Cedarbrook Place Senior Living

721 NE 27th St, McMinnville, OR 97128

Independent Living
Assisted Living

Compassionate, attentive care and community

I'm very pleased with this community - compassionate, attentive caregivers and a knowledgeable, friendly team (special thanks to Monika Foster - please keep her). The facility is clean, home-like, and well maintained, with excellent memory care, varied activities, engaged residents, and responsive management focused on continual improvements. My loved one feels safe, well cared for, and has made many friends.

Loved one of resident

Jul 2026

Reviews

4.17·(30)

Overall rating

Care
3.6
Staff
3.9
Meals
2.5
Amenities
4.5
Value
1.5

Reviews written on Mirador

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Location

Cedarbrook Place Senior Living is located at 721 NE 27th St, McMinnville, OR, 97128.

People often ask...

Cedarbrook Place Senior Living offers independent living and assisted living.

The full address for this community is 721 NE 27th St, McMinnville, OR 97128.

No, Cedarbrook Place Senior Living 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.

License number	5MA130
Status	Active
Facility type	Residential Care Facility
Capacity	15 residents
Licensee	VOP Cedarbrook Place, LLC
Effective	June 11th, 1998
Special certification	Memory Care

View the official license record

Inspection Reports

Reports

Type A Citations

Type B Citations

Complaints

Years

09 Apr 2026Change of Owner		09 Apr 2026Change of Owner Identified deficiencies in service planning, condition monitoring, health services, staffing data, and fire safety, showing incomplete plans, missing RN assessments, inadequate wound care monitoring, inaccurate staffing data, and insufficient resident fire safety instruction. Deficiency—Service Plan: General Deficiency—Change of Condition and Monitoring Deficiency—Resident Health Services Deficiency—Acuity Based Staffing Tool - ABST Time Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan Deficiency—Fire and Life Safety: Safety Deficiency—Fire and Life Safety: Training for Residents
10 Mar 2026Change of Owner		10 Mar 2026Change of Owner Identified multiple deficiencies in acuity-based staffing, fire safety, administration, and staff training, including inaccurate ABST minutes and incomplete ABST updates, irregular fire drills, environmental concerns, and missing pre-service dementia training. Deficiency—Acuity Based Staffing Tool - ABST Time Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan Deficiency—Fire and Life Safety: Safety Deficiency—Doors, Walls, Elevators, Odors Deficiency—Administration Compliance Deficiency—Staff Training Requirements
09 Mar 2026Kitchen		09 Mar 2026Kitchen Identified extensive cleanliness and repair issues in the kitchen that did not meet sanitation requirements. The findings showed surfaces, equipment, and areas were dirty and in disrepair. Deficiency—Resident Services Meals, Food Sanitation Rule
09 Mar 2026Kitchen		09 Mar 2026Kitchen Found deficiencies in kitchen sanitation and administration compliance, with extensive cleaning and repair needs and policy gaps noted. Deficiency—Resident Services Meals, Food Sanitation Rule Deficiency—Administration Compliance
21 Nov 2025Abuse: Neglect		21 Nov 2025Abuse: Neglect Investigated and found failures to plan care and address fall risk, resulting in injury. Abuse—Failed to properly plan care
08 Nov 2025Inspection		08 Nov 2025Inspection Investigated and found a staff member failed to administer medications as ordered, causing a burning sensation and discomfort for the resident. Licensing—Failed to provide inservice
08 Nov 2025Inspection		08 Nov 2025Inspection Found neglect and abuse occurred when a staff member administered another resident's medication to the resident, risking serious harm, and failed to protect the resident or ensure proper administration as ordered. Licensing—Failed to provide inservice
19 Oct 2025Abuse: Neglect		19 Oct 2025Abuse: Neglect Investigated found a failure to provide a safe environment and to administer medications as ordered, resulting in a fall with injury and inadequate care planning. Abuse—Failed to provide safe environment
18 Sept 2025Abuse: Neglect		18 Sept 2025Abuse: Neglect Investigated a failure to administer prescribed pain medication over several days, resulting in unnecessary discomfort; a $250 fine was assessed. Abuse—Failed to administer ordered medication
19 Aug 2025Kitchen		19 Aug 2025Kitchen Identified multiple deficiencies in kitchen sanitation and food storage that did not meet required rules. Deficiency—Resident Services Meals, Food Sanitation Rule
19 Aug 2025Kitchen		19 Aug 2025Kitchen Identified violations of food sanitation rules and administration compliance. Deficiency—Resident Services Meals, Food Sanitation Rule Deficiency—Administration Compliance
11 Aug 2025Abuse: Neglect		11 Aug 2025Abuse: Neglect Determined there was inadequate care planning to address repeated falls, resulting in neglect and abuse. Abuse—Failed to properly plan care
30 Jul 2025Abuse: Neglect		30 Jul 2025Abuse: Neglect Concluded that care planning failed to prevent a resident from entering another resident's room, which led to a physical altercation. There were no documented interventions to stop wandering into the room. Abuse—Failed to provide safe environment
05 Jul 2025Abuse: Neglect		05 Jul 2025Abuse: Neglect Found neglect and abuse due to failure to properly care plan for increased weakness, leading to falls and hospitalization. Abuse—Failed to follow care plan
05 Jul 2025Abuse: Neglect		05 Jul 2025Abuse: Neglect Investigated and found that inadequate medication reordering left a resident without a blood thinner for a day, creating a risk of harm. Abuse—Failed to provide a safe medication administration system
07 May 2025Licensure		07 May 2025Licensure Identified widespread deficiencies in resident evaluations, service plans, change-of-condition monitoring, medication practices, staffing, training, fire safety training for residents, and building upkeep. Deficiency—Resident Move-in & Evaluation: Res Evaluation Deficiency—Service Plan: General Deficiency—Service Plan: Service Planning Team Deficiency—Change of Condition and Monitoring Deficiency—Systems: Tracking Control Substances Deficiency—Systems: Treatment Orders Deficiency—Systems: Resident Right to Refuse Deficiency—Systems: Psychotropic Medication Deficiency—Restraints and Supportive Devices Deficiency—Staffing Requirements and Training: Staffing Deficiency—Annual and Biennial Inservice for All Staff Deficiency—Fire and Life Safety: Training for Residents Deficiency—General Building: Doors-Walls, Cleanable
03 May 2025Abuse: Neglect		03 May 2025Abuse: Neglect Investigated a complaint and found the care plan lacked interventions for a resident's aggression, resulting in emotional distress to another resident and constituting abuse and neglect. Abuse—Failed to properly plan care
19 Apr 2025Abuse: Neglect		19 Apr 2025Abuse: Neglect Found inadequate care planning and interventions to manage aggressive behavior between residents, leading to repeated resident-to-resident altercations. Abuse—Failed to properly plan care
10 Oct 2024Abuse: Neglect		10 Oct 2024Abuse: Neglect Investigated the allegation and found that ordered diuretic medication was not administered for 11 days, leading to hospitalization of the recipient. Abuse—Failed to administer ordered medication
01 Aug 2024Inspection		01 Aug 2024Inspection Cited a licensing violation for failing to provide a safe environment by not complying with weekly vaccination reporting requirements for vaccinated individuals, residents, and staff; a $250 fine was assessed. Licensing—Failed to provide safe environment
25 Jul 2024Licensure		25 Jul 2024Licensure Identified deficiencies in meals service and sanitation, later found substantial compliance on follow-up. Deficiency—Comment Deficiency—Resident Services Meals, Food Sanitation Rule Deficiency—Administration Compliance
25 Jul 2024Licensure		25 Jul 2024Licensure Found sanitation deficiencies in the kitchen during the initial visit; a follow-up confirmed substantial compliance with food safety rules. Deficiency—Comment Deficiency—Resident Services Meals, Food Sanitation Rule
28 Apr 2024Abuse: Neglect		28 Apr 2024Abuse: Neglect Investigated a fall-related case and found failure to properly plan fall interventions, resulting in neglect and abuse. Abuse—Failed to properly plan care
16 Mar 2024Abuse: Neglect		16 Mar 2024Abuse: Neglect Concluded neglect and abuse from failing to follow the care plan, leading to multiple falls and a hip fracture. Abuse—Failed to follow care plan
16 Feb 2024Inspection		16 Feb 2024Inspection Found a staff member failed to provide a safe medication administration system, administering another resident’s medication to a resident and causing discomfort. Licensing—Failed to provide a safe medication administration system
06 Dec 2023License Condition		06 Dec 2023License Condition Found that an Acuity Based Staffing Tool was not used as required. Regulatory Action—Failed to use an ABST
02 Oct 2023Complaint		02 Oct 2023Complaint Identified failure to fully implement an acuity-based staffing tool for three sampled residents, with incomplete ADL entries and outdated updates. Deficiency—Licensing Complaint Investigation Deficiency—Infection Prevention & Control Deficiency—Staffing Requirements and Training: Staffing Deficiency—Acuity-Based Staffing Tool
05 Sept 2023Inspection		05 Sept 2023Inspection Identified failure to establish and maintain infection prevention and control protocols, resulting in an unsafe and unsanitary environment. Licensing—Failed to provide service
21 Jun 2023Licensure		21 Jun 2023Licensure Found sanitation lapses in the kitchen and administration compliance concerns during two visits. The findings included improper food storage, uncovered trash, and gaps in adherence to food sanitation rules. Deficiency—Comment Deficiency—Resident Services Meals, Food Sanitation Rule Deficiency—Administration Compliance
21 Jun 2023Licensure		21 Jun 2023Licensure Identified kitchen sanitation deficiencies on the initial visit. Subsequent follow-up found substantial compliance. Deficiency—Comment Deficiency—Resident Services Meals, Food Sanitation Rule
25 May 2023Abuse: Neglect		25 May 2023Abuse: Neglect Investigated a complaint and found care planning failed to address a resident's fall history, resulting in an unwitnessed fall and injury; a $250 fine was assessed. Abuse—Failed to properly plan care
19 May 2023Inspection		19 May 2023Inspection Found a licensing violation for failing to submit timely or adequate staffing documentation, including weekly vaccination reporting, for 30 days in April 2023. Licensing—Failed to submit timely or adequate staffing documentation
18 May 2023Abuse: Neglect		18 May 2023Abuse: Neglect Investigated a complaint alleging neglect and abuse; found that a resident experienced multiple self-transfer falls and long delays for staff assistance, with call lights often not answered promptly. Abuse—Failed to provide service
19 Sept 2022Validation		19 Sept 2022Validation Identified multiple deficiencies in incident investigations, service planning, psychotropic medication documentation, and resident activities, indicating failures to meet licensing requirements. Deficiency—Comment Deficiency—Reporting & Investigating Abuse-Other Action Deficiency—Service Plan: General Deficiency—Systems: Psychotropic Medication Deficiency—Inspections and Investigation: Insp Interval Deficiency—Administration Compliance Deficiency—Compliance With Rules Health Care Deficiency—Activities
07 Sept 2022Inspection		07 Sept 2022Inspection Investigated and found that a resident experienced financial exploitation and neglect, with items taken and meds missing. Licensing—Failed to protect resident from financial exploitation
07 Jul 2022Abuse: Neglect		07 Jul 2022Abuse: Neglect Investigated and found failure to administer medication as ordered, resulting in pain and discomfort; identified violations for neglect and abuse. Abuse—Failed to administer medication as ordered
22 May 2022Abuse: Neglect		22 May 2022Abuse: Neglect Found failures to follow the service plan for routine and overnight checks, causing the resident discomfort and constituting neglect with a civil penalty assessed. Abuse—Failed to follow care plan
16 Mar 2022Validation		16 Mar 2022Validation Identified deficiencies in kitchen sanitation, service planning, fall monitoring, psychotropic medication practices, staff training, and building maintenance. Violations cited across multiple areas for the findings observed during the survey and follow-up visit. Deficiency—Comment Deficiency—Resident Services Meals, Food Sanitation Rule Deficiency—Service Plan: General Deficiency—Service Plan: Service Planning Team Deficiency—Change of Condition and Monitoring Deficiency—Systems: Psychotropic Medication Deficiency—Training Within 30 Days: Direct Care Staff Deficiency—Annual and Biennial Inservice For All Staff Deficiency—General Building: Doors-Walls, Cleanable
19 Feb 2022Abuse: Neglect		19 Feb 2022Abuse: Neglect Investigated a complaint and found a failure to provide a safe medication administration system, leading to a resident receiving a held medication and risking serious harm. Abuse—Failed to provide a safe medication administration system
07 Jan 2022Abuse: Neglect		07 Jan 2022Abuse: Neglect Found deficiencies in care planning and interventions for a resident's fall history, leading to an unwitnessed fall with head injury and resulting pain and discomfort. Abuse—Failed to properly plan care
15 Aug 2021Abuse: Neglect		15 Aug 2021Abuse: Neglect Investigated and found abuse/neglect due to failure to provide a safe environment, resulting in loss of dignity and unreasonable discomfort; a fine was assessed. Abuse—Failed to provide safe environment
19 Jun 2021Abuse: Neglect		19 Jun 2021Abuse: Neglect Investigated a complaint and found a failure to provide a safe environment that put a resident at risk. A $500 fine was assessed. Abuse—Failed to provide safe environment
25 May 2021Abuse: Neglect		25 May 2021Abuse: Neglect Found that a resident did not have a safe environment, constituting neglect and abuse, and assessed a $250 fine. Abuse—Failed to provide safe environment
26 Mar 2021Inspection		26 Mar 2021Inspection Verified resident rights were not assured. Licensing—Failed to assure resident rights
26 Mar 2021Inspection		26 Mar 2021Inspection Investigated the staffing allegation and confirmed inadequate staffing. Licensing—Failed to provide appropriate staffing
12 Mar 2021Inspection		12 Mar 2021Inspection Investigated and identified violations for failing to follow a care plan for arranging lab services, which led to a hospital transfer and patient discomfort. Licensing—Failed to provide service
23 Nov 2020Inspection		23 Nov 2020Inspection Investigated the allegation of infection-control failures and found COVID-19 precautions were not followed, with staff not wearing face shields on the night shift. Licensing—Failed to provide infection control
09 Oct 2020Abuse: Neglect		09 Oct 2020Abuse: Neglect Investigated allegations found neglect related to failure to plan care after a history of falls, resulting in multiple unwitnessed falls and discomfort. Abuse—Failed to properly plan care
23 Mar 2020Abuse: Neglect		23 Mar 2020Abuse: Neglect Investigated a complaint about care planning after a change in condition; found neglect and abuse resulting in pain and discomfort from maggot-infested condition. A $500 fine was assessed. Abuse—Failed to properly plan care
27 Jan 2020Inspection		27 Jan 2020Inspection Determined that the allegation of failing to report potential or suspected abuse was substantiated. Licensing—Failed to report potential or suspected abuse
27 Jan 2020Inspection		27 Jan 2020Inspection Investigated a nursing delegation allegation and concluded a violation occurred. Licensing—Failed to comply with nursing delegation requirement
17 Jul 2019Abuse: Neglect		17 Jul 2019Abuse: Neglect Investigated a neglect allegation and identified failure to provide basic care, resulting in a resident fall with injuries. Abuse—Failed to follow care plan
16 Jun 2019Abuse: Neglect		16 Jun 2019Abuse: Neglect Investigated abuse allegation and found neglect due to failure to provide basic care and supervision, resulting in risk of harm to a resident. Abuse—Failed to assure resident was safe
04 Jun 2019Inspection		04 Jun 2019Inspection Identified a supervision deficiency that created an unsafe environment and led to one person harming another. Licensing—Failed to provide safe environment
04 Jan 2019Abuse: Neglect		04 Jan 2019Abuse: Neglect Investigated and found neglect resulting in physical harm due to failure to provide basic care. Abuse—Failed to follow care plan
02 Nov 2017Abuse: Financial abuse		02 Nov 2017Abuse: Financial abuse Investigated an allegation of financial exploitation and concluded there was a failure to protect a resident from exploitation, along with a failure to maintain a safe environment that led to theft of residents' belongings. Abuse—Failed to protect resident from financial exploitation
12 Oct 2017Inspection		12 Oct 2017Inspection Determined that there was a failure to assess and intervene, resulting in a noninjury residenttoresident altercation. Licensing—Failed to provide safe environment
02 May 2017Abuse: Neglect		02 May 2017Abuse: Neglect Found neglect resulting in several days of eye irritation after the wrong medication was placed in the resident's right eye. Abuse—Failed to administer medication as ordered
05 Feb 2017Abuse: Neglect		05 Feb 2017Abuse: Neglect Determined residents were not protected from a resident-to-resident altercation, which caused a skin tear. Abuse—Failed to provide safe environment
27 Jan 2017Abuse: Verbal/Mental abuse		27 Jan 2017Abuse: Verbal/Mental abuse Determined that a resident was not protected from verbal abuse. Abuse—Failed to protect resident from verbal abuse
27 Dec 2016Abuse: Financial abuse		27 Dec 2016Abuse: Financial abuse Investigated a financial exploitation allegation and found a security failure allowed cash to be stolen. Abuse—Failed to protect resident from financial exploitation
15 Oct 2016Abuse: Neglect		15 Oct 2016Abuse: Neglect Found a failure to provide a safe environment that allowed a resident-to-resident altercation. Abuse—Failed to provide safe environment
05 Oct 2016Condition		05 Oct 2016Condition Concluded neglect occurred due to failure to intervene when a resident's condition changed, involving moderate harm or potential for serious harm. Regulatory Action—Failed to intervene when resident's condition changed
28 Sept 2016Abuse: Neglect		28 Sept 2016Abuse: Neglect Identified neglect due to failure to monitor change of condition and to obtain timely medical care after an injury, causing significant pain. Abuse—Failed to provide oversight and monitoring of change of condition
18 Feb 2016Abuse: Neglect		18 Feb 2016Abuse: Neglect Determined the allegation of failing to perform adequate screening or assessment substantiated. Abuse—Failed to perform adequate screening or assessment
29 Sept 2015Abuse: Neglect		29 Sept 2015Abuse: Neglect Investigated a complaint alleging neglect and identified a failure to provide a safe environment, exposing residents to physical aggression. Abuse—Failed to provide safe environment
06 Aug 2015Inspection		06 Aug 2015Inspection Investigated and found a failure to provide a safe environment and appropriate care. Licensing—Failed to provide safe environment
31 Mar 2015Abuse: Neglect		31 Mar 2015Abuse: Neglect Determined failure to properly assess and intervene when the resident's condition changed. Abuse—Failed to intervene when resident's condition changed
02 Sept 2014Abuse: Neglect		02 Sept 2014Abuse: Neglect Determined a deficiency occurred due to failure to intervene when a resident's condition changed, resulting in an injury. Abuse—Failed to intervene when resident's condition changed
28 Jul 2014Abuse: Financial abuse		28 Jul 2014Abuse: Financial abuse Investigated and found a failure to provide a secure environment. Abuse—Failed to provide safe environment
06 Jun 2014Inspection		06 Jun 2014Inspection Found an inadequate medication administration system that posed a risk of harm. Licensing—Failed to provide a safe medication administration system
12 Aug 2013Inspection		12 Aug 2013Inspection Concluded there were deficiencies in the medication system that could harm residents due to failure to provide a safe administration process. Licensing—Failed to provide a safe medication administration system
07 Mar 2013Inspection		07 Mar 2013Inspection Investigated and found safety deficiencies related to failing to address a resident's behavior and keep two residents safe. Licensing—Failed to address resident's behavior
13 Feb 2013Inspection		13 Feb 2013Inspection Found deficiencies related to failure to properly plan care and address a resident's behavior change. Licensing—Failed to properly plan care
03 Oct 2012Inspection		03 Oct 2012Inspection Investigated the allegation and found a violation for failing to provide a safe medication administration system. Licensing—Failed to provide a safe medication administration system
05 Jun 2012Abuse: Neglect		05 Jun 2012Abuse: Neglect Found a failure to provide a safe environment and a $300 fine was assessed. Abuse—Failed to follow care plan
07 Oct 2011Inspection		07 Oct 2011Inspection Investigated a complaint and found a safe medication administration system was not provided. Licensing—Failed to provide a safe medication administration system
30 Jun 2011Abuse: Financial abuse		30 Jun 2011Abuse: Financial abuse Investigated and found an inadequate medication administration system. Abuse—Failed to provide a safe medication administration system
30 Jun 2011Inspection		30 Jun 2011Inspection Found a deficiency in safety due to failure to provide a safe environment. Licensing—Failed to assure resident rights
29 Apr 2011Abuse: Neglect		29 Apr 2011Abuse: Neglect Determined that appropriate medical care was not provided as ordered, and assessed a $400 fine. Abuse—Failed to provide medical treatment as ordered
10 Jun 2010Abuse: Financial abuse		10 Jun 2010Abuse: Financial abuse Investigated a financial abuse allegation and found that a secure environment was not provided. Abuse—Failed to provide a safe medication administration system

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