I'm very pleased with this facility: the staff and administration are attentive, friendly, and truly caring, nurses and caregivers feel like family, communication is outstanding, and therapies, mobility aids, and care coordination have noticeably improved quality of life. The building is clean and welcoming, rooms can be personalized, meals are enjoyed, and I would confidently recommend it.
Current/former resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.71·(14)
Overall rating
5
4
3
2
1
Care
5.0
Staff
5.0
Meals
5.0
Amenities
4.7
Value
4.7
Pros
Compassionate, friendly caregiving staff
Responsive and supportive management
Comprehensive care coordination
On-site therapies and mobility support
Improved resident quality of life
Strong family-focused communication
Clean, well-maintained facility
Customizable resident rooms
Pleasant, well-liked dining
Attentive med-tech and nursing support
Welcoming, homelike atmosphere
Leadership that facilitates extra-mile service
Cons
Staffing turnover and continuity gaps
Summary of reviews
Overall impression
The reviews portray Evergreen Court of Molalla as a facility that emphasizes personalized, family-focused care delivered in a clean, attractive environment. Reviewers consistently praised the staff and leadership for attentiveness, compassion, and active communication with families. Therapy and mobility support are mentioned as part of the care mix and are associated with measurable improvements in residents’ day-to-day functioning.
Care and staff
Care quality is described as strong: reviewers highlight compassionate nursing and med-tech support, deliberate care coordination, and staff who make an effort to treat residents like family. Individual caregivers and direct-care staff receive frequent praise for responsiveness and going beyond routine duties. One recurring operational concern is staff turnover; that suggests occasional continuity gaps that could affect assignment consistency and the resident–caregiver relationship over time.
Dining, activities, and resident life
Dining is a clear strength in the commentary — meals are described positively and accepted by residents. Room personalization and a welcoming atmosphere contribute to a homelike feel. While reviewers emphasize improvements in mobility and daily function related to therapies, there is limited specific commentary about the breadth or scheduling of activities programming in the available summaries.
Facilities and environment
The physical environment is repeatedly described as clean, attractive, and well maintained. Common areas and rooms appear to support personalization and comfort, and the facility’s presentation is a recurring positive theme.
Management and communication
Management and leadership are portrayed as responsive and supportive, with favorable family communication practices. Reviewers note proactive engagement from administrators and frontline supervisors, which families perceive as a contributor to overall satisfaction.
Notable patterns and decision considerations
Strengths center on compassionate frontline staff, coordinated clinical services including therapy, strong family communication, and a clean, customizable environment. The principal operational risk identified in the summaries is staffing turnover, which could affect continuity of care and the consistency of caregivers assigned to residents. Prospective residents and families should consider confirming current staffing stability and asking about continuity strategies (primary caregiver assignments, orientation for new staff, and turnover mitigation) when evaluating the community in person.
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Location
Evergreen Court of Molalla is located at 250 Kennel St, Molalla, OR, 97038.
About Evergreen Court of Molalla
Evergreen Court Of Molalla is a senior care facility located in Molalla, Oregon. Offering assisted living services, this care home provides residents with a comfortable and safe environment where they can receive the support they need while maintaining their independence. The staff at Evergreen Court Of Molalla are dedicated to providing personalized care to each resident, ensuring that their individual needs are met.
With a focus on creating a warm and welcoming atmosphere, Evergreen Court Of Molalla offers a range of amenities for residents to enjoy. From nutritious meals prepared on-site to daily activities and social events, there are plenty of opportunities for residents to stay engaged and connected with others. The care home also offers housekeeping and laundry services to make daily life easier for residents.
At Evergreen Court Of Molalla, residents can receive assistance with activities of daily living, medication management, and other healthcare needs from trained staff members. With 24-hour care available, residents and their families can have peace of mind knowing that help is always on hand. The care home also has emergency call systems in place to ensure the safety and well-being of residents at all times.
Overall, Evergreen Court Of Molalla is committed to providing high-quality care and support for seniors in a warm and inviting environment. With a focus on individualized care and attention to detail, residents can feel at home and well-cared for at this senior living facility.
People often ask...
Evergreen Court of Molalla offers competitive pricing, with rates starting at a cost of $5,630 per month.
Evergreen Court of Molalla offers assisted living and memory care.
The full address for this community is 250 Kennel St, Molalla, OR 97038.
No, Evergreen Court of Molalla does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated an allegation that appropriate housekeeping services were not provided. The allegation was verified.
Licensing—Failed to provide appropriate housekeeping services
09 Jul 2020Inspection
09 Jul 2020Inspection
Found that medications were not set up, poured, and documented by the same person who administered them.
Licensing—Failed to provide a safe medication administration system
09 Jul 2020Inspection
09 Jul 2020Inspection
Investigated and found that medication orders were not followed as prescribed.
Licensing—Failed to administer medication as ordered
09 Jul 2020Inspection
09 Jul 2020Inspection
Investigated an allegation of unsafe medication administration and substantiated a failure to provide a safe medication system.
Licensing—Failed to provide a safe medication administration system
23 Jun 2020Inspection
23 Jun 2020Inspection
Found insufficient staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
12 Jun 2020Inspection
12 Jun 2020Inspection
Found insufficient staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide service
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated found that procedures for managing residents' personal funds were not consistently followed, leaving about $380 unaccounted and exposing a resident to financial exploitation and neglect.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated a complaint and found that procedures for managing residents' personal funds were not always followed, leaving about $100 unaccounted for and constituting abuse from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Determined that procedures to manage residents' personal funds weren't always followed, leading to unaccounted funds and financial exploitation.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated an allegation of neglect and financial exploitation and concluded that unaccounted funds resulted from a staff member's handling of resident funds, constituting abuse.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated allegations of financial exploitation. Concluded procedures for managing a resident's personal funds were not consistently followed, causing about $180 to be unaccounted for and neglect.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated and determined that procedures for managing resident personal funds existed but were not consistently followed, resulting in about $200 unaccounted for and constituting financial exploitation and neglect.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated allegations of financial exploitation and found that personal funds procedures were not consistently followed, leaving about $280 unaccounted for and constituting abuse.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Found procedures for managing residents' incidental funds were not consistently followed, resulting in unaccounted funds and financial exploitation that constituted abuse and neglect.
Abuse—Failed to protect resident from financial exploitation
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated the financial exploitation complaint and found that procedures for managing resident funds were not consistently followed, leaving about $3.35 unaccounted for and constituting neglect.
Abuse—Failed to protect resident from financial exploitation
30 May 2020Abuse: Neglect
30 May 2020Abuse: Neglect
Investigated found that supervision failed to follow the care plan, resulting in neglect and abuse when a resident was found outside unsupervised with injuries after a fall.
Abuse—Failed to follow care plan
28 May 2020Abuse: Neglect
28 May 2020Abuse: Neglect
Found that a resident's valuables were not safeguarded due to lack of a lockable storage unit, constituting neglect and abuse.
Abuse—Failed to provide safe environment
27 May 2020Abuse: Neglect
27 May 2020Abuse: Neglect
Investigated an allegation of abuse and neglect and found a failure to provide a safe environment and to care plan according to the resident's history. The findings cited violations of multiple rule requirements.
Abuse—Failed to provide safe environment
26 May 2020Abuse: Neglect
26 May 2020Abuse: Neglect
Investigated a medication refusal incident and found violations related to medication administration safety and resident rights, including neglect and abuse.
Abuse—Failed to provide a safe medication administration system
13 May 2020Inspection
13 May 2020Inspection
Found that interior and exterior materials, surfaces, and equipment were not kept clean and in good repair.
Licensing—Failed to provide safe environment
13 May 2020Inspection
13 May 2020Inspection
Concluded that a safety-related deficiency occurred due to failure to exercise reasonable precautions.
Licensing—Failed to assure resident was safe
07 May 2020Inspection
07 May 2020Inspection
Investigated a complaint and found a failure to observe and evaluate the individual's ability to perform safe medication administration unsupervised.
Licensing—Failed to provide a safe medication administration system
07 May 2020Inspection
07 May 2020Inspection
Identified a deficiency in having an approved system to track controlled substances.
Licensing—Failed to provide a safe medication administration system
07 May 2020Inspection
07 May 2020Inspection
Found insufficient staff to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide service
07 May 2020Inspection
07 May 2020Inspection
Found a licensing violation for not including hydration in daily meals.
Licensing—Failed to assure proper hydration
07 May 2020Inspection
07 May 2020Inspection
Found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
29 Apr 2020Inspection
29 Apr 2020Inspection
Confirmed the infection-control allegation; found failure to provide reasonable precautions that may threaten residents' health, safety or welfare.
Licensing—Failed to provide infection control
29 Apr 2020Inspection
29 Apr 2020Inspection
Confirmed a license violation for failing to provide a safe environment.
Licensing—Failed to provide safe environment
27 Apr 2020Inspection
27 Apr 2020Inspection
Found that medication orders were not followed as prescribed.
Licensing—Failed to administer medication as ordered
23 Apr 2020Inspection
23 Apr 2020Inspection
Found that staff were not oriented to the resident and the resident's service plan as required.
Licensing—Failed to properly plan care
23 Apr 2020Abuse: Neglect
23 Apr 2020Abuse: Neglect
Investigated and found neglect and abuse related to incorrect insulin administration, with a resident requiring hospital observation, and identified a deficient safe medication administration system amid understaffing.
Abuse—Failed to administer medication as ordered
13 Apr 2020Abuse: Neglect
13 Apr 2020Abuse: Neglect
Investigated a report of sexual contact between residents; found failures to provide a safe environment and to follow a temporary care plan, resulting in emotional harm and risk of serious harm.
Abuse—Failed to provide safe environment
11 Apr 2020Abuse: Neglect
11 Apr 2020Abuse: Neglect
Determined that a safe medication administration system was not provided and narcotic medications were administered after discontinuation, constituting abuse and neglect.
Abuse—Failed to provide a safe medication administration system
16 Mar 2020Inspection
16 Mar 2020Inspection
Investigated an allegation and found that written, signed orders for medications were not documented for all medications administered.
Licensing—Failed to obtain medication order
21 Feb 2020License Condition
21 Feb 2020License Condition
Cited multiple rule violations for failing to provide a safe environment.
Regulatory Action—Failed to provide safe environment
19 Feb 2020Abuse: Neglect
19 Feb 2020Abuse: Neglect
Found abuse and neglect involving verbal/emotional abuse during toileting care and insufficient staffing and care planning to meet a resident's needs.
Abuse—Failed to protect resident from mental or emotional abuse
14 Feb 2020Inspection
14 Feb 2020Inspection
Investigated a licensing allegation and found staff did not document non-pharmacological interventions before administering PRN psychoactive medications.
Licensing—Failed to provide a safe medication administration system
14 Feb 2020Inspection
14 Feb 2020Inspection
Found that residents' rights were not assured and the living environment was not safe or homelike.
Licensing—Failed to assure resident rights
12 Feb 2020Inspection
12 Feb 2020Inspection
Investigated a staffing allegation and determined that it was verified.
Licensing—Failed to provide appropriate staffing
12 Feb 2020Inspection
12 Feb 2020Inspection
Investigated and found that medication was not administered as ordered.
Licensing—Failed to hire according to administrative rules
12 Feb 2020Inspection
12 Feb 2020Inspection
Determined that oversight and monitoring of change of condition was not adequately provided.
Licensing—Failed to provide oversight and monitoring of change of condition
12 Feb 2020Inspection
12 Feb 2020Inspection
Investigated and determined that there was a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
12 Feb 2020Inspection
12 Feb 2020Inspection
Identified a licensing violation for failing to maintain a safe physical environment. Classified as Level 1 (no harm or potential for minor harm).
Licensing—Failed to maintain a safe physical environment
12 Feb 2020Inspection
12 Feb 2020Inspection
Concluded that the allegation regarding failure to assure food safety was verified.
Licensing—Failed to assure food safety
12 Feb 2020Inspection
12 Feb 2020Inspection
Investigated the allegation that a qualified caregiver was not present and verified it.
Licensing—Failed to assure a qualified caregiver was present
12 Feb 2020Inspection
12 Feb 2020Inspection
Found that a resident's record was not kept current or accurate. The finding indicates a licensing violation.
Licensing—Failed to keep resident record current or accurate
06 Feb 2020Inspection
06 Feb 2020Inspection
Found that there was no training program to determine direct care staff competency through evaluation, observation, or written testing.
Licensing—Failed to maintain a safe physical environment
06 Feb 2020Inspection
06 Feb 2020Inspection
Found a deficiency in the soiled laundry process.
Licensing—Failed to provide appropriate housekeeping services
06 Feb 2020Inspection
06 Feb 2020Inspection
Confirmed insufficient direct care staffing to meet residents' scheduled and unscheduled needs under applicable staffing requirements.
Licensing—Failed to provide appropriate staffing
28 Jan 2020Inspection
28 Jan 2020Inspection
Investigated the allegation of failing to report potential or suspected abuse and found that policies and procedures for incident response were not in place.
Licensing—Failed to report potential or suspected abuse
28 Jan 2020Inspection
28 Jan 2020Inspection
Found that services were not updated in service plans to ensure the implementation of required care, risking resident safety.
Licensing—Failed to assure resident was safe
16 Dec 2019Abuse: Neglect
16 Dec 2019Abuse: Neglect
Investigated and found substantiated neglect and abuse where a fall-risk resident suffered injuries after failing to plan or implement fall-prevention measures.
Abuse—Failed to provide safe environment
10 Dec 2019Abuse: Neglect
10 Dec 2019Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
25 Jul 2019Abuse: Neglect
25 Jul 2019Abuse: Neglect
Found neglect due to improper transfer method that caused a noninjury fall; a fine was assessed.
Abuse—Failed to properly plan care
28 Jun 2019Abuse: Neglect
28 Jun 2019Abuse: Neglect
Investigated a neglect allegation and found that a resident with a known history of falls did not receive appropriate interventions, leading to four falls and a fracture.
Abuse—Failed to properly plan care
06 Jun 2019Abuse: Neglect
06 Jun 2019Abuse: Neglect
Concluded neglect occurred by failing to provide a safe environment, resulting in emotional harm. A fine of $1,125 was assessed.
Abuse—Failed to provide safe environment
24 May 2019Abuse: Neglect
24 May 2019Abuse: Neglect
Investigated the allegation and found neglect by failing to address resident behaviors, leading to multiple altercations with residents and staff.
Abuse—Failed to properly plan care
29 Apr 2019Inspection
29 Apr 2019Inspection
Investigated the complaint alleging failure to provide a safe medication administration system. Found a violation of medication safety requirements.
Licensing—Failed to provide a safe medication administration system
22 Mar 2019Inspection
22 Mar 2019Inspection
Investigated a pest-related complaint and found failure to prevent pest entry, with ants observed in residents' rooms.
Licensing—Failed to control pests
14 Mar 2019Abuse: Neglect
14 Mar 2019Abuse: Neglect
Investigated a neglect allegation and found that basic services necessary to maintain health and safety were not provided, resulting in death. A 1,500 fine was assessed.
Abuse—Failed to follow care plan
14 Mar 2019Inspection
14 Mar 2019Inspection
Investigated and found failure to report suspected abuse. A $1,000 penalty was assessed.
Licensing—Failed to report potential or suspected abuse
08 Mar 2019Inspection
08 Mar 2019Inspection
Found insufficient care staff to meet residents' 24-hour needs, leading to residents waiting too long for assistance.
Licensing—Failed to provide appropriate staffing
21 Feb 2019Inspection
21 Feb 2019Inspection
Found that suspected abuse was not reported, and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
21 Feb 2019Abuse: Neglect
21 Feb 2019Abuse: Neglect
Found neglect for failing to monitor staff tasks that allowed medication to be stolen, and a $250 fine was assessed.
Abuse—Failure to provide a system that prevents theft or misuse of medication
18 Jan 2019Abuse: Neglect
18 Jan 2019Abuse: Neglect
Found a failure to adequately plan care related to falls that jeopardized health and safety, and a fine was assessed.
Abuse—Failed to adequately care plan related to falls
28 Nov 2018Inspection
28 Nov 2018Inspection
Determined that a safe environment was not provided. The finding indicates a failure to maintain substantial compliance.
Licensing—Failed to provide safe environment
17 Nov 2018Inspection
17 Nov 2018Inspection
Found a failure to provide a safe environment that allowed an individual to elope, creating risk of serious harm.
Licensing—Failed to provide safe environment
19 Sept 2018Inspection
19 Sept 2018Inspection
Investigated the complaint and found that medication records were not accurate. The finding cited an inaccurate MAR in violation of a state rule.
Licensing—Failed to keep medication record current or accurate
07 Sept 2018Abuse: Neglect
07 Sept 2018Abuse: Neglect
Investigated a falls-related care plan allegation and found neglect, resulting in a $375 fine.
Abuse—Failed to adequately care plan related to falls
25 May 2018Abuse: Neglect
25 May 2018Abuse: Neglect
Found a failure to follow the care plan that led to a resident to resident altercation; a $375 fine was assessed.
Abuse—Failed to provide safe environment
11 May 2018Abuse: Neglect
11 May 2018Abuse: Neglect
Found that staff failed to administer medications to three residents as ordered, resulting in harm, and a fine was assessed.
Abuse—Failed to provide a safe medication administration system
03 May 2018Inspection
03 May 2018Inspection
Determined that staffing requirements were not met, with insufficient staff on multiple shifts according to LOA.
Licensing—Failed to provide appropriate staffing
19 Mar 2018Inspection
19 Mar 2018Inspection
Found failure to follow the care plan resulting in harm, and a fine was assessed.
Licensing—Failed to follow care plan
08 Mar 2018Abuse: Neglect
08 Mar 2018Abuse: Neglect
Concluded the allegation of failing to provide a safe environment.
Abuse—Failed to provide safe environment
06 Mar 2018Inspection
06 Mar 2018Inspection
Identified a deficiency in the safe medication administration system based on an allegation that medication aides do not visually observe residents take medications.
Licensing—Failed to provide a safe medication administration system
17 Feb 2018Abuse: Neglect
17 Feb 2018Abuse: Neglect
Investigated and found a failure to assess and intervene, resulting in a resident-to-resident altercation with injury; a sanction was assessed with no monetary fine.
Abuse—Failed to provide safe environment
17 Feb 2018Abuse: Neglect
17 Feb 2018Abuse: Neglect
Investigated and found a failure to assess and intervene, resulting in a resident-to-resident altercation with injury; a $1000 fine was assessed.
Abuse—Failed to provide safe environment
08 Feb 2018Abuse: Neglect
08 Feb 2018Abuse: Neglect
Investigated an allegation of unsafe environment and found a failure to properly assess and intervene, leading to a resident-to-resident physical altercation; a $375 fine was assessed.
Abuse—Failed to provide safe environment
05 Feb 2018Inspection
05 Feb 2018Inspection
Investigated the allegation that a safe environment was not provided and found a failure to report a resident elopement, resulting in harm.
Licensing—Failed to provide safe environment
01 Feb 2018Inspection
01 Feb 2018Inspection
Found the allegation of failing to investigate injury of unknown origin to rule out abuse substantiated.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
18 Dec 2017Abuse: Neglect
18 Dec 2017Abuse: Neglect
Investigated a care plan violation and found it resulted in a fall with injury.
Abuse—Failed to follow care plan
13 Dec 2017Inspection
13 Dec 2017Inspection
Concluded that staffing levels were not adequate.
Licensing—Failed to provide appropriate staffing
23 Nov 2017Abuse: Neglect
23 Nov 2017Abuse: Neglect
Found failure to provide a safe environment, resulting in two resident to resident altercations.
Abuse—Failed to provide safe environment
22 Nov 2017Abuse: Neglect
22 Nov 2017Abuse: Neglect
Investigated the neglect allegation and found staff failed to follow resident care plans, resulting in two injury falls.
Abuse—Failed to provide safe environment
06 Nov 2017Inspection
06 Nov 2017Inspection
Investigated an allegation of failing to hire according to administrative rules and identified a licensing violation.
Licensing—Failed to hire according to administrative rules
26 Oct 2017Inspection
26 Oct 2017Inspection
Found a staffing deficiency after investigating a claim of insufficient staffing.
Licensing—Failed to provide appropriate staffing
26 Oct 2017Inspection
26 Oct 2017Inspection
Investigated and found that a qualified caregiver was not present.
Licensing—Failed to assure that a qualified caregiver was present
26 Oct 2017Inspection
26 Oct 2017Inspection
Investigated the complaint and found failure to provide service.
Licensing—Failed to provide service
24 Oct 2017Inspection
24 Oct 2017Inspection
Investigated an allegation of insufficient staffing and found a staffing deficiency.
Licensing—Failed to provide appropriate staffing
05 Oct 2017Inspection
05 Oct 2017Inspection
Investigated an allegation that a call light was not answered promptly and identified a deficiency.
Licensing—Failed to answer call light in a timely manner
05 Oct 2017Inspection
05 Oct 2017Inspection
Found that medication was not administered as ordered. The level 1 finding indicated no harm or potential for minor harm.
Licensing—Failed to administer medication as ordered
05 Oct 2017Inspection
05 Oct 2017Inspection
Concluded that appropriate housekeeping services were not provided.
Licensing—Failed to provide appropriate housekeeping services
05 Oct 2017Inspection
05 Oct 2017Inspection
Investigated an allegation of failing to provide or assist with hygiene and sustained the finding.
Licensing—Failed to provide or assist with hygiene
04 Oct 2017Inspection
04 Oct 2017Inspection
Investigated the staffing allegation and found a staffing deficiency.
Licensing—Failed to provide appropriate staffing
04 Oct 2017Inspection
04 Oct 2017Inspection
Investigated the allegation of an unsafe medication administration system and determined there was a violation.
Licensing—Failed to provide a safe medication administration system
04 Oct 2017Inspection
04 Oct 2017Inspection
Found a hygiene deficiency after investigation. The finding noted failure to provide or assist with hygiene.
Licensing—Failed to provide or assist with hygiene
03 Oct 2017Inspection
03 Oct 2017Inspection
Investigated a complaint and found failure to provide a safe environment.
Licensing—Failed to provide safe environment
03 Oct 2017Inspection
03 Oct 2017Inspection
Concluded that the allegation of failing to provide appropriate staffing was substantiated.
Licensing—Failed to provide appropriate staffing
22 Sept 2017Abuse: Neglect
22 Sept 2017Abuse: Neglect
Investigated a report of unsafe medication administration and found that medications were not administered as ordered, resulting in hospitalization.
Abuse—Failed to provide a safe medication administration system
20 Aug 2017Abuse: Neglect
20 Aug 2017Abuse: Neglect
Identified a failure to appropriately assess and intervene after a resident fall.
Abuse—Failed to provide safe environment
19 Aug 2017Abuse: Neglect
19 Aug 2017Abuse: Neglect
Found a failure to provide a safe environment, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
12 Jul 2017Inspection
12 Jul 2017Inspection
Investigated a complaint and identified violations of food sanitation rules due to a dishwasher door that does not stay closed, and temperatures being too hot in the oven, fridge, and storage area.
Licensing—Failed to provide sanitary food service conditions
12 Jul 2017Inspection
12 Jul 2017Inspection
Found that the provider lacked a training program with a method to determine performance capability through demonstration and evaluation.
Licensing—Failed to assure that a qualified caregiver was present
23 Jun 2017Abuse: Neglect
23 Jun 2017Abuse: Neglect
Found a deficiency for failing to provide a safe environment, which led to an altercation between residents; a $250 fine was assessed.
Abuse—Failed to provide safe environment
12 Jun 2017Inspection
12 Jun 2017Inspection
Found insufficient direct care staffing to meet 24-hour needs, with only 1 CG and 1 MA for 40 residents.
Licensing—Failed to provide appropriate staffing
11 Apr 2017Abuse: Neglect
11 Apr 2017Abuse: Neglect
Found neglect resulting in physical harm due to failure to provide appropriate care; a $300 fine was assessed.
Abuse—Failed to provide service
29 Mar 2017Inspection
29 Mar 2017Inspection
Investigated a complaint and found that policies and procedures to prevent and respond to abuse were not in place.
Licensing—Failed to provide service
29 Mar 2017Inspection
29 Mar 2017Inspection
Found insufficient professional oversight of the medication and treatment administration system due to inaccurate narcotic counts.
Licensing—Failed to keep medication record current or accurate
23 Mar 2017Abuse: Neglect
23 Mar 2017Abuse: Neglect
Found a failure to provide a safe environment that led to a fall with injury requiring hospitalization.
Abuse—Failed to follow care plan
19 Mar 2017Abuse: Neglect
19 Mar 2017Abuse: Neglect
Found that care plan was not followed, resulting in harm, and a $300 fine was assessed.
Abuse—Failed to follow care plan
13 Mar 2017Inspection
13 Mar 2017Inspection
Investigated and identified a failure to provide a secure environment, resulting in a resident-to-resident altercation.
Licensing—Failed to provide safe environment
07 Mar 2017Abuse: Neglect
07 Mar 2017Abuse: Neglect
Found a neglect violation for failing to follow the care plan, which resulted in a fall.
Abuse—Failed to follow care plan
05 Mar 2017Abuse: Neglect
05 Mar 2017Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment that led to a resident-to-resident altercation.
Abuse—Failed to provide safe environment
08 Feb 2017Inspection
08 Feb 2017Inspection
Investigated and found a violation for not administering medications as ordered; residents reportedly ran out of medication for several days.
Licensing—Failed to administer medication as ordered
27 Jan 2017Inspection
27 Jan 2017Inspection
Investigated the allegation and found a deficiency for failing to assess and intervene, resulting in a resident-to-resident altercation.
Licensing—Failed to provide safe environment
25 Jan 2017Abuse: Neglect
25 Jan 2017Abuse: Neglect
Found a neglect allegation sustained and a failure to assess and intervene that led to multiple resident falls.
Abuse—Failed to perform adequate screening or assessment
20 Jan 2017Inspection
20 Jan 2017Inspection
Investigated a complaint and found a failure to provide a safe environment resulting in elopement.
Licensing—Failed to provide safe environment
19 Jan 2017Abuse: Neglect
19 Jan 2017Abuse: Neglect
Investigated the allegation of medication misadministration and found failures to administer medication as ordered and to maintain an adequate medication system.
Abuse—Failed to administer medication as ordered
09 Jan 2017Abuse: Neglect
09 Jan 2017Abuse: Neglect
Investigated an abuse/neglect allegation and found failure to assess and intervene, resulting in harm.
Abuse—Failed to intervene when resident's condition changed
30 Dec 2016Inspection
30 Dec 2016Inspection
Concluded that the allegation of failing to self-report or investigate an injury of unknown origin to rule out abuse was sustained.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
30 Dec 2016Inspection
30 Dec 2016Inspection
Found a safety deficiency resulting in a residentto resident altercation.
Licensing—Failed to provide safe environment
27 Sept 2016Inspection
27 Sept 2016Inspection
Found a failure to provide a secure environment resulting in an elopement.
Licensing—Failed to provide safe environment
19 Sept 2016Inspection
19 Sept 2016Inspection
Investigated a licensing allegation and found that individuals with dementia were admitted without adequate screening or assessment, contrary to memory care admission requirements.
Licensing—Failed to perform adequate screening or assessment
29 Aug 2016Inspection
29 Aug 2016Inspection
Found insufficient direct care staffing to meet residents' 24-hour needs.
Licensing—Failed to provide appropriate staffing
22 Aug 2016Abuse: Neglect
22 Aug 2016Abuse: Neglect
Investigated an allegation of neglect and found a safety deficiency.
Abuse—Failed to follow care plan
22 Aug 2016Abuse: Neglect
22 Aug 2016Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to follow the care plan that resulted in an injury from a fall.
Abuse—Failed to follow care plan
17 Aug 2016Inspection
17 Aug 2016Inspection
Identified a licensing violation for failing to provide a safe environment and assessed a $200 civil penalty.
Licensing—Failed to provide safe environment
04 Aug 2016Inspection
04 Aug 2016Inspection
Investigated a staffing complaint and found insufficient direct care staff to meet 24-hour needs, with long wait times for assistance.
Licensing—Failed to provide appropriate staffing
18 Jun 2016Inspection
18 Jun 2016Inspection
Found a safety deficiency due to failure to provide a safe environment.
Licensing—Failed to follow care plan
05 May 2016Inspection
05 May 2016Inspection
Found that scheduled medications were not provided.
Licensing—Failed to provide a safe medication administration system
20 Jan 2016Inspection
20 Jan 2016Inspection
Found failure to provide a homelike environment.
Licensing—Failed to provide a homelike environment
19 Jan 2016Inspection
19 Jan 2016Inspection
Concluded that timely medical treatment was not assured, and appropriate care was not provided.
Licensing—Failed to assure timely medical treatment
14 Jan 2016Inspection
14 Jan 2016Inspection
Investigated an allegation of unsafe environment and found inadequate supervision that led to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
09 Jan 2016Inspection
09 Jan 2016Inspection
Found failure to follow the care plan that resulted in falls.
Licensing—Failed to follow care plan
05 Jan 2016Abuse: Neglect
05 Jan 2016Abuse: Neglect
Concluded that a safe environment was not provided.
Abuse—Failed to provide safe environment
22 Dec 2015Inspection
22 Dec 2015Inspection
Investigated an allegation that residents without a dementia diagnosis were admitted to memory care. Found the admission practice did not comply with a required dementia-diagnosis screening rule.
Licensing—Failed to perform adequate screening or assessment
13 Nov 2015Inspection
13 Nov 2015Inspection
Investigated a complaint alleging failure to provide a safe medication administration system; found the medication system was not adequately maintained.
Licensing—Failed to provide a safe medication administration system
13 Nov 2015Abuse: Neglect
13 Nov 2015Abuse: Neglect
Investigated neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
12 Nov 2015Inspection
12 Nov 2015Inspection
Found a failure to maintain an adequate medication system.
Licensing—Failed to provide a safe medication administration system
12 Nov 2015Abuse: Neglect
12 Nov 2015Abuse: Neglect
Investigated and determined that a safe environment was not provided.
Abuse—Failed to provide safe environment
30 Sept 2015Inspection
30 Sept 2015Inspection
Found insufficient staffing to meet residents' 24-hour needs.
Licensing—Failed to provide appropriate staffing
30 Sept 2015Inspection
30 Sept 2015Inspection
Investigated a licensing concern about medication administration safety and found that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
18 Sept 2015Inspection
18 Sept 2015Inspection
Investigated a complaint and identified a failure to administer medications as ordered, in violation of medication and treatment orders.
Licensing—Failed to administer medication as ordered
18 Sept 2015Inspection
18 Sept 2015Inspection
Identified insufficient staffing to meet residents' needs 24 hours a day. This violated staffing requirements.
Licensing—Failed to provide appropriate staffing
13 Jul 2015Inspection
13 Jul 2015Inspection
Found inadequate supervision due to failure to follow care plan.
Licensing—Failed to follow care plan
09 May 2015Inspection
09 May 2015Inspection
Investigated and substantiated a deficiency for failing to keep the environment safe, which led to resident-to-resident altercations without injuries.
Licensing—Failed to provide safe environment
23 Mar 2015Abuse: Neglect
23 Mar 2015Abuse: Neglect
Found neglect involving failure to follow the care plan and provide adequate medical care.
Abuse—Failed to follow care plan
14 Feb 2015Abuse: Neglect
14 Feb 2015Abuse: Neglect
Found a failure to properly plan care that created an unsafe environment and caused injury to a resident.
Abuse—Failed to properly plan care
25 Jan 2015Abuse: Verbal/Mental abuse
25 Jan 2015Abuse: Verbal/Mental abuse
Determined that verbal/mental abuse occurred and a resident was not protected from mental or emotional harm. Findings showed residents were not treated with dignity and respect.
Abuse—Failed to protect resident from mental or emotional abuse
20 Jan 2015Inspection
20 Jan 2015Inspection
Investigated the allegation and found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
11 Jan 2015Abuse: Verbal/Mental abuse
11 Jan 2015Abuse: Verbal/Mental abuse
Investigated and found emotional abuse; a caregiver yelled at a resident and called them derogatory names during a conflict.
Abuse—Failed to protect resident from mental or emotional abuse
22 Dec 2014Abuse: Neglect
22 Dec 2014Abuse: Neglect
Investigated a neglect allegation and determined a resident was not provided a safe environment.
Abuse—Failed to follow care plan
17 Dec 2014Inspection
17 Dec 2014Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
04 Nov 2014Abuse: Neglect
04 Nov 2014Abuse: Neglect
Identified a deficiency for failing to provide a system that prevents theft or misuse of medication. The finding notes potential for theft due to unsafe conditions.
Abuse—Failure to provide a system that prevents theft or misuse of medication
23 Jul 2014Abuse: Physical Abuse
23 Jul 2014Abuse: Physical Abuse
Investigated a complaint and found that a resident was not protected from rough treatment.
Abuse—Failed to protect resident from rough treatment
09 Jun 2014Abuse: Neglect
09 Jun 2014Abuse: Neglect
Investigated an allegation of neglect and found failure to assess and intervene promptly when a resident's condition changed, resulting in a $300 fine.
Abuse—Failed to intervene when resident's condition changed
09 Jun 2014Abuse: Financial abuse
09 Jun 2014Abuse: Financial abuse
Found that a secure environment was not provided.
Abuse—Failed to provide safe environment
02 Feb 2014Abuse: Neglect
02 Feb 2014Abuse: Neglect
Found deficiencies in timely assessment and intervention in medical treatment. This indicated neglect with potential for harm.
Abuse—Failed to assure timely medical treatment
14 Dec 2013Abuse: Neglect
14 Dec 2013Abuse: Neglect
Investigated an allegation of abuse and neglect and found an unsafe environment that resulted in an ankle fracture.
Abuse—Failed to properly plan care
07 Nov 2013Abuse: Neglect
07 Nov 2013Abuse: Neglect
Investigated the allegation of failing to provide a safe environment and determined that this occurred. Found multiple citations at relicensure survey.
Abuse—Failed to provide safe environment
04 Nov 2013Inspection
04 Nov 2013Inspection
Found that a resident was not treated with respect and dignity. The finding related to a resident rights violation.
Licensing—Failed to assure resident rights
30 Sept 2013Abuse: Neglect
30 Sept 2013Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in a resident not receiving medications as prescribed.
Abuse—Failed to provide a safe medication administration system
26 Aug 2013Abuse: Sexual abuse
26 Aug 2013Abuse: Sexual abuse
Investigated a sexual abuse allegation and found a failure to provide a safe environment, resulting in a $2,500 fine.
Abuse—Failed to address resident's behavior
02 Jul 2013Abuse: Financial abuse
02 Jul 2013Abuse: Financial abuse
Investigated an allegation of financial abuse and found that a safe environment was not provided, which allowed theft of checks from residents.
Abuse—Failed to provide safe environment
01 Jul 2013Abuse: Financial abuse
01 Jul 2013Abuse: Financial abuse
Investigated the financial abuse allegation and found a failure to provide a safe environment, resulting in theft of narcotic medications.
Abuse—Failed to provide safe environment
16 May 2013Abuse: Neglect
16 May 2013Abuse: Neglect
Investigated and found failure to provide basic care, including not assisting with dressing or grooming.
Abuse—Failed to assist with dressing or grooming
14 Oct 2012Inspection
14 Oct 2012Inspection
Investigated a resident rights allegation and found a deficiency related to treating residents with respect and dignity. The finding was substantiated.
Licensing—Failed to assure resident rights
13 Apr 2012Abuse: Financial abuse
13 Apr 2012Abuse: Financial abuse
Investigated the allegation of an unsafe environment and found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
02 Mar 2012Abuse: Financial abuse
02 Mar 2012Abuse: Financial abuse
Identified a failure to provide a secure environment resulting in narcotics theft from a resident's room, tied to a financial abuse allegation.
Abuse—Failed to provide safe environment
19 Aug 2011Abuse: Neglect
19 Aug 2011Abuse: Neglect
Investigated the allegation of inadequate screening or assessment and found noncompliance with applicable screening/assessment requirements.
Abuse—Failed to perform adequate screening or assessment
01 Aug 2011Inspection
01 Aug 2011Inspection
Investigated a resident-rights allegation and found a deficiency for failing to protect a resident from inappropriate verbal comments.
Licensing—Failed to assure resident rights
01 Jun 2011Abuse: Financial abuse
01 Jun 2011Abuse: Financial abuse
Found absence of a safe medication administration system, which allowed theft of narcotics.
Abuse—Failure to provide a system that prevents theft or misuse of medication
02 May 2011Inspection
02 May 2011Inspection
Found that a resident was not protected from rough treatment.
Licensing—Failed to protect resident from rough treatment
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