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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
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
Dementia waiver
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
3.76·(79)
Overall rating
5
4
3
2
1
Care
3.3
Staff
3.6
Meals
3.1
Amenities
4.2
Value
2.4
Pros
Caring and friendly direct-care staff
Attentive nursing and health leadership
Clean, well-maintained building and grounds
Comfortable, accessible apartment layouts with roll-in showers
Made-to-order and flavorful meal options
Multiple meal choices and accommodating dining staff
Robust activity calendar including outings and musical entertainment
Pet-friendly environment and therapy-animal visits
Small community offering more one-on-one attention
Responsive admissions and placement support
Good communication with physicians and families
Resort-like amenities and attractive common areas
Helpful maintenance support
Smooth move-in logistics and flexible scheduling options
Inviting social atmosphere and resident engagement
Cons
Inconsistent staffing levels
High staff turnover and reliance on agency personnel
Delays in personal-care tasks and bathing schedules
Slow response to call lights and urgent requests
Variable management stability and leadership responsiveness
Gaps in staff training and clinical experience
Inconsistent documentation and care-plan management
Billing and fee-communication issues
Variable meal quality and limited dietary accommodations
Frequent activity cancellations and limited evening programming
Inconsistent housekeeping and service continuity
Security and safety process gaps, including allegations of theft
Summary of reviews
Oswego Place presents a mixed but informative profile for prospective residents and families. Many reviewers praise the facility's physical environment — an attractive, clean building with comfortable, accessible apartments (including roll-in showers), pleasant grounds and common areas, and a generally inviting social atmosphere. Several accounts highlight warm, caring direct-care staff, attentive nurses and health leadership, made-to-order dining options, a varied activity calendar with outings and musical programs, and pet- and therapy-animal visits. For families seeking a smaller community with individualized attention and hands-on admissions support, these strengths are frequently cited as deciding factors.
Care quality is described unevenly across accounts. A substantial number of reviewers report positive, attentive caregiving and good medication and physician communication; others describe operational gaps that affect day-to-day care. The dominant operational concern is staffing consistency: chronic shortages, frequent turnover, and use of agency personnel are associated with missed or delayed personal-care tasks (notably bathing schedules), residents handling laundry, and longer waits for assistance. Several families flagged that these staffing issues degrade continuity of care and make the community less suitable for residents with higher medical or supervision needs.
Staff and management impressions vary considerably. Many individual caregivers, nurses and some managers receive high marks for compassion and responsiveness. At the same time, other families describe abrupt leadership changes, variable management tone, and occasional front-desk or receptionist attitude issues. Administrative shortcomings noted include care-plan paperwork lapses, misplaced documentation, billing errors, and uncommunicated fee increases — operational weaknesses that have direct impact on families' trust and finances.
Dining and activities are frequently cited as both strengths and areas for improvement. Numerous residents enjoy flavorful, made-to-order meals and friendly dining staff; conversely, others describe inconsistent meal quality, seasoning concerns, limited diabetic-friendly options, and slow dining service. The activity program is robust on many days (outings, music, holiday events), but reviewers also report frequent cancellations, late or missing monthly calendars, and limited programming after early evening hours, which can reduce daytime and evening social engagement.
Facility-level safety and service continuity issues appear intermittently in reviews. While the campus generally appears secure and well maintained, there are isolated incidents that raised safety and security concerns for families, including environmental-control lapses and allegations of theft; these underscore the importance of asking about safety protocols, incident reporting, and petty-cash/valuables controls during a tour. Housekeeping and other support services are described as helpful when staffed, but inconsistent staffing has produced variability in cleanliness and service delivery for some residents.
Overall, Oswego Place offers many attributes that families value — a pleasant physical setting, many compassionate caregivers, engaging programming, and personalized hospitality at times — but it also demonstrates recurring operational weaknesses centered on staffing stability, administrative consistency, and management turnover. Prospective residents should weigh the community's social and environmental strengths against the potential for variability in day-to-day care. Useful questions at a visit include current staffing ratios and use of agency staff, typical call-light response times, procedures for care-plan updates and medication management, dietary accommodations, recent turnover rates in leadership, and how the community handles billing and incident reporting.
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Location
Oswego Place by Bonaventure is located at 17450 Pilkington Rd, Lake Oswego, OR, 97035.
About Oswego Place by Bonaventure
Oswego Place by Bonaventure sits in a peaceful, landscaped area with outdoor walking paths and gardens, and you'll see right away that the setting feels family-friendly and scenic, with a lodge-style design that tries to stay close to nature, and there's a fireplace and comfortable seating where folks can sit and talk, and if you like, you can spend time in the activity center, play billiards in the game room, work on a hobby in the dedicated center, find a good book in the library or relax in the whirlpool room. Residents get individually controlled thermostats, private mailboxes, and private dining rooms, and there are plenty of different suite sizes, from studios to one- and two-bedroom layouts, with features like natural light, kitchenettes, walk-in closets, and accessible bathrooms. The staff is always around, with 24/7 availability and a nurse call system for emergencies, and there are housekeeping and linen services, scheduled transportation, home maintenance, and laundry rooms, plus all-inclusive utilities and free WiFi, so you usually won't have to worry much about the little things. People can count on anytime dining in the dining hall, snacks, and a café with coffee and pastries, and every month a wellness clinic helps folks keep track of their health. For those who want to stay busy, there are activities every day of the week, a puzzle room, computer stations, a hospitality suite with a bar, a beauty and barber salon, a fitness center, and a theater room. Security is taken seriously, with enhanced front door security and an emergency call system in place, and there are options for independent living, assisted living, and memory care, along with Adult Day Care and Nursing & Rehab if extra care is needed. Oswego Place by Bonaventure offers well-thought-out assisted living accommodations and tries to balance help with independence, plus it's close to parks, Oswego Lake, and local golf courses for those who want to get outside.
About Bonaventure
Oswego Place by Bonaventure 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...
Oswego Place by Bonaventure offers competitive pricing, with rates starting at a cost of $6,000 per month.
Oswego Place by Bonaventure offers independent living, assisted living, and memory care.
There are 54 photos of Oswego Place by Bonaventure on Mirador.
Yes, Oswego Place by Bonaventure allows residents to age in place and adjust their level of care as needed.
The full address for this community is 17450 Pilkington Rd, Lake Oswego, OR 97035.
No, Oswego Place by Bonaventure 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 that quarterly ABST evaluations were not completed, updated, or reviewed for each resident. This indicates noncompliance with required staffing assessments.
Licensing—Failed to provide service
05 Jun 2025Inspection
05 Jun 2025Inspection
Determined that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
04 Jun 2025Licensure
04 Jun 2025Licensure
Investigated multiple deficiencies across abuse reporting, meals sanitation, move-in evaluations, service plans, infection control, medication orders, fire safety, inspections, exterior areas, and window safety, with numerous rule violations found.
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—General Building Exterior
Deficiency—Resident Units
15 Apr 2025Inspection
15 Apr 2025Inspection
Investigated the allegation that records were not accessible; found failure to provide records upon request.
Licensing—Failed to make facility or resident records accessible
14 Apr 2025Inspection
14 Apr 2025Inspection
Found that records were not provided to the department upon request.
Licensing—Failed to make facility or resident records accessible
10 Apr 2025Complaint
10 Apr 2025Complaint
Identified deficiencies in staff orientation on abuse reporting and in documenting medication administration training.
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
19 Sept 2024Inspection
19 Sept 2024Inspection
Investigated and found that background checks were not obtained for all subject individuals, violating administrative rules.
Licensing—Failed to hire according to administrative rules
07 Aug 2024Inspection
07 Aug 2024Inspection
Investigated and found violations related to protection from financial exploitation after a resident's money was taken; the provider failed to protect the resident from exploitation.
Licensing—Failed to protect resident from financial exploitation
27 Jun 2024Licensure
27 Jun 2024Licensure
Found extensive kitchen sanitation deficiencies and improper food storage during the initial inspection; follow-up showed substantial compliance with the rules.
Identified failure to plan care around a resident's refusals, leading to skin breakdown. A $500 fine was assessed.
Abuse—Failed to properly plan care
25 Mar 2024Abuse: Neglect
25 Mar 2024Abuse: Neglect
Identified a failure to provide a safe environment that led to a resident fall, with conflicting safety-check counts documented. A $375 fine was assessed.
Abuse—Failed to provide safe environment
09 Mar 2024Inspection
09 Mar 2024Inspection
Found that staff failed to complete required orientation on abuse reporting before starting work and did not report an alleged incident for 11 days, compromising safety.
Licensing—Failed to provide safe environment
05 Jan 2024Inspection
05 Jan 2024Inspection
Investigated an allegation of inadequate observation and evaluation of staff before insulin administration; found a deficiency in documenting safe medication administration oversight.
Licensing—Failed to provide a safe medication administration system
28 Nov 2023Complaint
28 Nov 2023Complaint
Identified multiple deficiencies in staffing, service planning, medication and treatment administration, and staff training.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Rqmt and Training: Training Rqmts
17 Aug 2023Inspection
17 Aug 2023Inspection
Found a deficiency for failing to ensure services were provided, as a resident had not had a bath in over 2 weeks since move in.
Licensing—Failed to provide service
17 Aug 2023Inspection
17 Aug 2023Inspection
Found that the in-service training program did not include methods to determine direct care staff competency through evaluation, observation, or written testing, and staff were not trained to care for residents with high acuity or to perform Hoyer transfers.
Licensing—Failed to provide inservice
09 Aug 2023Abuse: Neglect
09 Aug 2023Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment resulting in abuse/neglect; a $250 fine was assessed.
Abuse—Failed to provide safe environment
06 Aug 2023Abuse: Neglect
06 Aug 2023Abuse: Neglect
Investigated a neglect/abuse allegation and found that care staff did not follow the shower care plan, resulting in unsafe showers.
Abuse—Failed to follow care plan
06 Aug 2023Abuse: Neglect
06 Aug 2023Abuse: Neglect
Investigated found neglect and abuse due to not following the care plan and using an improper Hoyer, causing injuries.
Abuse—Failed to follow care plan
28 Jun 2023Inspection
28 Jun 2023Inspection
Investigated a complaint and found that the service planning team did not include the resident, the resident's legal representative if applicable, or any person of the resident's choice as required.
Licensing—Failed to properly plan care
28 Jun 2023Inspection
28 Jun 2023Inspection
Found that residents were not provided information about how service needs were evaluated and how costs were determined, including a breakdown of the cost of services.
Licensing—Failed to assure resident rights
14 Jun 2023Licensure
14 Jun 2023Licensure
Found deficiencies in kitchen sanitation and food handling during the initial visit. The follow-up visit indicated substantial compliance with meals and sanitation rules.
Investigated an allegation and found that medication and treatment orders were not carried out as prescribed, creating safety concerns.
Licensing—Failed to provide a safe medication administration system
22 Nov 2022Complaint
22 Nov 2022Complaint
Investigated allegations of falsified resident records and identified failure to provide laundry services, including questionable medication entries and a missing laundry cycle.
Deficiency—Facility Administration: Records
Deficiency—Resident Services: Laundry
21 Nov 2022Abuse: Neglect
21 Nov 2022Abuse: Neglect
Investigated an allegation of unsafe medication administration and found deficiencies in the medication system that contributed to health problems. A $188 fine was assessed.
Abuse—Failed to provide a safe medication administration system
01 Sept 2022Inspection
01 Sept 2022Inspection
Found failure to submit weekly vaccination reporting for residents, staff, and vaccinated individuals for 30 days, resulting in a fine.
Licensing—Failed to submit timely or adequate staffing documentation
01 Aug 2022Inspection
01 Aug 2022Inspection
Identified a licensing violation for failing to submit timely or adequate staffing documentation. The issue spanned 30 days in July 2022 and a $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
14 Jul 2022Abuse: Neglect
14 Jul 2022Abuse: Neglect
Investigated a transportation-related incident where a resident fell from a lift while in a wheelchair and was hospitalized; the facility failed to ensure safety, constituting abuse and neglect, and a fine was assessed.
Abuse—Failed to assure resident was safe
07 Jun 2022Abuse: Neglect
07 Jun 2022Abuse: Neglect
Investigated a complaint about neglect and abuse after an individual eloped, wandered away, and fell; the care plan for ambulation was not followed.
Abuse—Failed to follow care plan
22 Apr 2022Inspection
22 Apr 2022Inspection
Found that a medication order was not administered as prescribed, indicating a violation of Oregon Administrative Rules.
Licensing—Failed to administer ordered medication
22 Apr 2022Inspection
22 Apr 2022Inspection
Found a deficiency involving failure to provide a safe environment and failure to have a written policy prohibiting falsification of records.
Licensing—Failed to provide safe environment
28 Mar 2022Inspection
28 Mar 2022Inspection
Found that laundry services were not provided, violating Oregon Administrative Rules.
Licensing—Failed to provide service
08 Mar 2022Validation
08 Mar 2022Validation
Identified multiple deficiencies across service planning, health monitoring, safety, and staffing. The assessment concluded substantial compliance.
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Resident Units
Deficiency—Common Use Areas: Social
07 Jan 2022Inspection
07 Jan 2022Inspection
Identified a deficiency for failing to protect residents by allowing COVID-positive staff to continue working.
Licensing—Failed to provide safe environment
01 Jul 2021Inspection
01 Jul 2021Inspection
Investigated a complaint about missing staff background checks and found noncompliance with background check submission requirements.
Licensing—Failed to provide safe environment
01 Jul 2021Inspection
01 Jul 2021Inspection
Identified a deficiency in staff training competency. The training program lacked methods to determine competency before staff work alone.
Licensing—Failed to provide inservice
23 Jun 2021Abuse: Neglect
23 Jun 2021Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in abuse and neglect; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
30 Dec 2020Abuse: Neglect
30 Dec 2020Abuse: Neglect
Found that a resident did not receive prescribed comfort medications as needed, causing unnecessary pain and constituting abuse and neglect.
Abuse—Failed to administer ordered medication
30 Dec 2020Abuse: Neglect
30 Dec 2020Abuse: Neglect
Found neglect and abuse due to an unsafe environment that caused pressure sores; assessed a $1,000 fine.
Abuse—Failed to maintain a safe physical environment
17 Jul 2020License Condition
17 Jul 2020License Condition
Investigated an allegation of failure to provide a safe environment and found infection-control deficiencies related to COVID-19 prevention, leaving staff and residents at risk.
Regulatory Action—Failed to provide safe environment
25 Jun 2020Abuse: Neglect
25 Jun 2020Abuse: Neglect
Investigated an allegation of neglect and abuse resulting from failure to provide services, causing discomfort and loss of dignity; a $500 fine was assessed.
Abuse—Failed to provide service
25 Feb 2020Inspection
25 Feb 2020Inspection
Found inadequate professional oversight of the medication administration system.
Licensing—Failed to assure timely medical treatment
10 Feb 2020Inspection
10 Feb 2020Inspection
Found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
10 Jan 2020Abuse: Neglect
10 Jan 2020Abuse: Neglect
Found a deficiency in safe medication administration that left the resident without pain medication for about four days, resulting in neglect and abuse; a $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
25 Dec 2019Abuse: Neglect
25 Dec 2019Abuse: Neglect
Investigated a complaint and found a failure to provide a safe medication administration system, risking resident safety.
Abuse—Failed to provide a safe medication administration system
12 Mar 2019Abuse: Neglect
12 Mar 2019Abuse: Neglect
Identified a failure to provide a safe medication management system that left a resident without medically necessary medication for 40 days.
Abuse—Failed to provide a safe medication administration system
02 Oct 2017Inspection
02 Oct 2017Inspection
Investigated a complaint and found that the required initial screening to determine residents' service needs and preferences was not performed.
Licensing—Failed to perform adequate screening or assessment
02 Oct 2017Inspection
02 Oct 2017Inspection
Investigated and found that an initial service plan was not developed before move-in to reflect identified needs and preferences. Residents were moved in without notice to direct care staff on how to care for them.
Licensing—Failed to properly plan care
23 Aug 2017Inspection
23 Aug 2017Inspection
Investigated a complaint about food safety and found failures in food temperature, under cooked, insufficient amounts, and hair nets not worn by cooks.
Licensing—Failed to assure food safety
21 Jan 2016Inspection
21 Jan 2016Inspection
Investigated a licensing violation alleging failure to provide a safe medication administration system; findings showed an inadequate medication system resulting in harm.
Licensing—Failed to provide a safe medication administration system
18 Jan 2016Abuse: Financial abuse
18 Jan 2016Abuse: Financial abuse
Found a failure to prevent a theft and financial abuse.
Abuse—Failed to provide safe environment
06 Jan 2016Inspection
06 Jan 2016Inspection
Found failure to ensure a qualified caregiver was present and to provide a training program as required.
Licensing—Failed to assure that a qualified caregiver was present
06 Jan 2016Inspection
06 Jan 2016Inspection
Identified deficiencies in the safe medication and treatment administration system, tracking and disposal of controlled substances, and execution of medication and treatment orders. Violations cited.
Licensing—Failed to provide a safe medication administration system
08 Dec 2015Abuse: Neglect
08 Dec 2015Abuse: Neglect
Found a deficient medication system and assessed a $300 fine.
Abuse—Failed to provide a safe medication administration system
08 Nov 2015Inspection
08 Nov 2015Inspection
Found that a secure environment was not provided.
Licensing—Failed to provide safe environment
16 Sept 2015Abuse: Financial abuse
16 Sept 2015Abuse: Financial abuse
Investigated the allegation and found a failure to protect residents from theft.
Abuse—Failed to provide safe environment
05 Aug 2015Inspection
05 Aug 2015Inspection
Investigated an allegation that a safe medication administration system was not adequately provided, resulting in a resident being hospitalized.
Licensing—Failed to provide a safe medication administration system
02 Jun 2014Abuse: Neglect
02 Jun 2014Abuse: Neglect
Found deficiencies in medication management indicating a failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
14 Apr 2014Inspection
14 Apr 2014Inspection
Found violations related to insufficient resident security resulting in a resident eloping.
Licensing—Failed to address resident's behavior
23 Jan 2014Inspection
23 Jan 2014Inspection
Found a resident rights violation involving failure to treat a resident with dignity and respect.
Licensing—Failed to assure resident rights
21 Nov 2013Abuse: Neglect
21 Nov 2013Abuse: Neglect
Investigated an allegation of failing to report potential or suspected abuse; the finding supported the allegation and a $300 fine was assessed.
Abuse—Failed to report potential or suspected abuse
06 May 2013Abuse: Financial abuse
06 May 2013Abuse: Financial abuse
Investigated a financial exploitation allegation and found a safety deficiency for not ensuring a safe environment.
Abuse—Failed to protect resident from financial exploitation
07 Jan 2013Inspection
07 Jan 2013Inspection
Investigated and found a violation of resident rights due to failure to treat the resident with dignity and respect.
Licensing—Failed to assure resident rights
20 Nov 2012Inspection
20 Nov 2012Inspection
Found a deficiency in the safe medication administration system. The allegation concerned failure to provide medical treatment as ordered.
Licensing—Failed to provide medical treatment as ordered
09 Oct 2012Inspection
09 Oct 2012Inspection
Investigated allegation of inadequate staffing and found staffing deficiency.
Licensing—Failed to provide appropriate staffing
09 Oct 2012Inspection
09 Oct 2012Inspection
Found that a safe medication system was not provided due to failure to administer medication as ordered.
Licensing—Failed to administer medication as ordered
02 Oct 2012Abuse: Neglect
02 Oct 2012Abuse: Neglect
Found failure to provide a safe environment. The abuse/neglect allegation involved moderate harm risk.
Abuse—Failed to provide safe environment
06 Jul 2012Abuse: Neglect
06 Jul 2012Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
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