Mirador estimate
    $2,988/month

    Brookdale Newberg

    3802 Hayes St, Newberg, OR 97132
    • Independent Living
    • Assisted Living

    Attentive staff and welcoming community

    I moved my mom here and have been very pleased - the staff (Teresa and ED Jennifer included) are attentive, friendly and go above and beyond. The community is clean, homey and well maintained, meals are enjoyable, and there are lots of activities plus shuttle service. Settling-in was smooth, residents are welcoming, and overall it feels like a family - I'd recommend it.

    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
    • 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
    • Internet
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    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
    • Pet friendly
    • 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

    3.96·(92)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.2
    • Meals

      3.4
    • Amenities

      3.8
    • Value

      2.3

    Pros

    • Compassionate and attentive caregiving staff
    • Engaging activities program with regular outings
    • Attractive, restaurant-style dining room
    • Independent cottages with full kitchens and garages
    • On-site transportation and scheduled bus trips
    • Daily housekeeping and included grounds/garbage services
    • Well-maintained grounds and pleasant common areas
    • Pet-friendly accommodations
    • Accessible location near hospital and shopping
    • Strong, visible executive leadership in some instances

    Cons

    • Chronic understaffing and high direct-care turnover
    • Inconsistent RN coverage and clinical supervision
    • Variable maintenance responsiveness and facility upkeep
    • Inconsistent food quality and slow meal service
    • Delays in responding to call systems and mealtime assistance
    • Cleanliness and pest-control concerns in some areas
    • Limited suitability for higher-acuity or dementia care
    • Centralized corporate policies limiting local flexibility
    • Rate increases without consistent service improvements
    • Inconsistent communication and follow-through from management

    Summary of reviews

    Reviewers present a mixed but consistent picture: the community is frequently praised for warm, personal caregiving and an active social environment, while operational weaknesses—particularly staffing and supervision—are recurring concerns.

    Care and staff: Direct-care employees are widely described as compassionate, hands-on, and committed. Multiple accounts highlight caregivers who go beyond basic duties and contribute to a family-like atmosphere. At the same time, reviewers identify systemic staffing problems: understaffing, high turnover among direct-care personnel, limited RN presence, and inconsistent clinical supervision. These patterns are associated with delayed responses to call systems and mealtime assistance, gaps in training for higher-acuity needs, and uneven execution of promised care tasks. Leadership at the executive-director level receives positive mention in several reports, but supervisory inconsistencies and personnel actions that affect morale are also noted.

    Dining and nutrition: The facility offers a notable dining experience in terms of atmosphere — an elegant dining room, themed events, and social dining opportunities are repeatedly praised. Activity-driven food events (ice cream socials, themed meals) are popular. However, food quality and service reliability are described as inconsistent. Several reviewers cite slow service, declines in food quality over time, and limited accommodations for some special-diet needs. Operationally important issues include insufficient staff available to assist with feeding when required and reported delays that increase mealtime risk for residents needing help.

    Activities and services: Activity programming is a clear strength. The schedule commonly includes bingo, card games, exercise, swimming, bus outings to shopping and medical appointments, and onsite social events. Independent living cottages and apartments provide included services such as housekeeping, laundry facilities, lawn care, and transportation, which many residents find convenient. The cottages offer private-space advantages (two-bedroom, two-bath layouts, garages) though unit sizes vary and some units are described as small.

    Facilities and cleanliness: The property and common spaces are frequently described as attractive, well-kept, and comfortable, with a large courtyard and multiple gathering areas. That said, cleanliness and pest-control issues in select units and common areas are raised in a number of accounts, along with variable responsiveness from maintenance staff. Some reviewers note a decline in maintenance responsiveness and an expectation gap between initial move-in conditions and longer-term upkeep.

    Management and policies: Management impressions are mixed. Strong hands-on executive leadership is highlighted by several families as a positive force. Conversely, corporate-level vendor policies and centralized decisions are described as limiting local management flexibility. Reviewers also report communication gaps about changes in care level, pricing, and operational follow-through. Rate increases without parallel, sustained service improvements are a recurrent concern.

    Notable patterns and guidance: Overall, prospective residents and families are likely to encounter a community with strong social programming and a core of dedicated caregiving staff, but also with operational challenges tied to staffing, clinical supervision, and inconsistent food and maintenance services. The community appears well suited for independent or lower-acuity assisted living needs when family involvement is available and when prospective residents prioritize social programming and facility ambiance. Families considering placement should ask specific questions about RN coverage and supervision schedules, staffing ratios for assisted dining and personal care, pest-control and cleaning protocols, contract terms related to rate increases, and how corporate vendor policies affect local service responsiveness.

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    Location

    Map showing location of Brookdale Newberg

    Brookdale Newberg is located at 3802 Hayes St, Newberg, OR, 97132.

    About Brookdale Newberg

    Brookdale Newberg sits in a peaceful area of Newberg, Oregon, where the gardens stay well kept and the walking paths let folks enjoy the outdoors. This assisted living community offers several levels of care such as independent living, assisted living, memory care, and skilled nursing, so residents have options if their needs change. There are 83 beds in this licensed facility, which holds Oregon state license number 4695. People living here see staff that treats everyone with respect and does their best to help each person live as independently as possible. The staff includes skilled nursing members and a nurse who's on duty part-time, and there's a 24-hour call system if residents need urgent help. There's also medication management and coordination with healthcare providers, so residents can get needed services easily.

    Residents can live in rooms that offer kitchen appliances if they want, and the private dining room gives folks a nice spot for special meals. The community puts a library, game room, salon, and fitness room to good use, and there's space for religious services as well. Housekeeping and maintenance get taken care of by the staff, and pet-friendly rules mean residents don't have to leave pets behind. Residents can use general transportation and shopping services that help them stay connected with places outside the community. With close Wi-Fi and high-speed internet access, folks can keep in touch or enjoy activities online.

    Brookdale Newberg hosts many events, clubs, and cultural programs, so people can take part in social activities, fitness and wellness programs, or enjoy quiet time with a book or inside one of the garden's peaceful spots. There's special memory care and therapies for those with dementia or Alzheimer's, and a Service Care Plan can help anyone who needs extra support with daily tasks like dressing, bathing, or getting around. Residents can choose and pay for only what help they need thanks to tiered service levels. The setting feels homelike and cheerful, with home-style meals and daily activities that keep people engaged. Since opening its doors in 1978, the community's put value in respecting privacy and individuality while building a sense of belonging, giving seniors a chance to stay independent, feel safe, and make connections with each other and the staff.

    About Brookdale

    Brookdale Newberg is managed by Brookdale.

    Brookdale Senior Living Inc. (NYSE: BKD) is the largest senior living operator in the United States, managing over 640 communities with capacity for approximately 59,000 residents across 41 states and employing around 36,000 associates. Founded in 1978 and publicly traded since 2005, Brookdale solidified its market leadership through major acquisitions including American Retirement Corporation (2006) and Emeritus Senior Living (2014), making it the only national full-spectrum senior living company. Headquartered in Nashville, Tennessee, Brookdale has topped the American Seniors Housing Association's ASHA 50 list and Argentum's largest providers list for multiple consecutive years.

    The company's comprehensive care continuum includes independent living, assisted living, memory care, skilled nursing, and continuing care retirement communities (CCRCs). Brookdale's signature Clare Bridge program, developed over 30 years ago by dementia-care experts, provides specialized Alzheimer's and dementia care through two distinct levels: Clare Bridge communities for comprehensive memory support and the Clare Bridge Solace program for advanced-stage dementia residents. The program is recognized by the Alzheimer's Association® for incorporating evidence-based Dementia Care Practice Recommendations and features secure environments, enclosed courtyards, Daily Path programming with six structured activities daily, and the InTouch technology platform offering personalized brain-stimulating games and therapeutic content.

    Brookdale's holistic Optimum Life® wellness approach balances six dimensions—Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual—implemented through signature programs including B-Fit (eight exercise class options), Brain Fit (mental fitness workouts), My Life Story (resident storytelling), EngagementPlus (interest-based connections), Growing Together (collaborative learning), and The Ageless Spirit (kindness and gratitude practices). The Embrace Family Partnership provides caregiver education and support for families of memory care residents.

    The company's Brookdale HealthPlus® care coordination model, winner of the 2024 Argentum Best of the Best Award placing it among the top 1% of operators, is a technology-enabled healthcare service featuring dedicated RN Care Managers who proactively manage residents' health, coordinate care transitions, and help prevent avoidable hospitalizations. Communities using HealthPlus report 78% fewer urgent care visits, 36% fewer hospitalizations, and 63% more completed annual wellness visits. The Personal Solutions program delivers hygiene products, medications, and daily necessities directly to residents' doors with discreet packaging and monthly billing convenience.

    Following a strategic divestiture of its home health and hospice operations to HCA Healthcare (completed December 2023), Brookdale now focuses exclusively on senior living operations while maintaining its position as the industry's largest operator, committed to its mission of enriching lives with compassion, respect, excellence, and integrity.

    People often ask...

    Brookdale Newberg offers competitive pricing, with rates starting at a cost of $2,988 per month.

    Brookdale Newberg offers independent living, assisted living, and board and care.

    There are 23 photos of Brookdale Newberg on Mirador.

    The full address for this community is 3802 Hayes St, Newberg, OR 97132.

    No, Brookdale Newberg 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.

    License number70A308
    StatusActive
    Facility typeAssisted Living Facility
    Capacity110 residents
    LicenseeEmeritus Corporation
    EffectiveJune 29th, 2007
    View the official license record

    Inspection Reports

    108

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    16

    Years

    06 Jan 2026Kitchen
    Identified multiple sanitation and food storage deficiencies in kitchen operations that did not meet the food sanitation rules. Observed dirty areas, improper labeling and storage of foods.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    30 Dec 2025Abuse: Neglect
    Found neglect related to care planning after multiple falls; a $750 fine was assessed.
    • AbuseFailed to properly plan care
    27 May 2025Abuse: Neglect
    Investigated and found failure to follow the care plan, resulting in choking and requiring the Heimlich maneuver; a fine was assessed.
    • AbuseFailed to properly plan care
    31 Mar 2025Inspection
    Investigated a failure to follow the care plan that led to a resident fall and back injury; identified violations related to care plan adherence and resident rights.
    • LicensingFailed to follow care plan
    15 Mar 2025Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system by not following physician parameters for holding blood pressure medication, resulting in a substantiated neglect with a fine.
    • AbuseFailed to provide a safe medication administration system
    19 Feb 2025Abuse: Neglect
    Identified a failure to provide a safe medication administration system, leading to a substantiated neglect/abuse finding and a $375 fine.
    • AbuseFailed to provide a safe medication administration system
    19 Feb 2025Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe medication administration system, resulting in a narcotic liquid count discrepancy; a 375-dollar fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    09 Jan 2025Licensure
    Identified numerous deficiencies in governance, resident rights, health services, medication management, staffing, and facility maintenance.
    • DeficiencyFacility Administration: Operation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencyAcuity Based Staffing Tool - Elements
    • DeficiencyStaffing Requirements and Training – Pre-service
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyPlumbing Systems
    09 Jan 2025Kitchen
    Found multiple kitchen sanitation deficiencies that violated food sanitation rules, including unclean surfaces and improper storage.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    31 Dec 2024Inspection
    Found insufficient awake direct care staffing to meet 24-hour resident needs.
    • LicensingFailed to provide appropriate staffing
    31 Dec 2024Inspection
    Found a deficiency in evacuation procedures and safe-environment requirements, as evacuation levels and standards were not met.
    • LicensingFailed to provide safe environment
    26 Dec 2024Inspection
    Investigated the allegation and found a deficiency in implementing and updating an acuity-based staffing tool.
    • LicensingFailed to provide safe environment
    08 Dec 2024Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in missed narcotic doses and increased pain for a resident; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    07 Oct 2024Inspection
    Investigated an allegation of unsafe environment and found insufficient qualified awake direct care staff to meet residents' 24-hour needs.
    • LicensingFailed to provide safe environment
    26 Aug 2024Inspection
    Found a failure to protect a resident from mental and emotional abuse. The resident experienced emotional distress after being yelled at and belittled.
    • LicensingFailed to protect resident from mental or emotional abuse
    14 Jun 2024License Condition
    Investigated a complaint about a denture incident and lack of recourse; found a failure to provide a safe environment.
    • Regulatory ActionFailed to provide safe environment
    14 Jun 2024License Condition
    Found failure to use an ABST as required.
    • Regulatory ActionFailed to use an ABST
    15 Apr 2024Abuse: Neglect
    Found that proper fall-prevention interventions were not implemented, leaving the resident at risk after multiple falls and delayed staff response. A $188 fine was assessed.
    • AbuseFailed to properly plan care
    28 Mar 2024Complaint
    Investigated a complaint about resident rights and protection and an acuity-based staffing tool, noting potential for moderate harm.
    • DeficiencyResident Rights and Protection - General
    • DeficiencyAcuity-Based Staffing Tool
    30 Nov 2023Licensure
    Found deficiencies in kitchen practices during the initial visit, including boxes stored on the floor, inadequate dishwasher temperatures, and absence of hair restraints; follow-up showed substantial compliance.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    21 Mar 2023Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to follow a resident's care plan, resulting in discomfort and loss of dignity.
    • AbuseFailed to follow care plan
    31 Jan 2023Abuse: Neglect
    Investigated an allegation of neglect and found that care plans were not updated after a resident's return from skilled nursing care to reflect new needs following a fall.
    • AbuseFailed to properly plan care
    26 Oct 2022Licensure
    Found deficiencies in kitchen cleanliness and improper food storage, with a repeat citation on a follow-up visit; final review showed substantial compliance.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    02 Jun 2022Abuse: Neglect
    Found violations related to unsafe medication administration and resident rights, with a $500 fine assessed.
    • AbuseFailed to administer medication as ordered
    25 Apr 2022Abuse: Neglect
    Identified a failure to provide a safe medication administration system, causing the resident to go without prescribed pain medication on several occasions and risking withdrawal and discomfort.
    • AbuseFailed to administer medication as ordered
    31 Mar 2022Abuse: Neglect
    Found failure to properly care plan fall interventions for a resident with known fall history, resulting in multiple falls and injuries.
    • AbuseFailed to properly plan care
    30 Mar 2022Inspection
    Determined that medication orders were not administered as prescribed.
    • LicensingFailed to administer medication as ordered
    16 Dec 2021Abuse: Neglect
    Found failures to implement interventions and properly plan care after a fall, causing pain and discomfort.
    • AbuseFailed to properly plan care
    04 Nov 2021Inspection
    Investigated the staffing allegation and found insufficient staff to meet residents' scheduled and unscheduled needs, including showers not provided timely and meals served late.
    • LicensingFailed to provide appropriate staffing
    01 Nov 2021Inspection
    Confirmed insufficient staffing to meet residents' scheduled and unscheduled needs, including timely response to call lights.
    • LicensingFailed to provide appropriate staffing
    26 Oct 2021Abuse: Neglect
    Investigated the allegation of financial exploitation; found neglect due to inadequate staff training on abuse and accepting money from residents, with a fine assessed.
    • AbuseFailed to protect resident from financial exploitation
    20 Oct 2021Abuse: Neglect
    Found neglect for failing to provide timely medical treatment for a leg wound, which led to infection. A $750 fine was assessed.
    • AbuseFailed to assure timely medical treatment
    20 Oct 2021Abuse: Neglect
    Found neglect of care and abuse due to failure to follow the care plan, leading to repeated urine-soaked clothing, bed, and couch.
    • AbuseFailed to follow care plan
    20 Oct 2021Abuse: Neglect
    Found neglect for failing to assist with meals, leading to weight loss. A fine was assessed.
    • AbuseFailed to assist with eating
    03 Aug 2021Validation
    Identified numerous deficiencies across records, resident service plans, health services, medication management, fire safety training, and building maintenance. Violations were cited.
    • DeficiencyComment
    • DeficiencyFacility Administration: Records
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyResident Units
    29 Jul 2021Abuse: Neglect
    Investigated a medication administration breakdown that left the resident without prescribed medication for at least five days, creating risk of harm.
    • AbuseFailed to administer medication as ordered
    25 Jun 2021Abuse: Neglect
    Determined inadequate care planning and interventions for a resident's fall history, resulting in injury and discomfort and constituting abuse.
    • AbuseFailed to properly plan care
    27 May 2021Inspection
    Investigated an allegation that medication orders were not followed and confirmed the claim.
    • LicensingFailed to administer medication as ordered
    26 May 2021Inspection
    Found insufficient staff to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    26 May 2021Inspection
    Found that residents were not actively involved in developing their service plans.
    • LicensingFailed to properly plan care
    26 May 2021Inspection
    Found failure to provide three daily nutritious, palatable meals as required.
    • LicensingFailed to assure adequate food supply
    26 May 2021Inspection
    Identified a licensing violation for failing to provide a safe environment, with potential for harm to residents.
    • LicensingFailed to provide safe environment
    09 Mar 2021Inspection
    Investigated a medication administration allegation and found a failure to provide a safe system, resulting in a resident receiving another resident's medication.
    • LicensingFailed to provide a safe medication administration system
    08 Jul 2020Inspection
    Found that resident care equipment was not kept in good repair.
    • LicensingFailed to provide or maintain resident care equipment
    10 Jun 2020Abuse: Neglect
    Found staff did not follow the care plan by failing to apply barrier cream after toileting, causing pain and discomfort to the resident. A $250 fine was assessed.
    • AbuseFailed to follow care plan
    15 Apr 2020Inspection
    Confirmed insufficient staffing to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to provide appropriate staffing
    23 Jan 2020Inspection
    Investigated a staffing complaint and found insufficient staff to meet residents' scheduled and unscheduled needs and delayed response to call lights.
    • LicensingFailed to assure a qualified caregiver was present
    11 Feb 2019Abuse: Neglect
    Investigated and found neglect of basic care, including failure to provide colostomy care and restricting a resident's ability to socialize, causing serious loss of personal dignity. A $1500 fine was assessed.
    • AbuseFailed to provide service
    11 Feb 2019Inspection
    Investigated and found that suspected abuse was not reported.
    • LicensingFailed to report potential or suspected abuse
    11 Feb 2019Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    11 Feb 2019Abuse: Neglect
    Found neglect resulting in hospitalization for sepsis related to poor colostomy care; a $2,500 fine was assessed.
    • AbuseFailed to provide service
    04 Nov 2018Inspection
    Found that timely medical treatment was not provided, resulting in harm.
    • LicensingFailed to assure timely medical treatment
    28 Aug 2018Inspection
    Found failure to provide a safe environment and basic care that left residents at risk.
    • LicensingFailed to provide safe environment
    08 Apr 2018Abuse: Neglect
    Determined that medications were not administered as ordered, resulting in missing medication. A $500 fine was assessed.
    • AbuseFailed to administer ordered medication
    30 Mar 2018Inspection
    Concluded that a medication administration violation occurred, specifically failing to visually observe the resident take the medication as ordered.
    • LicensingFailed to administer medication as ordered
    15 Mar 2018Inspection
    Found a deficiency for failing to administer ordered medication, resulting in the resident's high blood pressure.
    • LicensingFailed to administer ordered medication
    10 Mar 2018Inspection
    Investigated and found that scheduled pain medications were not administered, creating risk of pain for residents.
    • LicensingFailed to administer ordered medication
    09 Mar 2018Inspection
    Found a violation for an unsafe medication administration process that resulted in a resident receiving a double dose, creating significant risk of harm.
    • LicensingFailed to provide a safe medication administration system
    07 Mar 2018Inspection
    Investigated the allegation of an unsafe environment and substantiated a deficiency for failing to provide a safe environment, resulting in an ankle injury during a transfer.
    • LicensingFailed to provide safe environment
    14 Feb 2018Condition
    Investigated a complaint alleging failure to properly plan care and found substantial noncompliance with multiple care-related requirements.
    • Regulatory ActionFailed to properly plan care
    05 Jan 2018Inspection
    Identified inadequate staffing to meet residents' needs, with shortages on some shifts.
    • LicensingFailed to provide appropriate staffing
    14 Dec 2017Inspection
    Investigated a failure to report potential or suspected abuse and documented a LOA for Sex Assault and failure to report.
    • LicensingFailed to report potential or suspected abuse
    16 Nov 2017Abuse: Neglect
    Concluded neglect occurred due to failure to intervene when a resident's condition changed, resulting in a fall.
    • AbuseFailed to intervene when resident's condition changed
    16 Nov 2017Abuse: Neglect
    Investigated a deficiency in medication administration oversight that left PRN narcotic pain medications unavailable due to not following doctor's orders.
    • AbuseFailed to provide a safe medication administration system
    05 Aug 2017Inspection
    Investigated an allegation and found deficiencies in keeping resident records current and in following doctor's orders for medication. The finding involved not giving scheduled Tylenol as prescribed.
    • LicensingFailed to keep resident record current or accurate
    16 May 2017Inspection
    Investigated and found a staffing violation for not meeting required staffing practices.
    • LicensingFailed to provide appropriate staffing
    16 May 2017Inspection
    Investigated an allegation that a qualified caregiver was not present and found deficiencies in staff training practices.
    • LicensingFailed to assure that a qualified caregiver was present
    16 May 2017Inspection
    Found a deficiency in maintaining an adequate food supply. The deficiency involved minimum stock of staple and perishable foods.
    • LicensingFailed to assure adequate food supply
    16 May 2017Inspection
    Investigated and identified a violation related to food safety in resident services.
    • LicensingFailed to assure food safety
    16 May 2017Inspection
    Found a deficiency where a therapeutic diet was not provided and menus were not prepared in advance or made available to all residents.
    • LicensingFailed to provide a therapeutic diet
    04 Apr 2017Abuse: Neglect
    Investigated a neglect allegation and identified inadequate medication management leading to anxiety about withdrawal and late delivery of medication.
    • AbuseFailed to administer ordered medication
    08 Nov 2016Inspection
    Investigated the allegation and concluded that medication was not administered as ordered.
    • LicensingFailed to administer medication as ordered
    20 Sept 2016Inspection
    Found that a care plan was not followed, creating potential for minor harm.
    • LicensingFailed to follow care plan
    18 May 2016Inspection
    Found deficiencies in care planning and care conference documentation. The findings showed lack of a calendaring system to track service plans and renewal dates, and missing signatures on care conference plans.
    • LicensingFailed to properly plan care
    09 Feb 2016Abuse: Neglect
    Found that a resident's care needs were not met after a change in condition, creating moderate harm risk; a $300 fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    30 Oct 2015Inspection
    Investigated the caregiver presence allegation; found staff training deficiencies.
    • LicensingFailed to assure that a qualified caregiver was present
    30 Oct 2015Inspection
    Determined that a move-out, transfer or discharge violation was substantiated, including failure to provide a uniform disclosure statement to residents and/or families.
    • LicensingFailed to comply with move-out, transfer or discharge requirements
    02 Jul 2015Abuse: Financial abuse
    Found violations for failing to protect a resident from theft and assessed a $200 fine.
    • AbuseFailed to provide safe environment
    21 Jun 2015Abuse: Financial abuse
    Found a deficiency showing a failure to provide a safe environment and to protect from medication theft.
    • AbuseFailed to provide safe environment
    15 Jun 2015Abuse: Neglect
    Found that failure to provide safe transport caused a resident to fall and be injured.
    • AbuseFailed to provide safe environment
    27 Mar 2015Abuse: Financial abuse
    Investigated an allegation of financial abuse and concluded that a resident was not protected from theft.
    • AbuseFailed to provide safe environment
    14 Mar 2015Abuse: Financial abuse
    Investigated and substantiated that medication and resident funds were not adequately protected from theft.
    • AbuseFailed to provide safe environment
    04 Mar 2015Inspection
    Found failure to provide medical treatment as ordered. A level 2 licensing violation was involved.
    • LicensingFailed to provide medical treatment as ordered
    17 Sept 2014Abuse: Neglect
    Investigated the allegation of failure to provide service and found that appropriate care was not provided; a $300 fine was assessed.
    • AbuseFailed to provide service
    01 Sept 2014Abuse: Neglect
    Identified an inadequate medication management system. The allegation related to unsafe medication administration.
    • AbuseFailed to provide a safe medication administration system
    27 May 2014Abuse: Financial abuse
    Investigated and found a failure to protect a resident from theft. An abuse allegation was substantiated.
    • AbuseFailed to provide safe environment
    15 Nov 2013Abuse: Neglect
    Investigated and found failure to answer a call light promptly, leading to inadequate care.
    • AbuseFailed to answer call light in a timely manner
    12 Jul 2013Inspection
    Investigated an allegation of failing to follow the care plan and found that proper care was not provided.
    • LicensingFailed to follow care plan
    25 May 2013Inspection
    Investigated the allegation and determined that resident rights were not assured and proper care was not provided.
    • LicensingFailed to assure resident rights
    22 May 2013Inspection
    Found residents were not protected from intimidation.
    • LicensingFailed to assure resident rights
    22 May 2013Inspection
    Investigated an allegation of failing to report potential or suspected abuse and substantiated it, finding that RV was not protected from rough treatment.
    • LicensingFailed to report potential or suspected abuse
    17 May 2013Inspection
    Identified a failure to provide a safe medication administration system and proper care.
    • LicensingFailed to provide a safe medication administration system
    19 Jan 2013Abuse: Neglect
    Determined that neglect occurred due to failure to provide proper care. The allegation involved not following the care plan.
    • AbuseFailed to follow care plan
    09 Jan 2013Inspection
    Investigated an allegation of failing to provide a safe environment and substantiated that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    20 Dec 2012Abuse: Neglect
    Investigated a complaint and found that a needed medication was not provided as ordered.
    • AbuseFailed to administer medication as ordered
    13 Dec 2012Abuse: Neglect
    Investigated the medication administration allegation and identified deficiencies in medication management.
    • AbuseFailed to administer medication as ordered
    15 Oct 2012Abuse: Neglect
    Determined that oversight and monitoring of change of condition were not provided, leading to inadequate care.
    • AbuseFailed to provide oversight and monitoring of change of condition
    30 May 2012Abuse: Neglect
    Found that a safe environment was not provided. A $300 fine was assessed.
    • AbuseFailed to address resident's behavior
    11 Jan 2012Abuse: Neglect
    Found deficiencies in the medication system and assessed a $250 fine.
    • AbuseFailed to administer medication as ordered
    23 Dec 2011Abuse: Neglect
    Found a deficiency for failing to provide a safe environment and assessed a $300 fine.
    • AbuseFailed to provide safe environment
    27 May 2011Abuse: Neglect
    Investigated an abuse/neglect allegation and found deficient resident care.
    • AbuseFailed to address resident's behavior
    13 May 2011Abuse: Physical Abuse
    Investigated abuse allegation and found failure to provide a safe environment.
    • AbuseFailed to protect resident from rough treatment
    01 Apr 2011Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to address resident's behavior
    12 Dec 2010Inspection
    Investigated the medication-related allegation and found an inadequate medication system.
    • LicensingFailed to administer medication as ordered
    12 Dec 2010Abuse: Physical Abuse
    Found a failure to provide a safe environment and an abuse-related failure to protect a resident from financial exploitation.
    • AbuseFailed to protect resident from financial exploitation
    01 Dec 2010Abuse: Neglect
    Found an inadequate medication administration system.
    • AbuseFailed to provide a safe medication administration system
    22 Sept 2010Abuse: Neglect
    Found failure to monitor change of condition and administer medication as ordered, which led to a resident being sent to the hospital.
    • AbuseFailed to provide oversight and monitoring of change of condition
    15 Feb 2010Abuse: Financial abuse
    Found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment

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