I moved my mom here and I'm very pleased - the staff are genuinely caring and knowledgeable about memory care, and the director and team are clearly engaged. The food is excellent, common areas are bright and home-like, and activities are varied and social, which gave our family real peace of mind. It's a well-managed, welcoming community I would recommend.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
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
Internet
Kitchenettes
Private bathrooms
Spa
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
4.28·(67)
Overall rating
5
4
3
2
1
Care
4.3
Staff
4.5
Meals
4.0
Amenities
4.3
Value
2.5
Pros
Compassionate, attentive caregiving staff
Engaged, resident-focused director leadership
Family-like, home-like atmosphere
Memory-care–focused design and programming
Robust activities program with music and entertainment
Therapy dog visits and pet-friendly policy
Nutritious, varied meal program
On-site salon and personal-care services
Well-maintained, modern common areas
Opportunities for socialization and new friendships
Smooth admissions and move-in assistance
Knowledgeable nursing and clinical staff
Convenient location and unit availability
Cons
Inconsistent leadership presence and managerial follow-through
Staffing instability and high caregiver turnover
Delays in responsiveness to resident requests
Medication administration and clinical oversight
Cleanliness and sanitation issues in some rooms and areas
Inconsistent investigation of family complaints and follow-up
Variable food quality across shifts
Billing and post-discharge/post-death charge disputes
Gaps in staff training and engagement culture
Perceived favoritism and problematic staff communication
Summary of reviews
Reviews of McMinnville Memory Care present a largely mixed but strongly polarized picture. Many families describe a warm, family-like setting with staff who demonstrate compassion, frequent engagement, and individualized attention. The facility's memory-care focus is frequently highlighted: reviewers praise the layout and design for dementia care, a program of purposeful activities, and staff members who know residents by name. Multiple comments single out an engaged director and activities team who organize musical events, piano performances, and therapy dog visits that support resident engagement and socialization.
Care quality and staff behavior are central themes. A substantial body of feedback praises attentive caregivers, knowledgeable nursing presence, effective communication with families, and consistent personal care. Those positive reports describe dependable daily care, stimulating activities, and staff who form close relationships with residents. Conversely, a clear cluster of concerns relates to operational reliability: reviewers cite staffing instability and turnover, delays in responding to resident requests, and isolated but serious concerns about medication administration and clinical oversight. These items point to variability in day-to-day execution of care rather than to a single uniform experience.
Dining and activity programming are commonly reported strengths. Many reviewers mention nutritious, varied menus, fresh fruit, and a well-regarded cook; salon and grooming services and regular entertainment are also frequently noted. At the same time, a minority of accounts raise inconsistent food quality across shifts. The activities department receives consistent praise for creativity and resident engagement, with social spaces such as a Bistro and Fireside Room supporting communal interaction.
Facility condition and cleanliness receive mixed comments. Numerous reviewers describe a modern, well-maintained interior with pleasant common areas and a cozy, home-like environment. However, there are also sanitation and odor concerns reported in some resident rooms and areas, and at least one account described inadequate housekeeping in a specific room. These differences suggest variability in unit-level upkeep and highlight the importance of inspecting individual rooms during a tour.
Management and administrative issues appear to be a dividing line among reviewers. Several families commend hands-on leadership, clear communication, and a smooth move-in process; others describe inconsistent leadership presence, poor complaint follow-up, perceived favoritism, and billing disputes including contested charges after a resident’s death. Those operational weaknesses—when present—affect trust and perceived reliability even when caregiving staff are praised.
Taken together, the reviews indicate a facility with many genuine strengths in memory-care programming, compassionate direct care, and social/dining amenities, alongside recurring operational concerns around staffing consistency, responsiveness, clinical oversight, unit-level cleanliness, and administrative practices. Prospective families should tour multiple times, observe staff–resident interactions across shifts, review medication-management and staffing-stability practices, ask about housekeeping protocols and complaint-resolution processes, and clarify billing policies before making a placement decision.
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Location
McMinnville Memory Care is located at 320 SW Hill Rd S, McMinnville, OR, 97128.
About McMinnville Memory Care
McMinnville Memory Care sits in Oregon wine country and offers a safe and comfortable place for older adults with Alzheimer's, dementia, or memory loss, and the staff there has over 25 years of experience supporting people at different stages of memory challenges. The community scores a 4.6 out of 5 in community sentiment and a 4.5 out of 5 in overall care, and that matches what folks say about the place being clean, well-kept, and friendly, with rooms that are nice and common spaces that have good visibility. Residents live in a secure memory care unit with safety checks, wander prevention features, an emergency call system, and sprinkler systems throughout the property, all designed to cut down on confusion and keep everyone safe, plus all indoor areas are non-smoking.
The staff, described as warm, caring, and attentive, supports residents around the clock and always take time to know each person as an individual, providing personal care with things like medication reminders, help with washing, mobility, daily activities, and customized care plans that fit each resident's needs. The community has a relaxed, home-like feel with lots of activities that help keep minds and bodies active, including social events, music gatherings, sing-alongs at the Grand Piano, bingo, art classes, games, group outings, gardening projects, and reminiscence therapy. There are activities both inside and outside the building, plus programs like Adult Day Care, respite care for short stays, hospice support, and meetings for families, with an Activities Director planning a full calendar so there's always something to do.
Amenities around the property include a Bistro, a Fireside Room, a TV lounge, raised garden beds, indoor and outdoor walking paths, enclosed courtyards, butterfly and hummingbird gardens, and pet therapy, and the grounds get described as beautiful and peaceful. Residents have access to a resident library, meeting rooms, wifi, cable TV, washers and dryers, a game and crafts room, a salon and barbershop, and even a spa room, with housekeeping and laundry provided each week. The facility also offers dining with chef-prepared, international meals served in restaurant-style dining rooms or in residents' own rooms, with three balanced meals per day, snacks, and special diet accommodations always available.
There's transportation services for shopping, medical appointments, and outings, with guest and resident parking, and the community accepts different insurance types, including long-term care. Residents get help with daily living needs, and pets are welcome. The Secure Memory Unit has cognitive-enhancing programs and support for memory loss, plus staff has specialized dementia care training and run regular safety checks. There's also a focus on engaging residents through things like arts and crafts, exercise programs in the fitness center, and regular outings or adventures, all aimed at helping folks stay as independent and active as possible in a suburb that feels inviting and homelike, where visitors can come in for a tour, try the meals, and see what daily life is like at McMinnville Memory Care.
People often ask...
McMinnville Memory Care offers competitive pricing, with rates starting at a cost of $6,125 per month.
McMinnville Memory Care offers assisted living and memory care.
There are 71 photos of McMinnville Memory Care on Mirador.
The full address for this community is 320 SW Hill Rd S, McMinnville, OR 97128.
No, McMinnville 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 an elopement incident and found warning signs were not addressed, resulting in an unsupervised departure and a resident rights violation.
Abuse—Failed to properly plan care
11 Sept 2025Inspection
11 Sept 2025Inspection
Concluded that a caregiver left a resident unattended in a wheelchair after moving outside, causing a fall and injuries; found neglect of care and abuse and an unsafe environment.
Licensing—Failed to provide safe environment
11 Sept 2025Inspection
11 Sept 2025Inspection
Found that the service plan did not reflect the resident's needs and lacked documented behavioral interventions despite observed behaviors.
Licensing—Failed to properly plan care
11 Sept 2025Inspection
11 Sept 2025Inspection
Investigated and found a safety deficiency when a wheelchair brake was not secured, causing a resident to fall and suffer injuries. The health decline led to hospice admission and death.
Licensing—Failed to provide safe environment
20 Aug 2025Abuse: Neglect
20 Aug 2025Abuse: Neglect
Investigated found inadequate supervision allowed a resident to wander unsupervised, leading to an altercation causing pain and discomfort.
Abuse—Failed to provide safe environment
25 Mar 2025Abuse: Neglect
25 Mar 2025Abuse: Neglect
Identified inadequate monitoring that allowed a resident to physically injure another, causing harm and discomfort. Violations of resident safety and care were documented.
Abuse—Failed to provide safe environment
25 Mar 2025Abuse: Neglect
25 Mar 2025Abuse: Neglect
Investigated, found supervision failures led to a resident-to-resident punch causing injury and deemed abuse/neglect; a fine was assessed.
Abuse—Failed to provide safe environment
20 Mar 2025Abuse: Neglect
20 Mar 2025Abuse: Neglect
Concluded that care planning and interventions were insufficient to protect a resident, resulting in an injury from an altercation and constituting abuse and neglect; a fine was assessed.
Abuse—Failed to provide safe environment
04 Aug 2024Abuse: Neglect
04 Aug 2024Abuse: Neglect
Investigated and found a failure to implement fall interventions and care planning for a high fall risk resident, resulting in severe pain and a broken hip; a $2,500 fine was assessed.
Abuse—Failed to properly plan care
31 May 2024Abuse: Neglect
31 May 2024Abuse: Neglect
Found that staff did not follow the resident's care plan and supervision requirements, allowing a resident-to-resident altercation that caused injury requiring hospital care.
Abuse—Failed to follow care plan
15 May 2024Abuse: Neglect
15 May 2024Abuse: Neglect
Found violations of resident rights due to failure to monitor a resident's known behavior, resulting in a resident-to-resident assault and injury. A fine was assessed.
Abuse—Failed to provide safe environment
08 May 2024Licensure
08 May 2024Licensure
Identified deficiencies in kitchen sanitation during the first visit, including debris on lower shelves, grease on walls, dust around vents, dirty blender bases, and no hair restraints. On follow-up, substantial compliance with sanitation and licensing rules was confirmed.
Found neglect due to inadequate supervision that led to unwitnessed falls and injury, with a $375 fine assessed.
Abuse—Failed to follow care plan
19 Mar 2024Inspection
19 Mar 2024Inspection
Found a deficiency for failing to ensure the implementation of services, with potential for harm.
Licensing—Failed to provide or assist with hygiene
19 Mar 2024Complaint
19 Mar 2024Complaint
Found that a resident did not receive showering assistance as required by the service plan. Documentation showed showers were skipped when staff prioritized other tasks.
Deficiency—Service Plan: General
30 Jan 2024Abuse: Neglect
30 Jan 2024Abuse: Neglect
Investigated and found failures to monitor a resident according to known behavior and to remove them from a loud environment, resulting in an aggressive incident and discomfort to another resident.
Abuse—Failed to provide safe environment
27 Nov 2023Validation
27 Nov 2023Validation
Found deficiencies in abuse reporting, service planning, changes of condition monitoring, health services, and environmental maintenance. The follow-up determined substantial compliance with licensing rules.
Investigated and found neglect and abuse due to failure to provide a safe environment, resulting in a resident fall and discomfort.
Abuse—Failed to provide safe environment
07 Sept 2023Abuse: Neglect
07 Sept 2023Abuse: Neglect
Found neglect related to hygiene needs, resulting in the resident not receiving bathing assistance and losing personal dignity. A $1500 fine was assessed.
Abuse—Failed to provide or assist with hygiene
07 Sept 2023Abuse: Neglect
07 Sept 2023Abuse: Neglect
Found neglect and abuse due to failure to plan care and supervision, which led to multiple falls and discomfort for a resident.
Abuse—Failed to properly plan care
07 Sept 2023Abuse: Neglect
07 Sept 2023Abuse: Neglect
Found neglect and abuse for failing to provide appropriate toileting and wound care, causing discomfort. A $1500 fine was assessed.
Abuse—Failed to assist with toileting
05 Aug 2023Abuse: Neglect
05 Aug 2023Abuse: Neglect
Investigated and found that one resident slapped another during an argument and interventions to monitor behavior were not properly implemented, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
18 Jul 2023License Condition
18 Jul 2023License Condition
Found ABST not fully implemented as required.
Regulatory Action—Failed to use an ABST
22 Jun 2023Licensure
22 Jun 2023Licensure
Determined substantial compliance with applicable rules governing meals and food sanitation. No deficiencies were cited.
Deficiency—Comment
13 Jun 2023Abuse: Neglect
13 Jun 2023Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment.
Abuse—Failed to provide safe environment
11 Jun 2023Abuse: Neglect
11 Jun 2023Abuse: Neglect
Investigated and found that staff failed to implement interventions and monitor a resident's known behavior, resulting in a physical altercation and abuse/neglect; a $375 fine was assessed.
Abuse—Failed to provide safe environment
05 Jun 2023Abuse: Neglect
05 Jun 2023Abuse: Neglect
Found that staff failed to provide a safe environment, leading to a physical altercation and emotional harm; a $500 fine was assessed.
Abuse—Failed to provide safe environment
29 May 2023Abuse: Neglect
29 May 2023Abuse: Neglect
Found neglect and abuse due to failure to implement interventions and monitor behavior, resulting in a physical altercation and discomfort to a resident.
Abuse—Failed to provide safe environment
22 May 2023Abuse: Neglect
22 May 2023Abuse: Neglect
Investigated the incident and found a substantiated neglect/abuse due to inadequate monitoring, resulting in a resident-to-resident altercation that caused discomfort; a fine was assessed.
Abuse—Failed to provide safe environment
21 May 2023Inspection
21 May 2023Inspection
Investigated a complaint of verbal and emotional abuse and found that a caregiver yelled at and ridiculed a resident, creating a hostile and unsafe environment.
Licensing—Failed to provide safe environment
17 Apr 2023Complaint
17 Apr 2023Complaint
Identified deficiencies related to medications and treatments, staffing requirements, and acuity-based staffing tools.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Medications and Treatments
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
17 Feb 2023Abuse: Neglect
17 Feb 2023Abuse: Neglect
Determined that inadequate fall-prevention care caused repeated falls and contributed to the resident's death.
Abuse—Failed to properly plan care
10 Jan 2023Abuse: Neglect
10 Jan 2023Abuse: Neglect
Determined there was a failure to provide a safe medication administration system, resulting in missed medications and potential harm to a resident.
Abuse—Failed to provide a safe medication administration system
29 Nov 2022Abuse: Neglect
29 Nov 2022Abuse: Neglect
Investigated an allegation of neglect for failing to provide peri-care to an incontinent resident. Found deficiencies and a $450 fine assessed.
Abuse—Failed to provide peri care
29 Nov 2022Abuse: Neglect
29 Nov 2022Abuse: Neglect
Found neglect and abuse due to failure to provide peri-care, leading to a rash and discomfort. A $225 fine was assessed.
Abuse—Failed to provide peri care
21 Nov 2022Inspection
21 Nov 2022Inspection
Found a deficiency related to unsafe medication handling, with failure to implement safe medication and treatment administration systems.
Licensing—Failed to provide a safe medication administration system
21 Nov 2022Inspection
21 Nov 2022Inspection
Determined that direct care staffing was insufficient to meet residents' scheduled and unscheduled needs. This resulted in a licensing violation.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
05 Sept 2022Abuse: Neglect
05 Sept 2022Abuse: Neglect
Investigated found that failure to implement interventions and monitor a resident according to known behavior led to a physical altercation and unreasonable discomfort to the resident.
Abuse—Failed to provide safe environment
02 Sept 2022Abuse: Neglect
02 Sept 2022Abuse: Neglect
Investigated the complaint and found that interventions and monitoring were insufficient for known behavior, leading to a physical altercation and undue discomfort for a resident, indicating neglect and abuse.
Abuse—Failed to provide safe environment
09 Jul 2022Abuse: Neglect
09 Jul 2022Abuse: Neglect
Found that staff failed to provide a safe environment by not implementing interventions or monitoring for known behavior, resulting in a physical altercation and discomfort to the alleged victim.
Abuse—Failed to provide safe environment
09 Jul 2022Abuse: Neglect
09 Jul 2022Abuse: Neglect
Investigated found a failure to monitor and intervene for residents according to behavior, leading to an altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
14 Jun 2022Abuse: Neglect
14 Jun 2022Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in unnecessary discomfort and classified as neglect and abuse.
Abuse—Failed to provide a safe medication administration system
25 May 2022Inspection
25 May 2022Inspection
Investigated and found a violation for failing to provide a safe environment, including staff not wearing masks, not washing hands between residents, and leaving dirty briefs on the floor.
Licensing—Failed to provide safe environment
25 May 2022Inspection
25 May 2022Inspection
Found deficiencies in cleanliness of interior and exterior materials and surfaces, including dirty laundry and soiled briefs left on floors.
Licensing—Failed to provide appropriate housekeeping services
21 May 2022Abuse: Neglect
21 May 2022Abuse: Neglect
Investigated found a failure to provide a safe environment, leading to a physical altercation and unreasonable discomfort to a resident.
Abuse—Failed to provide safe environment
29 Mar 2022License Condition
29 Mar 2022License Condition
Identified failure to provide a safe environment during a re-licensure survey.
Regulatory Action—Failed to provide safe environment
14 Mar 2022Validation
14 Mar 2022Validation
Found widespread deficiencies across administration, resident care planning, health services, nutrition, safety, and resident rights. Multiple areas failed to meet Oregon regulations and licensing rules.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Rn Delegation and Teaching
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Training Within 30 Days: Direct Care Staff
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—Doors, Walls, Elevators, Odors
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Behavior
Deficiency—Resident Rooms
20 Jan 2022Complaint
20 Jan 2022Complaint
Found insufficient staffing and missing acuity documentation that jeopardized resident health and safety. Swing shift did not meet staffing plan, leaving residents without required care and contributing to laundry and toileting issues.
Deficiency—Staffing Requirements and Training: Staffing
20 Jan 2022Complaint
20 Jan 2022Complaint
Determined that staffing shortages created an immediate jeopardy to resident health or safety due to insufficient swing shift coverage and unaddressed care needs.
Deficiency—Staffing Requirements and Training: Staffing
20 Jan 2022Complaint
20 Jan 2022Complaint
Found insufficient staffing to meet residents' needs, leading to care gaps and inadequate acuity documentation on the swing shift.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
20 Jan 2022Complaint
20 Jan 2022Complaint
Investigated serious deficiencies in infection control and staffing that placed residents at risk, including failure to follow COVID-19 guidelines and insufficient swing-shift coverage.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
Deficiency—Staffing Requirements and Training: Staffing
20 Jan 2022Complaint
20 Jan 2022Complaint
Investigated and found staffing shortages that created an immediate jeopardy to resident health and safety.
Deficiency—Staffing Requirements and Training: Staffing
20 Jan 2022Complaint
20 Jan 2022Complaint
Found failures to follow infection control guidelines that could have allowed COVID-19 to spread, risking residents' health.
Deficiency—Reasonable Precautions
11 Jan 2022Inspection
11 Jan 2022Inspection
Found insufficient staff to meet scheduled and unscheduled resident needs, violating staffing requirements.
Licensing—Failed to provide appropriate staffing
07 Jan 2022Inspection
07 Jan 2022Inspection
Investigated the allegation of failing to provide a safe environment and found a violation of safety rules due to not exercising reasonable precautions to prevent conditions that may threaten residents' health, safety, or welfare.
Licensing—Failed to provide safe environment
07 Jan 2022Inspection
07 Jan 2022Inspection
Investigated the allegation that a homelike environment was not provided and found offensive odors violated state rules.
Licensing—Failed to provide a homelike environment
07 Jan 2022Inspection
07 Jan 2022Inspection
Investigated an allegation of inadequate housekeeping and found a violation for failing to provide appropriate housekeeping services.
Licensing—Failed to provide appropriate housekeeping services
03 Dec 2021Abuse: Neglect
03 Dec 2021Abuse: Neglect
Investigated and found neglect and abuse due to failure to protect a resident from inappropriate sexual contact, with a $250 fine assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
27 Oct 2021Inspection
27 Oct 2021Inspection
Found insufficient staff to meet scheduled and unscheduled resident needs, violating Oregon rules.
Licensing—Failed to provide appropriate staffing
19 Oct 2021Abuse: Neglect
19 Oct 2021Abuse: Neglect
Investigated found that a resident suffered four falls and injuries due to inadequate care planning and insufficient interventions after the first fall.
Abuse—Failed to properly plan care
02 Oct 2021Abuse: Neglect
02 Oct 2021Abuse: Neglect
Investigated an abuse/neglect allegation and found that a resident was touched inappropriately by a person with known sexualized behaviors, leaving the resident fearful and upset, with insufficient safety interventions.
Abuse—Failed to protect resident from inappropriate sexual contact
01 Sept 2021Inspection
01 Sept 2021Inspection
Concluded that a resident experienced physical abuse by a staff member and protections against abuse were inadequate.
Licensing—Failed to assure resident rights
21 Jun 2021Inspection
21 Jun 2021Inspection
Found insufficient qualified awake direct care staffing in numbers sufficient to meet residents' 24-hour needs.
Licensing—Failed to provide appropriate staffing
21 Jun 2021Inspection
21 Jun 2021Inspection
Investigated the allegation and identified a deficiency for failing to provide reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
Licensing—Failed to provide safe environment
27 May 2021Inspection
27 May 2021Inspection
Investigated a staffing allegation and concluded there was insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
01 Mar 2021Abuse: Neglect
01 Mar 2021Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment for a resident with a history of falls, leading to injuries.
Abuse—Failed to provide safe environment
06 Jan 2021Abuse: Neglect
06 Jan 2021Abuse: Neglect
Found that the resident did not receive appropriate services, leading to not being dressed and embarrassment from a visitor.
Abuse—Failed to provide service
04 Jan 2021Inspection
04 Jan 2021Inspection
Found a violation for failing to assist residents with toileting.
Licensing—Failed to provide service
04 Jan 2021Inspection
04 Jan 2021Inspection
Found deficiencies related to interior cleanliness and odors.
Licensing—Failed to provide a homelike environment
04 Jan 2021Inspection
04 Jan 2021Inspection
Identified a staffing deficiency due to insufficient staff to meet residents' needs.
Licensing—Failed to provide appropriate staffing
14 Dec 2020Inspection
14 Dec 2020Inspection
Investigated an allegation of involuntary seclusion. Found that a resident was confined by a plastic bag on a door handle and that protection from involuntary seclusion failed.
Licensing—Failed to assure resident was safe
22 Oct 2020Abuse: Neglect
22 Oct 2020Abuse: Neglect
Investigated and found violations for failing to provide a safe environment, resulting in wandering that led to an altercation and injury.
Abuse—Failed to provide safe environment
22 Oct 2020Abuse: Neglect
22 Oct 2020Abuse: Neglect
Investigated and found neglect and abuse due to failure to implement interventions and care planning for wandering behavior, which led to a resident wandering into another resident's room and being injured.
Abuse—Failed to provide safe environment
24 Aug 2020Inspection
24 Aug 2020Inspection
Investigated a complaint about staff not wearing masks properly and found a deficiency in providing reasonable precautions to protect residents' health and safety.
Licensing—Failed to assure resident was safe
20 Aug 2020Inspection
20 Aug 2020Inspection
Investigated a report of wrongful restraint during a meal; found a staff member restrained a resident and would not allow movement, and the provider failed to protect the resident from the restraint.
Licensing—Failed to protect resident from involuntary seclusion
20 Aug 2020Inspection
20 Aug 2020Inspection
Investigated the allegation and found that a staff member forcefully grabbed a resident's wrist during a meal, constituting physical abuse. The investigation found a failure to protect the resident from abuse.
Licensing—Failed to protect resident from physical abuse
20 Aug 2020Inspection
20 Aug 2020Inspection
Identified a staff member restraining a resident during a meal by pushing the wheelchair to the table, violating resident rights and constituting abuse.
Licensing—Failed to assure resident rights
20 Aug 2020Inspection
20 Aug 2020Inspection
Concluded that there was a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
10 Aug 2020Abuse: Neglect
10 Aug 2020Abuse: Neglect
Concluded that care planning and follow-through failed, leading to abuse and neglect, with a fine assessed.
Abuse—Failed to properly plan care
04 Jul 2020Abuse: Neglect
04 Jul 2020Abuse: Neglect
Found failure to follow the care plan to monitor a resident in a chair, leading to a fall and discomfort.
Abuse—Failed to follow care plan
15 May 2020Inspection
15 May 2020Inspection
Found a substantiated violation of safe medication administration practices due to failure to carry out prescribed medication orders.
Licensing—Failed to provide a safe medication administration system
24 Apr 2020Inspection
24 Apr 2020Inspection
Investigated and confirmed failure to provide meaningful activities that promote residents' physical and emotional well-being.
Licensing—Failed to provide appropriate activities
05 Jan 2020Abuse: Neglect
05 Jan 2020Abuse: Neglect
Investigated an allegation of abuse and neglect; found the care planning did not address known prior behaviors, leading to a physical altercation and unreasonable discomfort.
Abuse—Failed to assure resident was safe
03 Jan 2020Abuse: Neglect
03 Jan 2020Abuse: Neglect
Investigated the allegation and found a failure to follow the care plan, leading to a physical altercation and harm.
Abuse—Failed to follow care plan
07 Oct 2019Inspection
07 Oct 2019Inspection
Investigated the allegation of failing to provide a safe environment and found failure to maintain substantial compliance.
Licensing—Failed to provide safe environment
07 Sept 2019Abuse: Neglect
07 Sept 2019Abuse: Neglect
Investigated and found neglect related to falls care planning, resulting in a resident falling from a wheelchair and sustaining a head injury.
Abuse—Failed to adequately care plan related to falls
26 Aug 2019Inspection
26 Aug 2019Inspection
Identified a deficiency in supervision that led to the AVs care plan not being followed.
Licensing—Failed to provide service
13 Aug 2019Abuse: Verbal/Mental abuse
13 Aug 2019Abuse: Verbal/Mental abuse
Investigated and found a failure to protect a resident from verbal abuse and noncompliance with regulatory requirements.
Abuse—Failed to protect resident from verbal abuse
08 Aug 2019Abuse: Neglect
08 Aug 2019Abuse: Neglect
Concluded neglect occurred by failing to adequately maintain safety and prevent inappropriate touching, and a fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
05 Aug 2019Abuse: Neglect
05 Aug 2019Abuse: Neglect
Found neglect led to a resident being inappropriately touched, with a $375 fine assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
15 Jul 2019Abuse: Neglect
15 Jul 2019Abuse: Neglect
Found neglect resulted in insufficient care and supervision, creating risk of harm, and a fine was assessed.
Abuse—Failed to adequately care plan related to falls
18 Jun 2019Abuse: Neglect
18 Jun 2019Abuse: Neglect
Found neglect and abuse due to failure to implement interventions and care planning for falls history, resulting in an unwitnessed fall with skin injury; assessed a $375 fine.
Abuse—Failed to properly plan care
26 May 2019Inspection
26 May 2019Inspection
Found that staff failed to follow the care plan by not providing basic care and supervision, which led to a resident falling out of bed.
Licensing—Failed to follow care plan
17 May 2019Abuse: Neglect
17 May 2019Abuse: Neglect
Found deficiencies in care planning for fall history, resulting in an unwitnessed injury fall and indicating neglect and abuse.
Abuse—Failed to properly plan care
15 May 2019Inspection
15 May 2019Inspection
Investigated and substantiated a deficiency for failing to administer medications per prescriber orders.
Licensing—Failed to provide a safe medication administration system
06 May 2019Inspection
06 May 2019Inspection
Concluded that there was a failure to provide a safe environment. No fine was assessed.
Licensing—Failed to provide safe environment
04 May 2019Abuse: Neglect
04 May 2019Abuse: Neglect
Found neglect for failing to provide basic care, leaving the person in urine-saturated clothes and wheelchair for over two hours in the community; a $1500 fine was assessed.
Abuse—Failed to assist with toileting
04 May 2019Inspection
04 May 2019Inspection
Investigated and identified a failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
26 Apr 2019Abuse: Neglect
26 Apr 2019Abuse: Neglect
Investigated the neglect allegation and found failure to provide basic care, resulting in a resident falling out of bed without a fall mat.
Abuse—Failed to follow care plan
23 Apr 2019Abuse: Neglect
23 Apr 2019Abuse: Neglect
Found neglect due to failure to provide basic care and supervision needed to keep the resident safe, resulting in risk. A $375 fine was assessed.
Abuse—Failed to assure resident was safe
22 Apr 2019Abuse: Neglect
22 Apr 2019Abuse: Neglect
Found neglect resulting in harm to a person under care. A $4,500 fine was assessed.
Abuse—Failed to provide service
22 Apr 2019Abuse: Neglect
22 Apr 2019Abuse: Neglect
Investigated and found neglect resulting from leaving a resident in wet pants and barefoot after a juice spill, causing loss of personal dignity; a fine was assessed.
Abuse—Failed to provide service
22 Apr 2019Inspection
22 Apr 2019Inspection
Found insufficient care staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
22 Apr 2019Abuse: Neglect
22 Apr 2019Abuse: Neglect
Investigated a complaint of neglect of basic services; findings showed failure to provide basic care resulting in loss of personal dignity, with a civil penalty assessed.
Abuse—Failed to provide service
18 Apr 2019Abuse: Neglect
18 Apr 2019Abuse: Neglect
Found a substantiated neglect violation due to failure to provide basic care, causing a resident to pace for 4 hours while crying without staff intervention; a $1,500 fine was assessed.
Abuse—Failed to follow care plan
18 Apr 2019Inspection
18 Apr 2019Inspection
Found failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
18 Apr 2019Abuse: Neglect
18 Apr 2019Abuse: Neglect
Found neglect by failing to provide basic care in a timely manner, risking serious harm to the individual, and a $500 fine was assessed.
Abuse—Failed to provide service
17 Apr 2019Abuse: Neglect
17 Apr 2019Abuse: Neglect
Concluded neglect occurred due to failure to provide basic care related to falls, resulting in a resident’s fall and knee injury.
Abuse—Failed to adequately care plan related to falls
17 Apr 2019Inspection
17 Apr 2019Inspection
Investigated the allegation of failing to report suspected abuse. Found a level 3 licensing violation and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
15 Apr 2019Inspection
15 Apr 2019Inspection
Identified a staffing deficiency that left residents without direct care during the night shift.
Licensing—Failed to provide appropriate staffing
14 Apr 2019Abuse: Neglect
14 Apr 2019Abuse: Neglect
Found neglect due to failure to provide basic care and supervision. This led to a resident fall and a minor injury.
Abuse—Failed to follow care plan
14 Apr 2019Abuse: Neglect
14 Apr 2019Abuse: Neglect
Investigated alleged neglect of basic care and nighttime toileting that put a resident at serious risk of harm. A fine was assessed as a sanction.
Abuse—Failed to follow care plan
10 Apr 2019Abuse: Neglect
10 Apr 2019Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in about ten days without the resident's medications and risk of serious harm.
Abuse—Failed to provide a safe medication administration system
24 Mar 2019Abuse: Neglect
24 Mar 2019Abuse: Neglect
Found neglect related to fall prevention care, resulting in a resident falling and bleeding from the forehead; a fine was assessed.
Abuse—Failed to adequately care plan related to falls
24 Mar 2019Abuse: Neglect
24 Mar 2019Abuse: Neglect
Found neglect related to falls resulting in injury; a $375 fine was assessed.
Abuse—Failed to adequately care plan related to falls
24 Mar 2019Abuse: Neglect
24 Mar 2019Abuse: Neglect
Investigated and found neglect due to inadequate supervision that led to falls and a skin tear.
Abuse—Failed to adequately care plan related to falls
21 Mar 2019Abuse: Verbal/Mental abuse
21 Mar 2019Abuse: Verbal/Mental abuse
Found verbal/mental abuse and neglect that harmed a resident's dignity; a $375 fine was assessed.
Abuse—Failed to protect resident from mental or emotional abuse
20 Mar 2019Abuse: Neglect
20 Mar 2019Abuse: Neglect
Investigated neglect due to failing to provide supervision for safety, resulting in a resident fall. A $375 fine was assessed.
Abuse—Failed to adequately care plan related to falls
09 Mar 2019Abuse: Neglect
09 Mar 2019Abuse: Neglect
Investigated a neglect allegation and found failure to provide supervision for safety, resulting in a resident falling from bed and sustaining an injury.
Abuse—Failed to follow care plan
12 Jan 2019Abuse: Neglect
12 Jan 2019Abuse: Neglect
Found neglect that failed to provide basic care and placed a resident at serious risk of harm.
Abuse—Failed to provide safe environment
28 Dec 2018Abuse: Neglect
28 Dec 2018Abuse: Neglect
Determined that neglect by staff created an unsafe environment for a resident, resulting in minor injuries and risk of serious harm.
Abuse—Failed to provide safe environment
28 Dec 2018Abuse: Neglect
28 Dec 2018Abuse: Neglect
Investigated a neglect allegation and concluded that basic care was not provided to keep a resident safe, resulting in minor injuries and risk of serious harm.
Abuse—Failed to provide safe environment
24 Dec 2018Abuse: Neglect
24 Dec 2018Abuse: Neglect
Determined neglect occurred by failing to provide adequate supervision, which led to a resident-to-resident altercation and risk of serious harm.
Abuse—Failed to provide safe environment
24 Dec 2018Abuse: Neglect
24 Dec 2018Abuse: Neglect
Identified neglect due to inadequate supervision, creating risk of harm between residents. Violations of supervision and safety requirements were found.
Abuse—Failed to provide safe environment
17 Dec 2018Abuse: Neglect
17 Dec 2018Abuse: Neglect
Found neglect compromising safety, resulting in a resident being slapped with an open hand. A $375 fine was assessed.
Abuse—Failed to provide safe environment
15 Dec 2018Abuse: Neglect
15 Dec 2018Abuse: Neglect
Investigated and substantiated neglect, including failing to administer medication as ordered and not providing basic care that kept the individual safe from serious risk of harm; a fine was assessed.
Abuse—Failed to administer medication as ordered
14 Dec 2018Abuse: Neglect
14 Dec 2018Abuse: Neglect
Identified neglect in medication administration that risked serious harm by not administering medications as ordered.
Abuse—Failed to provide a safe medication administration system
13 Dec 2018Abuse: Neglect
13 Dec 2018Abuse: Neglect
Found a neglect related to an unsafe medication administration system, resulting in a resident not receiving pain medication for five days and at risk of pain.
Abuse—Failed to provide a safe medication administration system
12 Dec 2018Abuse: Neglect
12 Dec 2018Abuse: Neglect
Found neglect and failure to administer needed medication, placing a resident at risk of serious harm.
Abuse—Failed to provide a safe medication administration system
08 Dec 2018Inspection
08 Dec 2018Inspection
Investigated and determined that suspected abuse was not reported. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
08 Dec 2018Abuse: Neglect
08 Dec 2018Abuse: Neglect
Found neglect causing physical harm and a $500 fine was assessed.
Abuse—Failed to provide service
05 Dec 2018Inspection
05 Dec 2018Inspection
Found deficiencies in assessing dementia-related behavioral symptoms and in including appropriate intervention techniques in the resident's service plan.
Licensing—Failed to perform adequate screening or assessment
05 Dec 2018Abuse: Neglect
05 Dec 2018Abuse: Neglect
Found neglect related to failing to provide a safe medication administration system, resulting in the AV not receiving pain medication for several days.
Abuse—Failed to provide a safe medication administration system
05 Dec 2018Abuse: Neglect
05 Dec 2018Abuse: Neglect
Investigated an abuse/neglect allegation and determined neglect occurred; a $375 fine was assessed.
Abuse—Failed to follow care plan
04 Dec 2018Abuse: Neglect
04 Dec 2018Abuse: Neglect
Investigated and found neglect due to inadequate supervision that resulted in a resident being pushed.
Abuse—Failed to provide safe environment
01 Dec 2018Inspection
01 Dec 2018Inspection
Found a violation for failing to report potential or suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
01 Dec 2018Abuse: Neglect
01 Dec 2018Abuse: Neglect
Investigated a complaint and found a failure to provide a safe medication administration system, by not providing insulin for 4 to 5 days, risking serious harm.
Abuse—Failed to provide a safe medication administration system
27 Nov 2018Abuse: Neglect
27 Nov 2018Abuse: Neglect
Found a failure to provide a safe medication administration system, risking potential serious harm to a resident. No additional civil penalties were imposed due to prior penalties in the same 90-day period.
Abuse—Failed to provide a safe medication administration system
25 Nov 2018Abuse: Neglect
25 Nov 2018Abuse: Neglect
Identified abuse and neglect due to failure to provide a safe environment, resulting in a physical altercation and injury.
Abuse—Failed to provide safe environment
23 Nov 2018Abuse: Neglect
23 Nov 2018Abuse: Neglect
Found neglect related to medication administration that posed a risk of serious harm. A fine was assessed.
Abuse—Failed to provide a safe medication administration system
22 Nov 2018Abuse: Neglect
22 Nov 2018Abuse: Neglect
Investigated an allegation of neglect related to medication administration and identified neglect of basic care that could put a resident at risk.
Abuse—Failed to provide a safe medication administration system
22 Nov 2018Abuse: Neglect
22 Nov 2018Abuse: Neglect
Found neglect related to a medication administration system that posed a risk of serious harm.
Abuse—Failed to provide a safe medication administration system
21 Nov 2018Condition
21 Nov 2018Condition
Found substantial noncompliance related to providing a safe environment.
Regulatory Action—Failed to provide safe environment
16 Nov 2018Abuse: Neglect
16 Nov 2018Abuse: Neglect
Investigated abuse allegation and found neglect that compromised safety, resulting in an altercation.
Abuse—Failed to assure resident was safe
11 Nov 2018Abuse: Neglect
11 Nov 2018Abuse: Neglect
Investigated and found a deficiency in providing a safe environment; a $375 fine was assessed.
Abuse—Failed to provide safe environment
11 Nov 2018Abuse: Neglect
11 Nov 2018Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment that could cause harm.
Abuse—Failed to provide safe environment
10 Nov 2018Abuse: Neglect
10 Nov 2018Abuse: Neglect
Found neglect that resulted in physical harm and a fine was assessed.
Abuse—Failed to follow care plan
08 Nov 2018Abuse: Neglect
08 Nov 2018Abuse: Neglect
Found neglect related to medication administration that caused harm to a resident.
Abuse—Failed to provide a safe medication administration system
06 Nov 2018Inspection
06 Nov 2018Inspection
Found the allegation of failing to report suspected abuse to be substantiated and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
06 Nov 2018Abuse: Neglect
06 Nov 2018Abuse: Neglect
Investigated a neglect allegation and found neglectful failure to provide basic care, risking skin breakdown for a resident; a $2,500 fine was assessed.
Abuse—Failed to provide service
06 Nov 2018Abuse: Neglect
06 Nov 2018Abuse: Neglect
Investigated and found neglect resulting in serious loss of personal dignity. A $5,000 fine was assessed.
Abuse—Failed to provide service
05 Nov 2018Abuse: Neglect
05 Nov 2018Abuse: Neglect
Investigated an allegation of neglect and found unsafe care resulting in potential harm, with a $375 fine assessed.
Abuse—Failed to properly plan care
01 Nov 2018Abuse: Neglect
01 Nov 2018Abuse: Neglect
Investigated a neglect allegation and found neglect that risked serious harm to a resident. A fine was assessed.
Abuse—Failed to provide safe environment
01 Nov 2018Abuse: Neglect
01 Nov 2018Abuse: Neglect
Investigated and found a neglect violation for failing to provide a safe environment, which led to a resident hitting another resident.
Abuse—Failed to provide safe environment
01 Nov 2018Abuse: Neglect
01 Nov 2018Abuse: Neglect
Found a neglect violation resulting in a $375 fine for failing to keep AV safe from risk of serious harm.
Abuse—Failed to provide safe environment
31 Oct 2018Abuse: Neglect
31 Oct 2018Abuse: Neglect
Investigated the allegation and found neglect due to failure to provide basic care to keep the resident safe. A $375 fine was assessed.
Abuse—Failed to provide safe environment
31 Oct 2018Abuse: Neglect
31 Oct 2018Abuse: Neglect
Found neglect due to failure to follow the care plan, resulting in inadequate basic care and risk of serious harm to a person in care.
Abuse—Failed to follow care plan
29 Oct 2018Abuse: Neglect
29 Oct 2018Abuse: Neglect
Identified neglect due to inadequate supervision, creating risk of serious harm. A $500 fine was assessed.
Abuse—Failed to provide safe environment
29 Oct 2018Inspection
29 Oct 2018Inspection
Found failure to report suspected abuse. A $1000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
25 Oct 2018Inspection
25 Oct 2018Inspection
Investigated an allegation of failing to report suspected abuse and found a deficiency; a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
25 Oct 2018Abuse: Neglect
25 Oct 2018Abuse: Neglect
Found neglect of a resident resulting in physical harm; a $2,500 fine was assessed.
Abuse—Failed to assure resident was safe
19 Oct 2018Inspection
19 Oct 2018Inspection
Found a deficiency for failing to provide or assist with personal hygiene, grooming, and showers.
Licensing—Failed to provide or assist with hygiene
19 Oct 2018Inspection
19 Oct 2018Inspection
Investigated the allegation that medications were not properly secured and found failures to administer medications correctly.
Licensing—Failed to provide a safe medication administration system
19 Oct 2018Inspection
19 Oct 2018Inspection
Found hallways and resident units not kept free from unpleasant odors.
Licensing—Failed to provide appropriate housekeeping services
19 Oct 2018Inspection
19 Oct 2018Inspection
Investigated a complaint and found that the provider failed to notify the resident's medical care provider of a change in condition.
Licensing—Failed to provide service
14 Oct 2018Abuse: Neglect
14 Oct 2018Abuse: Neglect
Identified neglect by failing to provide basic care to maintain safety, resulting in a substantiated finding. A $375 fine was assessed.
Abuse—Failed to provide safe environment
12 Oct 2018Abuse: Neglect
12 Oct 2018Abuse: Neglect
Found neglect that resulted in a large coccyx sore on a resident, causing moderate harm, and a $500 fine was assessed.
Abuse—Failed to provide service
12 Oct 2018Abuse: Neglect
12 Oct 2018Abuse: Neglect
Determined that the failure to report suspected abuse was substantiated, and a $1,000 fine was assessed.
Abuse—Failed to report potential or suspected abuse
09 Oct 2018Abuse: Neglect
09 Oct 2018Abuse: Neglect
Investigated abuse allegation and found neglect that resulted in a pressure sore and physical harm to the individual.
Abuse—Failed to properly plan care
09 Oct 2018Inspection
09 Oct 2018Inspection
Determined that laundry services were not provided as required.
Licensing—Failed to provide service
09 Oct 2018Inspection
09 Oct 2018Inspection
Investigated a complaint and substantiated a violation for grooming concerns and failure to meet resident service requirements.
Licensing—Failed to assist with dressing or grooming
09 Oct 2018Inspection
09 Oct 2018Inspection
Investigated and found a failure to report suspected abuse, resulting in a $1000 fine.
Licensing—Failed to report potential or suspected abuse
09 Oct 2018Inspection
09 Oct 2018Inspection
Investigated an allegation of inadequate staffing and found a staffing deficiency.
Licensing—Failed to provide appropriate staffing
08 Oct 2018Abuse: Neglect
08 Oct 2018Abuse: Neglect
Investigated a complaint and found neglect that resulted in physical harm from failure to provide basic care and services.
Abuse—Failed to provide service
08 Oct 2018Abuse: Neglect
08 Oct 2018Abuse: Neglect
Found neglect by failing to supervise residents, placing them at risk of serious harm during a resident-to-resident altercation.
Abuse—Failed to provide safe environment
08 Oct 2018Abuse: Neglect
08 Oct 2018Abuse: Neglect
Found neglect resulting in physical harm by failing to provide basic care and services to maintain health and safety.
Abuse—Failed to provide safe environment
03 Oct 2018Abuse: Neglect
03 Oct 2018Abuse: Neglect
Investigated the allegation and found neglect due to inadequate supervision, creating risk of serious harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
03 Oct 2018Inspection
03 Oct 2018Inspection
Found failure to report suspected abuse, resulting in a $1000 fine.
Licensing—Failed to report potential or suspected abuse
03 Oct 2018Abuse: Neglect
03 Oct 2018Abuse: Neglect
Found neglect related to falls care that put a resident at risk, resulting in multiple falls; a $1,500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
02 Oct 2018Abuse: Neglect
02 Oct 2018Abuse: Neglect
Found neglect due to failure to provide basic care, creating a risk of serious harm; a $500 fine was assessed.
Abuse—Failed to provide service
02 Oct 2018Inspection
02 Oct 2018Inspection
Investigated an allegation of failing to report potential or suspected abuse and determined that the failure to report occurred. A $1000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
20 Sept 2018Inspection
20 Sept 2018Inspection
Identified failure to report suspected abuse and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
20 Sept 2018Abuse: Neglect
20 Sept 2018Abuse: Neglect
Found neglect of basic care that left AV at risk of harm and imposed a $2,500 fine.
Abuse—Failed to provide safe environment
13 Sept 2018Abuse: Neglect
13 Sept 2018Abuse: Neglect
Identified neglect due to failure to provide basic care, resulting in risk of serious harm; a $500 fine was assessed.
Abuse—Failed to properly plan care
05 Sept 2018Inspection
05 Sept 2018Inspection
Found that suspected abuse was not reported. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
05 Sept 2018Abuse: Neglect
05 Sept 2018Abuse: Neglect
Investigated and found neglect due to failure to provide basic care, resulting in multiple UTIs and unreasonable discomfort.
Abuse—Failed to provide service
03 Sept 2018Abuse: Neglect
03 Sept 2018Abuse: Neglect
Investigated and concluded neglect occurred, resulting in risk to health and safety; a $375 fine was assessed.
Abuse—Failed to provide safe environment
02 Sept 2018Abuse: Neglect
02 Sept 2018Abuse: Neglect
Investigated an allegation of neglect and found that the individual failed to provide basic care to keep the resident safe; a $375.00 fine was assessed.
Abuse—Failed to provide safe environment
02 Sept 2018Abuse: Neglect
02 Sept 2018Abuse: Neglect
Found neglect for failing to provide basic care to keep a resident safe from significant harm.
Abuse—Failed to provide safe environment
30 Aug 2018Abuse: Neglect
30 Aug 2018Abuse: Neglect
Investigated a complaint and found neglect that failed to maintain health and safety, creating a risk of serious harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
07 Jun 2018Inspection
07 Jun 2018Inspection
Found inadequate housekeeping leading to persistent offensive odors and a persistent urine smell.
Licensing—Failed to provide appropriate housekeeping services
06 May 2018Abuse: Neglect
06 May 2018Abuse: Neglect
Substantiated neglect due to failure to properly plan care, which led to a noninjury resident-to-resident altercation; a $450 fine was assessed.
Abuse—Failed to properly plan care
04 May 2018Abuse: Neglect
04 May 2018Abuse: Neglect
Found a failure to provide a safe environment that led to a resident-to-resident altercation with minor injury, and assessed a $375 fine.
Abuse—Failed to provide safe environment
11 Apr 2018Inspection
11 Apr 2018Inspection
Found a staffing deficiency due to failure to provide appropriate staffing.
Licensing—Failed to provide appropriate staffing
18 Mar 2018Abuse: Neglect
18 Mar 2018Abuse: Neglect
Investigated an abuse/neglect allegation and identified a failure to provide a safe environment, resulting in a resident-to-resident altercation with minor injuries. A $375 fine was assessed.
Abuse—Failed to provide safe environment
25 Dec 2017Inspection
25 Dec 2017Inspection
Found an inadequate medication administration system that led to a resident missing medications.
Licensing—Failed to administer medication as ordered
13 Dec 2017Abuse: Neglect
13 Dec 2017Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment, resulting in minor bleeding during a resident-to-resident incident.
Abuse—Failed to provide safe environment
20 Oct 2017Abuse: Neglect
20 Oct 2017Abuse: Neglect
Investigated a complaint and found a failure to meet care needs that led to an emergency room visit for hyperglycemia.
Abuse—Failed to provide service
15 Aug 2017Abuse: Verbal/Mental abuse
15 Aug 2017Abuse: Verbal/Mental abuse
Found a violation involving verbal abuse and failure to protect a resident from inappropriate verbal behaviors.
Abuse—Failed to provide safe environment
12 Aug 2017Inspection
12 Aug 2017Inspection
Investigated a complaint and found a safety deficiency where residents were not protected from a resident-to-resident altercation, resulting in a $250 fine assessed.
Licensing—Failed to provide safe environment
16 Apr 2017Abuse: Neglect
16 Apr 2017Abuse: Neglect
Investigated an allegation of neglect and found failure to properly plan care, resulting in a resident injury; a $400 fine was assessed.
Abuse—Failed to properly plan care
30 Oct 2016Abuse: Neglect
30 Oct 2016Abuse: Neglect
Investigated a neglect allegation and found that a safe environment was not provided, resulting in a skin tear to the resident's hand due to a physical assault.
Abuse—Failed to provide safe environment
11 Sept 2016Abuse: Neglect
11 Sept 2016Abuse: Neglect
Investigated a neglect allegation. Found a failure to provide a safe environment, leading to multiple resident-to-resident altercations.
Abuse—Failed to provide safe environment
25 Sept 2014Abuse: Neglect
25 Sept 2014Abuse: Neglect
Found that the care plan was not followed, with potential for minor to moderate harm.
Abuse—Failed to follow care plan
29 Aug 2014Abuse: Neglect
29 Aug 2014Abuse: Neglect
Found failure to provide a secure environment.
Abuse—Failed to provide safe environment
29 Aug 2014Abuse: Neglect
29 Aug 2014Abuse: Neglect
Found an abuse/neglect allegation of failing to provide a secure environment. The allegation involved minor harm or potential for moderate harm.
Abuse—Failed to provide safe environment
26 Aug 2014Abuse: Neglect
26 Aug 2014Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
22 May 2014Abuse: Neglect
22 May 2014Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered and found an inadequate medication management system.
Abuse—Failed to administer medication as ordered
26 Sept 2013Inspection
26 Sept 2013Inspection
Investigated the allegation of not addressing a resident's behavior and found RV2 was not kept safe.
Licensing—Failed to address resident's behavior
27 May 2013Inspection
27 May 2013Inspection
Investigated an allegation of not providing service and found residents were not kept safe.
Licensing—Failed to provide service
22 May 2013Abuse: Neglect
22 May 2013Abuse: Neglect
Investigated an abuse/neglect allegation of failing to follow the care plan and substantiated a safety deficiency. The finding indicated safety was not maintained for a resident.
Abuse—Failed to follow care plan
05 Apr 2013Inspection
05 Apr 2013Inspection
Found an inadequate medication system and a failure to administer medication as ordered.
Licensing—Failed to administer medication as ordered
22 Mar 2013Inspection
22 Mar 2013Inspection
Determined that the allegation of failing to assure resident rights was substantiated and funds were mismanaged.
Licensing—Failed to assure resident rights
18 Feb 2013Abuse: Neglect
18 Feb 2013Abuse: Neglect
Investigated substantiated neglect allegations and found a failure to create a safe environment.
Abuse—Failed to address resident's behavior
08 Feb 2013Abuse: Neglect
08 Feb 2013Abuse: Neglect
Investigated an allegation of neglect related to failing to address a resident's behavior; found a failure to provide a safe environment.
Abuse—Failed to address resident's behavior
08 Feb 2013Abuse: Neglect
08 Feb 2013Abuse: Neglect
Investigated the allegation of failing to provide a safe environment and identified a condition tied to intent to revoke.
Abuse—Failed to provide safe environment
15 Jan 2013Abuse: Verbal/Mental abuse
15 Jan 2013Abuse: Verbal/Mental abuse
Found that two residents were subjected to verbal/mental abuse and were not protected from it.
Abuse—Failed to protect resident from mental or emotional abuse
01 Jan 2013Abuse: Neglect
01 Jan 2013Abuse: Neglect
Investigated an abuse allegation of neglect and found failure to properly plan care.
Abuse—Failed to properly plan care
01 Jan 2013Abuse: Neglect
01 Jan 2013Abuse: Neglect
Investigated a neglect allegation and found that a resident was not protected from inappropriate verbal comments.
Abuse—Failed to address resident's behavior
24 Dec 2012Abuse: Neglect
24 Dec 2012Abuse: Neglect
Identified a deficiency in providing a safe environment.
Abuse—Failed to address resident's behavior
08 Dec 2012Abuse: Neglect
08 Dec 2012Abuse: Neglect
Found deficiencies in care and oversight of change in condition, resulting in a monetary sanction of $2,500.
Abuse—Failed to provide oversight and monitoring of change of condition
03 Nov 2012Abuse: Neglect
03 Nov 2012Abuse: Neglect
Investigated the allegation of failing to provide a safe medication administration system and identified deficiencies.
Abuse—Failed to provide a safe medication administration system
15 Oct 2012Inspection
15 Oct 2012Inspection
Found that resident rights were not assured and that verbal mistreatment was not prevented.
Licensing—Failed to assure resident rights
28 Aug 2012Inspection
28 Aug 2012Inspection
Investigated an allegation and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
23 Aug 2012Abuse: Neglect
23 Aug 2012Abuse: Neglect
Investigated a neglect allegation and found failure to properly plan care; a $350 fine was assessed.
Abuse—Failed to properly plan care
12 Jul 2012Abuse: Neglect
12 Jul 2012Abuse: Neglect
Investigated an allegation of neglect and found an inadequate medication system. This indicates risk of harm from improper medication practices.
Abuse—Failed to communicate necessary information
18 May 2012Abuse: Neglect
18 May 2012Abuse: Neglect
Investigated an allegation of neglect related to care planning; found an unsafe environment and assessed a $200 fine.
Abuse—Failed to properly plan care
04 Apr 2012Inspection
04 Apr 2012Inspection
Found failure to properly plan care. Findings substantiated.
Licensing—Failed to properly plan care
08 Mar 2012Abuse: Neglect
08 Mar 2012Abuse: Neglect
Investigated an abuse/neglect allegation and determined that oversight of changes in condition was inadequate and physician's orders were not followed, with a $350 fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
25 Feb 2012Abuse: Neglect
25 Feb 2012Abuse: Neglect
Found neglect due to failure to follow the care plan and protect residents from a physical altercation; a $200 fine was assessed.
Abuse—Failed to follow care plan
15 Jan 2012Abuse: Neglect
15 Jan 2012Abuse: Neglect
Found a safety deficiency and assessed a $200 fine.
Abuse—Failed to properly plan care
05 Jan 2012Inspection
05 Jan 2012Inspection
Identified deficiencies in resident rights and safety; the allegation was substantiated.
Licensing—Failed to assure resident rights
13 Dec 2011Abuse: Neglect
13 Dec 2011Abuse: Neglect
Determined a neglect finding for failing to provide medical treatment as ordered and assessed a $600 fine.
Abuse—Failed to provide medical treatment as ordered
13 Dec 2011Inspection
13 Dec 2011Inspection
Investigated a complaint and identified a failure to provide a safe environment due to issues with medication administration safety.
Licensing—Failed to provide a safe medication administration system
13 Dec 2011Abuse: Neglect
13 Dec 2011Abuse: Neglect
Investigated an allegation of neglect and substantiated a failure to provide a safe environment.
Abuse—Failed to follow care plan
13 Dec 2011Abuse: Neglect
13 Dec 2011Abuse: Neglect
Concluded that residents were not provided a safe environment due to inadequate care planning related to falls.
Abuse—Failed to adequately care plan related to falls
24 Nov 2011Abuse: Neglect
24 Nov 2011Abuse: Neglect
Found that interventions to prevent residents from aggressing upon other residents were not provided.
Abuse—Failed to address resident's behavior
20 Nov 2011Abuse: Neglect
20 Nov 2011Abuse: Neglect
Investigated a complaint and found that a resident was not protected from physical mistreatment.
Abuse—Failed to follow care plan
20 Oct 2011Abuse: Neglect
20 Oct 2011Abuse: Neglect
Investigated and found a neglect related to falls substantiated; the resident identified as RV2 was not assessed for fall risk and no interventions were implemented.
Abuse—Failed to adequately care plan related to falls
01 Oct 2011Abuse: Physical Abuse
01 Oct 2011Abuse: Physical Abuse
Found a failure to protect a resident from physical assault.
Abuse—Failed to provide safe environment
23 Sept 2011Abuse: Neglect
23 Sept 2011Abuse: Neglect
Investigated a neglect case and found that interventions to protect a resident from falling were not put in place.
Abuse—Failed to adequately care plan related to falls
03 Sept 2011Inspection
03 Sept 2011Inspection
Found a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
19 Aug 2011Abuse: Neglect
19 Aug 2011Abuse: Neglect
Investigated a neglect allegation and found care failed to meet standards. A failure to properly plan care was identified.
Abuse—Failed to properly plan care
19 Aug 2011Abuse: Neglect
19 Aug 2011Abuse: Neglect
Investigated an allegation of neglect for failing to administer ordered medication. Found medications were not provided to a resident and a $300 fine was assessed.
Abuse—Failed to administer ordered medication
11 Aug 2011Abuse: Neglect
11 Aug 2011Abuse: Neglect
Investigated the complaint and found that fall interventions were not provided.
Abuse—Failed to follow care plan
08 Aug 2011Abuse: Neglect
08 Aug 2011Abuse: Neglect
Determined that a neglect allegation was substantiated due to lack of oversight of change of condition and inadequate care, with a $300 fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
25 Jul 2011Abuse: Neglect
25 Jul 2011Abuse: Neglect
Found neglect due to failure to prevent a physical altercation between residents.
Abuse—Failed to address resident's behavior
01 Jul 2011Abuse: Neglect
01 Jul 2011Abuse: Neglect
Investigated the allegation of neglect and found that a safe environment for RV2 was not provided.
Abuse—Failed to investigate injury of unknown origin to rule out abuse
18 May 2011Abuse: Neglect
18 May 2011Abuse: Neglect
Found that a safe environment was not provided to residents.
Abuse—Failed to assure resident rights
16 Apr 2011Abuse: Neglect
16 Apr 2011Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment.
Abuse—Failed to address resident's behavior
06 Mar 2011Abuse: Neglect
06 Mar 2011Abuse: Neglect
Found a deficiency in assessing and intervening to provide a safe environment.
Abuse—Failed to provide safe environment
21 Jan 2011Abuse: Neglect
21 Jan 2011Abuse: Neglect
Investigated the allegation of neglect and found failure to follow the care plan, resulting in inadequate care.
Abuse—Failed to follow care plan
20 Jan 2011Inspection
20 Jan 2011Inspection
Determined that the allegation of failing to address resident behavior resulted in an unsafe environment.
Licensing—Failed to address resident's behavior
30 Dec 2010Inspection
30 Dec 2010Inspection
Found a deficiency for failing to provide a safe and sanitary environment.
Licensing—Failed to provide or assist with hygiene
30 Dec 2010Inspection
30 Dec 2010Inspection
Investigated an allegation of an unsafe medication administration system. Found that a safe medication system was not provided.
Licensing—Failed to provide a safe medication administration system
08 Dec 2010Inspection
08 Dec 2010Inspection
Concluded that a safe environment was not provided.
Licensing—Failed to provide safe environment
23 Nov 2010Abuse: Neglect
23 Nov 2010Abuse: Neglect
Found a safety deficiency due to inadequate fall-related care planning and resulting unsafe environment; assessed a $300 fine.
Abuse—Failed to adequately care plan related to falls
20 Nov 2010Inspection
20 Nov 2010Inspection
Found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
18 Nov 2010Abuse: Neglect
18 Nov 2010Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide appropriate care. A $300 fine was assessed.
Abuse—Failed to properly plan care
01 Nov 2010Inspection
01 Nov 2010Inspection
Found an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
07 Oct 2010Abuse: Neglect
07 Oct 2010Abuse: Neglect
Found neglect related to inadequate care planning for falls. Assessed a $300 fine.
Abuse—Failed to adequately care plan related to falls
20 Sept 2010Inspection
20 Sept 2010Inspection
Investigated a complaint and found a failure to follow the care plan, resulting in inappropriate care for RV.
Licensing—Failed to follow care plan
28 Jul 2010Inspection
28 Jul 2010Inspection
Investigated the allegation and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
10 Jul 2010Abuse: Neglect
10 Jul 2010Abuse: Neglect
Found failure to provide appropriate care, including toileting assistance.
Abuse—Failed to assist with toileting
07 Jul 2010Inspection
07 Jul 2010Inspection
Investigated an allegation that staff failed to assist with dressing or grooming. Found a deficiency in providing appropriate care.
Licensing—Failed to assist with dressing or grooming
06 Jul 2010Abuse: Neglect
06 Jul 2010Abuse: Neglect
Investigated and found a failure to provide appropriate care related to falls.
Abuse—Failed to adequately care plan related to falls
07 May 2010Inspection
07 May 2010Inspection
Found a failure to provide a secure environment.
Licensing—Failed to provide safe environment
16 Apr 2010Inspection
16 Apr 2010Inspection
Found a deficiency for not providing a safe environment.
Licensing—Failed to provide safe environment
09 Apr 2010Abuse: Neglect
09 Apr 2010Abuse: Neglect
Found that a safe environment was not provided.
Abuse—Failed to provide safe environment
17 Mar 2010Abuse: Neglect
17 Mar 2010Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
14 Mar 2010Inspection
14 Mar 2010Inspection
Investigated an allegation of failing to administer medication as ordered and found an inadequate medication system.
Licensing—Failed to administer medication as ordered
06 Mar 2010Abuse: Neglect
06 Mar 2010Abuse: Neglect
Investigated a complaint alleging neglect and identified a failure to assess and timely intervene in medical treatment.
Abuse—Failed to assure timely medical treatment
03 Mar 2010Abuse: Neglect
03 Mar 2010Abuse: Neglect
Investigated and found failure to provide appropriate care.
Abuse—Failed to follow care plan
03 Mar 2010Inspection
03 Mar 2010Inspection
Investigated and found failure to maintain an adequate medication system related to administering medications as ordered.
Licensing—Failed to administer medication as ordered
01 Mar 2010Inspection
01 Mar 2010Inspection
Found an inadequate medication administration system.
Licensing—Failed to provide a safe medication administration system
21 Feb 2010Abuse: Neglect
21 Feb 2010Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment.
Abuse—Failed to provide medical treatment as ordered
01 Feb 2010Inspection
01 Feb 2010Inspection
Investigated and identified a violation related to medication administration due to an inadequate medication system. The allegation that medication was not administered as ordered was substantiated.
Licensing—Failed to administer medication as ordered
24 Jan 2010Abuse: Neglect
24 Jan 2010Abuse: Neglect
Found that a safe environment was not provided.
Abuse—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of McMinnville Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact McMinnville Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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