun 2023Abuse: Neglect
Investigated allegations found supervision inadequate and exit door security could fail, allowing a resident to elope from a secured area and creating a risk of harm. The exit door issues were ongoing and associated with prior elopements.
Abuse—Failed to provide safe environment
19 May 2023Inspection
19 May 2023Inspection
Investigated a failure to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority as required by law; this failure had persisted for about 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
01 Mar 2023Abuse: Neglect
01 Mar 2023Abuse: Neglect
Found failures to implement fall-prevention interventions and provide appropriate supervision for a resident with a history of falls, resulting in a $500 fine.
Abuse—Failed to properly plan care
23 Feb 2023Inspection
23 Feb 2023Inspection
Found insufficient awake direct care staff to meet 24-hour needs, creating safety concerns for residents.
Licensing—Failed to provide appropriate staffing
25 Jan 2023Abuse: Neglect
25 Jan 2023Abuse: Neglect
Found failures to implement fall-prevention interventions and provide supervision, with a $500 fine assessed.
Abuse—Failed to provide safe environment
23 Jan 2023Abuse: Neglect
23 Jan 2023Abuse: Neglect
Investigated and found failure to plan care and provide supervision for fall risk, resulting in an unwitnessed fall with a broken hip and injury; a fine was assessed.
Abuse—Failed to properly plan care
13 Dec 2022Licensure
13 Dec 2022Licensure
Determined that the facility was in substantial compliance with applicable meal and sanitation rules.
Deficiency—Comment
12 Dec 2022Abuse: Neglect
12 Dec 2022Abuse: Neglect
Determined that a provider failed to provide a safe environment, leading to a physical altercation and undue discomfort for a resident.
Abuse—Failed to provide safe environment
05 Oct 2022Abuse: Neglect
05 Oct 2022Abuse: Neglect
Identified neglect and abuse due to failure to monitor behavior and intervene, leading to a resident injury.
Abuse—Failed to provide safe environment
08 Aug 2022Abuse: Neglect
08 Aug 2022Abuse: Neglect
Investigated the allegation of neglect and found that inadequate supervision led to elopement and risk of harm, constituting abuse.
Abuse—Failed to provide safe environment
22 Jun 2022Abuse: Neglect
22 Jun 2022Abuse: Neglect
Identified neglect and abuse due to failure to implement interventions and monitor a resident, resulting in a physical altercation and undue discomfort.
Abuse—Failed to provide safe environment
28 May 2022Abuse: Neglect
28 May 2022Abuse: Neglect
Found violations of resident rights due to failure to care plan for known inappropriate behaviors, leading to inappropriate sexual contact between residents.
Abuse—Failed to properly plan care
17 May 2022Abuse: Neglect
17 May 2022Abuse: Neglect
Investigated an abuse/neglect allegation and found failures to plan and implement fall-related care, resulting in a resident fall and fractured hip.
Abuse—Failed to properly plan care
17 Apr 2022Abuse: Neglect
17 Apr 2022Abuse: Neglect
Found a failure to follow the care plan that resulted in physical harm to a resident, constituting abuse and neglect.
Abuse—Failed to follow care plan
13 Apr 2022Abuse: Neglect
13 Apr 2022Abuse: Neglect
Investigated determined that staff failed to follow a resident's care plan and respond to escalating behavior, resulting in harm to another resident.
Abuse—Failed to follow care plan
28 Dec 2021Abuse: Neglect
28 Dec 2021Abuse: Neglect
Investigated a complaint and found a failure to properly plan care and respond to behaviors. This resulted in neglect and abuse and risk of harm to an individual in care.
Abuse—Failed to properly plan care
24 Dec 2021Inspection
24 Dec 2021Inspection
Investigated and found that a caregiver used physical force resulting in a skin tear and that a safe environment was not provided.
Licensing—Failed to provide safe environment
24 Dec 2021Inspection
24 Dec 2021Inspection
Investigated the allegation that a service was not provided to an alleged victim and found no wrongdoing.
Licensing—Failed to provide service
01 Nov 2021Inspection
01 Nov 2021Inspection
Investigated and found a failure to provide a safe medication administration system that led to a patient not receiving the prescribed blood thinner from November 2 to November 10, 2021.
Licensing—Failed to provide a safe medication administration system
18 Oct 2021Validation
18 Oct 2021Validation
Investigated numerous regulatory areas and found deficiencies in move-in evaluations, service planning, health services, psychotropic management, restraints, staff training, and change-of-condition processes, then concluded substantial compliance.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Behavior
21 Jul 2021Inspection
21 Jul 2021Inspection
Determined that a caregiver failed to follow the care plan, resulting in a resident fall and head injury requiring hospital treatment, due to a sensor pad not being activated, constituting neglect and abuse.
Licensing—Failed to provide safe environment
19 Feb 2021Abuse: Neglect
19 Feb 2021Abuse: Neglect
Investigated found that the care plan was not followed, resulting in neglect and abuse, with a fine assessed.
Abuse—Failed to follow care plan
04 Jan 2021Abuse: Neglect
04 Jan 2021Abuse: Neglect
Found failure to care plan and implement appropriate interventions for a resident with a known history of aggression, resulting in abuse and neglect.
Abuse—Failed to properly plan care
08 Dec 2020Abuse: Neglect
08 Dec 2020Abuse: Neglect
Identified a failure to follow a resident's care plan that led to an assault and neglect. The incident followed wandering concerns and staff redirection failed to keep the resident from AV's room.
Abuse—Failed to follow care plan
31 Oct 2020Inspection
31 Oct 2020Inspection
Identified that the care plan was not followed during an interaction, creating a risk of minor harm.
Licensing—Failed to follow care plan
31 Oct 2020Inspection
31 Oct 2020Inspection
Found that the care plan was not followed, leading to a floor-level incident between two residents.
Licensing—Failed to follow care plan
23 Feb 2020Abuse: Neglect
23 Feb 2020Abuse: Neglect
Found that the resident’s care plan was not followed, contributing to a fall and a hip fracture.
Abuse—Failed to properly plan care
15 Feb 2020Inspection
15 Feb 2020Inspection
Found a deficiency in safe medication administration where medications were not prepared and documented by the same person who administers them.
Licensing—Failed to provide a safe medication administration system
21 Sept 2019Abuse: Physical Abuse
21 Sept 2019Abuse: Physical Abuse
Investigated an allegation of physical abuse and found neglect of safety supervision that led to an individual being physically restrained. A $1,125 fine was assessed.
Abuse—Failed to perform adequate screening or assessment
10 Sept 2019Abuse: Neglect
10 Sept 2019Abuse: Neglect
Identified neglect related to failing to perform adequate screening or assessment and provide basic care and supervision, putting a resident at risk; a fine was assessed.
Abuse—Failed to perform adequate screening or assessment
16 Mar 2019Abuse: Neglect
16 Mar 2019Abuse: Neglect
Investigated an allegation of neglect; findings substantiated. A $1,500 fine was assessed.
Abuse—Failed to follow care plan
16 Mar 2019Inspection
16 Mar 2019Inspection
Investigated a reported concern and found a failure to report suspected abuse, resulting in a $1000 fine.
Licensing—Failed to report potential or suspected abuse
19 Feb 2019Inspection
19 Feb 2019Inspection
Investigated a medication administration safety issue and found a violation for not maintaining a safe system, resulting in an error in administering bowel regimen medications.
Licensing—Failed to provide a safe medication administration system
09 Feb 2019Abuse: Neglect
09 Feb 2019Abuse: Neglect
Identified neglectful supervision that caused a resident to fall from a wheelchair and risk serious harm; a $225 fine was assessed.
Abuse—Failed to follow care plan
09 Feb 2019Inspection
09 Feb 2019Inspection
Found failure to report suspected abuse and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
19 Oct 2018Abuse: Neglect
19 Oct 2018Abuse: Neglect
Found a neglect violation for failing to provide basic care, resulting in slapping and possible eye injury. A fine was assessed.
Abuse—Failed to provide safe environment
18 Aug 2018Abuse: Neglect
18 Aug 2018Abuse: Neglect
Found neglect for failing to provide a basic safe environment, substantiated, and a $375 fine assessed.
Abuse—Failed to provide safe environment
18 Aug 2018Abuse: Neglect
18 Aug 2018Abuse: Neglect
Found neglect for failing to provide a safe environment, risking harm to a resident. The finding was substantiated and a fine was assessed.
Abuse—Failed to provide safe environment
16 Dec 2017Abuse: Neglect
16 Dec 2017Abuse: Neglect
Found a failure to provide a safe environment that led to a resident scratching another.
Abuse—Failed to provide safe environment
03 Sept 2017Inspection
03 Sept 2017Inspection
Found a deficiency in providing a safe environment that led to a noninjury resident-to-resident altercation; a $300 fine was assessed.
Licensing—Failed to provide safe environment
28 Aug 2017Inspection
28 Aug 2017Inspection
Identified a failure to provide a safe environment that led to one resident pulling another's hair.
Licensing—Failed to provide safe environment
28 Jul 2017Inspection
28 Jul 2017Inspection
Determined that staff failed to assess and intervene, resulting in a resident being hit.
Licensing—Failed to follow care plan
15 Jul 2017Inspection
15 Jul 2017Inspection
Investigated a complaint and found a failure to follow the care plan that led to repeated physical contact between residents.
Licensing—Failed to follow care plan
10 Jul 2017Inspection
10 Jul 2017Inspection
Identified a licensing violation for failing to follow the care plan, which led to a resident-to-resident altercation.
Licensing—Failed to follow care plan
07 Jul 2017Inspection
07 Jul 2017Inspection
Investigated the allegation and found failure to follow the care plan, resulting in one resident slapping another.
Licensing—Failed to follow care plan
26 Jun 2017Inspection
26 Jun 2017Inspection
Found a failure to provide a safe environment that resulted in residents harming one another.
Licensing—Failed to provide safe environment
17 Jun 2017Abuse: Neglect
17 Jun 2017Abuse: Neglect
Found a deficiency in maintaining a safe environment that led to a resident-to-resident altercation with bruising.
Abuse—Failed to follow care plan
30 May 2017Inspection
30 May 2017Inspection
Concluded that care was not provided according to the care plan, resulting in several altercations between residents.
Licensing—Failed to follow care plan
14 May 2017Inspection
14 May 2017Inspection
Concluded that there was a failure to provide a safe environment, which led to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
13 May 2017Inspection
13 May 2017Inspection
Investigated a complaint alleging a failure to provide a safe environment and found that staff failed to assess and intervene, resulting in one resident striking another.
Licensing—Failed to provide safe environment
22 Apr 2017Inspection
22 Apr 2017Inspection
Determined that care planning failed to address aggressive behavior, which resulted in one resident hitting another.
Licensing—Failed to properly plan care
15 Apr 2017Inspection
15 Apr 2017Inspection
Investigated an allegation of failing to provide a safe environment, which led to an altercation between residents.
Licensing—Failed to provide safe environment
14 Apr 2017Inspection
14 Apr 2017Inspection
Concluded that the allegation of unsafe environment and inadequate care led to an altercation between residents.
Licensing—Failed to provide safe environment
13 Apr 2017Inspection
13 Apr 2017Inspection
Investigated the allegation that care was not properly planned and found that service plans did not reflect residents' needs or include their preferences. This affected dignity, privacy, choice, individuality, and independence.
Licensing—Failed to properly plan care
16 Feb 2017Inspection
16 Feb 2017Inspection
Investigated an allegation of failing to provide a safe environment and determined there was a failure that led to a resident's arm twisting.
Licensing—Failed to provide safe environment
25 Jan 2017Abuse: Financial abuse
25 Jan 2017Abuse: Financial abuse
Investigated a financial exploitation allegation and found a failure to protect a resident, resulting in the resident's ring being stolen.
Abuse—Failed to protect resident from financial exploitation
29 Feb 2016Abuse: Neglect
29 Feb 2016Abuse: Neglect
Found that a secure environment was not provided, resulting in elopement and injury, with a $300 fine assessed.
Abuse—Failed to provide safe environment
21 Dec 2015Abuse: Neglect
21 Dec 2015Abuse: Neglect
Investigated allegations of neglect resulting in an unsafe environment; found that a safe environment was not provided.
Abuse—Failed to provide safe environment
17 Dec 2015Abuse: Financial abuse
17 Dec 2015Abuse: Financial abuse
Found a deficiency in protecting medication from theft related to a financial abuse allegation.
Abuse—Failure to provide a system that prevents theft or misuse of medication
14 Nov 2015Inspection
14 Nov 2015Inspection
Investigated and found a deficient medication management system.
Licensing—Failed to provide a safe medication administration system
31 Aug 2015Inspection
31 Aug 2015Inspection
Investigated an allegation of infection control failures and identified insufficient resources for universal precautions.
Licensing—Failed to provide infection control
19 May 2015Abuse: Neglect
19 May 2015Abuse: Neglect
Found that a safe environment for residents was not maintained.
Abuse—Failed to provide safe environment
09 Mar 2015Inspection
09 Mar 2015Inspection
Investigated the allegation and found a failure to provide a safe environment, resulting in a resident elopement.
Licensing—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of The Arbor at Avamere Court. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Arbor at Avamere Court directly. There is no cost for this service. We are compensated by the community you select.
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