I'm very pleased with the care my mom receives - compassionate, attentive staff who know residents by name and treat them like family. The community is clean, bright and homey with lovely outdoor space, regular activities (animal therapy, gardening, holiday celebrations) and good meals. Medical and nursing staff are responsive, management communicates proactively, and housekeeping/kitchen/maintenance go above and beyond. I feel my mom is well cared for and 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
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.87·(30)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.4
Meals
3.7
Amenities
3.8
Value
3.9
Pros
Bright, recently remodeled facility with plentiful natural light
Well-maintained, clean interior and housekeeping
Homey, welcoming atmosphere
Pleasant outdoor spaces including courtyard and creek
Compassionate, personable caregiving staff
Staff who use residents' names and provide personalized attention
Accessible local location for family visits
Robust activities program (animal therapy, gardening, bingo, exercise, movies)
Multiple dining areas and communal kitchen spaces
Dietary accommodations and tailored meal planning
Daily snack service and social/TV seating areas
Holiday and family-oriented programming
Maintenance, kitchen, and housekeeping teams noted as attentive
Presence of clinical staff and med-techs attentive to medication needs
Cons
Inconsistent staffing levels and workforce turnover
Gaps in clinical monitoring and fall-prevention practices
Unreliable meal-service continuity and inconsistent meal temperature
Inconsistent family communication and responsiveness
Personal property management gaps
Limited private-room availability and constrained privacy in shared rooms
Limited personal storage and crowded shared-bathroom arrangements
Variability in infection-control and outbreak management
Restricted or inconsistent resident phone/device access policies
Allegations of serious misconduct and concerns about management oversight
Summary of reviews
Reviewer responses for this memory-care community are strongly mixed, combining repeated praise for the physical environment and many staff members with serious operational concerns in a subset of accounts. On the positive side, families frequently describe a bright, recently remodeled building with ample natural light, clean common areas, and pleasant outdoor spaces. The interior is often characterized as homey and well cared for, and several reviewers specifically commend the maintenance, housekeeping, and kitchen staff. The facility has multiple dining areas and a communal kitchen, snack service, and an ability to accommodate dietary needs; these features are frequently cited as strengths.
Care and staffing receive both commendation and criticism. Numerous accounts describe compassionate, personable caregivers who know residents by name, attentive CNAs and med-techs, and staff who provide individualized attention. Conversely, other reviews point to inconsistent staffing levels and turnover that can produce uneven care. Operational weaknesses described by families include gaps in clinical monitoring and fall-prevention practices, variable responsiveness to medical needs, and concerns about infection-control and outbreak management. There are also notes of restricted or inconsistent resident phone/device access and lapses in personal-property controls that families found problematic.
Dining and activities appear as net positives with some variability. The community offers an active calendar — animal visits, gardening, bingo, exercise classes, movies, and holiday events — and reviewers often praise the social programming and opportunities for residents to form friendships. Food quality is generally described as acceptable to good and dietary needs are accommodated, but reviewers also mention occasions of delayed service and meals served cool, indicating inconsistent meal-service continuity.
Facility layout and privacy warrant careful consideration. The community uses shared rooms as a standard memory-care model; reviewers note room dividers and some privacy measures but also describe limited personal storage, shared bathrooms with multiple residents, and policy constraints that can leave families unable to secure private rooms (for example, due to payer/source restrictions). These constraints affect perceived privacy and convenience for personal care items.
Management and oversight responses are mixed. Several families praise proactive communication, a welcoming administrative team, and recent leadership changes that reportedly improved staffing and operations. At the same time, there are serious reports that raise concerns about staff conduct and management oversight, including allegations of misconduct and references to regulatory-level concerns and adverse resident outcomes in specific cases. Those severe accounts sit alongside many positive testimonials, producing a polarized picture.
Recommendation for prospective families: tour the community during active care times, ask specific questions about current staffing ratios and turnover, fall-prevention and clinical-monitoring protocols, infection-control policies, personal-property handling, availability of private rooms, and resident phone/device access. Because reviews indicate both high-quality, family-oriented care and significant operational risks in some instances, verifying recent inspection records and speaking directly with administration about changes implemented under current leadership is advisable before making a placement decision.
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Location
Bridgecreek Memory Care is located at 1401 12th St, Lebanon, OR, 97355.
About Bridgecreek Memory Care
Bridgecreek Memory Care Community stands out as a dedicated care environment, uniquely endorsed for Alzheimer’s care in Lebanon, Oregon, and the greater Linn County region. Embracing the natural beauty of its surroundings near the Santiam River and Cascade Mountains, Bridgecreek provides a welcoming and comfortable setting for residents facing the challenges of Alzheimer’s disease and other forms of dementia. The community has earned recognition for its commitment to fostering genuine relationships between residents and staff, creating an atmosphere where each individual feels known, valued, and understood.
With a total of 31 apartments and 58 beds, Bridgecreek Memory Care Community is thoughtfully designed to maintain an outstanding staff-to-resident ratio. This structure allows caregivers to devote careful, attentive support tailored to each resident’s personal history, interests, and needs. The staff at Bridgecreek are highly skilled professionals who regularly receive ongoing training in the latest caregiving techniques, ensuring they remain equipped to provide excellent, specialized memory care.
The mission at Bridgecreek Memory Care Community is to promote the highest quality of life for residents, staff, and the larger community. This dedication is woven into every interaction, with staff striving to treat all individuals with the utmost consideration and respect. Residents at Bridgecreek are supported in living as comfortably and independently as possible, with an emphasis on maintaining dignity and personal choice in their daily lives.
Bridgecreek’s environment is not just a place of residence, but a community where deep bonds form and every member is part of a compassionate, supportive network. The thoughtful design, specialized staff training, and genuine care all contribute to making Bridgecreek Memory Care Community a meaningful choice for those seeking memory care for their loved ones.
People often ask...
Bridgecreek Memory Care offers competitive pricing, with rates starting at a cost of $5,555 per month.
Bridgecreek Memory Care offers assisted living, memory care, and skilled nursing.
There are 17 photos of Bridgecreek Memory Care on Mirador.
The full address for this community is 1401 12th St, Lebanon, OR 97355.
No, Bridgecreek Memory Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated and determined a violation involving failure to protect a resident from physical abuse and neglect.
Licensing—Failed to protect resident from physical abuse
14 Oct 2025Inspection
14 Oct 2025Inspection
Investigated and found a failure to provide a safe environment and necessary care, resulting in an altercation and injury.
Licensing—Failed to provide safe environment
22 Aug 2025Abuse: Neglect
22 Aug 2025Abuse: Neglect
Found abuse and neglect involving a staff member who slapped the resident's feet while asleep and failed to protect them from harm, resulting in a $188 fine.
Abuse—Failed to protect resident from physical abuse
22 Aug 2025Abuse: Neglect
22 Aug 2025Abuse: Neglect
Found violations of resident rights related to neglect and verbal abuse. A $188 fine was assessed.
Abuse—Failed to protect resident from verbal abuse
18 Aug 2025Inspection
18 Aug 2025Inspection
Found that an acuity-based staffing tool was not developed, maintained, or implemented as required.
Licensing—Failed to use an ABST
29 Jul 2025Inspection
29 Jul 2025Inspection
Investigated a complaint and found wrongful restraint and neglect of care, with a failure to protect a resident’s safety and rights.
Licensing—Failed to provide safe environment
17 Jun 2025Abuse: Neglect
17 Jun 2025Abuse: Neglect
Found neglect for failing to provide a safe environment and adequate care for a resident, including a required one-on-one caregiver; a $375 fine was assessed.
Abuse—Failed to provide safe environment
10 Jun 2025Abuse: Neglect
10 Jun 2025Abuse: Neglect
Investigated found neglect and failure to provide a safe environment that led to a resident being assaulted by another resident.
Abuse—Failed to provide safe environment
13 May 2025License Condition
13 May 2025License Condition
Investigated an allegation of failing to provide a safe environment and found deficiencies related to resident safety. The finding indicates a safe environment was not provided.
Regulatory Action—Failed to provide safe environment
11 Mar 2025Inspection
11 Mar 2025Inspection
Found violations of resident rights and safety practices after a fall, including neglect and abuse that led to injury.
Licensing—Failed to follow care plan
11 Mar 2025Inspection
11 Mar 2025Inspection
Found a failure to fully implement and update an acuity-based staffing tool.
Licensing—Failed to update staffing plan based on ABST
16 Feb 2025Abuse: Neglect
16 Feb 2025Abuse: Neglect
Found that a care setting failed to provide a safe environment and proper interventions to address resident falls. A $1,350 fine was assessed.
Abuse—Failed to provide safe environment
31 Jan 2025Inspection
31 Jan 2025Inspection
Investigated an allegation that care plans were not followed and found a violation of administrative rules.
Licensing—Failed to follow care plan
31 Jan 2025Inspection
31 Jan 2025Inspection
Investigated the allegation and found that staff did not follow the resident's care plan, resulting in a fall with no injury.
Licensing—Failed to follow care plan
21 Jan 2025Abuse: Neglect
21 Jan 2025Abuse: Neglect
Found that the facility failed to provide a safe environment, causing distress to a resident; a fine was assessed.
Abuse—Failed to provide safe environment
06 Jan 2025Inspection
06 Jan 2025Inspection
Found that medication and treatment orders were not carried out as prescribed, creating potential for harm.
Licensing—Failed to have medication available
30 Nov 2024Abuse: Neglect
30 Nov 2024Abuse: Neglect
Investigated an allegation of neglect for failing to provide a safe environment after an incident in which a person grabbed another's wheelchair and twisted their arm; a fine was assessed.
Abuse—Failed to provide safe environment
21 Nov 2024Abuse: Neglect
21 Nov 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
14 Nov 2024Abuse: Neglect
14 Nov 2024Abuse: Neglect
Found a failure to provide a safe environment that constitutes abuse and neglect.
Abuse—Failed to provide safe environment
13 Nov 2024Abuse: Neglect
13 Nov 2024Abuse: Neglect
Determined neglect and abuse due to failure to ensure medication was available and administered as ordered, causing behavioral and emotional harm; a $450 fine was assessed.
Abuse—Failed to administer medication as ordered
26 Oct 2024Abuse: Neglect
26 Oct 2024Abuse: Neglect
Determined that a safe environment was not provided during an altercation due to staff not monitoring, resulting in a finding of abuse/neglect and a fine assessed.
Abuse—Failed to provide safe environment
25 Oct 2024Inspection
25 Oct 2024Inspection
Investigated and found that fall interventions were not implemented as required, and a fall occurred as a result.
Licensing—Failed to follow care plan
30 Sept 2024Inspection
30 Sept 2024Inspection
Investigated the allegation that a qualified caregiver was not present and determined that a violation of Oregon Administrative Rules occurred.
Licensing—Failed to assure a qualified caregiver was present
26 Sept 2024Abuse: Neglect
26 Sept 2024Abuse: Neglect
Investigated a neglect allegation and found that safety interventions for a resident with a history of falls were ineffective, resulting in a fall and injuries.
Abuse—Failed to provide safe environment
26 Sept 2024Abuse: Neglect
26 Sept 2024Abuse: Neglect
Investigated an allegation of neglect for failing to provide a safe environment after a resident fall despite safety measures, finding unsafe interventions and abuse.
Abuse—Failed to provide safe environment
25 Sept 2024Abuse: Neglect
25 Sept 2024Abuse: Neglect
Found lapses in following the care plan that placed a resident at risk for serious harm when the lap buddy was not kept in place.
Abuse—Failed to follow care plan
16 Sept 2024Inspection
16 Sept 2024Inspection
Found insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs; evidence included night shift staff taking breaks together and a memo restricting staff staying out of the building.
Licensing—Failed to provide appropriate staffing
16 Sept 2024Abuse: Neglect
16 Sept 2024Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in an altercation that constitutes abuse and neglect.
Abuse—Failed to provide safe environment
12 Sept 2024Abuse: Neglect
12 Sept 2024Abuse: Neglect
Investigated a resident-to-resident incident and found the facility failed to address resident behavior or implement interventions, resulting in abuse and neglect.
Abuse—Failed to address resident's behavior
11 Sept 2024Inspection
11 Sept 2024Inspection
Investigated an allegation of unsafe environment and found that fences around the outdoor recreation area were not maintained in functional condition. Two workers were observed repairing the fence during the visit.
Licensing—Failed to maintain a safe physical environment
10 Sept 2024Inspection
10 Sept 2024Inspection
Investigated allegations of resident rights violations; determined a licensing violation occurred due to failure to treat residents with dignity and respect.
Licensing—Failed to assure resident rights
10 Sept 2024Inspection
10 Sept 2024Inspection
Found a licensing violation due to incomplete staff training records and lack of a competency assessment program.
Licensing—Failed to provide inservice
08 Sept 2024Inspection
08 Sept 2024Inspection
Investigated a failure to report abuse; found that immediate notification to local APD/AAA did not occur for two residents.
Licensing—Failed to report potential or suspected abuse
17 Aug 2024Abuse: Neglect
17 Aug 2024Abuse: Neglect
Investigated a safety complaint and found the resident was not provided a safe environment, resulting in elopements; a fine was assessed.
Abuse—Failed to provide safe environment
29 Jul 2024Abuse: Neglect
29 Jul 2024Abuse: Neglect
Found neglect and abuse due to inadequate supervision of a resident with known aggressive behaviors, resulting in harm to another resident. The incident caused pain and distress when pinching occurred.
Abuse—Failed to provide safe environment
27 Jul 2024Abuse: Neglect
27 Jul 2024Abuse: Neglect
Investigated an allegation of neglect and found care planning and fall prevention interventions were insufficient, leading to multiple falls and injuries, with a fine assessed.
Abuse—Failed to properly plan care
25 Jun 2024Abuse: Neglect
25 Jun 2024Abuse: Neglect
Investigated found that fall-prevention measures did not adequately protect the resident, leading to multiple unwitnessed falls and related injuries, with interventions not timely or properly tailored.
Abuse—Failed to provide safe environment
20 Jun 2024Abuse: Neglect
20 Jun 2024Abuse: Neglect
Investigated an abuse/neglect allegation related to falls and found that person-centered fall interventions were not appropriately care planned or implemented. A $1,500 fine was assessed.
Abuse—Failed to provide safe environment
20 Jun 2024Abuse: Neglect
20 Jun 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment and proper care planning, resulting in injury and discomfort.
Abuse—Failed to provide safe environment
06 Jun 2024Abuse: Neglect
06 Jun 2024Abuse: Neglect
Found that a resident's falls were not adequately addressed through care planning and interventions, resulting in neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to provide safe environment
27 Apr 2024Abuse: Neglect
27 Apr 2024Abuse: Neglect
Investigated a complaint alleging neglect of a resident; found failures to implement interventions to manage aggression, resulting in a resident-on-resident altercation and harm.
Abuse—Failed to provide safe environment
25 Apr 2024Inspection
25 Apr 2024Inspection
Found that staff forgot to place a lap buddy on a resident's wheelchair, leading to a fall with a minor abrasion and a failure to follow the care plan.
Licensing—Failed to follow care plan
23 Apr 2024Inspection
23 Apr 2024Inspection
Investigated and found a medication administration violation involving giving another resident's THC-containing CBD edibles, leading to adverse effects.
Licensing—Failed to administer medication as ordered
22 Apr 2024Abuse: Neglect
22 Apr 2024Abuse: Neglect
Found violations related to inadequate care planning and failure to update the service plan after increased fall risk, with a $500 fine assessed.
Abuse—Failed to properly plan care
22 Apr 2024Abuse: Neglect
22 Apr 2024Abuse: Neglect
Investigated ongoing falls and found failures to update the service plan and provide essential equipment, leading to neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide or maintain resident care equipment
21 Apr 2024Abuse: Neglect
21 Apr 2024Abuse: Neglect
Investigated a resident-to-resident incident and found neglect in care planning that led to injury; a fine was assessed.
Abuse—Failed to properly plan care
19 Apr 2024Abuse: Neglect
19 Apr 2024Abuse: Neglect
Investigated allegations of insufficient care planning and fall-prevention; found neglect that constitutes abuse and resulted in a $1,500 fine.
Abuse—Failed to provide service
30 Mar 2024Abuse: Neglect
30 Mar 2024Abuse: Neglect
Investigated a neglect allegation found failure to plan care and implement fall interventions, resulting in a fall with a bruise.
Abuse—Failed to properly plan care
30 Mar 2024Abuse: Neglect
30 Mar 2024Abuse: Neglect
Investigated a resident care allegation and found failures in care planning and fall prevention, constituting neglect and abuse.
Abuse—Failed to properly plan care
30 Mar 2024Abuse: Neglect
30 Mar 2024Abuse: Neglect
Identified neglect and abuse due to failure to properly plan care, resulting in a fall with injuries; a fine was assessed.
Abuse—Failed to properly plan care
30 Mar 2024Abuse: Neglect
30 Mar 2024Abuse: Neglect
Determined that a failure to properly plan care and implement fall interventions resulted in neglect and abuse findings. A $500 fine was assessed.
Abuse—Failed to properly plan care
30 Mar 2024Abuse: Neglect
30 Mar 2024Abuse: Neglect
Concluded that neglect and abuse occurred due to failure to properly plan care and maintain fall interventions, resulting in harm.
Abuse—Failed to properly plan care
07 Feb 2024Licensure
07 Feb 2024Licensure
Found deficiencies in kitchen sanitation and food handling during the initial inspection; follow-up determined substantial compliance with meals and sanitation rules.
Identified a deficiency in documenting observations and evaluations of direct care staff's ability to safely administer medications and treatments unsupervised, with incomplete competency sign-offs for some med techs.
Deficiency—Training Within 30 Days: Direct Care Staff
28 Dec 2023License Condition
28 Dec 2023License Condition
Found failure to use an ABST to meet acuity-based staffing requirements.
Regulatory Action—Failed to use an ABST
09 Dec 2023Abuse: Neglect
09 Dec 2023Abuse: Neglect
Investigated a fall incident and identified failures in care planning and intervention for a known fall risk resident. This reflects violations related to resident safety.
Abuse—Failed to properly plan care
09 Dec 2023Abuse: Neglect
09 Dec 2023Abuse: Neglect
Investigated and found neglect and abuse for failing to properly plan care for a known fall risk, leading to a fall with head injury and hospitalization; a $500 fine was assessed.
Abuse—Failed to properly plan care
09 Dec 2023Abuse: Neglect
09 Dec 2023Abuse: Neglect
Investigated the incident and found neglect of care and abuse due to failure to properly plan care and implement interventions for ongoing falls, which led to a skin tear.
Abuse—Failed to properly plan care
14 Nov 2023Inspection
14 Nov 2023Inspection
Investigated and identified a deficiency in documenting observation and evaluation of individuals' ability to perform safe medication and treatment administration unsupervised.
Licensing—Failed to provide a safe medication administration system
19 Oct 2023Complaint
19 Oct 2023Complaint
Found deficiencies in staffing and in the use of an acuity-based staffing tool, indicating insufficient direct care coverage and ABST not adopted.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
27 Sept 2023Abuse: Neglect
27 Sept 2023Abuse: Neglect
Found failure to provide a safe environment, resulting in resident discomfort and loss of dignity.
Abuse—Failed to provide safe environment
05 Aug 2023Inspection
05 Aug 2023Inspection
Investigated and found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
25 Jul 2023Abuse: Neglect
25 Jul 2023Abuse: Neglect
Investigated a complaint and found that care planning failed to protect a resident from falls, leading to serious harm and eventual death.
Abuse—Failed to properly plan care
11 Jul 2023Abuse: Neglect
11 Jul 2023Abuse: Neglect
Investigated a resident-to-resident incident in which one resident slapped another, causing discomfort and loss of personal dignity; found a failure to provide a safe environment and a $500 fine was assessed.
Abuse—Failed to provide safe environment
09 Jun 2023Inspection
09 Jun 2023Inspection
Found that a staff member did not follow a resident's care plan and transferred the resident by themselves, causing unreasonable discomfort; this was neglect and abuse.
Licensing—Failed to follow care plan
27 Mar 2023Validation
27 Mar 2023Validation
Found deficiencies in monitoring changes of condition, safety hazards in the courtyard and interior spaces, and in behavior-related service planning; a follow-up visit concluded with substantial compliance.
Deficiency—Comment
Deficiency—Change of Condition and Monitoring
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—General Comments
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
Deficiency—Behavior
23 Feb 2023Abuse: Neglect
23 Feb 2023Abuse: Neglect
Identified neglect due to improper toileting and peri-care, leading to infections, rashes, and loss of dignity.
Abuse—Failed to provide service
16 Feb 2023Abuse: Neglect
16 Feb 2023Abuse: Neglect
Found neglect of care that caused harm, with a fine assessed.
Abuse—Failed to provide service
16 Feb 2023Abuse: Neglect
16 Feb 2023Abuse: Neglect
Investigated found that required services were not provided and care plans were not followed, resulting in resident harm and neglect.
Abuse—Failed to provide service
06 Feb 2023Abuse: Neglect
06 Feb 2023Abuse: Neglect
Investigated a complaint and found that a resident was not protected from a staff member's behaviors, resulting in an unsafe environment and risk of harm.
Abuse—Failed to provide safe environment
02 Feb 2023Abuse: Neglect
02 Feb 2023Abuse: Neglect
Investigated an allegation of abuse/neglect and found that a resident was not protected from sexualized behavior, resulting in a fine.
Abuse—Failed to provide safe environment
01 Feb 2023Abuse: Neglect
01 Feb 2023Abuse: Neglect
Determined that a staff member kissed a resident while asleep, resulting in a failure to provide a safe environment and constituting abuse and neglect. A fine was assessed.
Abuse—Failed to provide safe environment
27 Jan 2023Licensure
27 Jan 2023Licensure
Found significant kitchen sanitation and repair deficiencies and improper handling of food during the first visit; a follow-up showed substantial compliance.
Investigated a complaint of neglect related to falls and care planning; found failures to mitigate fall risk that led to multiple falls and a bruise.
Abuse—Failed to provide service
30 Dec 2022Abuse: Neglect
30 Dec 2022Abuse: Neglect
Investigated neglect and abuse due to failure to provide meals and escort services, leading to weight loss. Found the resident in a vulnerable state with compromised personal dignity.
Abuse—Failed to provide service
26 Sept 2022Inspection
26 Sept 2022Inspection
Investigated a verbal abuse incident and found staff violated a resident's rights by making an inappropriate comment and failed to protect the resident from such remarks.
Licensing—Failed to protect resident from verbal abuse
11 May 2022Abuse: Neglect
11 May 2022Abuse: Neglect
Investigated a complaint about an unsafe environment that allowed a resident to exit; found that a known door issue contributed to potential harm and a fine was assessed.
Abuse—Failed to provide safe environment
28 Feb 2022Abuse: Neglect
28 Feb 2022Abuse: Neglect
Investigated neglect and abuse involving falls and inadequate care for a resident, resulting in unwitnessed falls and distress after returning to care.
Abuse—Failed to provide service
01 Feb 2022Inspection
01 Feb 2022Inspection
Concluded that proper daily meals for nutrition and hydration were not provided as required.
Licensing—Failed to provide proper food/nutrition
01 Feb 2022Inspection
01 Feb 2022Inspection
Investigated infection prevention and control allegations and found deficiencies in maintaining a safe environment, including improper use of masks and eye protection.
Licensing—Failed to provide safe environment
17 Jan 2022Inspection
17 Jan 2022Inspection
Investigated a complaint and found that a staff member administered another resident’s medication to a resident, revealing a deficient medication administration system.
Licensing—Failed to administer ordered medication
08 Oct 2021Abuse: Neglect
08 Oct 2021Abuse: Neglect
Investigated a complaint and found a failure to properly care plan for recurring rashes, constituting neglect and abuse.
Abuse—Failed to properly plan care
02 Jun 2021Abuse: Neglect
02 Jun 2021Abuse: Neglect
Investigated found a known fall risk resident experienced multiple falls with injuries and inadequate care planning after repeated incidents. Interventions were not effectively implemented to prevent further falls.
Abuse—Failed to properly plan care
31 May 2021Abuse: Neglect
31 May 2021Abuse: Neglect
Determined that improper care planning contributed to multiple falls and injuries and constituted abuse and neglect.
Abuse—Failed to properly plan care
26 May 2021Abuse: Neglect
26 May 2021Abuse: Neglect
Investigated and found that a high-risk resident sustained multiple falls due to inadequate care planning and failure to implement fall-mitigation interventions, resulting in a head injury; a $1,125 fine was assessed.
Abuse—Failed to properly plan care
21 May 2021Abuse: Neglect
21 May 2021Abuse: Neglect
Found improper use of a recliner as a restraint, resulting in abuse and neglect; a $500 fine was assessed.
Abuse—Failed to use restraint properly
21 May 2021Abuse: Neglect
21 May 2021Abuse: Neglect
Investigated abuse and neglect involving improper restraint use; a resident was placed in a recliner without proper assessment and staff guidance to prevent restraining qualities.
Abuse—Failed to use restraint properly
06 May 2021Abuse: Neglect
06 May 2021Abuse: Neglect
Found improper care planning that failed to mitigate fall risk, leading to injuries and a fine.
Abuse—Failed to properly plan care
28 Apr 2021Abuse: Neglect
28 Apr 2021Abuse: Neglect
Found that a staff member’s gait belt caused injuries to a resident during assistance, and hands-on training gaps contributed to the failure to protect from abuse.
Abuse—Failed to protect resident from physical abuse
27 Apr 2021Abuse: Neglect
27 Apr 2021Abuse: Neglect
Found neglect and abuse for failing to plan care to mitigate fall risks, resulting in a hip fracture and hospitalization. A $1500 fine was assessed.
Abuse—Failed to properly plan care
21 Apr 2021Abuse: Neglect
21 Apr 2021Abuse: Neglect
Investigated a complaint of neglect and abuse related to repeated falls and injuries; found that care planning and fall-prevention interventions were not properly implemented.
Abuse—Failed to properly plan care
10 Apr 2021Abuse: Neglect
10 Apr 2021Abuse: Neglect
Investigated and found that failure to plan and mitigate falls led to repeated falls and injuries, constituting neglect and abuse.
Abuse—Failed to properly plan care
17 Mar 2021Inspection
17 Mar 2021Inspection
Investigated and found that a staff member committed physical abuse and protection from abuse was not ensured.
Licensing—Failed to protect resident from physical abuse
31 Dec 2020Abuse: Neglect
31 Dec 2020Abuse: Neglect
Found the facility failed to provide a safe environment, resulting in injuries and allegations of rough handling.
Abuse—Failed to provide safe environment
31 Dec 2020Abuse: Neglect
31 Dec 2020Abuse: Neglect
Investigated and found that a resident had unexplained knee bruising and the cause was not investigated. The failure to investigate and prevent further bruising constituted abuse and neglect.
Abuse—Failed to provide safe environment
08 Jul 2020Abuse: Neglect
08 Jul 2020Abuse: Neglect
Investigated found supervision and staff support inadequate for a resident with known behaviors, resulting in harm to another resident; a $250 fine was assessed.
Abuse—Failed to provide safe environment
30 Jun 2020Inspection
30 Jun 2020Inspection
Investigated and found a failure to provide a safe environment, resulting in abuse and neglect of a resident.
Licensing—Failed to provide safe environment
26 Jun 2020Inspection
26 Jun 2020Inspection
Found that a staff member yelled at a resident, constituting verbal abuse and neglect, and failed to protect the resident from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
09 May 2020Abuse: Neglect
09 May 2020Abuse: Neglect
Investigated a complaint and found a failure to seek timely medical treatment after a change in condition, leading to increased fall risk and a spinal fracture.
Abuse—Failed to assure timely medical treatment
19 Apr 2020Abuse: Neglect
19 Apr 2020Abuse: Neglect
Found that care planning failed to address wandering and related behaviors.
Abuse—Failed to properly plan care
02 Jan 2020Inspection
02 Jan 2020Inspection
Investigated the complaint and found that a caregiver of the opposite gender provided care contrary to the resident's care plan, causing a skin tear; the care plan was not followed and abuse/neglect occurred.
Licensing—Failed to follow care plan
01 Jan 2020Abuse: Neglect
01 Jan 2020Abuse: Neglect
Identified a violation of resident rights due to failure to administer medication as ordered, leaving the resident without medication for about 10 days and resulting in a $500 fine.
Abuse—Failed to administer medication as ordered
26 Oct 2019Abuse: Neglect
26 Oct 2019Abuse: Neglect
Found the supervision fail to address known sexual behaviors, leading to an incident and emotional distress, with a fine assessed.
Abuse—Failed to protect resident from mental or emotional abuse
15 Sept 2019Abuse: Neglect
15 Sept 2019Abuse: Neglect
Investigated an allegation of neglect involving failure to protect a resident from non-consensual sexual contact; a finding of neglect was made and a fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
02 Sept 2019Abuse: Neglect
02 Sept 2019Abuse: Neglect
Investigated the allegation of abuse and neglect; found that proper care planning and fall prevention were not implemented, resulting in a fatal fall and a fine assessed.
Abuse—Failed to care plan in accordance with assessment
19 Apr 2019Inspection
19 Apr 2019Inspection
Found that the outdoor environment did not meet safety requirements during a site visit.
Licensing—Failed to provide safe environment
10 Apr 2019Abuse: Neglect
10 Apr 2019Abuse: Neglect
Investigated neglect of basic care and safety that created a risk of serious harm; a fine was assessed.
Abuse—Failed to follow care plan
15 Feb 2019Condition
15 Feb 2019Condition
Investigated a record alleging failure to provide a safe environment and found a substantial compliance deficiency.
Regulatory Action—Failed to provide safe environment
13 Feb 2019Abuse: Neglect
13 Feb 2019Abuse: Neglect
Investigated the complaint and determined neglect due to failure to provide basic safety, which resulted in physical harm.
Abuse—Failed to follow care plan
30 Jan 2019Inspection
30 Jan 2019Inspection
Found a deficient safe medication administration system that posed a risk of serious harm and assessed a fine.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Inspection
30 Jan 2019Inspection
Found a violation involving failure to provide a safe medication administration system, creating risk of serious harm.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Inspection
30 Jan 2019Inspection
Identified a violation involving unsafe medication administration and neglect of basic care, creating risk of serious harm.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Abuse: Neglect
30 Jan 2019Abuse: Neglect
Found neglect of a resident due to failing to administer medication as ordered, which risked serious harm, and a fine was assessed.
Abuse—Failed to administer medication as ordered
30 Jan 2019Inspection
30 Jan 2019Inspection
Found a licensing violation for failing to provide a safe medication administration system, creating risk of serious harm. The violation tied to several rule violations resulted in a monetary penalty.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Inspection
30 Jan 2019Inspection
Found a failure to provide a safe medication administration system and neglect of basic care and safety, creating risk of serious harm.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Inspection
30 Jan 2019Inspection
Found a licensing violation for failing to provide a safe medication administration system; a fine was assessed.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Inspection
30 Jan 2019Inspection
Identified a safety deficiency in the medication administration system that risked serious harm. A $1,125 fine was assessed.
Licensing—Failed to provide a safe medication administration system
30 Jan 2019Inspection
30 Jan 2019Inspection
Identified a licensing violation for failing to provide a safe medication administration system, creating risk of harm.
Licensing—Failed to provide a safe medication administration system
25 Jan 2019Inspection
25 Jan 2019Inspection
Investigated an allegation of oversight after a condition change and identified a failure to intervene following the change in condition.
Licensing—Failed to provide oversight and monitoring of change of condition
25 Jan 2019Inspection
25 Jan 2019Inspection
Found deficiencies in providing intermittent intervention, supervision and staff support for residents with behavioral symptoms as listed in the residents service plan.
Licensing—Failed to address resident's behavior
25 Jan 2019Inspection
25 Jan 2019Inspection
Investigated an allegation of failing to properly plan care and found that individualized activity plans reflecting residents' preferences and needs were not developed.
Licensing—Failed to properly plan care
24 Jan 2019Abuse: Neglect
24 Jan 2019Abuse: Neglect
Determined substantial noncompliance after investigating an allegation of neglect for failing to provide a safe environment. The finding identified violations of regulatory requirements.
Abuse—Failed to provide safe environment
23 Jan 2019Abuse: Neglect
23 Jan 2019Abuse: Neglect
Found neglect that posed risk of serious harm and assessed a fine.
Abuse—Failed to follow care plan
19 Jan 2019Inspection
19 Jan 2019Inspection
Investigated and found failure to report suspected abuse, with a $1,000 fine assessed.
Licensing—Failed to report potential or suspected abuse
14 Jan 2019Abuse: Neglect
14 Jan 2019Abuse: Neglect
Investigated a neglect allegation and found failure to provide a safe environment that risked serious harm, with a $375 fine assessed.
Abuse—Failed to provide safe environment
07 Jan 2019Inspection
07 Jan 2019Inspection
Investigated the allegation of failing to report suspected abuse and found that suspected abuse was not reported.
Licensing—Failed to report potential or suspected abuse
07 Jan 2019Abuse: Neglect
07 Jan 2019Abuse: Neglect
Investigated an allegation of neglect related to falls care planning; findings indicate neglect resulting in physical harm.
Abuse—Failed to adequately care plan related to falls
01 Jan 2019Abuse: Neglect
01 Jan 2019Abuse: Neglect
Found neglect for failing to provide safety to a resident, resulting in physical harm. A $500 fine was assessed.
Abuse—Failed to perform adequate screening or assessment
28 Dec 2018Abuse: Neglect
28 Dec 2018Abuse: Neglect
Found neglect by failing to provide a safe environment, which led to physical harm. A fine was assessed.
Abuse—Failed to provide safe environment
26 Nov 2018Abuse: Neglect
26 Nov 2018Abuse: Neglect
Determined that neglect occurred by failing to provide basic safety, resulting in discomfort; a fine was assessed.
Abuse—Failed to provide safe environment
24 Oct 2018Abuse: Neglect
24 Oct 2018Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in harm.
Abuse—Failed to provide safe environment
01 Oct 2018Abuse: Neglect
01 Oct 2018Abuse: Neglect
Found neglect resulting in physical harm and assessed a fine.
Abuse—Failed to follow care plan
26 Sept 2018Abuse: Verbal/Mental abuse
26 Sept 2018Abuse: Verbal/Mental abuse
Investigated the verbal abuse allegation and found that inappropriate language caused significant emotional harm to a resident.
Abuse—Failed to protect resident from verbal abuse
13 Aug 2018Abuse: Neglect
13 Aug 2018Abuse: Neglect
Found failure to provide a safe environment, creating risk of serious harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
04 Aug 2018Abuse: Verbal/Mental abuse
04 Aug 2018Abuse: Verbal/Mental abuse
Investigated and found that a staff member verbally abused a resident and failed to protect the resident from verbal abuse, causing significant emotional harm.
Abuse—Failed to protect resident from verbal abuse
25 Jul 2018Abuse: Neglect
25 Jul 2018Abuse: Neglect
Found neglect by staff for failing to intervene when a resident's condition changed, resulting in physical harm. A $375 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
06 Jul 2018Abuse: Neglect
06 Jul 2018Abuse: Neglect
Found neglect due to failing to provide a secure environment, risking serious harm; a $375 fine was assessed.
Abuse—Failed to provide safe environment
26 Jun 2018Abuse: Verbal/Mental abuse
26 Jun 2018Abuse: Verbal/Mental abuse
Investigated allegation of verbal/mental abuse and identified deficiencies in protecting residents from verbal abuse and in providing appropriate care.
Abuse—Failed to protect resident from verbal abuse
22 Jun 2018Inspection
22 Jun 2018Inspection
Investigated the allegation of failing to report suspected abuse. Found a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
22 Jun 2018Abuse: Neglect
22 Jun 2018Abuse: Neglect
Found deficiencies in hygiene care; a fine was assessed.
Abuse—Failed to provide or assist with hygiene
19 Jun 2018Condition
19 Jun 2018Condition
Concluded there was a failure to provide a safe environment.
Regulatory Action—Failed to provide safe environment
17 Jun 2018Abuse: Neglect
17 Jun 2018Abuse: Neglect
Fined for failing to follow the care plan.
Abuse—Failed to follow care plan
07 Jun 2018Abuse: Neglect
07 Jun 2018Abuse: Neglect
Found that care was not appropriate when a resident's condition changed, resulting in a $2,500 fine.
Abuse—Failed to intervene when resident's condition changed
07 Jun 2018Inspection
07 Jun 2018Inspection
Investigated and substantiated failure to report suspected abuse; a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
29 May 2018Abuse: Neglect
29 May 2018Abuse: Neglect
Identified deficiencies for not following the care plan, resulting in several falls with injury, and assessed a $375 fine.
Abuse—Failed to follow care plan
25 Dec 2017Abuse: Verbal/Mental abuse
25 Dec 2017Abuse: Verbal/Mental abuse
Investigated a verbal/mental abuse allegation and failure to provide a safe environment. Identified inadequate supervision as a deficiency.
Abuse—Failed to provide safe environment
15 Dec 2017Abuse: Neglect
15 Dec 2017Abuse: Neglect
Investigated the allegation of failure to intervene when a resident's condition changed and found a deficiency. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
02 Oct 2017Abuse: Neglect
02 Oct 2017Abuse: Neglect
Investigated an allegation of neglect and found failure to provide a safe environment.
Abuse—Failed to provide safe environment
31 Aug 2017Abuse: Neglect
31 Aug 2017Abuse: Neglect
Investigated allegations found a safe environment was not provided.
Abuse—Failed to provide safe environment
15 Jul 2017Abuse: Neglect
15 Jul 2017Abuse: Neglect
Investigated the allegation of neglect and found failure to provide timely medical treatment; a $400 fine was assessed.
Abuse—Failed to assure timely medical treatment
15 Mar 2017Abuse: Neglect
15 Mar 2017Abuse: Neglect
Identified deficiencies for failing to perform adequate screening or assessment and for not assessing and intervening after screening, with moderate harm potential.
Abuse—Failed to perform adequate screening or assessment
30 Nov 2016Abuse: Sexual abuse
30 Nov 2016Abuse: Sexual abuse
Concluded that a resident was not protected from inappropriate touching and boundaries were violated.
Abuse—Failed to protect resident from inappropriate sexual contact
30 Nov 2016Inspection
30 Nov 2016Inspection
Found a deficiency in providing a secure environment.
Licensing—Failed to provide safe environment
05 Feb 2016Abuse: Neglect
05 Feb 2016Abuse: Neglect
Investigated an allegation of neglect related to falls and found an unreported fall with injury.
Abuse—Failed to adequately care plan related to falls
07 Jan 2016Inspection
07 Jan 2016Inspection
Investigated and found neglect of care for failing to follow the care plan.
Licensing—Failed to follow care plan
02 Nov 2015Abuse: Neglect
02 Nov 2015Abuse: Neglect
Investigated a neglect allegation and found failures to provide a safe environment.
Abuse—Failed to follow care plan
27 Oct 2015Inspection
27 Oct 2015Inspection
Found a safety deficiency where a resident could not be kept safe.
Licensing—Failed to provide safe environment
12 Oct 2015Inspection
12 Oct 2015Inspection
Investigated the allegation of not intervening when a resident's condition changed and found deficiencies related to care intervention and nutrition.
Licensing—Failed to intervene when resident's condition changed
26 Sept 2015Abuse: Neglect
26 Sept 2015Abuse: Neglect
Found a neglect violation for failing to intervene when a resident's condition changed and for not notifying the family; a $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
24 Sept 2015Inspection
24 Sept 2015Inspection
Found that resident care equipment was not provided or maintained. This represented a level 2 licensing violation with minor harm potential.
Licensing—Failed to provide or maintain resident care equipment
24 Sept 2015Abuse: Neglect
24 Sept 2015Abuse: Neglect
Found failure to follow the care plan, resulting in inadequate care.
Abuse—Failed to follow care plan
24 Sept 2015Inspection
24 Sept 2015Inspection
Investigated and found violations for failing to follow a care plan and to communicate necessary information.
Licensing—Failed to follow care plan
24 Sept 2015Inspection
24 Sept 2015Inspection
Investigated an allegation that a safe environment was not provided. Found deficiencies related to failing to communicate necessary information.
Licensing—Failed to provide safe environment
13 Sept 2015Abuse: Neglect
13 Sept 2015Abuse: Neglect
Found deficiencies in keeping residents safe and addressing resident behavior, resulting in a $450 fine.
Abuse—Failed to address resident's behavior
06 Sept 2015Abuse: Neglect
06 Sept 2015Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment.
Abuse—Failed to address resident's behavior
24 Jun 2015Abuse: Neglect
24 Jun 2015Abuse: Neglect
Investigated an allegation related to falls care planning and found a deficiency in protecting a resident from a fall with injury.
Abuse—Failed to adequately care plan related to falls
16 Jun 2015Abuse: Neglect
16 Jun 2015Abuse: Neglect
Investigated a neglect allegation and found a safety deficiency by allowing a resident to sit in the sun too long, causing burns.
Abuse—Failed to assure resident was safe
06 May 2015Abuse: Neglect
06 May 2015Abuse: Neglect
Investigated the allegation of neglect related to falls and found a failure to provide a safe environment for a resident. A $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
04 May 2015Abuse: Neglect
04 May 2015Abuse: Neglect
Investigated an allegation that care was not properly planned and restraints were not used properly; findings substantiated.
Abuse—Failed to properly plan care
01 May 2015Abuse: Neglect
01 May 2015Abuse: Neglect
Determined that neglect occurred and a safe environment was not provided, resulting in a $300 fine.
Abuse—Failed to address resident's behavior
07 Mar 2015Abuse: Neglect
07 Mar 2015Abuse: Neglect
Investigated the allegation of neglect and found a failure to provide residents with a safe environment.
Abuse—Failed to provide safe environment
18 Feb 2015Inspection
18 Feb 2015Inspection
Identified a safety deficiency due to failure to provide a safe environment, with potential for harm.
Licensing—Failed to provide safe environment
13 Feb 2015Abuse: Neglect
13 Feb 2015Abuse: Neglect
Found that a safe environment was not provided. The finding indicates potential risk to residents.
Abuse—Failed to provide safe environment
11 Oct 2014Inspection
11 Oct 2014Inspection
Found a licensing violation for failing to provide a safe environment.
Licensing—Failed to provide safe environment
14 Aug 2014Inspection
14 Aug 2014Inspection
Found failure to provide a safe environment.
Licensing—Failed to provide safe environment
04 Aug 2014Abuse: Neglect
04 Aug 2014Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to address resident's behavior
23 May 2014Abuse: Neglect
23 May 2014Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment, with a $300 fine assessed.
Abuse—Failed to provide safe environment
27 Apr 2014Abuse: Neglect
27 Apr 2014Abuse: Neglect
Investigated the neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
09 Jan 2014Abuse: Neglect
09 Jan 2014Abuse: Neglect
Investigated an allegation of an unsafe environment and found that residents were not kept safe.
Abuse—Failed to provide safe environment
05 Jan 2012Inspection
05 Jan 2012Inspection
Investigated a failure to report potential or suspected abuse; findings supported the allegation.
Licensing—Failed to report potential or suspected abuse
22 Apr 2010Inspection
22 Apr 2010Inspection
Investigated and found a deficiency for failing to provide a safe environment.
Licensing—Failed to provide safe environment
19 Mar 2010Abuse: Neglect
19 Mar 2010Abuse: Neglect
Found unsafe environment due to failure to prevent frequent falls.
Abuse—Failed to adequately care plan related to falls
19 Feb 2010Abuse: Neglect
19 Feb 2010Abuse: Neglect
Identified a neglect-related deficiency for inadequate care planning around falls and assessed a $350 fine.
Abuse—Failed to adequately care plan related to falls
19 Feb 2010Inspection
19 Feb 2010Inspection
Found a deficiency in providing or assisting with hygiene.
Licensing—Failed to provide service
21 Jan 2010Abuse: Neglect
21 Jan 2010Abuse: Neglect
Investigated and found a failure to provide a safe environment and to address resident behavior.
Abuse—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Bridgecreek Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Bridgecreek Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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