I'm very pleased with this community - the staff are warm, attentive and genuinely caring, the building and apartments are clean, modern and well-maintained, and the meals and amenities are excellent. Activities are engaging, leadership is responsive, and it feels like a welcoming, comfortable place I'd recommend.
Current/former resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Schedule a Tour
Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Located close to restaurants
Located close to shopping centers
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 patio
Outdoor space
Pet friendly
Religious/meditation center
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
3.94·(64)
Overall rating
5
4
3
2
1
Care
3.9
Staff
4.0
Meals
3.7
Amenities
4.2
Value
2.8
Pros
Compassionate, attentive caregiving staff
Responsive and engaged leadership and administration
Clean, well-maintained building and landscaped grounds
Spacious apartment layouts with kitchenettes and large refrigerators
On-site memory-care unit with supervised programming
Three daily meals with dining-room and in-room options
Varied activities, exercise classes, and scheduled excursions
Resort-style amenities (theater, game room, courtyard, garden patio)
Transportation services and scheduled outings
Laundry and housekeeping services
Secure indoor/outdoor walking areas
Smooth move-in coordination and tour support
Cons
Inconsistent staffing levels and caregiver availability
Gaps in clinical handover and medication-administration processes
Communication and family-notification shortcomings
Inconsistent cleanliness and linen/laundry management
Variable meal quality and limited menu variety
Room-assignment and orientation processes that can misalign resident needs
Variability in staff professionalism and conduct
Leadership turnover and ownership-change uncertainty
Uneven activity engagement for residents with higher-care needs
Summary of reviews
Overall impression: Prestige Senior Living Arbor Place receives frequent praise for its compassionate frontline staff, attractive and well-maintained physical environment, and a broad set of amenities. Reviewers commonly highlight spacious apartment layouts with kitchenettes, a pleasant dining room and in‑room dining option, an active calendar of classes and excursions, and a clearly identified memory-care unit. Several families praised on-site leadership, specific administrators and marketing staff for being responsive, and described smooth move-in support and helpful tour coordination.
Care and staffing: Many accounts emphasize attentive, caring caregivers and positive personal interactions; memory-care programming and supervised interactions were often called out as strengths. However, staffing consistency is a recurrent operational concern. Reviewers described understaffing at times, uneven caregiver availability across shifts, and situations that point to gaps in clinical handover and medication-administration processes. These operational weaknesses have translated, in some instances, into delays in medication administration, missed clinical checks during transitions, and family-perceived gaps in clinical follow-up. There are also isolated, serious allegations—such as missing personal items and a regulatory inquiry—that prospective families should clarify during a tour and reference check.
Dining and activities: Dining is a mixed picture. Many reviewers complimented the food, recent chef changes, and appealing desserts; others described late meal delivery, constrained menu options tied to corporate menu policies, and occasional nutritional concerns. Activities are a clear asset for many residents: exercise classes, themed monthly programming, outings, and resident entertainers are highlighted. That said, engagement levels can be uneven for residents with higher or later-stage care needs, and some families expressed a desire for more memory-care–specific activities.
Facilities and operations: Physical plant and amenities rate highly: clean common areas, courtyard/garden patios, secure walking areas, theater and game rooms, and updated renovations. At the same time, the facility’s size and layout can be confusing for some residents, and room/roommate assignment processes have sometimes resulted in mismatches between resident expectations and placement. Housekeeping and laundry were generally praised but also cited intermittently as inconsistent, including linen and clothing management issues.
Management and patterns to watch: Leadership and administrative responsiveness are polarizing themes. Many reviewers named administrators who were proactive and effective; others described turnover, ownership-change uncertainty, unclear billing contacts, and gaps in communication. Staff professionalism is mostly praised, but variability in conduct and communication tone was noted by multiple families. The recurring patterns that prospective residents and families should probe are staffing ratios and contingency plans, clinical handover and medication protocols, expectations for laundry/linen service, and the facility’s approach to activity programming for higher-need residents.
Recommendations for prospective families: Visit during multiple times of day to observe staffing levels, meal service and interactions; ask for written details on medication administration timelines, shift handover procedures, and laundry/housekeeping schedules; inquire about recent ownership or leadership changes and how they affect staffing stability; and request references from current families in both assisted- and memory-care neighborhoods. These targeted questions will help balance the facility’s evident strengths in environment and engagement against the operational consistency concerns that emerge in reviews.
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Location
Prestige Senior Living Arbor Place is located at 3150 Juanipero Way, Medford, OR, 97504.
About Prestige Senior Living Arbor Place
Prestige Senior Living Arbor Place sits at 3150 Juanipero Way in Medford, Oregon, and keeps its doors open every day and night, weekends and holidays included, and you'll find 54 beds there for people who want to keep living life as fully as possible, whether they're independent, need more help with daily tasks, or face memory loss from Alzheimer's or dementia. The place is family-owned and people say the staff there, always trained and friendly, treats residents like part of their family, whether they're helping with personal care, giving medications on time, managing meals that fit your likes and needs, or just sitting to chat over a card game or arts and crafts project. The whole campus is laid out with wide walkways, lots of natural light streaming through big windows, and you can spot folks outside with their pets or walking past blooming trees-it's a traditional community, but there's always something going on with happy hours, fitness classes, fashion shows, car parades, and volunteer opportunities.
The Memory Care part, including the Expressions Memory Care program, is set up so people with Alzheimer's and dementia stay safe in a secure area and courtyard, with specialized, gentle activities meant to reduce confusion and help them feel valued, like Mind Masters and Ageless Grace® for keeping minds sharp and bodies moving, always with a personal care plan for each person. Some residents need Assisted Living, which comes with their own private apartments and help with things like bathing, dressing, and getting around; others live more independently but still use the amenities, including restaurant-style dining in a bright dining room, onsite beautician services, and spiritual programs available. Most everyone enjoys the common rooms, social events calendar, walking paths, resident council, and shuttle service to appointments or outings around Medford.
Every apartment comes with safety in mind-grab bars, emergency cords, and wheelchair access-and the staff, who know what they're doing, stay available 24/7. There's home care too, where trained aides help with non-medical tasks for those who still live at home, and there's access to physical therapy, occupational therapy, and coordinated health services if things change. Pets are welcome, the buildings are smoke-free inside, everybody gets regular housekeeping and linen service, and residents and their families can pick from language options so everyone's needs and wishes are clear. People get to connect with each other, whether during meals, group activities, or simply gathering in the communal spaces, and staff and family aim to keep everyone living with as much dignity, happiness, and independence as they can, right there among the trees and golf courses of Medford.
About Prestige Care
Prestige Senior Living Arbor Place is managed by Prestige Care.
Founded in 1985 but tracing its roots to 1946, Prestige Care began with Sarah Delamarter, a nursing pioneer who started caring for seniors in her Troutdale, Oregon home. What began as a compassionate effort to support her family evolved into a multi-generational legacy when her grandsons Harold and Dr. Rick Delamarter, along with business partner Greg Vislocky, expanded the business throughout the western United States. Today, this family-owned company remains headquartered in Vancouver, Washington, maintaining Sarah's original spirit of personalized, compassionate care. Prestige Care operates over 75 communities across seven western states including Oregon, Washington, California, Arizona, Nevada, Idaho, and Montana.
People often ask...
Prestige Senior Living Arbor Place offers competitive pricing, with rates starting at a cost of $5,413 per month.
Prestige Senior Living Arbor Place offers assisted living and memory care.
There are 29 photos of Prestige Senior Living Arbor Place on Mirador.
The full address for this community is 3150 Juanipero Way, Medford, OR 97504.
No, Prestige Senior Living Arbor Place does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated and found that a staff member verbally yelled at a resident, causing agitation, and the environment was not safe, constituting neglect and abuse.
Licensing—Failed to provide safe environment
13 Aug 2025Abuse: Neglect
13 Aug 2025Abuse: Neglect
Found neglect in care planning that contributed to an unwitnessed fall and resident discomfort; a $500 fine was assessed.
Abuse—Failed to properly plan care
30 Jun 2025Inspection
30 Jun 2025Inspection
Investigated the allegation and found a failure to provide records to the Department upon request.
Licensing—Failed to make facility or resident records accessible
30 Jun 2025Abuse: Neglect
30 Jun 2025Abuse: Neglect
Investigated a complaint of abuse and neglect and concluded that a resident was not provided a safe environment, resulting in abuse and neglect findings.
Abuse—Failed to provide safe environment
18 Feb 2025Inspection
18 Feb 2025Inspection
Investigated determined a wrong medication was given, causing adverse effects and hospital transfer, indicating neglect and abuse due to an unsafe medication system.
Licensing—Failed to administer medication as ordered
05 Feb 2025Inspection
05 Feb 2025Inspection
Found ABST evaluations were not completed, updated, reviewed, and documented for each resident.
Licensing—Failed to use an ABST
14 May 2024Abuse: Neglect
14 May 2024Abuse: Neglect
Investigated a case of financial exploitation; found that an unknown person took $200 from the resident's purse and that access to a locking drawer contributed to risk, with a $250 fine assessed.
Abuse—Failed to protect resident from financial exploitation
28 Apr 2024Abuse: Neglect
28 Apr 2024Abuse: Neglect
Found that fall-prevention interventions in the care plan were not provided before a fall causing facial injury.
Abuse—Failed to follow care plan
20 Mar 2024Licensure
20 Mar 2024Licensure
Determined substantial compliance with meal service requirements and food sanitation rules.
Deficiency—Comment
20 Mar 2024Licensure
20 Mar 2024Licensure
Concluded substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
22 Jan 2024Inspection
22 Jan 2024Inspection
Investigated an allegation of verbal abuse and found violations related to protecting a resident from abuse and neglect.
Licensing—Failed to protect resident from verbal abuse
13 Nov 2023Validation
13 Nov 2023Validation
Found multiple deficiencies in resident care planning, health services, safety, and administration during relicensure activities.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Restraints and Supportive Devices
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—General Building Interior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Housekeeping and Laundry
Deficiency—Individual Door Locks: Key Access
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Behavior
06 Nov 2023Validation
06 Nov 2023Validation
Identified numerous deficiencies across assessment, service planning, staff training, and safety areas, indicating failures to meet regulatory requirements.
Investigated a verbal abuse allegation and found a violation involving staff comments that caused distress and loss of personal dignity.
Licensing—Failed to protect resident from verbal abuse
14 Jun 2023Abuse: Neglect
14 Jun 2023Abuse: Neglect
Found neglect of care and emotional abuse when a resident was moved into memory care without criteria, causing emotional distress and withdrawal; a fine was assessed.
Abuse—Failed to protect resident from mental or emotional abuse
27 Apr 2023Abuse: Neglect
27 Apr 2023Abuse: Neglect
Found a deficient medication administration system that placed a resident at risk for harm, and a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
08 Feb 2023Abuse: Neglect
08 Feb 2023Abuse: Neglect
Investigated and determined a resident was financially exploited and property not protected, resulting in abuse and neglect.
Abuse—Failed to protect resident from financial exploitation
08 Feb 2023Abuse: Neglect
08 Feb 2023Abuse: Neglect
Investigated and found a failure to administer seizure medication as ordered, risking harm to the resident; a fine was assessed.
Abuse—Failed to administer medication as ordered
19 Jan 2023Abuse: Neglect
19 Jan 2023Abuse: Neglect
Found violations for failure to provide appropriate services, resulting in multiple falls and head injuries, constituting neglect and abuse.
Abuse—Failed to provide service
17 Jan 2023Licensure
17 Jan 2023Licensure
Found deficiencies in food sanitation and administration compliance, including dirty kitchen areas, improper sanitizer use, inadequate hand hygiene and glove use, and staff not wearing aprons.
Investigated a complaint and identified neglect related to portable oxygen provision that caused emotional distress for the resident. A $500 fine was assessed.
Abuse—Failed to provide service
28 Oct 2022Inspection
28 Oct 2022Inspection
Investigated and determined that a staff member verbally abused a resident, causing emotional distress and loss of personal dignity, and protection from verbal abuse failed.
Licensing—Failed to protect resident from verbal abuse
27 Oct 2022Abuse: Neglect
27 Oct 2022Abuse: Neglect
Found that care planning failed to mitigate fall risk for a resident, with multiple falls including a non-witnessed fall in late October 2022.
Abuse—Failed to properly plan care
19 Oct 2022Abuse: Neglect
19 Oct 2022Abuse: Neglect
Investigated and found neglect with abuse due to failure to provide appropriate services for the resident, resulting in multiple falls and a hospital visit.
Abuse—Failed to provide service
19 Oct 2022Abuse: Neglect
19 Oct 2022Abuse: Neglect
Investigated and determined neglect of care due to failure to provide appropriate services, resulting in multiple falls and head injury.
Abuse—Failed to provide service
10 Oct 2022Abuse: Neglect
10 Oct 2022Abuse: Neglect
Investigated and found failure to provide appropriate services to a resident, including care planning, lighting, and call system support, which led to a fall and injury.
Abuse—Failed to provide service
30 Sept 2022Inspection
30 Sept 2022Inspection
Found violations involving verbal abuse toward a resident and failure to protect the resident from abuse. The actions caused emotional distress and loss of personal dignity.
Licensing—Failed to protect resident from verbal abuse
29 Sept 2022Abuse: Neglect
29 Sept 2022Abuse: Neglect
Found that care planning failed to mitigate fall risk, resulting in multiple unwitnessed falls and a fall with pain.
Abuse—Failed to properly plan care
19 Sept 2022Complaint
19 Sept 2022Complaint
Investigated a complaint and found deficiencies in reasonable precautions, acuity-based staffing, and general building interior.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
Deficiency—Acuity-Based Staffing Tool
Deficiency—General Building Interior
30 Aug 2022Inspection
30 Aug 2022Inspection
Investigated the allegation of not using ABST and found deficiencies back in substantial compliance after a review.
Licensing—Failed to use an ABST
30 Aug 2022Inspection
30 Aug 2022Inspection
Investigated the allegation and found interior materials and surfaces were not kept clean.
Licensing—Failed to provide appropriate housekeeping services
26 Aug 2022Abuse: Neglect
26 Aug 2022Abuse: Neglect
Found violations for neglect and abuse related to failure to provide adequate care and safe living conditions, including poor lighting and inaccessible call systems, which led to a resident's head injury.
Abuse—Failed to provide service
19 Aug 2022Inspection
19 Aug 2022Inspection
Found violations in medication administration procedures and in maintaining a safe environment.
Licensing—Failed to provide a safe medication administration system
07 Jul 2022Inspection
07 Jul 2022Inspection
Investigated and concluded that a staff member diluted a resident’s narcotic medication, causing financial exploitation; the licensee failed to protect the resident from exploitation and violated state rules.
Licensing—Failed to protect resident from financial exploitation
07 Jul 2022Inspection
07 Jul 2022Inspection
Found that medication was not administered as ordered, causing unreasonable discomfort and loss of personal dignity, and that a safe environment was not provided.
Licensing—Failed to provide safe environment
29 Jun 2022Abuse: Neglect
29 Jun 2022Abuse: Neglect
Investigated and found a failure to provide appropriate services resulting in multiple unwitnessed falls and injuries. A $500 fine was assessed.
Abuse—Failed to provide service
20 May 2022Abuse: Neglect
20 May 2022Abuse: Neglect
Determined that neglect and abuse occurred due to failure to notify staff and arrange emergency evaluation after a fall.
Abuse—Failed to assure physician services
20 Apr 2022Abuse: Neglect
20 Apr 2022Abuse: Neglect
Investigated and found a failure to provide a safe environment that led to a hip fracture, constituting neglect and abuse.
Abuse—Failed to provide safe environment
04 Apr 2022Abuse: Neglect
04 Apr 2022Abuse: Neglect
Investigated found that staff failed to contact the resident's PCP after repeated high blood sugar readings and did not intervene when the resident's condition changed, risking harm.
Abuse—Failed to intervene when resident's condition changed
04 Apr 2022Abuse: Neglect
04 Apr 2022Abuse: Neglect
Investigated an allegation of abuse and neglect related to medication administration. Found a failure to provide a safe medication administration system; insulin was not administered as ordered and was later found in a drawer.
Abuse—Failed to provide a safe medication administration system
18 Mar 2022Inspection
18 Mar 2022Inspection
Found a breach of resident rights involving confidential records and a staff member's social media posting about a resident's condition.
Licensing—Failed to assure resident rights
09 Feb 2022Abuse: Neglect
09 Feb 2022Abuse: Neglect
Investigated allegations of emotional abuse; found neglect of care and failure to protect the resident from abuse, with a fine assessed.
Abuse—Failed to protect resident from mental or emotional abuse
29 Oct 2021Inspection
29 Oct 2021Inspection
Investigated a resident abuse allegation and found that a staff member grabbed the resident's arm, causing a fall, and attempted to dump the resident out of a chair. The facility failed to protect the resident from physical abuse, causing emotional distress.
Licensing—Failed to protect resident from physical abuse
30 Sept 2021Abuse: Neglect
30 Sept 2021Abuse: Neglect
Investigated found that a known fall risk resident did not receive timely intervention when their condition changed, leading to neglect and abuse findings and a $1,500 fine.
Abuse—Failed to intervene when resident's condition changed
29 Sept 2021Abuse: Neglect
29 Sept 2021Abuse: Neglect
Determined that required care services were not provided as planned, leading to weight loss, discomfort and loss of dignity.
Abuse—Failed to provide service
09 Sept 2021Abuse: Neglect
09 Sept 2021Abuse: Neglect
Investigated and determined that a staff member financially exploited a resident by taking medications, constituting abuse and neglect; a $500 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
01 Sept 2021Abuse: Neglect
01 Sept 2021Abuse: Neglect
Found that care planning did not address increased fall risk and that multiple falls occurred with injuries.
Abuse—Failed to properly plan care
01 Sept 2021Abuse: Neglect
01 Sept 2021Abuse: Neglect
Investigated a neglect and abuse finding where a resident’s condition changed, causing discomfort and delaying needed medical care due to inadequate oversight.
Abuse—Failed to provide oversight and monitoring of change of condition
28 Aug 2021Abuse: Neglect
28 Aug 2021Abuse: Neglect
Found a violation for failure to follow medication orders, resulting in an increased dose and potential harm to the resident.
Abuse—Failed to administer medication as ordered
17 Aug 2021Abuse: Neglect
17 Aug 2021Abuse: Neglect
Found neglect due to failure to assess, intervene, and monitor a resident after a change in condition, causing pain and discomfort.
Abuse—Failed to intervene when resident's condition changed
14 Aug 2021Abuse: Neglect
14 Aug 2021Abuse: Neglect
Found violations of resident safety related to financial exploitation and medication administration. The allegations involved signing out two narcotic medications the resident did not request or receive.
Abuse—Failed to protect resident from financial exploitation
14 Aug 2021Abuse: Neglect
14 Aug 2021Abuse: Neglect
Determined that staff did not follow a resident's care plan, causing a fall and bruise, with a $450 fine assessed.
Abuse—Failed to follow care plan
11 Aug 2021Abuse: Neglect
11 Aug 2021Abuse: Neglect
Investigated the complaint and found sexual abuse occurred. The investigation showed failure to protect the resident from abuse and to investigate related complaints.
Abuse—Failed to protect resident from inappropriate sexual contact
08 Aug 2021Abuse: Neglect
08 Aug 2021Abuse: Neglect
Investigated a fall-related care issue and found failure to plan for the resident's change in condition. Four days passed without pain medication after the fall, causing unnecessary discomfort.
Abuse—Failed to properly plan care
05 Aug 2021Abuse: Neglect
05 Aug 2021Abuse: Neglect
Found neglect of care after a change in medical condition went unmonitored, resulting in an untreated decline and hospitalization; a fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
04 Aug 2021Abuse: Neglect
04 Aug 2021Abuse: Neglect
Investigated a neglect and abuse allegation and found substantiated neglect due to delayed medical treatment for a resident's skin condition, causing pain and improper wound care.
Abuse—Failed to assure timely medical treatment
30 Jul 2021Abuse: Neglect
30 Jul 2021Abuse: Neglect
Investigated findings showed a staff member exposed a resident to inappropriate drawings, causing repeated emotional discomfort, and the provider allowed the staff member to continue working after learning of the allegations.
Abuse—Failed to protect resident from mental or emotional abuse
28 Jul 2021Abuse: Neglect
28 Jul 2021Abuse: Neglect
Investigated and found oversight failures led to worsening skin issues and abuse/neglect, with a $500 fine assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
28 Jul 2021Abuse: Neglect
28 Jul 2021Abuse: Neglect
Investigated found neglect and abuse due to failure to follow care plan, causing loss of dignity and discomfort; a $500 fine was assessed.
Abuse—Failed to follow care plan
12 Jul 2021Inspection
12 Jul 2021Inspection
Determined that residents' rights were violated when furniture was removed without consent.
Licensing—Failed to assure resident rights
19 Jun 2021Inspection
19 Jun 2021Inspection
Found that a staff member stole and pawned a resident's wedding ring, constituting financial exploitation, and the provider failed to protect the resident from exploitation.
Licensing—Failed to protect resident from financial exploitation
25 May 2021Inspection
25 May 2021Inspection
Investigated a complaint and found a resident was verbally abused by a staff member and not protected from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
10 Mar 2021Abuse: Neglect
10 Mar 2021Abuse: Neglect
Found neglect and abuse due to failure to provide appropriate services according to the resident's needs, causing unreasonable discomfort and loss of personal dignity.
Abuse—Failed to provide service
06 Nov 2020Abuse: Neglect
06 Nov 2020Abuse: Neglect
Found abuse and neglect due to failure to follow the care plan, resulting in skin injuries. A $500 fine was assessed.
Abuse—Failed to provide safe environment
06 Nov 2020Abuse: Neglect
06 Nov 2020Abuse: Neglect
Found that the care plan was not followed, leading to injuries during an altercation between residents.
Abuse—Failed to provide safe environment
30 Jun 2020Abuse: Neglect
30 Jun 2020Abuse: Neglect
Found an inadequate medication administration system that created a serious risk of harm due to early application of a resident's patch.
Abuse—Failed to provide a safe medication administration system
22 Jun 2020Abuse: Neglect
22 Jun 2020Abuse: Neglect
Investigated found violations of resident rights due to neglect and abuse from failing to respond to a resident's changing condition, leading to significant weight loss and harm; a $3,000 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
22 Jun 2020Abuse: Neglect
22 Jun 2020Abuse: Neglect
Found a failure to provide a safe medication administration system, which placed a resident at risk for serious harm, and a $3,000 fine was assessed.
Abuse—Failed to provide a safe medication administration system
28 Mar 2020Abuse: Neglect
28 Mar 2020Abuse: Neglect
Investigated allegations of neglect and abuse; found staff failed to respond to a resident's worsening condition, risking serious harm, with a $500 fine assessed.
Abuse—Failed to provide safe environment
18 Feb 2020Abuse: Neglect
18 Feb 2020Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failure to provide a safe environment; a fine was assessed.
Abuse—Failed to provide safe environment
16 Feb 2020Abuse: Neglect
16 Feb 2020Abuse: Neglect
Determined that a safe environment was not provided, resulting in abuse/neglect findings. A fine was assessed.
Abuse—Failed to provide safe environment
16 Feb 2020Abuse: Neglect
16 Feb 2020Abuse: Neglect
Investigated found a failure to provide a safe environment resulting in abuse and neglect, with a fine assessed.
Abuse—Failed to provide safe environment
09 Feb 2020Abuse: Neglect
09 Feb 2020Abuse: Neglect
Investigated found that a safe environment was not provided, exposing a resident to risk of harm and constituting abuse and neglect.
Abuse—Failed to provide safe environment
02 Jan 2020Abuse: Neglect
02 Jan 2020Abuse: Neglect
Found a failure to provide a safe medication administration system, leading to a missed pain patch and missing patches, with a $500 fine assessed.
Abuse—Failed to provide a safe medication administration system
27 Jul 2019Abuse: Neglect
27 Jul 2019Abuse: Neglect
Found abuse and neglect due to failure to plan care per the resident's history and to honor the right to refuse services, including forceful restraint.
Abuse—Failed to properly plan care
27 May 2019Inspection
27 May 2019Inspection
Determined that financial exploitation occurred and protection against exploitation failed, resulting in the resident's money being taken.
Licensing—Failed to protect resident from financial exploitation
18 Feb 2019Abuse: Neglect
18 Feb 2019Abuse: Neglect
Identified neglect of care and assessed a $188 fine.
Abuse—Failed to provide a safe medication administration system
21 Jan 2019Abuse: Neglect
21 Jan 2019Abuse: Neglect
Investigated an allegation of neglect and found failure to provide a safe environment for a resident.
Abuse—Failed to provide safe environment
15 Jan 2019Abuse: Verbal/Mental abuse
15 Jan 2019Abuse: Verbal/Mental abuse
Investigated the allegation of verbal/mental abuse and found a failure to protect a resident from abuse, resulting in significant emotional harm.
Abuse—Failed to protect resident from mental or emotional abuse
02 Jan 2019Abuse: Neglect
02 Jan 2019Abuse: Neglect
Identified neglect leading to harm from failure to provide basic care and services.
Abuse—Failed to provide safe environment
14 Nov 2018Abuse: Neglect
14 Nov 2018Abuse: Neglect
Found neglect of care by failing to protect residents from inappropriate interaction, with a fine assessed.
Abuse—Failed to provide safe environment
02 Nov 2018Abuse: Neglect
02 Nov 2018Abuse: Neglect
Investigated found neglect of care due to failing to provide appropriate supervision, resulting in an unsafe environment.
Abuse—Failed to provide safe environment
13 Jul 2018Abuse: Financial abuse
13 Jul 2018Abuse: Financial abuse
Investigated and found that residents' funds were wrongfully taken, constituting financial abuse. Funds intended for residents were misused.
Abuse—Failed to provide safe environment
23 Apr 2018Abuse: Neglect
23 Apr 2018Abuse: Neglect
Investigated an allegation of neglect in care planning; findings showed failure to protect reported victims from physical harm and a $1,500 fine was assessed.
Abuse—Failed to properly plan care
16 Mar 2018Abuse: Neglect
16 Mar 2018Abuse: Neglect
Concluded that the care plan was not followed, resulting in inadequate care, and assessed a $1,500 fine.
Abuse—Failed to follow care plan
16 Mar 2018Inspection
16 Mar 2018Inspection
Investigated an allegation of failure to report potential or suspected abuse; a civil penalty was assessed for not self-reporting.
Licensing—Failed to report potential or suspected abuse
31 Oct 2017Abuse: Neglect
31 Oct 2017Abuse: Neglect
Found failure to intervene when a resident's condition changed; a $450 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
11 Oct 2017Inspection
11 Oct 2017Inspection
Investigated the allegation and found deficiencies in safe medication administration, including a failure to prevent theft or misuse of medication.
Licensing—Failure to provide a system that prevents theft or misuse of medication
11 Oct 2017Inspection
11 Oct 2017Inspection
Investigated an allegation that records were not accessible. Findings indicate a violation of resident rights protections under the referenced rule.
Licensing—Failed to make facility or resident records accessible
11 Oct 2017Abuse: Neglect
11 Oct 2017Abuse: Neglect
Investigated a complaint alleging failure to follow care plan and failure to protect residents from inappropriate physical contact. Findings cited deficiencies related to these allegations.
Abuse—Failed to follow care plan
31 Jul 2017Abuse: Neglect
31 Jul 2017Abuse: Neglect
Determined that neglect related to falls was supported and supervision deficiencies were identified.
Abuse—Failed to adequately care plan related to falls
11 Jul 2017Inspection
11 Jul 2017Inspection
Investigated an allegation of failing to report potential or suspected abuse and determined the allegation occurred.
Licensing—Failed to report potential or suspected abuse
23 Jun 2017Abuse: Neglect
23 Jun 2017Abuse: Neglect
Found that residents were not protected from inappropriate interaction.
Abuse—Failed to provide safe environment
04 May 2017Abuse: Neglect
04 May 2017Abuse: Neglect
Investigated and found residents were not protected from inappropriate interaction, resulting in physical harm.
Abuse—Failed to provide safe environment
03 May 2017Inspection
03 May 2017Inspection
Found a failure to maintain a safe physical environment.
Licensing—Failed to maintain a safe physical environment
31 Mar 2017Inspection
31 Mar 2017Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
05 Mar 2017Abuse: Financial abuse
05 Mar 2017Abuse: Financial abuse
Found that the provider failed to provide an adequate medication system. This related to a financial abuse allegation.
Abuse—Failure to provide a system that prevents theft or misuse of medication
04 Mar 2017Abuse: Financial abuse
04 Mar 2017Abuse: Financial abuse
Investigated allegations of financial abuse and found that a resident was not protected from the wrongful taking of resources.
Abuse—Failed to provide safe environment
31 Jan 2017Inspection
31 Jan 2017Inspection
Investigated a complaint and found a violation for failing to protect a resident from inappropriate physical contact.
Licensing—Failed to provide safe environment
12 May 2016Abuse: Financial abuse
12 May 2016Abuse: Financial abuse
Investigated an allegation of financial abuse and found a failure to protect a resident from financial loss.
Abuse—Failed to provide safe environment
07 Jan 2016Inspection
07 Jan 2016Inspection
Investigated and found deficiencies in supervision that could jeopardize residents' safety.
Licensing—Failed to provide safe environment
06 Jan 2016Inspection
06 Jan 2016Inspection
Investigated the allegation that a qualified caregiver was not present and found that training documentation and demonstrated ability were not maintained.
Licensing—Failed to assure that a qualified caregiver was present
06 Jan 2016Inspection
06 Jan 2016Inspection
Concluded that staff failed to provide service and did not protect resident health and safety.
Licensing—Failed to provide service
03 Jan 2016Abuse: Verbal/Mental abuse
03 Jan 2016Abuse: Verbal/Mental abuse
Investigated and found that residents were not protected from verbal/mental abuse due to inappropriate interaction. This indicates a risk of harm to residents.
Abuse—Failed to protect resident from mental or emotional abuse
02 Jan 2016Abuse: Neglect
02 Jan 2016Abuse: Neglect
Investigated a report alleging abuse/neglect and found residents were not protected from inappropriate physical contact.
Abuse—Failed to provide safe environment
01 Jan 2016Inspection
01 Jan 2016Inspection
Found that residents' rights were not protected due to inappropriate interaction.
Licensing—Failed to assure resident rights
23 Dec 2015Abuse: Neglect
23 Dec 2015Abuse: Neglect
Investigated a neglect allegation and found a failure to assess and intervene related to falls; a $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
21 Dec 2015Abuse: Neglect
21 Dec 2015Abuse: Neglect
Found that a resident was not protected from inappropriate physical contact, indicating a safety failure.
Abuse—Failed to provide safe environment
28 Jul 2015Abuse: Neglect
28 Jul 2015Abuse: Neglect
Found neglect leading to moderate harm or potential for serious harm.
Abuse—Failed to provide service
27 Jul 2015Abuse: Neglect
27 Jul 2015Abuse: Neglect
Investigated and found a failure to administer medication as ordered and a lack of a safe medication administration system.
Abuse—Failed to administer medication as ordered
21 Jun 2015Abuse: Sexual abuse
21 Jun 2015Abuse: Sexual abuse
Investigated a complaint of sexual abuse and found a failure to protect residents from nonconsensual sexual contact.
Abuse—Failed to protect resident from inappropriate sexual contact
20 Jan 2015Inspection
20 Jan 2015Inspection
Investigated the complaint and found a violation related to resident rights due to inappropriate verbal comments.
Licensing—Failed to assure resident rights
20 Jan 2015Inspection
20 Jan 2015Inspection
Determined that a resident rights violation occurred due to failure to protect RV from inappropriate interactions.
Licensing—Failed to assure resident rights
19 Nov 2014Abuse: Neglect
19 Nov 2014Abuse: Neglect
Identified deficiency in screening or assessment related to an abuse/neglect allegation.
Abuse—Failed to perform adequate screening or assessment
15 Oct 2014Inspection
15 Oct 2014Inspection
Determined that supervision of residents did not meet requirements, creating risk of harm. The finding identified a deficiency related to maintaining a safe environment.
Licensing—Failed to provide safe environment
09 Oct 2014Inspection
09 Oct 2014Inspection
Investigated the allegation and found a failure to protect a resident from inappropriate verbal comments. The findings cited two rule violations.
Licensing—Failed to assure resident rights
22 Sept 2014Abuse: Neglect
22 Sept 2014Abuse: Neglect
Found that the medication system was inadequate, posing potential harm. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
20 Jun 2014Abuse: Neglect
20 Jun 2014Abuse: Neglect
Investigated and found deficiencies related to not following care plans and protecting residents from inappropriate contact.
Abuse—Failed to follow care plan
14 Apr 2014Abuse: Neglect
14 Apr 2014Abuse: Neglect
Found deficiencies related to protecting a resident from a physical altercation and failing to address the resident's behavior.
Abuse—Failed to address resident's behavior
19 Mar 2014Abuse: Neglect
19 Mar 2014Abuse: Neglect
Investigated a complaint and found failure to provide appropriate care, including not intervening when a resident's condition changed; a $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
12 Mar 2014Abuse: Neglect
12 Mar 2014Abuse: Neglect
Investigated an abuse/neglect allegation and determined that residents were not adequately protected from inappropriate interaction.
Abuse—Failed to address resident's behavior
16 Jan 2014Abuse: Financial abuse
16 Jan 2014Abuse: Financial abuse
Investigated and found that a resident's finances were not protected from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
06 Jan 2014Abuse: Neglect
06 Jan 2014Abuse: Neglect
Investigated a complaint alleging neglect and found that residents were not protected from physical harm. Violations were cited.
Abuse—Failed to provide safe environment
01 Jan 2014Abuse: Neglect
01 Jan 2014Abuse: Neglect
Investigated the neglect allegation and identified a failure to protect a resident from physical harm.
Abuse—Failed to follow care plan
28 Dec 2013Abuse: Financial abuse
28 Dec 2013Abuse: Financial abuse
Found that a resident was not protected from loss of assets.
Abuse—Failed to provide safe environment
21 Oct 2013Abuse: Neglect
21 Oct 2013Abuse: Neglect
Investigated a fall-related care planning allegation and found deficiencies in supervision.
Abuse—Failed to adequately care plan related to falls
23 Jul 2013Abuse: Neglect
23 Jul 2013Abuse: Neglect
Determined that oversight and monitoring of change of condition was not provided in relation to an allegation of neglect. A $300 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
21 Feb 2013Abuse: Neglect
21 Feb 2013Abuse: Neglect
Investigated a neglect allegation and found failure to provide appropriate care.
Abuse—Failed to provide service
20 Feb 2013Abuse: Neglect
20 Feb 2013Abuse: Neglect
Investigated an allegation that care plans were not followed and found a resident was not protected from physical harm.
Abuse—Failed to follow care plan
28 Dec 2012Inspection
28 Dec 2012Inspection
Identified a hygiene-related deficiency by not providing showers as scheduled.
Licensing—Failed to provide or assist with hygiene
28 Dec 2012Inspection
28 Dec 2012Inspection
Investigated a complaint and found a failure to provide timely medical treatment.
Licensing—Failed to assure timely medical treatment
28 Dec 2012Inspection
28 Dec 2012Inspection
Found that a resident did not receive nutrition as requested. The finding indicates a deficiency in care.
Licensing—Failed to provide service
26 Nov 2012Inspection
26 Nov 2012Inspection
Found a failure to administer ordered medication and an unsafe medication system.
Licensing—Failed to administer ordered medication
26 Oct 2012Abuse: Financial abuse
26 Oct 2012Abuse: Financial abuse
Investigated a financial abuse allegation and determined a failure to protect a resident's assets. This finding indicated a potential risk of harm from asset loss.
Abuse—Failed to provide safe environment
22 Sept 2012Abuse: Verbal/Mental abuse
22 Sept 2012Abuse: Verbal/Mental abuse
Investigated and substantiated a failure to protect the resident from emotional harm.
Abuse—Failed to protect resident from mental or emotional abuse
17 Jul 2012Inspection
17 Jul 2012Inspection
Found a licensing violation for failing to provide a safe medication administration system and inadequate services.
Licensing—Failed to provide a safe medication administration system
07 Apr 2012Abuse: Physical Abuse
07 Apr 2012Abuse: Physical Abuse
Investigated an allegation of physical abuse and found a failure to protect a resident from rough treatment and an unsafe environment.
Abuse—Failed to protect resident from rough treatment
09 Mar 2012Abuse: Restraints
09 Mar 2012Abuse: Restraints
Investigated an allegation of improper restraint use and found a violation.
Abuse—Failed to properly use restraint
09 Mar 2012Inspection
09 Mar 2012Inspection
Found deficiencies in care provision to a resident. The findings were substantiated.
Licensing—Failed to provide service
09 Mar 2012Inspection
09 Mar 2012Inspection
Determined the care plan for a resident's needs was not properly developed.
Licensing—Failed to properly plan care
14 Nov 2011Inspection
14 Nov 2011Inspection
Determined that the allegation of failing to provide a safe medication administration system was supported because there was no documentation explaining why medications were not given.
Licensing—Failed to provide a safe medication administration system
14 Nov 2011Abuse: Neglect
14 Nov 2011Abuse: Neglect
Found that the care plan was not followed for wound care, indicating neglect.
Abuse—Failed to follow care plan
13 Nov 2011Abuse: Neglect
13 Nov 2011Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
12 Oct 2011Inspection
12 Oct 2011Inspection
Investigated a medication administration issue and found an inadequate medication system that led to the wrong dosage being given.
Licensing—Failed to administer medication as ordered
08 Aug 2011Inspection
08 Aug 2011Inspection
Investigated an allegation of unsafe medication administration and found a deficiency that could lead to medication mismanagement.
Licensing—Failed to provide a safe medication administration system
04 Aug 2011Abuse: Neglect
04 Aug 2011Abuse: Neglect
Investigated an allegation of neglect and concluded that the failure to intervene when a resident's condition changed occurred. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
14 Jul 2011Abuse: Financial abuse
14 Jul 2011Abuse: Financial abuse
Found that a resident's assets were misappropriated due to failure to protect them.
Abuse—Failed to provide safe environment
03 Mar 2011Abuse: Financial abuse
03 Mar 2011Abuse: Financial abuse
Investigated a complaint alleging financial abuse and failure to provide a safe environment; found residents were not protected from misappropriation of resident property.
Abuse—Failed to provide safe environment
07 Jan 2011Inspection
07 Jan 2011Inspection
Determined that there was a failure to provide a safe and secure environment.
Licensing—Failed to provide safe environment
14 Sept 2010Abuse: Financial abuse
14 Sept 2010Abuse: Financial abuse
Investigated and found a failure to provide a safe environment protecting residents from loss of financial assets, with a $400 fine assessed.
Abuse—Failed to provide safe environment
09 Aug 2010Abuse: Neglect
09 Aug 2010Abuse: Neglect
Found failure to provide a safe environment; a neglect allegation was identified and a $300 fine was assessed.
Abuse—Failed to provide service
02 Aug 2010Abuse: Neglect
02 Aug 2010Abuse: Neglect
Investigated and found deficiencies for failing to prevent theft or misuse of medication, resulting in a $300 fine.
Abuse—Failure to provide a system that prevents theft or misuse of medication
07 Apr 2010Abuse: Neglect
07 Apr 2010Abuse: Neglect
Identified deficiencies in pain control and in the medication system.
Abuse—Failed to provide appropriate pain control
07 Apr 2010Abuse: Neglect
07 Apr 2010Abuse: Neglect
Concluded that the care plan was not followed as required, with neglect.
Abuse—Failed to follow care plan
19 Feb 2010Inspection
19 Feb 2010Inspection
Found failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
19 Feb 2010Abuse: Financial abuse
19 Feb 2010Abuse: Financial abuse
Investigated the allegation of financial exploitation and found a failure to protect a resident from theft of money and personal items.
Abuse—Failed to protect resident from financial exploitation
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