I toured this renovated, immaculate community and felt immediately at ease. The right-sized studio, bright dining and gathering areas, and delicious three meals a day paired with plentiful activities - bingo, crafts, movie nights and regular shopping outings - keep residents engaged. Staff are friendly, professional and genuinely caring; leadership communicates well and memory-care residents are included with dignity. Overall a comfortable, safe, family-like place that provides excellent value.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Spa
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.84·(49)
Overall rating
5
4
3
2
1
Care
3.9
Staff
4.0
Meals
4.3
Amenities
4.2
Value
3.5
Pros
clean, well‑maintained interiors
friendly, compassionate staff
resident‑centered memory care
dignified, respectful care
close‑knit, small‑community atmosphere
attractive country‑style setting
spacious, right‑sized studio apartments
varied on‑site activity program
regular outings for shopping and movies
engaging special events (movie nights, tournaments)
delicious, diverse meal offerings
convenient, accessible location
competitive and affordable pricing
strong emergency and pandemic communication
Cons
inconsistent sanitation standards across the community
variable staffing levels and attentiveness
gaps in clinical‑response processes
workplace culture and supervisory communication concerns
management consistency and professionalism issues
unclear activity scheduling and program consistency
single‑elevator building layout
prolonged renovation disruptions
high overall pricing relative to expectations
Summary of reviews
Pheasant Pointe presents as a well‑appointed community with many positive elements that appeal to families seeking a small‑community, resident‑focused environment. Common strengths include a welcoming, country‑style atmosphere, spacious studio apartments, and generally tidy public spaces. The dining program receives favorable comments for taste and variety, and the facility's location and competitive pricing are noted as practical advantages.
Staff are frequently described as friendly, compassionate, and attentive; reviewers emphasize instances of staff going beyond basic duties, strong teamwork, and supportive end‑of‑life attention. Memory care is highlighted for inclusive activities and dignity‑focused approaches. Communication during high‑stress events such as Covid and wildfire evacuations was also praised, suggesting effective emergency protocols in some situations.
At the same time, reviewers describe operational weaknesses that prospective families should investigate. Staffing consistency and attentiveness are uneven in practice: examples include distractions while on duty and periods of understaffing that can affect routine care and timely medical attention. Relatedly, a few accounts point to gaps in clinical‑response processes for emergent health concerns. There are also comments indicating variability in cleanliness between areas and units, and ongoing renovation work has been a source of prolonged disruption.
Management impressions are mixed. Several reviewers commend the executive leadership and instances of strong, compassionate management; others express concerns about supervisory consistency, staff‑management communication, and professional conduct. One reviewer referenced an allegation of staff misconduct followed by personnel changes — a matter families will likely want to clarify directly with management and regulatory records. Activity offerings are generally robust and engaging, but some families found program schedules or staffing for activities inconsistent.
In summary, Pheasant Pointe shows many attributes desirable in a senior living community — personable staff, active programming, appetizing meals, and a pleasant setting — combined with some operational variability that can affect individual experiences. Recommended next steps for families: schedule an extended visit during a mealtime and an activity, ask about current staffing ratios and clinical response protocols, confirm renovation timelines and elevator access implications, and review sample contracts and billing to reconcile price versus offered services.
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Location
Pheasant Pointe by Cogir is located at 835 E Main St, Molalla, OR, 97038.
About Pheasant Pointe by Cogir
Pheasant Pointe by Cogir offers assisted living, memory care, independent living, and some nursing home options all in one place, and the staff work around the clock to make sure everyone stays safe and feels supported, and they take time to get to know each person by making personalized care plans so residents get the help they need, whether that's support with bathing, dressing, medication, or just reminders about daily activities like grooming or getting to meals. The community puts a lot of effort into building connections, and there are many activities to keep folks engaged, from art classes, music therapy, and gardening, to games like Bridge, Texas Hold'em, and Wii bowling, plus outings and day trips planned by both residents and staff. They've got a full schedule, including stretching classes, Tai Chi, yoga, intergenerational programs, educational lectures, and even karaoke, so there's always something going on for people to join. Folks who enjoy their independence can join the community without having to worry about the chores of home ownership, since services like housekeeping, laundry, and maintenance are provided, and there's help with transportation for medical appointments, shopping, or group outings, which makes things a lot easier.
A special focus at Pheasant Pointe lies in their memory care section, which sits in its own secured building and uses the Spark™ and Revere℠ Memory Care programs that help support residents with Alzheimer's and dementia, and these programs use relationship-based care, memory-enhancing activities, and technology like alarmed bracelets, so folks who might wander are safe but can still participate in daily life. Staff are trained to work with people who have behavioral challenges or are at risk for elopement, and the building is set up to help with that, so family members can feel more at ease. Residents also get plenty of choices when it comes to food, with three meals served each day in a restaurant-style dining room, private dining options for special occasions, menus tailored for people with diabetes or specific dietary needs, and even a chef who uses fresh, seasonal ingredients, which folks seem to appreciate. The facility itself is spacious and comfortable, with stylish interiors, private apartments with air conditioning and kitchenettes, common areas like game rooms, fitness rooms, dining rooms, computer centers, gardens, and both indoor and outdoor spaces for socializing or quiet time, and pets like cats and dogs are welcome, which helps it feel more like home for many.
Residents can stay active and involved thanks to a full-time activity director, who oversees programs like the Melody & Masterpiece art studio, Forever Fit fitness classes, and even virtual experiences that people can watch or take part in. People who need extra help can count on staff for standby and transfer support, with specially trained caregivers for one- or two-person assists and lifts, and the nursing staff is on hand for 12 to 16 hours a day, with a 24-hour call system in place for quick help anytime. There's also a beauty salon, wellness center, and devotional services on site for people who want them, plus access to nearby transportation options and parks. Apartments come in studio or one-bedroom layouts, are fully furnished, and have private bathrooms, making it easier for people to settle in and feel comfortable. Residents can bring their own things, have guests join them for meals, and take part in community service programs if they want.
Pheasant Pointe by Cogir keeps things focused on resident-centered care, dignity, and independence, making life simpler and more comfortable while still offering help for those who need it, and the staff work hard to make sure everyone has companionship, safety, and enriching activities each day, even if they're facing memory challenges or heavier care needs.
Cogir Senior Living was founded in 1995 by Serge G. Duguay, a passionate real estate entrepreneur in Quebec, Canada. What began as a small family business has grown into one of North America's leading senior living operators. From humble beginnings with about a dozen U.S. communities in 2020, Cogir has experienced remarkable growth, approaching 100 communities across 11 states by 2025. The company's U.S. operations are headquartered in Sacramento, California, with additional offices in Scottsdale, Arizona, and Seattle, Washington, under the leadership of CEO David Eskenazy.
People often ask...
Pheasant Pointe by Cogir offers competitive pricing, with rates starting at a cost of $5,771 per month.
Pheasant Pointe by Cogir offers independent living, assisted living, and memory care.
There are 25 photos of Pheasant Pointe by Cogir on Mirador.
Yes, Pheasant Pointe by Cogir allows residents to age in place and adjust their level of care as needed.
The full address for this community is 835 E Main St, Molalla, OR 97038.
No, Pheasant Pointe by Cogir 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.
Found that the acuity-based staffing tool did not reflect resident needs, creating inconsistencies between rosters, care plans, and ABST, and resulting in staffing not aligned to meet scheduled and unscheduled needs.
Licensing—Failed to update staffing plan based on ABST
23 Oct 2024Inspection
23 Oct 2024Inspection
Found failure to fully implement and update an Acuity Based Staffing Tool in accordance with the governing rule.
Licensing—Failed to use an ABST
27 Jul 2024Abuse: Neglect
27 Jul 2024Abuse: Neglect
Identified a failure to provide a safe environment that caused abuse and neglect with emotional harm. Unsafe conditions included unplugged safety sensors and unmonitored resident interaction.
Abuse—Failed to provide safe environment
07 May 2024Inspection
07 May 2024Inspection
Investigated and determined that a resident's money and a gold band were taken by an unknown individual, violating resident rights and constituting financial abuse.
Licensing—Failed to protect resident from financial exploitation
30 Apr 2024Inspection
30 Apr 2024Inspection
Investigated allegation of improper restraint and found that a staff member used a gait belt to pull a resident back into a wheelchair, preventing standing and constituting wrongful restraint and abuse.
Licensing—Failed to use restraint properly
20 Feb 2024Abuse: Neglect
20 Feb 2024Abuse: Neglect
Investigated an allegation of neglect in oral care and found failure to provide proper dental care, causing discomfort and tooth loss; a $500 fine was assessed.
Abuse—Failed to provide or assist with hygiene
29 Dec 2023Licensure
29 Dec 2023Licensure
Found deficiencies in food sanitation and administration, including damaged surfaces, rusted vents, a ceiling hole, ice buildup and leaks, and a missing food handler card.
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—General Building Exterior
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Activities
Deficiency—Behavior
26 Jun 2023Validation
26 Jun 2023Validation
Found multiple deficiencies across abuse reporting, move-in and service planning, medical oversight, medication administration, staffing, training, and fire safety.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
27 Apr 2023Complaint
27 Apr 2023Complaint
Identified deficiencies in service plans and infection control practices, including unclear directions for service delivery and inadequate outbreak documentation.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Infection Prevention & Control
09 Apr 2023Abuse: Neglect
09 Apr 2023Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment when a staff member kissed a resident in the resident's room. A $750 fine was assessed.
Abuse—Failed to provide safe environment
09 Apr 2023Abuse: Neglect
09 Apr 2023Abuse: Neglect
Found that inadequate care planning constituted abuse and neglect and a $750 fine was assessed.
Abuse—Failed to properly plan care
22 Feb 2023License Condition
22 Feb 2023License Condition
Found that direct care staffing levels were insufficient to meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
22 Feb 2023License Condition
22 Feb 2023License Condition
Found ABST staffing was not fully implemented or updated as required.
Regulatory Action—Failed to staff as indicated by ABST
07 Feb 2023Inspection
07 Feb 2023Inspection
Found a deficiency in the service plan: no clear direction for delivering services to staff and no written description of how and how often services shall be provided. This constituted a licensing violation.
Licensing—Failed to provide service
20 Dec 2022Complaint
20 Dec 2022Complaint
Identified deficiencies in policy and procedures, laundry services, and activities of daily living services.
Identified deficiencies related to licensing standards and staffing during the complaint investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Licensing Standard
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
20 Dec 2022Complaint
20 Dec 2022Complaint
Investigated a staffing and training complaint and found no deficiencies.
Deficiency—Staffing Requirements and Training: Staffing
20 Dec 2022Complaint
20 Dec 2022Complaint
Identified deficiencies related to staffing requirements and acuity-based staffing during a complaint investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
20 Dec 2022Licensure
20 Dec 2022Licensure
Identified kitchen sanitation and storage deficiencies with initial noncompliance and subsequent substantial compliance on follow-up. Issues included lighting problems, a hole in the wall, and improper storage.
Deficiency—Inspections and Investigation: Insp Interval
20 Dec 2022Inspection
20 Dec 2022Inspection
Investigated found deficiencies in infection prevention and control protocols and in timely reporting of communicable diseases.
Licensing—Failed to provide safe environment
20 Dec 2022Licensure
20 Dec 2022Licensure
Identified deficiencies in kitchen sanitation and storage across multiple visits, with repairs implemented; the final assessment found substantial compliance.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
01 Sept 2022Inspection
01 Sept 2022Inspection
Investigated and found a violation for failing to submit timely weekly vaccination reporting for residents and staff to the proper authority.
Licensing—Failed to submit timely or adequate staffing documentation
18 Aug 2022Inspection
18 Aug 2022Inspection
Investigated and determined that residential care and assisted living were not licensed, maintained, and operated as separate and distinct facilities.
Licensing—Failed to provide safe environment
18 Aug 2022Inspection
18 Aug 2022Inspection
Investigated staffing allegation and found insufficient staffing to meet residents' needs, violating Oregon Administrative Rules.
Licensing—Failed to provide appropriate staffing
15 Aug 2022Inspection
15 Aug 2022Inspection
Investigated and found a deficiency for failure to provide essential household services based on resident needs and preferences.
Licensing—Failed to provide service
26 Jul 2022Abuse: Neglect
26 Jul 2022Abuse: Neglect
Investigated a complaint found a failure to provide a safe medication administration system, leading to neglect and abuse concerns and a fine assessed.
Abuse—Failed to provide a safe medication administration system
23 Jun 2022Inspection
23 Jun 2022Inspection
Investigated the complaint and found insufficient awake direct care staff to meet residents' scheduled and unscheduled needs, with night-shift staff reportedly asleep.
Licensing—Failed to provide appropriate staffing
23 Jun 2022Inspection
23 Jun 2022Inspection
Investigated sanitary food service conditions and found a violation involving an unsanitary kitchen and broken light fixture covers above food preparation areas.
Licensing—Failed to provide sanitary food service conditions
22 Jun 2022Inspection
22 Jun 2022Inspection
Investigated an allegation of failing to provide bathing assistance and found a failure to provide bathing services to a resident.
Licensing—Failed to provide service
18 Jun 2022Inspection
18 Jun 2022Inspection
Investigated a licensing concern and found the provider failed to provide services to assist the resident with household tasks.
Licensing—Failed to provide service
18 Jun 2022Inspection
18 Jun 2022Inspection
Determined that bathing assistance was not provided to a resident, violating Oregon rules.
Licensing—Failed to provide service
18 Jun 2022Inspection
18 Jun 2022Inspection
Found that laundry assistance was not provided to a resident, violating Oregon Administrative Rules.
Licensing—Failed to provide service
15 Jun 2022Inspection
15 Jun 2022Inspection
Found that resident care equipment was not kept in good repair.
Licensing—Failed to provide or maintain resident care equipment
12 Apr 2022Inspection
12 Apr 2022Inspection
Detected failures in providing a safe medication administration system and in carrying out medication orders as prescribed.
Licensing—Failed to provide a safe medication administration system
07 Mar 2022Inspection
07 Mar 2022Inspection
Investigated alleged staffing deficiency and found insufficient staffing to meet scheduled and unscheduled resident needs, resulting in a licensing violation.
Licensing—Failed to provide appropriate staffing
22 Feb 2022Inspection
22 Feb 2022Inspection
Investigated a resident abuse/neglect allegation and found a staff member refused to assist a resident on the floor and berated them. The setting failed to protect the resident, violating multiple rules.
Licensing—Failed to protect resident from mental or emotional abuse
22 Feb 2022Abuse: Neglect
22 Feb 2022Abuse: Neglect
Investigated the care-planning allegation and found a deficiency in care planning that contributed to falls and harm, constituting neglect and abuse.
Abuse—Failed to properly plan care
16 Feb 2022Abuse: Neglect
16 Feb 2022Abuse: Neglect
Found neglect of care and abuse due to insufficient staff, resulting in poor hygiene and diminished dignity for the resident; a $250 fine was assessed.
Abuse—Failed to provide service
03 Feb 2022Inspection
03 Feb 2022Inspection
Investigated and found that residents were not provided with required bathing, dressing, and undressing assistance.
Licensing—Failed to provide service
13 Dec 2021Inspection
13 Dec 2021Inspection
Found that services were not implemented per the resident service plan.
Licensing—Failed to follow care plan
03 Oct 2021Inspection
03 Oct 2021Inspection
Investigated a complaint and found that a staff member placed a hand on the resident's forehead, pushed it back, and spoke abruptly, violating residents' rights and constituting physical abuse and neglect.
Licensing—Failed to protect resident from physical abuse
16 Sept 2021Inspection
16 Sept 2021Inspection
Investigated and found that direct care staff were not oriented to residents, including their service plans prior to providing care.
Licensing—Failed to provide appropriate staffing
16 Sept 2021Inspection
16 Sept 2021Inspection
Found deficiencies in service planning and delivery requirements; the resident's service plan was not readily available and there was no written description of who provides services or how, when, and how often services are delivered.
Licensing—Failed to properly plan care
16 Sept 2021Inspection
16 Sept 2021Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
01 Sept 2021Inspection
01 Sept 2021Inspection
Identified insufficient staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
19 Aug 2021Abuse: Neglect
19 Aug 2021Abuse: Neglect
Investigated found morphine diluted and a failure to provide a system to prevent loss or theft of medication, placing a resident at risk for harm.
Abuse—Failure to provide a system that prevents theft or misuse of medication
19 Aug 2021Abuse: Neglect
19 Aug 2021Abuse: Neglect
Investigated found morphine diluted and a lack of a medication-control system to prevent loss or theft. This placed residents at risk for harm.
Abuse—Failure to provide a system that prevents theft or misuse of medication
19 Aug 2021Abuse: Neglect
19 Aug 2021Abuse: Neglect
Identified neglect and abuse due to diluted morphine and a failure to prevent loss or theft of medication, risking resident harm. A $1125 fine was assessed.
Abuse—Failure to provide a system that prevents theft or misuse of medication
19 Aug 2021Abuse: Neglect
19 Aug 2021Abuse: Neglect
Investigated found violations related to medication security and neglect; a morphine audit showed dilution and lack of safeguards against theft, risking resident harm.
Abuse—Failure to provide a system that prevents theft or misuse of medication
18 Aug 2021Complaint
18 Aug 2021Complaint
Found failures to submit background checks for new staff and significant infection control lapses that could affect resident safety.
Deficiency—Facility Administration: Criminal History
Deficiency—Reasonable Precautions
15 Aug 2021Inspection
15 Aug 2021Inspection
Investigated the complaint and found verified infection control deficiencies.
Licensing—Failed to provide infection control
15 Aug 2021Inspection
15 Aug 2021Inspection
Verified failure to submit background checks for criminal fitness determination for all subject individuals.
Licensing—Failed to submit timely or adequate staffing documentation
03 Jul 2021Abuse: Neglect
03 Jul 2021Abuse: Neglect
Investigated a resident safety incident found sexual abuse and neglect by a staff member, and a background-check violation, with a fine assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
15 Mar 2021Inspection
15 Mar 2021Inspection
Substantiated the allegation that sanitary food service conditions were not provided.
Licensing—Failed to provide sanitary food service conditions
31 Dec 2020Inspection
31 Dec 2020Inspection
Found failure to immediately report abuse and suspected abuse to local authorities.
Licensing—Failed to report potential or suspected abuse
28 Dec 2020Abuse: Neglect
28 Dec 2020Abuse: Neglect
Found a violation for failing to provide a safe environment, which led to an injury; a $250 fine was assessed.
Abuse—Failed to provide safe environment
04 Nov 2020Inspection
04 Nov 2020Inspection
Investigated the allegation and found a deficiency related to resident safety.
Licensing—Failed to assure resident was safe
06 Oct 2020Inspection
06 Oct 2020Inspection
Investigated an allegation that a resident did not receive showers as planned and found noncompliance with the care plan.
Licensing—Failed to follow care plan
18 Aug 2020Inspection
18 Aug 2020Inspection
Investigated an allegation of inadequate staffing; found the training program did not include methods to determine competency of direct care staff.
Licensing—Failed to provide appropriate staffing
04 Jun 2020Inspection
04 Jun 2020Inspection
Confirmed a food-safety violation related to failure to prepare and serve food in accordance with food sanitation rules.
Licensing—Failed to assure food safety
05 Mar 2020Inspection
05 Mar 2020Inspection
Identified a deficiency for failing to include the service planning team in developing resident service plans.
Licensing—Failed to perform adequate screening or assessment
05 Mar 2020Inspection
05 Mar 2020Inspection
Determined that adequate screening or assessment was not performed, resulting in inadequate implementation of services.
Licensing—Failed to perform adequate screening or assessment
05 Mar 2020Inspection
05 Mar 2020Inspection
Found failure to complete quarterly service plans.
Licensing—Failed to perform adequate screening or assessment
05 Mar 2020Inspection
05 Mar 2020Inspection
Determined that quarterly evaluations were not conducted, indicating a deficiency in screening or assessment.
Licensing—Failed to perform adequate screening or assessment
23 Feb 2020Abuse: Neglect
23 Feb 2020Abuse: Neglect
Investigated found neglect and abuse for not following the care plan, which caused a fall and injury. A $500 fine was assessed.
Abuse—Failed to follow care plan
06 May 2019Inspection
06 May 2019Inspection
Investigated an allegation of failure to report suspected abuse; found non-reporting occurred, resulting in a license violation and a $1000 fine.
Licensing—Failed to report potential or suspected abuse
06 May 2019Abuse: Neglect
06 May 2019Abuse: Neglect
Investigated and found neglect due to failure to properly plan care, resulting in a resident's confusion and wandering 67.4 miles through a high-traffic area with low light levels.
Abuse—Failed to properly plan care
29 Apr 2019Inspection
29 Apr 2019Inspection
Investigated a narcotic discrepancy complaint and found a failure to have a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
26 Apr 2019Abuse: Financial abuse
26 Apr 2019Abuse: Financial abuse
Investigated a complaint and found deficiencies in medication management due to inadequate training and supervision of staff.
Abuse—Failure to provide a system that prevents theft or misuse of medication
26 Nov 2018Inspection
26 Nov 2018Inspection
Concluded that suspected abuse was not reported and a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
09 Nov 2018Abuse: Neglect
09 Nov 2018Abuse: Neglect
Investigated a complaint found neglect for failing to respond to a resident's call light promptly, causing discomfort and loss of dignity; a $500 fine was assessed.
Abuse—Failed to answer call light in a timely manner
16 Jul 2018Inspection
16 Jul 2018Inspection
Investigated a complaint and found failure to develop an initial service plan as required. The issue involved readiness for a resident's move-in.
Licensing—Failed to properly plan care
16 Jul 2018Inspection
16 Jul 2018Inspection
Investigated the complaint and found that an admission screening was not conducted before move-in and the medication administration needs were not set up prior to move-in.
Licensing—Failed to provide a safe medication administration system
31 May 2018Abuse: Neglect
31 May 2018Abuse: Neglect
Found that a resident did not receive ordered medication, risking potential harm.
Abuse—Failed to administer ordered medication
14 May 2018Inspection
14 May 2018Inspection
Found an inadequate medication system that could lead to theft or misuse of medications and cause harm.
Licensing—Failure to provide a system that prevents theft or misuse of medication
06 Mar 2018Inspection
06 Mar 2018Inspection
Found that outside transportation assistance for medical appointments was not provided.
Licensing—Failed to provide transportation for medical or social purposes
17 Oct 2017Abuse: Neglect
17 Oct 2017Abuse: Neglect
Investigated a neglect allegation and found inadequate medication management resulting in pain.
Abuse—Failed to provide appropriate pain control
08 Sept 2017Inspection
08 Sept 2017Inspection
Confirmed the allegation of failing to investigate an injury of unknown origin to rule out abuse. Found a level 1 violation related to investigation practices.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
25 Aug 2017Abuse: Neglect
25 Aug 2017Abuse: Neglect
Cited a neglect deficiency for failure to provide scheduled showers, resulting in body odor and dry skin.
Abuse—Failed to follow care plan
18 Aug 2017Inspection
18 Aug 2017Inspection
Found deficient care planning that failed to properly assess and intervene, placing a resident's safety at risk.
Licensing—Failed to properly plan care
10 Aug 2017Abuse: Neglect
10 Aug 2017Abuse: Neglect
Investigated a complaint about neglect and found failure to assess and intervene after a resident's condition changed, resulting in pain. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
04 Aug 2017Inspection
04 Aug 2017Inspection
Found violations involving inadequate hygiene assistance and failure to provide appropriate care to a resident.
Licensing—Failed to provide or assist with hygiene
02 Aug 2017Inspection
02 Aug 2017Inspection
Investigated a complaint and found inadequate oversight and monitoring of residents' change of condition.
Licensing—Failed to provide oversight and monitoring of change of condition
02 Aug 2017Inspection
02 Aug 2017Inspection
Identified a deficiency in the training program that lacks a method to determine staff performance through demonstration and evaluation.
Licensing—Failed to hire according to administrative rules
02 Aug 2017Inspection
02 Aug 2017Inspection
Found insufficient staff to meet resident needs.
Licensing—Failed to provide appropriate staffing
12 Jul 2017Inspection
12 Jul 2017Inspection
Determined that there was a failure to provide appropriate staffing. The staffing issue was confirmed.
Licensing—Failed to provide appropriate staffing
28 May 2017Abuse: Neglect
28 May 2017Abuse: Neglect
Found a deficiency in medication administration safety that resulted in harm. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
17 Mar 2017Inspection
17 Mar 2017Inspection
Found that the provider failed to assess and intervene, resulting in a resident-to-resident altercation with injury.
Licensing—Failed to provide safe environment
13 Mar 2017Inspection
13 Mar 2017Inspection
Investigated a staffing issue and substantiated a deficiency in caregiver staffing. The deficiency involved failing to provide qualified awake caregivers in sufficient numbers to meet 24-hour scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
13 Mar 2017Inspection
13 Mar 2017Inspection
Found that the service plan was not implemented as required and did not meet essential timing and content requirements. This included failing to reflect resident needs and to provide clear service delivery instructions.
Licensing—Failed to properly plan care
05 Feb 2017Inspection
05 Feb 2017Inspection
Found that staff failed to respond to a call light promptly and did not provide 24-hour toileting assistance, resulting in resident discomfort.
Licensing—Failed to answer call light in a timely manner
05 Jan 2017Inspection
05 Jan 2017Inspection
Found a failure to develop and implement written smoking policies and procedures and to enforce the policy for residents.
Licensing—Failed to provide service
05 Jan 2017Inspection
05 Jan 2017Inspection
Investigated found a deficiency for failing to conduct an initial screening to determine service needs and preferences and to complete a move-in assessment for a resident who smoked.
Licensing—Failed to perform adequate screening or assessment
30 Sept 2016Inspection
30 Sept 2016Inspection
Identified deficiencies in staff training and in the documentation of changes in residents' condition.
Licensing—Failed to assure that a qualified caregiver was present
26 Sept 2016Inspection
26 Sept 2016Inspection
Determined the facility failed to maintain an adequate medication management system.
Licensing—Failed to provide a safe medication administration system
26 Sept 2016Abuse: Neglect
26 Sept 2016Abuse: Neglect
Found that staff failed to assess and intervene when a resident's condition changed. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
12 Jul 2016Inspection
12 Jul 2016Inspection
Found that a resident record was not kept current or accurate, and care resulted in skin breakdown for a resident.
Licensing—Failed to keep resident record current or accurate
15 Jul 2015Abuse: Neglect
15 Jul 2015Abuse: Neglect
Found neglect due to failure to administer medication as ordered.
Abuse—Failed to administer medication as ordered
22 May 2015Abuse: Financial abuse
22 May 2015Abuse: Financial abuse
Determined financial abuse and failure to provide a safe environment occurred, including a theft of residents' money that was not prevented.
Abuse—Failed to provide safe environment
06 Oct 2014Inspection
06 Oct 2014Inspection
Investigated the allegation of failing to provide a safe medication administration system and found it substantiated. Found that medication orders were not followed.
Licensing—Failed to provide a safe medication administration system
24 Jul 2014Inspection
24 Jul 2014Inspection
Investigated the allegation of failing to provide a safe medication administration system and found that medication was not given as ordered, creating risk of serious harm.
Licensing—Failed to provide a safe medication administration system
20 Dec 2013Abuse: Financial abuse
20 Dec 2013Abuse: Financial abuse
Investigated the allegation and found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
21 Jan 2013Abuse: Financial abuse
21 Jan 2013Abuse: Financial abuse
Investigated a complaint alleging financial abuse and found a failure to provide a safe environment that led to medication theft.
Abuse—Failed to provide safe environment
22 Nov 2012Abuse: Financial abuse
22 Nov 2012Abuse: Financial abuse
Found that a safe environment was not provided.
Abuse—Failed to provide safe environment
17 Nov 2012Abuse: Neglect
17 Nov 2012Abuse: Neglect
Found a failure to provide a safe environment and assessed a $2,500 fine.
Abuse—Failed to provide safe environment
16 Nov 2012Inspection
16 Nov 2012Inspection
Investigated a complaint about medication administration safety and found a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
16 Oct 2012Abuse: Financial abuse
16 Oct 2012Abuse: Financial abuse
Investigated and found a failure to provide a safe environment resulting in theft of resident funds.
Abuse—Failed to provide safe environment
02 Jul 2012Abuse: Neglect
02 Jul 2012Abuse: Neglect
Concluded that a safe medication system was deficient, leading to a resident receiving the wrong dosage.
Abuse—Failed to provide a safe medication administration system
05 Jan 2012Abuse: Financial abuse
05 Jan 2012Abuse: Financial abuse
Investigated a financial abuse allegation and identified a failure to maintain a secure environment.
Abuse—Failed to provide safe environment
22 Dec 2011Abuse: Financial abuse
22 Dec 2011Abuse: Financial abuse
Found that a safe and secure environment was not provided.
Abuse—Failed to provide safe environment
11 Apr 2011Abuse: Neglect
11 Apr 2011Abuse: Neglect
Found deficiencies related to failing to appropriately assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
10 Aug 2010Abuse: Financial abuse
10 Aug 2010Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to address a resident's behavior and to protect a resident from theft.
Abuse—Failed to address resident's behavior
11 Jun 2010Inspection
11 Jun 2010Inspection
Investigated the allegation and found a safe environment was not provided.
Licensing—Failed to provide safe environment
10 Apr 2010Inspection
10 Apr 2010Inspection
Investigated the allegation of not administering medication as ordered and found violations related to medication administration and maintaining an adequate medication system.
Licensing—Failed to administer medication as ordered
04 Mar 2010Inspection
04 Mar 2010Inspection
Investigated and found a failure to provide a secure environment, a licensing violation.
Licensing—Failed to provide safe environment
11 Feb 2010Abuse: Financial abuse
11 Feb 2010Abuse: Financial abuse
Investigated a financial exploitation allegation and found a failure to provide a secure environment.
Abuse—Failed to protect resident from financial exploitation
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