I moved my mom here and have been very pleased. The staff - from Executive Director Debbie Wilson to the caregivers and MedTechs - are compassionate, patient, know residents by name, and communicate well; they genuinely go out of their way to help. The building is beautiful, clean and lively with restaurant-style dining, lots of music and activities (bowling alley, movies, piano), spacious comfortable apartments, and a warm, homey atmosphere.
Loved one of resident
Sep 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
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.88·(105)
Overall rating
5
4
3
2
1
Care
3.6
Staff
4.1
Meals
3.9
Amenities
4.4
Value
2.4
Pros
Compassionate, attentive caregiving staff
Memory-care expertise and dementia-friendly approaches
Staff familiarity with resident preferences
Engaged and accessible executive leadership
New, well-maintained building with upscale finishes
Varied social and recreational programming (music, outings, happy hour)
Responsive move-in and transition support
Personalized nutritional support options
Friendly resident community and social atmosphere
Cons
Inconsistent staffing levels and high employee turnover
Variable housekeeping and room-turnover consistency
Inconsistent meal quality and limited menu variety at times
Gaps in medication management and pharmacy communication
Inconsistent adherence to individualized care plans (hygiene, CPAP, nighttime assistance)
Transfer and mobility-assist safety practice gaps
Sanitation concerns in some resident rooms and common areas
Gaps in end-of-life communication and family outreach
Perceived management emphasis on revenue and opaque billing practices
Insufficient newcomer integration and wait‑staff/customer-service training
Reduction or limitation of off-site outings due to staffing constraints
Summary of reviews
Bonaventure of Medford is consistently described as a new, upscale community with strong amenities and an active social program. Many reviewers praise the facility’s physical environment — generous, well-appointed apartments, sizeable common areas, and on-site features such as a bowling alley, movie theater, café, and multiple opportunities for musical and social engagement. The dining spaces and restaurant-style atmosphere are often highlighted as strengths, and several families noted personalized nutritional support and well-presented meals during periods when the kitchen is staffed and stable.
Care and staff are among the facility’s most frequently noted positives. Reviewers commonly describe caregivers as compassionate, knowledgeable about dementia care, and attentive to resident preferences; leadership at the local level (executive directors and department heads) is often characterized as engaged and accessible. Staff who remain on-site receive praise for learning residents’ likes and dislikes, leading activities, and maintaining warm resident–staff interactions. Move-in coordination and individualized transition support also receive favorable remarks.
Despite these strengths, a clear pattern of operational inconsistency emerges across reviews. Staffing levels and turnover are recurrent concerns that reviewers link to variable housekeeping, gaps in routine care (for example, hygiene assistance and nighttime support), and interruptions to off-site outings and activity staffing. Several comments describe lapses in medication handling and pharmacy communication, as well as instances where care-plan tasks were not consistently executed. Transfer- and mobility-assist practices were questioned in connection with safety events; these should be reviewed by prospective families concerned about mobility risk.
Dining quality and menu variety receive mixed evaluations: while many residents enjoy the restaurant-style setting and special events (wine tastings, themed meals), other reviewers report declines in meal quality or limited options for modified/puree diets during certain periods. Sanitation and cleanliness are generally praised for the attractive common spaces, but there are isolated sanitation concerns in some resident rooms and soft-furnishing areas that suggest housekeeping consistency is uneven.
Management and policy themes are nuanced. Local leadership is frequently lauded for resident engagement and responsiveness, yet several reviewers express frustration with corporate-level pressures, billing opacity, and perceived prioritization of financial targets. Communication strengths (proactive families contacted, helpful guidance through guardianship or payment options) coexist with reported lapses in family outreach after critical events and inconsistent follow-through on promised services.
Overall, prospective residents and families can expect a high‑amenity, well-designed community with many examples of engaged caregiving and an active social life. At the same time, the facility appears vulnerable to operational disruptions tied to staffing and turnover; these disruptions have downstream effects on housekeeping, clinical consistency, meal continuity, and certain safety practices. Families focused on memory care, strong social programming, and an upscale living environment will likely find many strengths here, but those requiring highly consistent clinical execution or strict dietary/medication reliability should probe current staffing levels, care-plan compliance procedures, transfer-safety protocols, and billing transparency during a tour and follow-up conversations.
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Location
Bonaventure of Medford is located at 2530 E McAndrews Rd, Medford, OR, 97504.
About Bonaventure of Medford
Bonaventure of Medford sits at 2530 E McAndrews Rd in Medford, Oregon, and is a family-owned senior living community with space for up to 69 residents and 57 total beds, offering independent living, assisted living, memory care, and skilled nursing all in one place, and you'll find all sorts of floor plans here including studios, one-bedroom, and two-bedroom apartments, some even with kitchenettes, so there's some choice for folks depending on what they're looking for, and those private and semi-private suites even come with different views, like the garden or mountain scenery, which can make things feel more like home. The staff is around 24 hours a day, every day of the week, and can help people with things like walking or getting around by wheelchair, bathing, dressing, grooming, toileting, and managing medicine, and they'll take care of wound care, nursing tasks, incontinence, diabetes needs, and even coordinate appointments and therapy, with podiatry, occupational therapy, and memory care programming for people with Alzheimer's or other forms of dementia, and safety is a focus, with a sprinkler system, safety features, and a 24-hour call system in place.
Residents get meals made for them, with choices like anytime dining, gluten-free, low-sugar, vegetarian, kosher, or even organic, and there's restaurant-style dining as well as room service, although some have said the food doesn't always fit every special diet need, and you'll find snacks too, which helps with active or busy days, plus there's laundry and housekeeping every week, dry-cleaning service, maintenance, and help in the kitchen if needed, so people aren't stuck doing chores they might not want to do. Pets like cats and dogs are allowed if someone can take care of them, which sometimes helps with company and comfort, and the place has wireless internet, cable TV, air conditioning, washers and dryers, private bathrooms, and outdoor patios or decks where residents can sit and enjoy time outside, with the building surrounded by tall evergreens and mountain views in the distance.
For things to do, there's a calendar full of activities-residents can take art classes, cooking classes, fitness sessions, join planned day trips, or participate in resident-led events, Bible study groups, and off-site devotionals, while the activity rooms, billiards room, garden, bowling alley, poker tables, and theater give everyone something different to try, so boredom isn't much of a worry. The property also has a fitness center, a full garden, a salon and barbershop, a computer center, a small library, fireplaces, private dining spaces, cozy sitting and lobby areas, and a model bedroom, plus move-in coordination to help when someone first transfers over, making the whole process a little smoother. Transportation runs are available for medical appointments and non-medical outings-though these rides usually run on a schedule and may get canceled sometimes, and there's a focus on keeping people safe and supported both in the building and while on the road.
Security and help come from a 12- to 16-hour nursing presence, backed up by a supervision team that's up and available all day and night, and residents have access to a call system in case of emergencies, plus the amenities here are designed to be both handicap accessible and comfortable with features like wheelchair-friendly shower spaces and adjustable thermostats in every unit. Bonaventure of Medford accepts long term care insurance and provides both short-term respite stays and permanent homes, which can be nice for families who are looking for flexibility or a trial period. The community takes pride in its wellness, offering therapy and rehabilitation for folks who need more intensive care, and it aims to treat everyone with dignity, compassion, and respect, which is reflected by its 9.0 review score from 24 reviews and recognition as a "Best of Senior Living" community.
There are 27 Bonaventure locations with similar care but each has its own touch, and here, residents are encouraged to set up their apartments the way they want, choosing how much independence to keep, or how much help to accept, with a focus on being active, social, and keeping the living environment cheerful and supportive, whether in independent, assisted, or memory care. The spaces are well-lit and have plenty of room to move around, so no one feels cramped, and the community is described as having high standards for service, with staff who try to help residents create a comfortable, home-like life, with choices, dignity, and a chance for good times with neighbors and friends.
Founded in 1999 and headquartered in Salem, Oregon, Bonaventure Senior Living is a family-owned company operating 28 communities across Washington, Oregon, and Colorado. They offer independent living, assisted living, and memory care services with their "Retirement Perfected™" philosophy.
People often ask...
Bonaventure of Medford offers competitive pricing, with rates starting at a cost of $4,562 per month.
Bonaventure of Medford offers independent living, assisted living, and memory care.
There are 55 photos of Bonaventure of Medford on Mirador.
Yes, Bonaventure of Medford allows residents to age in place and adjust their level of care as needed.
The full address for this community is 2530 E McAndrews Rd, Medford, OR 97504.
No, Bonaventure of Medford 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 allegation found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to provide service
29 May 2026Inspection
29 May 2026Inspection
Investigated and found failure to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
21 May 2026Licensure
21 May 2026Licensure
Identified deficiencies in acuity-based staffing and fire safety practices, including ABST time capture accuracy, quarterly ABST updates, and resident fire safety training and drills.
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
20 May 2026Licensure
20 May 2026Licensure
Identified deficiencies in fire drills and resident training that did not meet state fire code requirements, including administration compliance issues.
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—Administration Compliance
18 Feb 2026Inspection
18 Feb 2026Inspection
Investigated and found a violation due to failure to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
17 Oct 2025Inspection
17 Oct 2025Inspection
Investigated and found that a resident's money was not protected from financial exploitation, resulting in missing funds.
Licensing—Failed to protect resident from financial exploitation
02 Aug 2025Abuse: Neglect
02 Aug 2025Abuse: Neglect
Found a failure to update the fall-risk plan, resulting in an abuse/neglect finding and a $500 fine.
Abuse—Failed to properly plan care
28 Jul 2025Inspection
28 Jul 2025Inspection
Determined that a resident was not protected from financial exploitation. An individual accessed the resident's safe and stole cash, and admitted the theft.
Licensing—Failed to protect resident from financial exploitation
07 Jul 2025Abuse: Neglect
07 Jul 2025Abuse: Neglect
Found abuse by neglect due to failure to provide a safe environment after an altercation that left a resident injured; a $500 fine was assessed.
Abuse—Failed to provide safe environment
20 Jun 2025Abuse: Neglect
20 Jun 2025Abuse: Neglect
Found that a resident was not protected from inappropriate sexual contact, constituting abuse and neglect. A $500 fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
05 Jun 2025Inspection
05 Jun 2025Inspection
Investigated the allegation and determined a violation for failing to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
23 May 2025Inspection
23 May 2025Inspection
Investigated allegation found a failure to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
16 May 2025Inspection
16 May 2025Inspection
Found unsafe medication practices and failures in medication order management that led to missed doses and hospitalization.
Licensing—Failed to provide a safe medication administration system
28 Feb 2025Abuse: Neglect
28 Feb 2025Abuse: Neglect
Found neglect resulting in multiple falls and injuries, with a fine assessed.
Abuse—Failed to properly plan care
24 Feb 2025Inspection
24 Feb 2025Inspection
Investigated the allegation and determined the provider failed to provide documentation upon request. Found a violation of Oregon Administrative Rules.
Licensing—Failed to cooperate with an investigation
08 Jan 2025Abuse: Neglect
08 Jan 2025Abuse: Neglect
Found a violation for failing to provide a safe environment, resulting in injury after tripping on a vacuum power cord.
Abuse—Failed to provide safe environment
28 Dec 2024Abuse: Neglect
28 Dec 2024Abuse: Neglect
Investigated a complaint and found an unsafe environment that placed a resident at risk of harm due to overheating and inadequate monitoring; a fine was assessed.
Abuse—Failed to provide safe environment
03 Sept 2024Abuse: Neglect
03 Sept 2024Abuse: Neglect
Found that a care provider failed to provide a safe environment, resulting in a hip fracture after multiple falls. A sanction was assessed for this deficiency.
Abuse—Failed to provide safe environment
07 Aug 2024Licensure
07 Aug 2024Licensure
Identified extensive sanitation deficiencies in kitchen areas during the August visit. Later determined substantial compliance after the October follow-up.
Found significant sanitation and maintenance deficiencies in kitchen areas during the initial visit, with a later revisit determining substantial compliance with food sanitation rules.
Investigated abuse and neglect due to failure to provide a safe environment, resulting in a fracture after multiple falls.
Abuse—Failed to provide safe environment
19 Jul 2024Abuse: Neglect
19 Jul 2024Abuse: Neglect
Investigated and found that elopement risk was not properly documented or reflected in the care plan, and a resident eloped and was found in a park.
Abuse—Failed to properly plan care
16 Jul 2024Abuse: Neglect
16 Jul 2024Abuse: Neglect
Determined that a resident eloped from secured memory care due to neglect and abuse; a fine was assessed.
Abuse—Failed to assure resident was safe
17 May 2024Abuse: Neglect
17 May 2024Abuse: Neglect
Found neglect in care planning after changes in ambulation, leading to a fall and injury, with a $250 fine assessed.
Abuse—Failed to properly plan care
14 May 2024Abuse: Neglect
14 May 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment for a resident with wandering history, resulting in the resident leaving the premises and being found in the community.
Abuse—Failed to provide safe environment
16 Nov 2023Complaint
16 Nov 2023Complaint
Found that a resident's health, medical, behavioral, or care needs were not evaluated within 24 hours after being deemed ready for discharge, and related communications and hospital assessments were not documented.
Deficiency—Involuntary Move-Out Criteria
24 Oct 2023License Condition
24 Oct 2023License Condition
Found that the Acuity Based Staffing Tool was not fully implemented and updated as required.
Regulatory Action—Failed to use an ABST
06 Oct 2023Inspection
06 Oct 2023Inspection
Investigated the staffing allegation and found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to provide service
11 Sept 2023Licensure
11 Sept 2023Licensure
Determined substantial compliance with meal service requirements and food sanitation rules.
Deficiency—Comment
11 Sept 2023Licensure
11 Sept 2023Licensure
Determined substantial compliance with state rules governing meals and food sanitation.
Deficiency—Comment
27 Apr 2023Inspection
27 Apr 2023Inspection
Investigated a complaint and found a deficiency in evaluating a resident's health, medical, behavioral, or care needs within 24 hours after discharge readiness.
Licensing—Failed to provide service
13 Jan 2023Inspection
13 Jan 2023Inspection
Found a deficiency in updating the Acuity-Based Staffing Tool to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
01 Aug 2022Validation
01 Aug 2022Validation
Identified deficiencies in move-in evaluations, service plans, monitoring of changes in condition, coordination with outside providers, treatment orders, use of restraints, staff training, and fire safety.
Deficiency—Comment
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Restraints and Supportive Devices
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
01 Aug 2022Validation
01 Aug 2022Validation
Identified deficiencies in service planning, condition monitoring, health care services, fire safety, staff training, and resident nutrition/activities during the re-licensing review. Substantial compliance was determined overall.
Deficiency—Comment
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
26 Jul 2022Complaint
26 Jul 2022Complaint
Identified deficiencies in providing reasonable precautions to protect residents' health, safety, and welfare, including inadequate infection control and screening practices observed during interviews and an unannounced visit.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
26 Jul 2022Inspection
26 Jul 2022Inspection
Investigated and found a failure to provide a safe environment, including visitors not being screened in.
Licensing—Failed to provide safe environment
26 Jul 2022Complaint
26 Jul 2022Complaint
Identified deficiencies related to reasonable precautions and screening practices, including inconsistent infection-control measures during an unannounced visit.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
14 Jul 2022Inspection
14 Jul 2022Inspection
Identified a deficiency for failing to provide reasonable precautions to protect residents' health, safety, or welfare. The finding noted that masks were not worn and visitors were not screened.
Licensing—Failed to provide safe environment
13 Jul 2022Licensure
13 Jul 2022Licensure
Identified deficiencies in masking compliance, food sanitation practices, and administration compliance during a licensing visit.
Identified multiple violations of food sanitation rules in the kitchen, including improper thawing of raw meat, uncapped and undated foods, and improper egg handling.
Found a violation in safe medication administration that affected a resident.
Abuse—Failed to provide a safe medication administration system
26 Nov 2021Abuse: Neglect
26 Nov 2021Abuse: Neglect
Identified failures to plan and implement care for a known fall risk, resulting in injuries and a $2,500 fine.
Abuse—Failed to properly plan care
27 Oct 2021Abuse: Neglect
27 Oct 2021Abuse: Neglect
Found a failure to properly care plan for transfers and fall risks, which contributed to an unwitnessed fall and injury, with a fine assessed.
Abuse—Failed to properly plan care
20 Oct 2021Abuse: Neglect
20 Oct 2021Abuse: Neglect
Found violations of resident rights due to neglect and abuse after a fall that fractured a hip; interventions to prevent further falls were not put in place or followed.
Abuse—Failed to follow care plan
11 Sept 2021Abuse: Neglect
11 Sept 2021Abuse: Neglect
Investigated and found failures to implement interventions for a known fall risk, leading to neglect and abuse findings.
Abuse—Failed to properly plan care
08 Aug 2021Abuse: Neglect
08 Aug 2021Abuse: Neglect
Investigated a complaint about safety and resident rights; found a history of falls and an injury fall due to unsafe conditions.
Abuse—Failed to provide safe environment
01 Aug 2021Abuse: Neglect
01 Aug 2021Abuse: Neglect
Investigated a complaint found inadequate pain assessment and delay in pain relief for a resident, constituting neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to provide appropriate pain control
13 Jul 2021Abuse: Neglect
13 Jul 2021Abuse: Neglect
Investigated an allegation of neglect and abuse related to medication administration; found the facility failed to provide a safe medication administration system, resulting in missed pain medication doses.
Abuse—Failed to provide a safe medication administration system
10 Jun 2021Abuse: Neglect
10 Jun 2021Abuse: Neglect
Investigated a complaint and determined that a safe environment was not provided, resulting in abuse and neglect. The incident involved a resident exiting the premises briefly.
Abuse—Failed to provide safe environment
10 Jun 2021Abuse: Neglect
10 Jun 2021Abuse: Neglect
Found a failure to provide a safe environment resulting in neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide safe environment
19 May 2021Abuse: Neglect
19 May 2021Abuse: Neglect
Found neglect and abuse due to failure to tailor care for a known skin condition. A $500 fine was assessed.
Abuse—Failed to properly plan care
18 May 2021Abuse: Neglect
18 May 2021Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in unadministered wound and eye medications.
Abuse—Failed to provide a safe medication administration system
04 May 2021Abuse: Neglect
04 May 2021Abuse: Neglect
Found a failure to provide a safe medication administration system that led to a medication error causing discomfort. A $2,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
04 May 2021Abuse: Neglect
04 May 2021Abuse: Neglect
Investigated a complaint about medication administration and found a failure to provide a safe system. The finding included giving an unlisted analgesic instead of a narcotic and missing MAR entries for several days, with a $2,500 fine assessed.
Abuse—Failed to provide a safe medication administration system
04 May 2021Abuse: Neglect
04 May 2021Abuse: Neglect
Investigated a report of delayed call-light responses and found substantiated neglect and abuse; staff did not respond promptly, with long delays on about 129 occasions, resulting in a $2,500 fine.
Abuse—Failed to answer call light in a timely manner
18 Dec 2020Abuse: Neglect
18 Dec 2020Abuse: Neglect
Investigated safety and care failures led to a resident experiencing discomfort during an altercation, with a fine assessed.
Abuse—Failed to provide safe environment
06 Nov 2020Abuse: Neglect
06 Nov 2020Abuse: Neglect
Concluded that care planning and services did not meet the resident's needs, resulting in an unwitnessed fall with injury and constituting neglect and abuse.
Abuse—Failed to properly plan care
17 Oct 2020Abuse: Neglect
17 Oct 2020Abuse: Neglect
Investigated found deficiencies in care planning and interventions for a resident's fall history, resulting in an unwitnessed fall with injuries and constituting neglect and abuse.
Abuse—Failed to properly plan care
26 Sept 2020Abuse: Neglect
26 Sept 2020Abuse: Neglect
Investigated the allegation that a care plan wasn't followed, resulting in a resident's room entry by another resident, a fall, and hospital brain bleed. A $2,500 fine was assessed.
Abuse—Failed to follow care plan
16 Aug 2020Abuse: Neglect
16 Aug 2020Abuse: Neglect
Found a failure to provide a safe medication administration system, leading to a discontinued medication being given and causing allergic reactions that required hospital visits.
Abuse—Failed to provide a safe medication administration system
13 Aug 2020Abuse: Neglect
13 Aug 2020Abuse: Neglect
Found that a safe medication administration system was not provided, resulting in a PM dose given during the day that caused sleepiness and night terrors.
Abuse—Failed to provide a safe medication administration system
10 Jun 2020Abuse: Neglect
10 Jun 2020Abuse: Neglect
Concluded that there was a failure to conduct internal investigations and to plan and monitor care for a resident based on fall history, resulting in multiple falls and ongoing discomfort.
Abuse—Failed to properly plan care
02 Jun 2020Abuse: Neglect
02 Jun 2020Abuse: Neglect
Found neglect and abuse due to failure to properly plan care after a fall history, resulting in an unwitnessed fall and hospital transfer.
Abuse—Failed to properly plan care
29 May 2020Inspection
29 May 2020Inspection
Investigated the allegation of not answering call lights promptly and determined there was insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to answer call light in a timely manner
18 May 2020Abuse: Neglect
18 May 2020Abuse: Neglect
Identified neglect and abuse with serious harm; assessed a $2,500 fine.
Abuse—Failed to provide service
11 May 2020Abuse: Neglect
11 May 2020Abuse: Neglect
Identified neglect and abuse due to failure to provide basic care, including help with eating, transfers, and skin care. This caused loss of personal dignity and a fine was assessed.
Abuse—Failed to provide service
17 Apr 2020Abuse: Neglect
17 Apr 2020Abuse: Neglect
Investigated the neglect allegation and found failure to provide required services and follow treatment orders, which resulted in a leg wound and discomfort.
Abuse—Failed to provide service
16 Apr 2020Abuse: Neglect
16 Apr 2020Abuse: Neglect
Investigated findings show a failure to plan and communicate care needs related to falls, resulting in about eighteen falls and ongoing discomfort.
Abuse—Failed to properly plan care
09 Apr 2020Inspection
09 Apr 2020Inspection
Identified a violation for staff verbal abuse and failing to protect a resident from inappropriate verbal comments.
Licensing—Failed to protect resident from verbal abuse
27 Mar 2020Abuse: Neglect
27 Mar 2020Abuse: Neglect
Found deficiencies in care that did not meet the resident's needs, resulting in harm including a skin injury requiring surgical intervention and undesired weight loss; a fine was assessed.
Abuse—Failed to properly plan care
26 Feb 2020Abuse: Neglect
26 Feb 2020Abuse: Neglect
Investigated a resident care case and found neglect and abuse due to failure to plan and implement appropriate care for falls, resulting in multiple falls and discomfort.
Abuse—Failed to properly plan care
05 Feb 2020Abuse: Neglect
05 Feb 2020Abuse: Neglect
Investigated an allegation of neglect and abuse for failing to follow a two-person transfer requirement, which led to a skin injury. The finding noted a violation of resident rights and that the incident constituted abuse.
Abuse—Failed to follow care plan
30 Jan 2020Abuse: Neglect
30 Jan 2020Abuse: Neglect
Found failure to provide a safe environment and to implement appropriate care planning, which led to a physical altercation and abuse/neglect.
Abuse—Failed to provide safe environment
30 Jan 2020Abuse: Neglect
30 Jan 2020Abuse: Neglect
Found abuse and neglect due to failure to provide a safe environment and appropriate care planning, which resulted in injury and discomfort.
Abuse—Failed to provide safe environment
20 Jan 2020Abuse: Neglect
20 Jan 2020Abuse: Neglect
Found violations for abuse and neglect due to failure to provide a safe environment and adequate supervision, leading to multiple altercations and injuries.
Abuse—Failed to provide safe environment
14 Jan 2020Inspection
14 Jan 2020Inspection
Investigated and identified a deficiency in keeping two licensed care areas separate, with staff working in both areas during the same shift.
Licensing—Failed to provide appropriate staffing
14 Jan 2020Inspection
14 Jan 2020Inspection
Investigated and found insufficient staffing to meet residents' scheduled and unscheduled needs, with only one caregiver and one med tech on shift across units.
Licensing—Failed to provide appropriate staffing
13 Jan 2020Inspection
13 Jan 2020Inspection
Investigated a staffing allegation and found that residential care and memory care areas were not kept separate, with staff working in both areas on the same shift.
Licensing—Failed to provide appropriate staffing
13 Jan 2020Inspection
13 Jan 2020Inspection
Determined that insufficient staffing created an unsafe environment.
Licensing—Failed to provide safe environment
09 Jan 2020Abuse: Neglect
09 Jan 2020Abuse: Neglect
Investigated and found abuse and neglect due to failure to follow a resident's care plan, causing a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
17 Dec 2019Abuse: Neglect
17 Dec 2019Abuse: Neglect
Investigated a complaint and found a failure to provide a safe medication administration system, which caused unreasonable discomfort to a resident and constituted neglect and abuse.
Abuse—Failed to provide a safe medication administration system
01 Oct 2019Abuse: Neglect
01 Oct 2019Abuse: Neglect
Investigated the allegation of neglect and concluded the alleged perpetrator failed to provide appropriate care, leading to a fine.
Abuse—Failed to provide safe environment
10 Jul 2019Abuse: Neglect
10 Jul 2019Abuse: Neglect
Found neglect due to inadequate supervision that created risk of physical harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
08 Jul 2019Abuse: Neglect
08 Jul 2019Abuse: Neglect
Found neglect due to inadequate supervision that risked physical harm to the alleged victim. A $375 fine was assessed.
Abuse—Failed to provide safe environment
08 Jul 2019Abuse: Neglect
08 Jul 2019Abuse: Neglect
Investigated an allegation of neglect related to medication safety and found a failure to provide a safe medication administration system that could cause serious harm; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
25 May 2019Abuse: Neglect
25 May 2019Abuse: Neglect
Investigated a complaint and found inadequate supervision related to known behaviors, leading to a physical altercation and discomfort, constituting neglect and abuse. A fine was assessed.
Abuse—Failed to provide safe environment
08 Apr 2019Abuse: Neglect
08 Apr 2019Abuse: Neglect
Investigated a neglect allegation found failure to provide a safe environment resulting in harm to a resident; a $2,500 fine was assessed.
Abuse—Failed to provide safe environment
04 Apr 2019Abuse: Neglect
04 Apr 2019Abuse: Neglect
Found neglect of basic care creating risk of serious harm; a $188 fine was assessed.
Abuse—Failed to provide service
21 Mar 2019Abuse: Neglect
21 Mar 2019Abuse: Neglect
Found neglect due to failure to provide basic care that caused physical harm; a $1,500 fine was assessed.
Abuse—Failed to follow care plan
21 Mar 2019Inspection
21 Mar 2019Inspection
Found failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
21 Mar 2019Abuse: Neglect
21 Mar 2019Abuse: Neglect
Investigated and found neglect related to falls resulting in risk of serious harm to a resident; a $375 fine was assessed.
Abuse—Failed to adequately care plan related to falls
19 Mar 2019Inspection
19 Mar 2019Inspection
Found a violation for failing to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
08 Mar 2019Abuse: Physical Abuse
08 Mar 2019Abuse: Physical Abuse
Investigated an allegation of abuse and found that a resident was neglected by failing to provide a safe environment, resulting in emotional discomfort.
Abuse—Failed to protect resident from rough treatment
27 Feb 2019Inspection
27 Feb 2019Inspection
Found failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
26 Feb 2019Inspection
26 Feb 2019Inspection
Investigated and found a violation regarding failure to address resident's behavior.
Licensing—Failed to address resident's behavior
24 Feb 2019Abuse: Neglect
24 Feb 2019Abuse: Neglect
Found neglect of care due to inadequate supervision, creating the risk of physical harm. A $375 fine was assessed.
Abuse—Failed to follow care plan
15 Feb 2019Abuse: Neglect
15 Feb 2019Abuse: Neglect
Investigated and found failure to provide the Alleged Victim with appropriate care, causing discomfort and loss of dignity and violating resident rights.
Abuse—Failed to provide service
14 Feb 2019Abuse: Neglect
14 Feb 2019Abuse: Neglect
Investigated a neglect allegation; findings showed failure to provide appropriate care and supervision that posed risk of serious harm to a resident, and a fine was assessed.
Abuse—Failed to assure resident was safe
08 Feb 2019Abuse: Neglect
08 Feb 2019Abuse: Neglect
Found neglect related to repeated falls that caused harm and risk of serious harm, with a $2,500 fine assessed.
Abuse—Failed to adequately care plan related to falls
05 Feb 2019Abuse: Neglect
05 Feb 2019Abuse: Neglect
Investigated a complaint of neglect and found a failure to provide a safe environment, resulting in a resident-to-resident incident with a bruise and risk of serious harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
02 Feb 2019Abuse: Neglect
02 Feb 2019Abuse: Neglect
Investigated a neglect allegation; found failure to provide appropriate care and supervision created risk of serious harm, and a fine was assessed.
Abuse—Failed to follow care plan
30 Jan 2019Abuse: Neglect
30 Jan 2019Abuse: Neglect
Investigated and found neglect related to falls care; a fine was assessed.
Abuse—Failed to adequately care plan related to falls
30 Jan 2019Abuse: Neglect
30 Jan 2019Abuse: Neglect
Investigated a neglect allegation and found that supervision was not provided appropriately, risking serious harm to an individual.
Abuse—Failed to follow care plan
21 Jan 2019Abuse: Neglect
21 Jan 2019Abuse: Neglect
Determined that neglect occurred resulting in physical harm and unreasonable discomfort, and assessed a $375 fine.
Abuse—Failed to provide safe environment
13 Jan 2019Abuse: Neglect
13 Jan 2019Abuse: Neglect
Found neglect due to failure to provide supervision, creating risk of serious harm.
Abuse—Failed to provide safe environment
13 Jan 2019Abuse: Neglect
13 Jan 2019Abuse: Neglect
Found neglect due to insufficient supervision, risking serious harm to residents, and assessed a $375 fine.
Abuse—Failed to provide safe environment
20 Dec 2018Abuse: Neglect
20 Dec 2018Abuse: Neglect
Determined neglect occurred due to failure to provide appropriate care and supervision, creating a risk of serious harm, and assessed a $375 fine.
Abuse—Failed to assure resident was safe
12 Dec 2018Inspection
12 Dec 2018Inspection
Investigated an allegation of failing to report suspected abuse and found that reporting did not occur.
Licensing—Failed to report potential or suspected abuse
04 Dec 2018Abuse: Verbal/Mental abuse
04 Dec 2018Abuse: Verbal/Mental abuse
Investigated the verbal/mental abuse allegation and found staff failed to protect a resident from inappropriate interaction, risking serious harm.
Abuse—Failed to protect resident from verbal abuse
21 Nov 2018Abuse: Neglect
21 Nov 2018Abuse: Neglect
Investigated a neglect allegation and found failure to provide basic care resulting in harm. A $500 fine was assessed.
Abuse—Failed to follow care plan
16 Nov 2018Abuse: Neglect
16 Nov 2018Abuse: Neglect
Investigated an abuse/neglect allegation regarding failure to follow a care plan. A $375 fine was assessed.
Abuse—Failed to follow care plan
16 Nov 2018Abuse: Neglect
16 Nov 2018Abuse: Neglect
Investigated a neglect allegation and found inadequate supervision that risked serious harm; a $500 fine was assessed.
Abuse—Failed to assure resident was safe
16 Nov 2018Inspection
16 Nov 2018Inspection
Found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
04 Nov 2018Abuse: Neglect
04 Nov 2018Abuse: Neglect
Investigated the allegation of neglect and found neglect due to failure to provide appropriate supervision. A $375 fine was assessed.
Abuse—Failed to provide safe environment
04 Nov 2018Abuse: Neglect
04 Nov 2018Abuse: Neglect
Found neglect due to inadequate supervision, which risked serious harm to AV1 and AV2.
Abuse—Failed to provide safe environment
29 Oct 2018Inspection
29 Oct 2018Inspection
Determined that there was a failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
29 Oct 2018Abuse: Neglect
29 Oct 2018Abuse: Neglect
Identified neglect of care related to falls. A $1500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
25 Oct 2018Inspection
25 Oct 2018Inspection
Investigated the allegation of an unsafe environment and found violations indicating moderate harm or potential for serious harm.
Licensing—Failed to provide safe environment
16 Oct 2018Abuse: Neglect
16 Oct 2018Abuse: Neglect
Investigated and concluded neglect of care; a fine was assessed.
Abuse—Failed to provide safe environment
14 Oct 2018Abuse: Neglect
14 Oct 2018Abuse: Neglect
Investigated a neglect allegation and found neglect due to inadequate supervision. A fine was assessed.
Abuse—Failed to provide safe environment
12 Oct 2018Inspection
12 Oct 2018Inspection
Determined that there was a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
12 Oct 2018Abuse: Neglect
12 Oct 2018Abuse: Neglect
Investigated an allegation of neglect resulting in harm due to failing to provide basic care. A $15,000 fine was assessed.
Abuse—Failed to provide service
01 Oct 2018Abuse: Neglect
01 Oct 2018Abuse: Neglect
Investigated a neglect allegation found failure to provide a safe medication administration system that caused physical harm and discomfort; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
01 Oct 2018Abuse: Neglect
01 Oct 2018Abuse: Neglect
Found neglect due to failure to provide basic care and an inadequate medication system, resulting in harm and discomfort. A fine was assessed.
Abuse—Failed to provide service
29 Aug 2018Abuse: Neglect
29 Aug 2018Abuse: Neglect
Investigated and found neglect by failing to provide basic care or services, resulting in harm; a $375 fine was assessed.
Abuse—Failed to follow care plan
29 Aug 2018Abuse: Neglect
29 Aug 2018Abuse: Neglect
Found an inadequate medication system with potential for moderate harm. A fine was assessed.
Abuse—Failed to provide a safe medication administration system
23 Aug 2018Abuse: Neglect
23 Aug 2018Abuse: Neglect
Investigated the neglect allegation. Substantiated failure to provide appropriate care, resulting in a $188 fine assessed.
Abuse—Failed to provide service
08 Aug 2018Inspection
08 Aug 2018Inspection
Found that suspected abuse was not reported, and a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
08 Aug 2018Abuse: Neglect
08 Aug 2018Abuse: Neglect
Found neglect related to inadequate care planning for falls that resulted in harm; a fine was assessed.
Abuse—Failed to adequately care plan related to falls
07 Aug 2018Inspection
07 Aug 2018Inspection
Investigated an allegation of an unsafe environment and concluded residents were not protected from inappropriate physical contact. A $375 fine was assessed.
Licensing—Failed to provide safe environment
30 Jul 2018Inspection
30 Jul 2018Inspection
Investigated a complaint and found improper use of restraints, resulting in a substantiated licensing violation.
Licensing—Failed to properly use restraint
30 Jul 2018Abuse: Neglect
30 Jul 2018Abuse: Neglect
Investigated neglect related to falls care; found failure to provide appropriate care that created risk of serious harm, and a $375 fine was assessed.
Abuse—Failed to adequately care plan related to falls
23 Jul 2018Abuse: Neglect
23 Jul 2018Abuse: Neglect
Found neglect of care due to inadequate supervision, creating risk of serious harm; assessed a $375 fine.
Abuse—Failed to provide safe environment
05 Jul 2018Inspection
05 Jul 2018Inspection
Assessed a civil penalty for failing to report potential or suspected abuse.
Licensing—Failed to report potential or suspected abuse
25 Jun 2018Inspection
25 Jun 2018Inspection
Investigated an allegation of an unsafe environment and found inadequate supervision.
Licensing—Failed to provide safe environment
19 Jun 2018Abuse: Neglect
19 Jun 2018Abuse: Neglect
Found neglect for failing to provide appropriate care related to falls, placing a resident at risk for serious harm; assessed a $2,500 fine.
Abuse—Failed to adequately care plan related to falls
19 Jun 2018Inspection
19 Jun 2018Inspection
Investigated and found failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
11 Jun 2018Abuse: Neglect
11 Jun 2018Abuse: Neglect
Investigated and found a failure to provide a safe environment that resulted in physical harm; a $375 fine was assessed.
Abuse—Failed to provide safe environment
07 Jun 2018Inspection
07 Jun 2018Inspection
Investigated and found a violation for locking residents' rooms to prevent wandering and harm by not encouraging independence.
Licensing—Failed to provide service
20 May 2018Inspection
20 May 2018Inspection
Investigated the complaint and found that residents were not adequately protected from inappropriate interaction; a fine was assessed.
Licensing—Failed to provide safe environment
20 May 2018Inspection
20 May 2018Inspection
Determined a licensee failed to protect residents from inappropriate interaction, resulting in a $375 fine.
Licensing—Failed to provide safe environment
14 Apr 2018Inspection
14 Apr 2018Inspection
Found an inadequate medication system that compromised medication handling. It indicated issues with how medications were administered.
Licensing—Failed to administer medication as ordered
14 Apr 2018Abuse: Neglect
14 Apr 2018Abuse: Neglect
Investigated a complaint alleging neglect and found a failure to protect a resident from physical harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
12 Apr 2018Inspection
12 Apr 2018Inspection
Investigated the allegation and found the interior had unpleasant odors due to inadequate housekeeping.
Licensing—Failed to provide appropriate housekeeping services
12 Apr 2018Inspection
12 Apr 2018Inspection
Found failure to properly assess residents and have an appropriate service plan.
Licensing—Failed to perform adequate screening or assessment
11 Apr 2018Inspection
11 Apr 2018Inspection
Identified deficiencies in supervision that could affect residents' safety.
Licensing—Failed to provide safe environment
09 Apr 2018Inspection
09 Apr 2018Inspection
Found a deficiency related to providing a safe environment and supervising a reported victim; a $375 fine was assessed.
Licensing—Failed to provide safe environment
06 Apr 2018Inspection
06 Apr 2018Inspection
Determined that records were not accessible. The allegation was substantiated.
Licensing—Failed to make facility or resident records accessible
06 Apr 2018Inspection
06 Apr 2018Inspection
Investigated the allegation that records were not accessible. Found the records were not accessible.
Licensing—Failed to make facility or resident records accessible
04 Apr 2018Abuse: Neglect
04 Apr 2018Abuse: Neglect
Identified a deficiency for failing to protect residents from rough treatment.
Abuse—Failed to provide safe environment
03 Apr 2018Inspection
03 Apr 2018Inspection
Investigated the allegation and found a failure to self-report suspected abuse.
Licensing—Failed to report potential or suspected abuse
03 Apr 2018Abuse: Neglect
03 Apr 2018Abuse: Neglect
Investigated an abuse/neglect allegation and found failures to follow the care plan and to protect a resident from physical harm, with a $500 fine assessed.
Abuse—Failed to follow care plan
01 Apr 2018Abuse: Neglect
01 Apr 2018Abuse: Neglect
Found neglect due to failure to administer medications as ordered, resulting in a resident going to the hospital. A $500 fine was assessed.
Abuse—Failed to administer medication as ordered
01 Apr 2018Inspection
01 Apr 2018Inspection
Investigated the allegation of failing to report suspected abuse and concluded that a failure to report occurred; a fine was assessed.
Licensing—Failed to report potential or suspected abuse
06 Mar 2018Abuse: Neglect
06 Mar 2018Abuse: Neglect
Found that Alleged Victims were not provided a safe environment, risking serious harm, and a $375 fine was assessed.
Abuse—Failed to provide safe environment
02 Mar 2018Inspection
02 Mar 2018Inspection
Investigated an allegation of failure to report potential or suspected abuse and found noncompliance with mandatory abuse reporting and investigation requirements.
Licensing—Failed to report potential or suspected abuse
27 Feb 2018Abuse: Neglect
27 Feb 2018Abuse: Neglect
Identified deficiencies related to protecting a resident from physical harm and inadequate falls care planning, with a $1,500 fine assessed.
Abuse—Failed to adequately care plan related to falls
26 Feb 2018Inspection
26 Feb 2018Inspection
Found that reported victims were not adequately protected from inappropriate physical contact.
Licensing—Failed to provide safe environment
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