Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Transportation arrangement (medical)
Transportation to doctors appointments
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Community services
Move-in coordination
Activities
Community-sponsored activities
Scheduled daily activities
Reviews
4.03·(63)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.1
Meals
4.0
Amenities
4.4
Value
3.0
Pros
Compassionate, attentive caregiving staff
Engaging activities program (SPARKS, gardening, outings, crafts)
Clean, well‑maintained, modern facility and rooms
Regular photo/video updates and family communication
Appealing, home‑style dining and varied meal options
Flexible visitation options and robust COVID protocols
Transparent pricing structure and upfront fee schedule
On‑site clinical visits and hospice coordination availability
Warm, homey atmosphere with upscale décor
Routine health reporting and staff feedback to families
Cons
Understaffing and staff workload pressures
High staff turnover and retention instability
Inconsistent care quality across shifts and residents
Medication‑management control weaknesses
Gaps in documentation and clinical incident follow‑up
Management responsiveness and billing administration gaps
Insufficient dementia‑specific clinical oversight for complex behaviors
Variable enforcement of infection‑control and visitation policies
Allegations of privacy and financial process failures
Summary of reviews
Arbor Oaks Terrace Memory Care presents a mixed but distinct pattern: many families praise the physical environment, daily programming, and the hands‑on compassion of direct care staff, while others describe operational shortcomings that affected clinical reliability for some residents.
Care quality: Positive accounts emphasize individualized attention, improved mood and engagement for many residents, and effective hospice coordination when used. However, reviewers also describe inconsistent clinical reliability tied to staffing and shift variability. Concerns cited include medication‑management irregularities, missed or delayed clinical follow‑up, and safety events that prompted family escalation and outside advocacy. These issues appear correlated with staffing instability and episodic gaps in documentation and incident response.
Staff and management: Direct caregivers are frequently described as caring, empathetic, and engaging—several staff members received specific praise for relationship‑driven care. At the same time, high turnover and periods of understaffing were repeatedly noted and linked to declines in consistency of care. Management impressions are polarized: some families report helpful leadership, clear communication, and regular health summaries; others describe slow responsiveness on billing and administrative concerns, inconsistent leadership presence, and problems reaching administrators.
Dining and activities: Dining is generally regarded as a strength—home‑style, appealing meals and positive mealtime experiences were mentioned frequently. The activities program is a standout asset, with structured options such as SPARKS, gardening, soap‑making, field trips, volunteer opportunities, and frequent photo/video sharing that promote family involvement and social engagement.
Facilities and infection control: The building is consistently described as new, clean, and attractively appointed, with private and shared room options and pleasant common areas. Many families appreciated flexible visitation options and strict COVID protocols at times, though enforcement and visitor practices were described as inconsistent in certain accounts.
Notable patterns and guidance for prospective families: Strengths center on environment, programming, and many compassionate direct caregivers. Risks center on variability in clinical execution—particularly for residents with advanced dementia or behavioral needs—plus episodic administrative and documentation gaps. Prospective families should confirm current staffing levels and turnover trends, review medication‑administration and incident‑reporting procedures, ask about dementia‑specific clinical oversight, and obtain clear contract and billing terms before admission. Visiting during different shifts and speaking to current family members or an ombudsman may help assess day‑to‑day consistency.
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Location
Arbor Oaks Terrace Memory Care Residence is located at 317 Werth Blvd, Newberg, OR, 97132.
About Arbor Oaks Terrace Memory Care Residence
Arbor Oaks Terrace Memory Care Residence sits in Newberg, Oregon, a place known for wine country and farmers markets, and you'll find that this community is built for people with Alzheimer's disease and other types of dementia, so memory care is the heart of what they do, and they've got a total of 48 memory care beds, all set up with private rooms that get regular cleaning and a strong focus on keeping things feeling safe and tidy; now, you've got Jeff Roderick as the Executive Director and Diana Blank as the Director of Nursing, and the staff here are trained to support people living with memory loss, making sure everyone's looked after any hour of the day or night. Arbor Oaks keeps things secure and has special changes in the building to help prevent confusion and wandering, so folks with memory challenges don't get lost or hurt, and they make sure the environment is both easy to move around in and welcoming, which means you'll see indoor and outdoor common areas, wheelchair accessible showers for easier bathing, plus a parking area for residents.
The staff at Arbor Oaks create care plans matched to each resident's needs, and they stay friendly and accessible, helping with medication, daily living, and encouraging everyone to do what they can on their own. You'll find the Spark® program running here, which tries to bring meaningful experiences each day, and they've got the Pathways program aimed at meeting the unique needs of people with dementia, so every activity-from classes to special events-gets tailored for memory care in secure spaces. People can visit the fitness centers, beauty salon, barbers, or take part in cognitive games, both on and off site, which is meant to help folks stay engaged and keep their minds busy, and the place allows pets, supporting a homelike and friendly setting. Arbor Oaks offers hospice services, respite care for short-term stays, and lets people age in place by adapting care as needs change, focusing on helping residents keep as much independence as possible. Being a part of the Oregon Health Care Association, Arbor Oaks aims to support not only the physical and medical needs but also the emotional and social needs of people living with Alzheimer's and other dementias, so life here is structured but still filled with routine, comfort, and social opportunities for both residents and their families.
Frontier Management is a leading senior living provider in the United States, operating over 120 communities across 19 states. Headquartered in Durham, Oregon, Frontier offers a range of senior living options, including independent living, assisted living, and memory care. Founded in 2000, Frontier has grown significantly and has been recognized for its excellence in senior care, earning multiple prestigious industry awards.
One of Frontier's hallmark programs is the Spark program, rooted in Montessori-style practices, which promotes purpose and engagement among residents. Initially designed for memory care, this program has been expanded to other types of care within Frontier's communities. The Spark program empowers residents to have an active role in their community, enhancing their daily lives through meaningful activities.
Frontier is also known for its dedication to resident health and well-being. Their communities offer comprehensive services tailored to individual needs, including customized healthcare plans through the Frontier Advantage Network, which aims to extend residents' stay by keeping them healthier for longer periods.
The company has undergone significant changes and growth in recent years, including a rebranding effort to refresh its image and enhance its services. Frontier's communities are spread across various states including Arizona, California, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Mississippi, Missouri, Montana, Nebraska, Nevada, Oregon, Tennessee, Texas, Utah, Washington, and Wisconsin.
Frontier Management's commitment to quality care, innovative programs, and extensive service options makes it a prominent name in senior living, continually striving to meet the evolving needs of its residents.
People often ask...
Arbor Oaks Terrace Memory Care Residence offers competitive pricing, with rates starting at a cost of $5,291 per month.
Arbor Oaks Terrace Memory Care Residence offers assisted living, memory care, and board and care.
There are 48 photos of Arbor Oaks Terrace Memory Care Residence on Mirador.
The full address for this community is 317 Werth Blvd, Newberg, OR 97132.
No, Arbor Oaks Terrace Memory Care Residence 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 abuse by neglect due to failure to properly plan care, resulting in a fall and injury.
Abuse—Failed to properly plan care
21 Mar 2026Abuse: Neglect
21 Mar 2026Abuse: Neglect
Found that insufficient staffing left a resident on the floor overnight, causing undue discomfort.
Abuse—Failed to provide appropriate staffing
26 Feb 2026Licensure
26 Feb 2026Licensure
Investigated service planning, medication management, staffing, fire safety, and activity enforcement with multiple deficiencies identified across residents and operations.
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Systems: Tracking Control Substances
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
Deficiency—Activities
26 Feb 2026Abuse: Neglect
26 Feb 2026Abuse: Neglect
Found abuse by neglect due to failure to follow the care plan, leaving a known fall risk resident on the floor and causing an abrasion.
Abuse—Failed to follow care plan
18 Feb 2026Abuse: Neglect
18 Feb 2026Abuse: Neglect
Investigated and found that a known fall risk was left unattended in a common area, resulting in a fall and unsafe conditions. A $375 fine was assessed.
Abuse—Failed to provide safe environment
18 Feb 2026Abuse: Neglect
18 Feb 2026Abuse: Neglect
Investigated and found that a known fall risk was not adequately supervised, leading to a resident fall in a common area.
Abuse—Failed to provide safe environment
09 Feb 2026Abuse: Neglect
09 Feb 2026Abuse: Neglect
Found abuse by neglect related to insufficient fall-prevention planning for a known fall risk; a $375 fine was assessed.
Abuse—Failed to properly plan care
06 Feb 2026Abuse: Neglect
06 Feb 2026Abuse: Neglect
Found that insufficient staff near a resident led to a fall and injury, constituting abuse by neglect.
Abuse—Failed to provide appropriate staffing
05 Feb 2026Abuse: Neglect
05 Feb 2026Abuse: Neglect
Found abuse by neglect due to failure to monitor an agitated resident and intervene to prevent altercations. This placed residents at risk for harm.
Abuse—Failed to provide safe environment
26 Jan 2026Abuse: Neglect
26 Jan 2026Abuse: Neglect
Found that a known fall-risk resident did not have new interventions created to prevent falls, leaving the resident at ongoing risk of harm.
Abuse—Failed to properly plan care
22 Jan 2026Abuse: Neglect
22 Jan 2026Abuse: Neglect
Investigated a neglect allegation and found care planning failed to reduce fall risk, leading to falls and risk of harm.
Abuse—Failed to properly plan care
19 Jan 2026Abuse: Neglect
19 Jan 2026Abuse: Neglect
Investigated and found that new interventions were not created to address fall risk, leading to abuse by neglect.
Abuse—Failed to properly plan care
15 Jan 2026Abuse: Neglect
15 Jan 2026Abuse: Neglect
Investigated a known fall risk and found that new fall-prevention interventions were not started, resulting in abuse by neglect and a fine.
Abuse—Failed to properly plan care
10 Dec 2025Abuse: Neglect
10 Dec 2025Abuse: Neglect
Investigated the allegation of neglect and found failure to ensure timely catheter care. A $1500 fine was assessed.
Abuse—Failed to properly plan care
13 Nov 2025Abuse: Neglect
13 Nov 2025Abuse: Neglect
Identified neglect related to failing to update the resident's care plan for falls risk and to implement timely interventions. Investigators found no call light or pendant near the resident, limiting ability to call for assistance.
Abuse—Failed to properly plan care
10 Nov 2025Inspection
10 Nov 2025Inspection
Found staffing did not meet the staffing plan on six of twenty-one shifts, indicating a staffing violation.
Licensing—Failed to provide appropriate staffing
10 Nov 2025Inspection
10 Nov 2025Inspection
Investigated and found a failure to coordinate on-site health services with outside providers and to timely follow up on a home health services order.
Licensing—Failed to assure physician services
09 Nov 2025Abuse: Neglect
09 Nov 2025Abuse: Neglect
Found abuse by neglect due to failure to provide proper nursing services, resulting in multiple large leg wounds; a fine was assessed.
Abuse—Failed to provide service
15 Oct 2025Kitchen
15 Oct 2025Kitchen
Found deficiencies in food sanitation and administration compliance, including dirty kitchen areas and failure to follow licensing rules. Conditions observed could contribute to contamination and required corrective actions.
Identified neglect by abuse due to failure to provide person-centered care and adequate supervision, resulting in multiple falls and head injuries.
Abuse—Failed to properly plan care
07 Oct 2025Abuse: Neglect
07 Oct 2025Abuse: Neglect
Found deficiencies in care planning and overnight staffing that contributed to repeated falls for a known fall risk resident.
Abuse—Failed to properly plan care
14 Sept 2025Abuse: Neglect
14 Sept 2025Abuse: Neglect
Investigated and substantiated neglect and abuse due to not following interventions designed to reduce resident-to-resident altercations.
Abuse—Failed to follow care plan
07 Sept 2025Abuse: Neglect
07 Sept 2025Abuse: Neglect
Found that failure to properly plan care to prevent falls led to neglect and abuse findings.
Abuse—Failed to properly plan care
06 Sept 2025Abuse: Neglect
06 Sept 2025Abuse: Neglect
Found abuse/neglect due to insufficient overnight staffing and inadequate care planning for a known fall-risk resident.
Abuse—Failed to properly plan care
06 Aug 2025Abuse: Neglect
06 Aug 2025Abuse: Neglect
Found that inadequate care planning for a known fall risk led to multiple falls and a fractured nose; a fine of $1125 was assessed.
Abuse—Failed to properly plan care
24 Jun 2025Abuse: Neglect
24 Jun 2025Abuse: Neglect
Found violations for neglect due to failing to reduce a known fall risk, resulting in multiple falls and injuries; a $375 fine was assessed.
Abuse—Failed to properly plan care
20 Jun 2025Abuse: Neglect
20 Jun 2025Abuse: Neglect
Found violations of resident rights due to failure to follow a resident's care plan, resulting in risk of harm and abuse. A $500 fine was assessed.
Abuse—Failed to follow care plan
18 May 2025Abuse: Neglect
18 May 2025Abuse: Neglect
Found inadequate fall-prevention interventions for a known fall-risk resident, resulting in an unwitnessed fall and head injury.
Abuse—Failed to properly plan care
17 May 2025Abuse: Neglect
17 May 2025Abuse: Neglect
Investigated found that a known fall risk resident had an unwitnessed fall with an injury due to inadequate fall-prevention interventions. This deficiency is classified as neglect and abuse.
Abuse—Failed to properly plan care
11 Apr 2025Abuse: Neglect
11 Apr 2025Abuse: Neglect
Found neglect by failing to properly plan care, leading to multiple falls and injuries. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
23 Mar 2025Inspection
23 Mar 2025Inspection
Found staffing did not meet the posted staffing plan on all three shifts.
Licensing—Failed to provide appropriate staffing
09 Mar 2025Abuse: Neglect
09 Mar 2025Abuse: Neglect
Investigated a failure to follow a resident's care plan, leading to neglect and abuse and a fine was assessed.
Abuse—Failed to follow care plan
09 Mar 2025Inspection
09 Mar 2025Inspection
Found that staffing did not meet the posted staffing plan on one of three shifts.
Licensing—Failed to provide appropriate staffing
08 Nov 2024License Condition
08 Nov 2024License Condition
Investigated the allegation of a failure to provide a safe environment and found deficiencies in safety.
Regulatory Action—Failed to provide safe environment
28 Oct 2024Licensure
28 Oct 2024Licensure
Investigated multiple deficiencies across administration, resident rights, health services, activities, safety, staffing, and equipment, finding widespread noncompliance with licensing rules and resident care standards.
Deficiency—Facility Administration: Operation
Deficiency—Resident Rights and Protection - General
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - Elements
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Heating and Ventilation
Deficiency—Call Sys, Exit Dr Alarm, Phones, TV, or Cable
Deficiency—Individual Rights Settings: Privacy, Dignity
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—Secure Outdoor Recreation Area
28 Sept 2024Abuse: Neglect
28 Sept 2024Abuse: Neglect
Investigated a complaint about resident safety and found a failure to protect residents during an altercation, constituting abuse and neglect.
Abuse—Failed to provide safe environment
22 Sept 2024Abuse: Neglect
22 Sept 2024Abuse: Neglect
Fined for neglect and abuse after failing to provide a safe environment following an incident that injured a resident.
Abuse—Failed to provide safe environment
13 Sept 2024Abuse: Neglect
13 Sept 2024Abuse: Neglect
Investigated a complaint and found a resident was pushed by another resident, placing the resident at risk for harm; violations of rights due to neglect and abuse were identified, with a $338 fine assessed.
Abuse—Failed to provide safe environment
23 Aug 2024Abuse: Neglect
23 Aug 2024Abuse: Neglect
Found neglect and abuse due to failure to protect a known fall risk, resulting in injuries from two falls.
Abuse—Failed to properly plan care
17 Aug 2024Abuse: Neglect
17 Aug 2024Abuse: Neglect
Found violations of resident safety due to failure to intervene in a resident altercation, constituting neglect and abuse; a $375 fine was assessed.
Abuse—Failed to provide safe environment
17 Aug 2024Abuse: Neglect
17 Aug 2024Abuse: Neglect
Investigated an allegation of unsafe environment and found that staff did not implement appropriate interventions, leaving residents at risk after an altercation.
Abuse—Failed to provide safe environment
14 Aug 2024Inspection
14 Aug 2024Inspection
Found that a chair was placed as a restraint to prevent a resident from getting up, risking harm and violating rights.
Licensing—Failed to use restraint properly
06 Aug 2024Abuse: Neglect
06 Aug 2024Abuse: Neglect
Found failure to properly plan for a resident's fall risk, resulting in neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
22 Jul 2024Abuse: Neglect
22 Jul 2024Abuse: Neglect
Found neglect and abuse due to lack of supervision that led to harm to a resident.
Abuse—Failed to provide safe environment
29 May 2024Abuse: Neglect
29 May 2024Abuse: Neglect
Identified neglect and abuse due to supervision failures that left a resident injured; a $500 fine assessed.
Abuse—Failed to follow care plan
29 May 2024Abuse: Neglect
29 May 2024Abuse: Neglect
Investigated a complaint of inadequate supervision that led to a resident fall and injury; found the supervision failure violated resident rights and constituted abuse.
Abuse—Failed to follow care plan
28 May 2024Abuse: Neglect
28 May 2024Abuse: Neglect
Investigated and found violations related to failing to provide a safe environment, constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to provide safe environment
20 May 2024Complaint
20 May 2024Complaint
Investigated findings showed staff did not visually observe a resident taking prescribed medication. Multiple related deficiencies were cited.
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Medication Administration
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Rqmt and Training: Training Rqmts
Deficiency—Activities
17 May 2024Inspection
17 May 2024Inspection
Investigated a complaint and found a failure to implement a 24-hour resident monitoring and reporting system and to timely follow up on a resident's sore.
Licensing—Failed to provide service
17 May 2024Inspection
17 May 2024Inspection
Investigated and found the service plan did not reflect the resident's needs because staff were not assisting with glasses and a hearing aid.
Licensing—Failed to properly plan care
17 May 2024Inspection
17 May 2024Inspection
Identified failure to carry out medication orders as prescribed.
Licensing—Failed to provide a safe medication administration system
16 May 2024Abuse: Neglect
16 May 2024Abuse: Neglect
Found improper care planning and interventions that placed a resident at risk during an altercation. A fine was assessed.
Abuse—Failed to properly plan care
16 May 2024Abuse: Neglect
16 May 2024Abuse: Neglect
Investigated a complaint and found improper care planning placed a resident at risk for harm during an altercation.
Abuse—Failed to properly plan care
07 May 2024Abuse: Neglect
07 May 2024Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to provide safe environment
06 May 2024Abuse: Neglect
06 May 2024Abuse: Neglect
Investigated a complaint and found that care planning failed to reduce the risk of resident altercations, placing residents at risk of harm and constituting abuse and neglect.
Abuse—Failed to properly plan care
20 Apr 2024Abuse: Neglect
20 Apr 2024Abuse: Neglect
Investigated found a failure to provide a safe environment, exposing a resident to risk after exiting the building through a window.
Abuse—Failed to provide safe environment
10 Apr 2024Inspection
10 Apr 2024Inspection
Determined that a deficiency in the medication administration system led to four days without the resident’s prescribed medications.
Licensing—Failed to provide a safe medication administration system
14 Mar 2024Inspection
14 Mar 2024Inspection
Concluded that a violation occurred due to an outdated Acuity-Based Staffing Tool and data inconsistencies between the resident roster, care plans, and ABST.
Licensing—Failed to use an ABST
12 Mar 2024Abuse: Neglect
12 Mar 2024Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment during an altercation, with a $500 fine assessed.
Abuse—Failed to provide safe environment
11 Mar 2024Abuse: Neglect
11 Mar 2024Abuse: Neglect
Investigated a complaint about safety and resident rights; determined there was failure to prevent altercations, constituting abuse and neglect, with a $500 fine assessed.
Abuse—Failed to provide safe environment
07 Mar 2024Abuse: Neglect
07 Mar 2024Abuse: Neglect
Investigated a resident-to-resident altercation and found failures to properly care plan to reduce such incidents, constituting abuse and neglect. A fine was assessed.
Abuse—Failed to properly plan care
02 Mar 2024Abuse: Neglect
02 Mar 2024Abuse: Neglect
Found violations of safety that resulted in abuse and neglect, and assessed a $500 fine.
Abuse—Failed to provide safe environment
29 Feb 2024Abuse: Neglect
29 Feb 2024Abuse: Neglect
Found the facility failed to properly plan care to protect a resident's safety, constituting neglect and abuse. A $500 fine was assessed.
Abuse—Failed to properly plan care
29 Feb 2024Abuse: Neglect
29 Feb 2024Abuse: Neglect
Investigated a resident-to-resident altercation involving three residents with past aggression. Found a failure to properly plan care and implement interventions, leaving them at risk for harm.
Abuse—Failed to properly plan care
29 Feb 2024Abuse: Neglect
29 Feb 2024Abuse: Neglect
Investigated the incident and found a failure to implement meaningful interventions, placing residents at risk and constituting neglect and abuse.
Abuse—Failed to properly plan care
29 Feb 2024Abuse: Neglect
29 Feb 2024Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in neglect and abuse. A resident fell, the call system wasn't working, causing discomfort, and a $500 fine was assessed.
Abuse—Failed to provide safe environment
25 Jan 2024Abuse: Neglect
25 Jan 2024Abuse: Neglect
Investigated a medication incident and found a failure to provide a safe medication administration system, resulting in a resident lacking an inhaler when needed. A $250 fine was assessed.
Abuse—Failed to provide a safe medication administration system
25 Jan 2024Abuse: Neglect
25 Jan 2024Abuse: Neglect
Found a lack of a safe medication administration system, resulting in a missing inhaler and financial loss to the resident. The intake process lacked a multi-person check and proper inventory of medications.
Abuse—Failed to provide a safe medication administration system
22 Jan 2024Abuse: Neglect
22 Jan 2024Abuse: Neglect
Investigated and found neglect and abuse due to staff failure to intervene during an altercation between residents, placing a resident at risk of harm; a $375 fine was assessed.
Abuse—Failed to provide safe environment
22 Jan 2024Abuse: Neglect
22 Jan 2024Abuse: Neglect
Investigated violations for failure to properly plan care, resulting in abuse and neglect and leaving a resident at risk for harm.
Abuse—Failed to properly plan care
16 Jan 2024Inspection
16 Jan 2024Inspection
Found a deficiency for failing to hold regular quarterly care conferences and to update quarterly service plans.
Licensing—Failed to properly plan care
15 Jan 2024Abuse: Neglect
15 Jan 2024Abuse: Neglect
Investigated found neglect of care where hygiene and skin-care needs were not adequately met, including missed skin checks and long gaps between showers. A $250 fine was assessed.
Abuse—Failed to provide or assist with hygiene
04 Jan 2024Abuse: Neglect
04 Jan 2024Abuse: Neglect
Found neglect of care and abuse due to failure to monitor and intervene to keep a resident safe. A $188 fine was assessed.
Abuse—Failed to provide safe environment
15 Dec 2023Abuse: Neglect
15 Dec 2023Abuse: Neglect
Identified failure to follow the care plan that led to an altercation with injuries and abuse; a fine was assessed.
Abuse—Failed to follow care plan
06 Dec 2023Licensure
06 Dec 2023Licensure
Determined substantial compliance with state rules governing meals and sanitation.
Deficiency—Comment
07 Nov 2023Abuse: Neglect
07 Nov 2023Abuse: Neglect
Found neglect and abuse due to failure to follow interventions that could have prevented an altercation between residents; a fine was assessed.
Abuse—Failed to follow care plan
25 Oct 2023Abuse: Neglect
25 Oct 2023Abuse: Neglect
Found neglect and abuse due to safety failures that placed two residents at risk when one grabbed the other's neck; a fine was assessed.
Abuse—Failed to provide safe environment
13 Oct 2023Inspection
13 Oct 2023Inspection
Found that staff did not visually observe a resident take his/her medication. A violation of the Oregon administrative rules was identified.
Licensing—Failed to provide a safe medication administration system
13 Oct 2023Abuse: Neglect
13 Oct 2023Abuse: Neglect
Found violations for unsafe medication administration and neglect due to medications being left unattended overnight, risking harm to the resident and others.
Abuse—Failed to provide a safe medication administration system
13 Oct 2023Abuse: Neglect
13 Oct 2023Abuse: Neglect
Found a failure to provide a safe medication administration system, constituting neglect and abuse and placing residents at risk.
Abuse—Failed to provide a safe medication administration system
07 Oct 2023Abuse: Neglect
07 Oct 2023Abuse: Neglect
Found that proper care planning and safety interventions were lacking, leaving a resident at risk for harm due to altercations between residents.
Abuse—Failed to properly plan care
21 Sept 2023Inspection
21 Sept 2023Inspection
Identified deficiencies in meal preparation and kitchen cleanliness that did not meet food sanitation requirements.
Licensing—Failed to provide safe environment
21 Sept 2023Inspection
21 Sept 2023Inspection
Investigated and found a RN delegation deficiency that contributed to a failure to provide a safe environment.
Licensing—Failed to provide safe environment
21 Sept 2023Inspection
21 Sept 2023Inspection
Found a deficiency due to not having an administrator on-site for at least 40 hours per week.
Licensing—Failed to provide safe environment
05 May 2023Inspection
05 May 2023Inspection
Determined that written policies for a 24-hour resident monitoring and reporting system were not implemented, and that staff failed to report a resident's UTI symptoms to their doctor and were not trained on urgent health concerns requiring hospital care.
Licensing—Failed to provide service
05 May 2023Inspection
05 May 2023Inspection
Investigated the allegation and found staff did not provide stand-by assists for showers at planned times, violating hygiene-related requirements.
Licensing—Failed to provide or assist with hygiene
05 May 2023Inspection
05 May 2023Inspection
Found ombudsman notification poster was not posted anywhere, violating Oregon Administrative Rules.
Licensing—Failed to provide safe environment
05 May 2023Inspection
05 May 2023Inspection
Found that a resident's physician was not notified when the resident refused a medication order, indicating a lapse in safe medication administration.
Licensing—Failed to provide a safe medication administration system
05 May 2023Inspection
05 May 2023Inspection
Determined retaliation against a resident occurred, including raising rates in retaliation.
Licensing—Failed to assure resident rights
05 May 2023Inspection
05 May 2023Inspection
Investigated a complaint and found a violation for failing to provide a safe medication administration system, including discontinuing prescribed medication.
Licensing—Failed to provide a safe medication administration system
28 Mar 2023Inspection
28 Mar 2023Inspection
Concluded there was a failure to investigate and report an incident of abuse or suspected abuse.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
28 Mar 2023Inspection
28 Mar 2023Inspection
Found a violation of resident rights, including forcing a resident to wear depends and denying informed choice about services.
Licensing—Failed to assure resident rights
21 Nov 2022Inspection
21 Nov 2022Inspection
Identified deficiencies in medication administration and missing medications.
Licensing—Failed to provide a safe medication administration system
21 Nov 2022Inspection
21 Nov 2022Inspection
Investigated the allegation of a failure to provide a safe medication administration system and found an inaccurate medication administration record.
Licensing—Failed to provide a safe medication administration system
02 Nov 2022Licensure
02 Nov 2022Licensure
Identified deficiencies in kitchen cleanliness and food sanitation practices, and noted administration compliance concerns.
Investigated a resident safety concern and found inadequate staffing led to an unsafe environment, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
12 Jul 2022Abuse: Neglect
12 Jul 2022Abuse: Neglect
Investigated an allegation of neglect and abuse and found a failure to properly plan care that caused minor injuries to a resident.
Abuse—Failed to properly plan care
01 Jun 2022Inspection
01 Jun 2022Inspection
Found a violation for failing to submit timely weekly vaccination reporting to the proper authority, and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
02 May 2022Inspection
02 May 2022Inspection
Found a licensing violation for failing to submit timely weekly vaccination reporting for vaccinated individuals, residents and staff over 30 days, with a fine assessed.
Licensing—Failed to submit timely or adequate staffing documentation
13 Jan 2022Inspection
13 Jan 2022Inspection
Investigated the allegation of an unsafe medication administration system and found a deficiency.
Licensing—Failed to provide a safe medication administration system
20 Sept 2021Validation
20 Sept 2021Validation
Identified multiple deficiencies in infection control, resident care planning, health services, fire safety, training, and administration.
Deficiency—Comment
Deficiency—Reasonable Precautions
Deficiency—Service Plan: General
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
16 Jun 2021Inspection
16 Jun 2021Inspection
Investigated the allegation of a failure to provide a safe environment and found deficiencies in cleanliness and repair of interior and exterior materials and equipment.
Licensing—Failed to provide safe environment
26 Apr 2021Abuse: Neglect
26 Apr 2021Abuse: Neglect
Found a failure to provide a safe environment, resulting in neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide safe environment
30 Mar 2021Abuse: Neglect
30 Mar 2021Abuse: Neglect
Found that grooming care was not provided to a resident, causing unreasonable discomfort; a fine was assessed.
Abuse—Failed to assist with dressing or grooming
21 Mar 2021Abuse: Neglect
21 Mar 2021Abuse: Neglect
Investigated a wandering incident where a resident entered another resident's room and an altercation occurred; care plans did not address wandering or agitation, raising abuse and neglect concerns.
Abuse—Failed to properly plan care
08 Dec 2020Abuse: Neglect
08 Dec 2020Abuse: Neglect
Identified a failure to supervise that allowed an incident where a resident was struck; found neglect and abuse with a $250 fine assessed.
Abuse—Failed to provide safe environment
01 Feb 2020Inspection
01 Feb 2020Inspection
Investigated a complaint found that a staff member spoke inappropriately to a resident, causing emotional abuse and a failure to protect the resident from emotional abuse.
Licensing—Failed to protect resident from mental or emotional abuse
30 Oct 2019Inspection
30 Oct 2019Inspection
Investigated the allegation of failing to provide service and found noncompliance.
Licensing—Failed to provide service
09 Oct 2019Abuse: Neglect
09 Oct 2019Abuse: Neglect
Investigated found neglect due to failure to supervise, resulting in a resident being urine soaked and cold with a pillowcase on the head, causing unreasonable discomfort; a fine was assessed.
Abuse—Failed to follow care plan
13 Sept 2019Abuse: Neglect
13 Sept 2019Abuse: Neglect
Found a failure to provide a safe environment, with multiple unwitnessed falls and injuries, including one requiring stitches; a fine of $375 was assessed.
Abuse—Failed to provide safe environment
26 Aug 2019Abuse: Neglect
26 Aug 2019Abuse: Neglect
Found neglect leading to pressure sores due to failing to provide basic care.
Abuse—Failed to properly plan care
21 Aug 2019Inspection
21 Aug 2019Inspection
Concluded that there was a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
21 Aug 2019Abuse: Neglect
21 Aug 2019Abuse: Neglect
Investigated an allegation of neglect and found that basic care was not provided, resulting in bruising on the resident's thigh, knee, and ankle.
Abuse—Failed to protect resident from rough treatment
20 Aug 2019Abuse: Neglect
20 Aug 2019Abuse: Neglect
Found neglect by the licensee for failing to provide basic care, resulting in multiple bruises of unknown origin.
Abuse—Failed to provide safe environment
03 Aug 2019Abuse: Neglect
03 Aug 2019Abuse: Neglect
Investigated a neglect allegation and found that basic care was not provided, resulting in bruising around the left eye.
Abuse—Failed to provide safe environment
03 Aug 2019Inspection
03 Aug 2019Inspection
Investigated a report of failing to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
30 Jul 2019Inspection
30 Jul 2019Inspection
Investigated the allegation of failing to administer medication as ordered and found a violation.
Licensing—Failed to administer medication as ordered
22 Jul 2019Abuse: Neglect
22 Jul 2019Abuse: Neglect
Identified neglect in supervision that led to a resident falling and injuring themselves (bruises on hip and shoulder).
Abuse—Failed to adequately care plan related to falls
20 Jul 2019Abuse: Neglect
20 Jul 2019Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide basic care, resulting in a resident falling out of bed on 7/20/2019.
Abuse—Failed to adequately care plan related to falls
19 Jul 2019Abuse: Neglect
19 Jul 2019Abuse: Neglect
Investigated a neglect allegation and found that health and safety for a resident were not properly maintained, resulting in inappropriate touching by staff. A fine was assessed.
Abuse—Failed to properly plan care
10 Jul 2019Abuse: Neglect
10 Jul 2019Abuse: Neglect
Found neglect in medication administration safety that resulted in a resident not receiving the correct medication. A $188 fine was assessed.
Abuse—Failed to provide a safe medication administration system
09 Jul 2019Abuse: Neglect
09 Jul 2019Abuse: Neglect
Determined neglect occurred by failing to provide basic care and supervision to keep the individual safe, including forcing medication.
Abuse—Failed to provide appropriate staffing
09 Jul 2019Abuse: Neglect
09 Jul 2019Abuse: Neglect
Found neglect-related violations for failing to provide basic care and supervision, leading to unsafe conditions and a sanction of a fine.
Abuse—Failed to provide safe environment
01 Jul 2019Abuse: Neglect
01 Jul 2019Abuse: Neglect
Investigated a neglect allegation and found lack of basic care and supervision that led to a resident fall and skin tear; a fine was assessed.
Abuse—Failed to provide safe environment
16 May 2019Condition
16 May 2019Condition
Concluded neglect occurred and that substantial compliance was not maintained.
Regulatory Action—Failed to provide safe environment
09 May 2019Abuse: Neglect
09 May 2019Abuse: Neglect
Found neglect of basic care that left an individual in a soiled incontinence brief for seven hours and not repositioned for several hours, creating a risk of serious harm.
Abuse—Failed to follow care plan
16 Apr 2019Inspection
16 Apr 2019Inspection
Investigated the staffing allegation and determined staffing was insufficient.
Licensing—Failed to provide appropriate staffing
28 Mar 2019Abuse: Neglect
28 Mar 2019Abuse: Neglect
Found neglect that led to a resident fall and a minor injury due to failing to follow the care plan and properly place a fall mat.
Abuse—Failed to follow care plan
22 Mar 2019Abuse: Neglect
22 Mar 2019Abuse: Neglect
Found neglect for failing to protect a resident from a resident-to-resident physical altercation, resulting in emotional distress. A $250 fine was assessed.
Abuse—Failed to provide safe environment
22 Mar 2019Inspection
22 Mar 2019Inspection
Investigated and found a failure to report suspected abuse; a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
26 Feb 2019Abuse: Neglect
26 Feb 2019Abuse: Neglect
Found neglect of supervision that caused a resident's hand to be grabbed and twisted, resulting in pain; a fine was assessed.
Abuse—Failed to follow care plan
12 Nov 2018Abuse: Neglect
12 Nov 2018Abuse: Neglect
Found neglect resulting in physical harm to a resident; a fine was assessed.
Abuse—Failed to follow care plan
12 Nov 2018Abuse: Neglect
12 Nov 2018Abuse: Neglect
Determined neglect occurred by failing to maintain health and safety, resulting in a resident being hit and at risk of serious harm.
Abuse—Failed to follow care plan
20 Jun 2018Inspection
20 Jun 2018Inspection
Investigated and found a deficiency in basic care that left a resident with bruising to the hand and arm.
Licensing—Failed to provide safe environment
10 May 2018Abuse: Neglect
10 May 2018Abuse: Neglect
Determined supervision failures allowed an elopement and put a resident at risk of harm, and a fine was assessed.
Abuse—Failed to provide safe environment
17 Apr 2018Inspection
17 Apr 2018Inspection
Investigated the staffing allegation and found inadequate staffing.
Licensing—Failed to provide appropriate staffing
25 Mar 2018Abuse: Neglect
25 Mar 2018Abuse: Neglect
Found a failure to follow safe medication administration protocol, resulting in an incorrect medication being given to a resident and the resident being sent to the hospital.
Abuse—Failed to provide a safe medication administration system
24 Feb 2018Inspection
24 Feb 2018Inspection
Investigated a complaint alleging failure to administer medication as ordered and found care fell short, contributing to high blood sugar in a resident.
Licensing—Failed to administer medication as ordered
16 Nov 2017Abuse: Neglect
16 Nov 2017Abuse: Neglect
Found that care needs were not met, causing a rash and risk of serious harm from prolonged skin exposure to feces.
Abuse—Failed to assure adequate supply or equipment
24 Oct 2017Abuse: Financial abuse
24 Oct 2017Abuse: Financial abuse
Found a failure to protect medications from theft or misuse, resulting in no known harm.
Abuse—Failure to provide a system that prevents theft or misuse of medication
12 Dec 2016Inspection
12 Dec 2016Inspection
Concluded that the facility failed to coordinate outside appointments needed to support residents' health needs.
Licensing—Failed to provide social services
25 Sept 2016Abuse: Neglect
25 Sept 2016Abuse: Neglect
Determined that neglect occurred due to failure to provide appropriate supervision, resulting in a resident's fall and injuries to the head and face.
Abuse—Failed to follow care plan
20 Aug 2016Abuse: Neglect
20 Aug 2016Abuse: Neglect
Investigated a neglect allegation related to falls and found inadequate care planning.
Abuse—Failed to adequately care plan related to falls
26 Jan 2015Inspection
26 Jan 2015Inspection
Found a deficiency in providing a safe environment for RVs.
Licensing—Failed to provide safe environment
03 Jan 2015Inspection
03 Jan 2015Inspection
Found that residents were not adequately protected from resident-to-resident altercations, indicating a safety deficiency.
Licensing—Failed to provide safe environment
16 Oct 2014Abuse: Financial abuse
16 Oct 2014Abuse: Financial abuse
Investigated the allegation of an unsafe environment and found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
21 Sept 2014Inspection
21 Sept 2014Inspection
Investigated an allegation of not following the care plan and found the care plan was not followed.
Licensing—Failed to follow care plan
20 Feb 2014Inspection
20 Feb 2014Inspection
Investigated and found a failure to assess and intervene regarding an injury of unknown origin to rule out abuse.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
15 Jan 2014Inspection
15 Jan 2014Inspection
Invest igated and found a deficiency in providing a safe environment for residents.
Licensing—Failed to address resident's behavior
02 Jan 2014Inspection
02 Jan 2014Inspection
Identified failure to prevent resident-to-resident contact.
Licensing—Failed to address resident's behavior
26 Dec 2013Abuse: Neglect
26 Dec 2013Abuse: Neglect
Investigated an abuse/neglect allegation and found an unsafe environment for residents.
Abuse—Failed to address resident's behavior
24 Dec 2013Inspection
24 Dec 2013Inspection
Found to have failed to protect residents from resident-to-resident contact.
Licensing—Failed to address resident's behavior
24 Dec 2013Inspection
24 Dec 2013Inspection
Investigated the complaint and identified a violation involving failure to prevent resident-to-resident contact.
Licensing—Failed to address resident's behavior
20 Dec 2013Inspection
20 Dec 2013Inspection
Found that resident-to-resident contact was not prevented.
Licensing—Failed to address resident's behavior
26 Nov 2013Abuse: Neglect
26 Nov 2013Abuse: Neglect
Found that the care plan was not followed, resulting in improper care of a resident.
Abuse—Failed to follow care plan
20 Oct 2013Abuse: Sexual abuse
20 Oct 2013Abuse: Sexual abuse
Found a safety deficiency for failing to protect a resident from inappropriate sexual contact and assessed a $2,500 fine.
Abuse—Failed to protect resident from inappropriate sexual contact
20 Oct 2013Inspection
20 Oct 2013Inspection
Found a failure to follow the care plan that left a resident in an unsafe environment.
Licensing—Failed to follow care plan
04 Oct 2013Abuse: Neglect
04 Oct 2013Abuse: Neglect
Found a failure to provide proper care. A $600 fine was assessed.
Abuse—Failed to properly plan care
03 Oct 2013Inspection
03 Oct 2013Inspection
Investigated and found an inadequate medication system. Identified a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
29 Sept 2013Abuse: Neglect
29 Sept 2013Abuse: Neglect
Investigated the allegation and found a safety deficiency related to keeping RV2 safe.
Abuse—Failed to address resident's behavior
04 Sept 2013Inspection
04 Sept 2013Inspection
Found medications were not administered as ordered.
Licensing—Failed to provide a safe medication administration system
03 Sept 2013Abuse: Neglect
03 Sept 2013Abuse: Neglect
Found deficiencies related to keeping RV2 safe.
Abuse—Failed to address resident's behavior
08 Aug 2013Inspection
08 Aug 2013Inspection
Concluded a licensing violation occurred for failing to address a resident's behavior and to keep a resident safe.
Licensing—Failed to address resident's behavior
10 Jul 2013Abuse: Neglect
10 Jul 2013Abuse: Neglect
Substantiated a failure to properly plan care, finding RV2 not kept safe.
Abuse—Failed to properly plan care
16 Jun 2013Inspection
16 Jun 2013Inspection
Found a deficiency for failing to protect a resident from inappropriate sexual contact and for failing to properly plan care.
Licensing—Failed to properly plan care
16 Jun 2013Inspection
16 Jun 2013Inspection
Found that a resident was not kept safe from rough treatment.
Licensing—Failed to properly plan care
11 Jun 2013Inspection
11 Jun 2013Inspection
Investigated and substantiated a safety deficiency related to keeping RV2 safe and addressing a resident's behavior.
Licensing—Failed to address resident's behavior
30 May 2013Abuse: Neglect
30 May 2013Abuse: Neglect
Identified a safety-related neglect issue with a substantiated finding. A $350 fine was assessed.
Abuse—Failed to address resident's behavior
15 May 2013Inspection
15 May 2013Inspection
Investigated and found failure to address resident behaviors.
Licensing—Failed to address resident's behavior
29 Apr 2013Inspection
29 Apr 2013Inspection
Found that residents were not kept safe.
Licensing—Failed to address resident's behavior
24 Apr 2013Inspection
24 Apr 2013Inspection
Found that RV2 was not kept safe.
Licensing—Failed to address resident's behavior
13 Mar 2013Inspection
13 Mar 2013Inspection
Investigated and found a deficiency in keeping RV safe. The finding involved potential for harm.
Licensing—Failed to follow care plan
26 Nov 2012Inspection
26 Nov 2012Inspection
Found that there was a failure to address a resident's behavior that led to a physical incident between residents.
Licensing—Failed to address resident's behavior
26 Nov 2012Inspection
26 Nov 2012Inspection
Found that prescribed medications were not provided as ordered.
Licensing—Failed to administer medication as ordered
17 Nov 2012Inspection
17 Nov 2012Inspection
Investigated the complaint of failing to follow the care plan and found a safety deficiency related to not providing a safe environment.
Licensing—Failed to follow care plan
17 Nov 2012Inspection
17 Nov 2012Inspection
Found that care was not provided as required and the care plan was not followed.
Licensing—Failed to follow care plan
30 Oct 2012Abuse: Neglect
30 Oct 2012Abuse: Neglect
Found deficiencies related to resident rights and assessed a $600 civil penalty.
Abuse—Failed to assure resident rights
13 Sept 2012Inspection
13 Sept 2012Inspection
Found a deficiency in protecting residents from a physical altercation.
Licensing—Failed to address resident's behavior
31 Jul 2012Inspection
31 Jul 2012Inspection
Determined that appropriate care was not provided. Multiple rule violations were identified.
Licensing—Failed to follow care plan
03 Mar 2012Inspection
03 Mar 2012Inspection
Investigated the allegation of failing to protect residents from a physical altercation and found that residents were not protected.
Licensing—Failed to address resident's behavior
02 Feb 2012Abuse: Neglect
02 Feb 2012Abuse: Neglect
Found a deficiency in providing a safe environment.
Abuse—Failed to provide safe environment
02 Feb 2012Abuse: Neglect
02 Feb 2012Abuse: Neglect
Investigated a neglect allegation and concluded that appropriate care was not provided.
Abuse—Failed to provide service
31 Jan 2012Inspection
31 Jan 2012Inspection
Found a safety deficiency related to failing to address resident behavior.
Licensing—Failed to address resident's behavior
10 Jan 2012Inspection
10 Jan 2012Inspection
Found failure to follow the care plan that resulted in an unsafe environment.
Licensing—Failed to follow care plan
05 Jan 2012Inspection
05 Jan 2012Inspection
Found that appropriate care was not provided due to failure to follow the care plan.
Licensing—Failed to follow care plan
05 Jan 2012Abuse: Neglect
05 Jan 2012Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide appropriate care.
Abuse—Failed to follow care plan
29 Nov 2011Abuse: Neglect
29 Nov 2011Abuse: Neglect
Investigated an allegation of neglect and found failure to provide a safe environment.
Abuse—Failed to follow care plan
19 Oct 2011Abuse: Neglect
19 Oct 2011Abuse: Neglect
Investigated a neglect allegation related to falls care planning and found a failure to provide a safe environment. A $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
05 Oct 2011Abuse: Neglect
05 Oct 2011Abuse: Neglect
Investigated and identified a failure to follow the care plan and to prevent an altercation between residents.
Abuse—Failed to follow care plan
02 Oct 2011Abuse: Neglect
02 Oct 2011Abuse: Neglect
Identified an inadequate medication administration system with potential for harm. A $250 fine was assessed.
Abuse—Failed to provide a safe medication administration system
12 Sept 2011Abuse: Neglect
12 Sept 2011Abuse: Neglect
Investigated and found an inadequate medication system.
Abuse—Failed to administer medication as ordered
12 Sept 2011Abuse: Neglect
12 Sept 2011Abuse: Neglect
Found neglect due to failure to provide appropriate personal hygiene care.
Abuse—Failed to follow care plan
07 Sept 2011Inspection
07 Sept 2011Inspection
Investigated and found a licensing violation for failing to assess choking and intervene as needed.
Licensing—Failed to perform adequate screening or assessment
07 Sept 2011Inspection
07 Sept 2011Inspection
Found a failure to respond to a call light in a timely manner.
Licensing—Failed to provide a safe medication administration system
31 Aug 2011Abuse: Neglect
31 Aug 2011Abuse: Neglect
Found a deficiency for failing to provide a safe medication administration system. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
23 Aug 2011Abuse: Neglect
23 Aug 2011Abuse: Neglect
Found failure to provide medical treatment as ordered.
Abuse—Failed to provide medical treatment as ordered
22 Aug 2011Abuse: Neglect
22 Aug 2011Abuse: Neglect
Investigated allegation of not following the care plan and found that care was not provided appropriately.
Abuse—Failed to follow care plan
21 Aug 2011Abuse: Neglect
21 Aug 2011Abuse: Neglect
Found a safety-related staffing deficiency that could lead to harm. The finding concerned failure to provide a safe environment.
Abuse—Failed to provide appropriate staffing
14 Aug 2011Abuse: Neglect
14 Aug 2011Abuse: Neglect
Investigated an allegation about falls and found a failure to assess and intervene. Violations of multiple care-planning and fall-management rules were identified.
Abuse—Failed to adequately care plan related to falls
08 Aug 2011Abuse: Neglect
08 Aug 2011Abuse: Neglect
Found that appropriate care was not provided after a resident's condition changed. The finding involved neglect with potential for serious harm.
Abuse—Failed to intervene when resident's condition changed
03 Aug 2011Abuse: Neglect
03 Aug 2011Abuse: Neglect
Concluded that there was a failure to provide a safe environment.
Abuse—Failed to provide service
27 Jul 2011Abuse: Neglect
27 Jul 2011Abuse: Neglect
Found that a resident did not receive appropriate care as outlined in the care plan.
Abuse—Failed to follow care plan
27 Jul 2011Abuse: Neglect
27 Jul 2011Abuse: Neglect
Investigated a neglect allegation and found failure to provide oversight and monitoring of a resident's change in condition.
Abuse—Failed to provide oversight and monitoring of change of condition
26 Jul 2011Abuse: Neglect
26 Jul 2011Abuse: Neglect
Found deficiencies related to staffing that resulted in inadequate care. The issues involved a moderate risk of harm.
Abuse—Failed to provide appropriate staffing
26 Jul 2011Abuse: Neglect
26 Jul 2011Abuse: Neglect
Found a failure to provide appropriate care to a resident.
Abuse—Failed to address resident's behavior
18 Jul 2011Abuse: Neglect
18 Jul 2011Abuse: Neglect
Found failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
17 Jul 2011Abuse: Neglect
17 Jul 2011Abuse: Neglect
Found that appropriate care was not properly planned.
Abuse—Failed to properly plan care
06 Jul 2011Inspection
06 Jul 2011Inspection
Found a deficiency in the safe medication administration system.
Licensing—Failed to provide a safe medication administration system
30 Jun 2011Inspection
30 Jun 2011Inspection
Found a failure to provide a safe environment. This constituted a safety-related licensing violation.
Licensing—Failed to provide safe environment
20 Jun 2011Abuse: Neglect
20 Jun 2011Abuse: Neglect
Found that a resident did not receive appropriate care. The case involved violations of multiple rules.
Abuse—Failed to provide service
03 Jun 2011Inspection
03 Jun 2011Inspection
Found failure to provide appropriate care.
Licensing—Failed to provide service
01 Mar 2011Abuse: Neglect
01 Mar 2011Abuse: Neglect
Determined neglect occurred due to failure to provide appropriate housekeeping services.
Abuse—Failed to provide appropriate housekeeping services
01 Mar 2011Abuse: Neglect
01 Mar 2011Abuse: Neglect
Found failure to provide a safe environment.
Abuse—Failed to provide safe environment
22 Feb 2011Inspection
22 Feb 2011Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
09 Dec 2010Abuse: Neglect
09 Dec 2010Abuse: Neglect
Found failure to provide a safe environment.
Abuse—Failed to follow care plan
01 Oct 2010Abuse: Neglect
01 Oct 2010Abuse: Neglect
Found a failure to provide a safe environment related to neglect; a $300 fine was assessed.
Abuse—Failed to provide safe environment
13 Jul 2010Abuse: Neglect
13 Jul 2010Abuse: Neglect
Investigated a failure to intervene when a resident's condition changed, revealing a safety deficiency and a $300 fine assessed.
Abuse—Failed to intervene when resident's condition changed
08 Jul 2010Abuse: Neglect
08 Jul 2010Abuse: Neglect
Investigated an allegation that falls care planning was inadequate and found deficiencies affecting residents; a $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
08 Jul 2010Inspection
08 Jul 2010Inspection
Found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
03 Jul 2010Inspection
03 Jul 2010Inspection
Determined improper care occurred for a resident due to failure to provide essential services.
Licensing—Failed to provide service
10 Jun 2010Abuse: Neglect
10 Jun 2010Abuse: Neglect
Investigated and found failure to provide appropriate care to a resident. Documented neglect of a resident.
Abuse—Failed to address resident's behavior
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Arbor Oaks Terrace Memory Care Residence. The information above has not been verified or approved by the owner or operator. For exact information, please contact Arbor Oaks Terrace Memory Care Residence directly. There is no cost for this service. We are compensated by the community you select.
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