I'm very happy with River Terrace - caring, professional staff and involved management made my dad's move easy. The brand-new, spotless facility with sunny rooms, a lovely courtyard, tasty meals, lively activities and strong safety measures keeps residents engaged and healthy. Communication is excellent and the team truly goes above and beyond; I highly recommend them.
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
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
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
3.29·(34)
Overall rating
5
4
3
2
1
Care
3.8
Staff
3.9
Meals
4.0
Amenities
4.5
Value
1.4
Pros
Compassionate and attentive caregiving staff
Engaged, energetic life‑enrichment and activities program
High-quality kitchen and appetizing meals
New, clean, well‑maintained facility with abundant natural light
Secure, safety‑focused environment with wander‑prevention measures
On‑site nursing support and medication‑tech oversight
Family‑friendly, welcoming culture that encourages involvement
Accessible interior courtyard and outdoor spaces
Responsive frontline staff with timely call‑light response
Acceptance of Medicaid spend‑down
Cons
Inconsistent staffing levels and high caregiver workload
Gaps in medication, discharge, and post‑acute transition processes
Variable sanitation and cleaning practices
Weak transparency and communication from administration
Billing, contract‑change, and refund administration inconsistencies
Inconsistent personal‑care assistance and incontinence‑care delays
Management professionalism and escalation‑handling concerns
Inconsistent meal‑service timing and assistance
Summary of reviews
River Terrace Memory Care presents a mixed but informative profile. Many families praised the frontline caregiving team as compassionate, patient and attentive; reviewers frequently referenced on‑site nursing support, medication‑tech oversight, and quick call‑light responses. The life‑enrichment program is a clear strength: activity staff are described as energetic and creative, offering a wide variety of daily programming (movie nights, scent therapy, outings and celebratory events) that promote social engagement and a home‑like atmosphere. Physically, the community is consistently described as new, bright, and well‑maintained, with an accessible interior courtyard and outdoor spaces designed to reduce disorientation and encourage outdoor time.
Dining and food service receive generally favorable comments: the kitchen and dining staff are often characterized as experienced and capable of producing appetizing, well‑balanced meals. That said, there are operational inconsistencies noted around meal delivery and assistance for residents who require help eating; prospective families should clarify meal‑service procedures and assistance availability. Activity and pandemic‑era adaptations (Zoom calls, window/patio visits) were also highlighted positively.
Alongside these strengths are repeated operational concerns that warrant careful consideration. Staffing levels and caregiver workload are described as inconsistent, which reviewers linked to responsiveness gaps and variable personal‑care assistance (including delays in attending to toileting and hygiene needs). Several reviews raise concerns about gaps in medication and discharge processes — for example, delays tied to paperwork and coordination with hospitals — and about continuity of clinical care during transitions. Cleanliness and sanitation practices are generally good in many accounts but described as uneven in others.
Management and administrative issues are a notable pattern. While some families appreciated an on‑site owner/administrator who resolved problems promptly, others described poor communication, perceived unprofessional conduct, contentious responses to disputes, and changes to rates and contracts without satisfactory transparency. There are serious, specific complaints — including billing and refund disputes and allegations of financial exploitation and contract violations — that prompted regulatory escalation in at least one account; these items suggest prospective families should request clear, written explanations of contract terms, billing procedures, and dispute resolution processes before signing.
Additional operational items include occasional loss or misplacement of resident belongings and limited parking that can affect neighborhood access. Overall, River Terrace appears to offer strong person‑centered programming, a pleasant physical environment, and a caring frontline staff, but its operational reliability — particularly around consistent staffing, clinical transition processes, administrative transparency, and certain aspects of daily care delivery — shows variability. Prospective residents and families should tour the community, observe staffing at different times of day, ask for written staffing ratios and medication/discharge protocols, review contract and billing language closely, and request references from current families to better understand day‑to‑day consistency.
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Location
River Terrace Memory Care is located at 950 S End Rd, Oregon City, OR, 97045.
About River Terrace Memory Care
River Terrace Memory Care sits in Oregon City, Oregon, in a two-story building with 32 apartments, offering 26 private rooms and 6 semi-private rooms, and every apartment has its own restroom, so residents can have both privacy and comfort, while smoke detectors, fire sprinklers, and electronic security add to everyone's safety, not to mention emergency call devices in each apartment, restroom, and in common areas, so help's close by all the time. The community cares for people living with Alzheimer's, dementia, and other memory loss conditions, and its team, led by Caring Places Management, really knows about these challenges, focusing on each person's needs instead of trying to force big lifestyle changes or reorientations that might cause confusion. Staff and a licensed nurse provide support day and night, with a 24-hour call system and supervision, always there to help with daily activities like bathing, dressing, and managing medicine, plus there's support for non-ambulatory folks and wheelchair access, so getting around isn't too hard.
Life at River Terrace Memory Care can feel peaceful, with big open dining areas filled with natural light and several cozy community spaces with fireplaces and televisions, plus a TV and sitting area where friends can gather. The community offers three dietitian-approved meals every day with alternate choices and snacks if anyone gets hungry in between meals, and staff manage all the meal prep, housekeeping, and laundry, which makes it easier for everyone to focus on their day, and if someone needs extra help or a short-term stay for respite, that's available too. There's a salon with a licensed beautician for haircuts and grooming, and an exterior patio with raised flower beds, so residents can enjoy the garden or the secure courtyard with walking paths, or maybe take part in movie nights, fitness activities, or use the arts room for creative projects, all designed to keep everyone engaged and active. Everyday life includes life enrichment programs with dementia-focused events, community-sponsored activities, and social gatherings, helping residents stay connected and feel at home, and the staff aim to celebrate what makes each person unique-sometimes even with special birthday celebrations.
River Terrace Memory Care connects with outside healthcare providers as needed, so care stays consistent, and the community coordinates things like transportation to appointments, services for outings, and Medicaid-funded services for affordability and access. Each resident gets an individualized care plan that the team updates regularly to best fit what's needed, and the goal's always to support independence, comfort, and safety, especially for those who struggle with memory loss. The setup aims to reduce fear, frustration, and anxiety, and the architecture's designed to help prevent wandering and cut down on confusion, with features like clear layouts and secure, easy-to-navigate shared spaces. There's Wi-Fi and high-speed internet for those who want it, pets close by, and all apartments are wired for cable and phone service, with outside providers available to hook those up. River Terrace Memory Care focuses on inclusivity, attentive care, and making everyone feel welcome, and it's a peaceful place for people who need memory support. The community's currently working on expanding to enhance its offerings for seniors in need.
People often ask...
River Terrace Memory Care offers competitive pricing, with rates starting at a cost of $4,536 per month.
River Terrace Memory Care offers assisted living and memory care.
There are 26 photos of River Terrace Memory Care on Mirador.
The full address for this community is 950 S End Rd, Oregon City, OR 97045.
No, River Terrace Memory Care 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 a deficiency in implementing and updating an acuity-based staffing tool.
Licensing—Failed to use an ABST
13 Jan 2026Inspection
13 Jan 2026Inspection
Found that service plans did not reflect residents' needs identified in evaluations and failed to include resident preferences that support dignity, privacy, choice, individuality, and independence.
Licensing—Failed to properly plan care
26 Aug 2025Abuse: Neglect
26 Aug 2025Abuse: Neglect
Investigated a case where a resident wandered into another resident’s room and was injured; found neglect and abuse due to inadequate care planning and failure to address behaviors.
Abuse—Failed to provide service
24 Aug 2025Inspection
24 Aug 2025Inspection
Investigated a medication administration error where a nighttime dose was given at 75 mg instead of 25 mg, causing increased leg pain; found neglect and abuse and medications not administered as ordered.
Licensing—Failed to administer medication as ordered
27 Mar 2025Abuse: Neglect
27 Mar 2025Abuse: Neglect
Found failure to administer prescribed cream as ordered, causing unnecessary discomfort to the resident.
Abuse—Failed to administer medication as ordered
21 Feb 2025Inspection
21 Feb 2025Inspection
Found a failure to provide a safe medication administration system. This resulted in a licensing violation.
Licensing—Failed to provide a safe medication administration system
16 Feb 2025Inspection
16 Feb 2025Inspection
Investigated a medication administration error; found failure to follow physician orders and incomplete medication pass training for staff.
Licensing—Failed to administer medication as ordered
07 Feb 2025Abuse: Neglect
07 Feb 2025Abuse: Neglect
Investigated a medication management deficiency that led to duplicate doses on at least two occasions, causing increased drowsiness for the resident.
Abuse—Failed to provide a safe medication administration system
08 Jan 2025Inspection
08 Jan 2025Inspection
Investigated a case where a caregiver administered a 0.5 ml dose of an antiseizure medication instead of the prescribed 5.0 ml on multiple occasions, risking harm to a resident. Found neglect and abuse and failure to administer medications as ordered.
Licensing—Failed to administer medication as ordered
07 Jan 2025Inspection
07 Jan 2025Inspection
Investigated allegations found neglect and abuse and a failure to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
28 Dec 2024Abuse: Neglect
28 Dec 2024Abuse: Neglect
Investigated and found that the individual did not receive care that met their needs, constituting neglect and abuse. A fine was assessed.
Abuse—Failed to provide service
20 Dec 2024Abuse: Neglect
20 Dec 2024Abuse: Neglect
Investigated a resident-to-resident incident and identified safety oversight failures, with a fine assessed.
Abuse—Failed to provide safe environment
07 Dec 2024Abuse: Neglect
07 Dec 2024Abuse: Neglect
Investigated and found a neglect and abuse violation for failing to provide appropriate services and a safe environment for a resident, including inadequate care planning and interventions.
Abuse—Failed to provide service
03 Nov 2024Abuse: Neglect
03 Nov 2024Abuse: Neglect
Found neglect of care and abuse due to failure to provide services and care planning to mitigate fall risk and monitor changes in condition, which contributed to a new compression fracture.
Abuse—Failed to provide service
07 Sept 2024Inspection
07 Sept 2024Inspection
Investigated an allegation and found that the care plan was not followed, placing a resident at risk and resulting in a fall.
Licensing—Failed to follow care plan
10 Aug 2024Inspection
10 Aug 2024Inspection
Investigated and found that a staff member did not follow the care plan, leaving a resident unattended in the dining room and causing a fall; the care plan adherence was not ensured.
Licensing—Failed to follow care plan
16 Jul 2024Complaint
16 Jul 2024Complaint
Investigated found several deficiencies including poor record preservation, abuse investigation and reporting failures, care plan implementation gaps, medication order noncompliance, and staffing inadequacies.
Investigated a neglect allegation and found that a bed cane was attached without a physician's order, which may have contributed to a fall, and care did not meet the resident's needs.
Abuse—Failed to provide service
15 Jul 2024Inspection
15 Jul 2024Inspection
Investigated and found that suspected abuse was not reported to the local APS office. This constitutes a licensing violation with potential for moderate harm.
Licensing—Failed to report potential or suspected abuse
15 Jul 2024Inspection
15 Jul 2024Inspection
Investigated the allegation of failing to report potential or suspected abuse and to promptly investigate abuse reports. Determined that no licensing violation or abuse occurred
Licensing—Failed to report potential or suspected abuse
21 Jun 2024Inspection
21 Jun 2024Inspection
Found deficiencies in the handling of resident records, including preparation, completeness, accuracy, and preservation.
Licensing—Failed to provide or assist with hygiene
03 Jun 2024Inspection
03 Jun 2024Inspection
Concluded that the Acuity-Based Staffing Tool did not reflect the resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
20 May 2024Inspection
20 May 2024Inspection
Found a violation for failing to follow the care plan and implement services.
Licensing—Failed to follow care plan
19 May 2024Inspection
19 May 2024Inspection
Investigated a resident-rights violation and found abuse and neglect in care and treatment, with rights not being followed.
Licensing—Failed to provide safe environment
24 Apr 2024Inspection
24 Apr 2024Inspection
Investigated and found that the acuity-based staffing tool was not updated to reflect resident needs, with data inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
26 Mar 2024Abuse: Neglect
26 Mar 2024Abuse: Neglect
Investigated and found safety lapses led to an unwitnessed fall; a walker was not kept by the bed and safety checks were not performed, with a fine assessed.
Abuse—Failed to provide safe environment
14 Mar 2024Inspection
14 Mar 2024Inspection
Found deficiencies in the ABST reflecting resident needs, with inconsistencies among the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
02 Mar 2024Abuse: Neglect
02 Mar 2024Abuse: Neglect
Found neglect and abuse due to repeated falls and failure to implement effective, person-centered interventions after falls.
Abuse—Failed to properly plan care
27 Jan 2024Abuse: Neglect
27 Jan 2024Abuse: Neglect
Investigated an allegation of neglect; found failure to properly plan care and address resident behaviors, resulting in injury and hospitalization.
Abuse—Failed to properly plan care
22 Jan 2024Abuse: Neglect
22 Jan 2024Abuse: Neglect
Investigated found a failure to follow the care plan that contributed to falls and injuries; a fine was assessed.
Abuse—Failed to follow care plan
11 Jan 2024Abuse: Neglect
11 Jan 2024Abuse: Neglect
Found that failure to plan appropriate fall-prevention care led to injuries. A $1125 fine was assessed.
Abuse—Failed to properly plan care
09 Jan 2024Inspection
09 Jan 2024Inspection
Found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
01 Jan 2024Abuse: Neglect
01 Jan 2024Abuse: Neglect
Found that a known fall-risk resident did not have a walker within reach or non-skid socks, violating the care plan and constituting neglect and abuse.
Abuse—Failed to follow care plan
31 Dec 2023Inspection
31 Dec 2023Inspection
Investigated an allegation of failing to administer ordered medications and found a violation. No negative outcome was documented.
Licensing—Failed to administer ordered medication
18 Dec 2023Complaint
18 Dec 2023Complaint
Identified a deficiency in resident monitoring and reporting after a fall, with delayed monitoring and documentation.
Deficiency—Change of Condition and Monitoring
01 Dec 2023Inspection
01 Dec 2023Inspection
Investigated a claim of failure to report potential or suspected abuse and found that a 24-hour resident monitoring and reporting system was not implemented.
Licensing—Failed to report potential or suspected abuse
29 Nov 2023Abuse: Neglect
29 Nov 2023Abuse: Neglect
Investigated a complaint and found neglect of care and abuse due to inadequate care planning, safety checks, and monitoring.
Abuse—Failed to provide service
29 Nov 2023Abuse: Neglect
29 Nov 2023Abuse: Neglect
Investigated an allegation of neglect and found insufficient care planning and safety monitoring, resulting in an unwitnessed fall with injuries and a fine assessed.
Abuse—Failed to provide service
24 Oct 2023Validation
24 Oct 2023Validation
Identified numerous deficiencies in resident rights, health services, nutrition, medication management, and safety systems during relicensure; a follow-up visit concluded substantial compliance overall.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Systems: Psychotropic Medication
Deficiency—Acuity-Based Staffing Tool
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—General Building Exterior
Deficiency—General Building Interior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Housekeeping and Laundry
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Behavior
11 Oct 2023Licensure
11 Oct 2023Licensure
Determined substantial compliance with applicable meal service and food sanitation rules.
Deficiency—Comment
21 Aug 2023Abuse: Neglect
21 Aug 2023Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment, which amounts to neglect.
Abuse—Failed to provide safe environment
07 Aug 2023Inspection
07 Aug 2023Inspection
Found that a resident endured verbal/emotional abuse and that protections to prevent it were not provided.
Licensing—Failed to protect resident from verbal abuse
11 May 2023Abuse: Neglect
11 May 2023Abuse: Neglect
Investigated and found violations for failing to provide a safe environment, following a resident-to-resident altercation that caused injuries.
Abuse—Failed to provide safe environment
11 May 2023Inspection
11 May 2023Inspection
Investigated an allegation of failing to protect a resident from financial exploitation; a missing necklace indicated an unknown person took it, showing financial exploitation occurred.
Licensing—Failed to protect resident from financial exploitation
20 Apr 2023License Condition
20 Apr 2023License Condition
Found deficiencies in staffing due to a failure to fully implement an acuity-based staffing tool. The deficiencies were indicated by ABST.
Regulatory Action—Failed to staff as indicated by ABST
28 Feb 2023Abuse: Neglect
28 Feb 2023Abuse: Neglect
Investigated a failure to follow a resident's care plan that led to an injury and found evidence of abuse and neglect.
Abuse—Failed to follow care plan
21 Feb 2023Abuse: Neglect
21 Feb 2023Abuse: Neglect
Investigated and found failures to implement interventions for known fall risk, with multiple falls causing injuries.
Abuse—Failed to properly plan care
14 Feb 2023Complaint
14 Feb 2023Complaint
Investigated a complaint and identified deficiencies in informing residents of their choices, reporting suspected abuse, service plan details, timely medication administration, staffing, and staff training.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection - General
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Rqmt and Training: Training Rqmts
23 Jan 2023Inspection
23 Jan 2023Inspection
Found that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
23 Jan 2023Inspection
23 Jan 2023Inspection
Found failure to provide a service plan with written description of who shall provide the services and what, when, how, and how often the services shall be provided, with dated changes and entries.
Licensing—Failed to properly plan care
23 Jan 2023Inspection
23 Jan 2023Inspection
Found a violation of resident rights due to failure to provide informed choice and opportunity to select or refuse service.
Licensing—Failed to assure resident rights
20 Jan 2023Inspection
20 Jan 2023Inspection
Determined that a resident was not protected from physical abuse, resulting in a bruise and discomfort.
Licensing—Failed to protect resident from physical abuse
01 Dec 2022Inspection
01 Dec 2022Inspection
Investigated and found a violation for failing to submit timely weekly reporting of vaccinated individuals, residents, and staff to the proper authority. The failure occurred from November 1 to November 30, 2022.
Licensing—Failed to submit timely or adequate staffing documentation
15 Sept 2022Licensure
15 Sept 2022Licensure
Determined substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
11 Sept 2022Abuse: Neglect
11 Sept 2022Abuse: Neglect
Found a failure to provide a safe environment that allowed an elopement and risk of serious harm. A $375 fine was assessed.
Abuse—Failed to provide safe environment
11 Sept 2022Abuse: Neglect
11 Sept 2022Abuse: Neglect
Investigated a safety concern and determined there was a failure to provide a safe environment, placing a resident at risk.
Abuse—Failed to provide safe environment
29 Aug 2022Abuse: Neglect
29 Aug 2022Abuse: Neglect
Found failure to provide a safe environment for a resident, placing them at risk for serious harm; a fine of $188 was assessed.
Abuse—Failed to provide safe environment
25 Aug 2022Abuse: Neglect
25 Aug 2022Abuse: Neglect
Found fall-prevention care planning not properly implemented, leading to injury; a fine was assessed.
Abuse—Failed to provide service
17 Jun 2022Abuse: Neglect
17 Jun 2022Abuse: Neglect
Investigated a complaint alleging neglect related to dental care; found that the resident’s changing dental needs were not properly addressed, resulting in severe tooth decay and gum disease.
Abuse—Failed to properly plan care
17 Apr 2022Abuse: Neglect
17 Apr 2022Abuse: Neglect
Determined that staff failed to implement interventions for a resident's known behaviors, resulting in injury and abuse/neglect.
Abuse—Failed to properly plan care
22 Feb 2022Inspection
22 Feb 2022Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
05 Dec 2021Inspection
05 Dec 2021Inspection
Investigated and identified rough handling of a resident and failure to protect the resident from physical abuse.
Licensing—Failed to protect resident from physical abuse
18 Nov 2021Abuse: Neglect
18 Nov 2021Abuse: Neglect
Investigated the complaint and found failure to properly plan care, resulting in dentures loss, dignity loss, and weight loss, constituting neglect and abuse.
Abuse—Failed to properly plan care
11 Oct 2021Abuse: Neglect
11 Oct 2021Abuse: Neglect
Investigated a neglect/abuse case found a failure to provide a safe medication administration system that led to hospital admission; violations cited and a fine assessed.
Abuse—Failed to provide a safe medication administration system
05 Oct 2021Inspection
05 Oct 2021Inspection
Investigated a licensing allegation and found a deficiency in staff training competency, with no program to determine direct care staff competency.
Licensing—Failed to provide safe environment
24 Sept 2021Inspection
24 Sept 2021Inspection
Found that a staff member blocked a resident's door to prevent wandering, constituting involuntary seclusion and abuse, and that the provider failed to protect the resident from abuse.
Licensing—Failed to protect resident from involuntary seclusion
24 Sept 2021Inspection
24 Sept 2021Inspection
Found that a staff member failed to protect a resident from physical abuse by pushing them onto a bed, causing fear and emotional discomfort.
Licensing—Failed to protect resident from physical abuse
27 Aug 2021Abuse: Neglect
27 Aug 2021Abuse: Neglect
Investigated a complaint about a resident's fall risk and found failures to implement interventions and care planning, leaving the resident at risk for harm.
Abuse—Failed to properly plan care
25 Aug 2021Inspection
25 Aug 2021Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide service
25 Aug 2021Inspection
25 Aug 2021Inspection
Identified a deficiency in staff training competency assessment. The finding showed the program lacked methods to determine direct care staff competency through evaluation, observation, or written testing.
Licensing—Failed to provide safe environment
22 Aug 2021Abuse: Neglect
22 Aug 2021Abuse: Neglect
Determined that a staff member subjected a resident to repeated verbal abuse, causing emotional harm and loss of dignity, and protection failed, constituting neglect and abuse. A $1,500 fine was assessed.
Abuse—Failed to protect resident from verbal abuse
15 Aug 2021Inspection
15 Aug 2021Inspection
Investigated the allegation that reporting of suspected abuse to the local APS office was not performed; found the required reporting did not occur.
Licensing—Failed to provide safe environment
10 Aug 2021Inspection
10 Aug 2021Inspection
Found insufficient staff to meet scheduled and unscheduled resident needs, violating Oregon administrative rules.
Licensing—Failed to provide service
09 Aug 2021Abuse: Neglect
09 Aug 2021Abuse: Neglect
Found that the resident did not receive required services, including 2-person transfers and assistance with bowel incontinence, resulting in unreasonable discomfort and loss of dignity.
Abuse—Failed to provide service
24 Jul 2021Abuse: Neglect
24 Jul 2021Abuse: Neglect
Identified a failure to provide a safe medication administration system, exposing a resident to risk of harm from another resident's medications.
Abuse—Failed to provide a safe medication administration system
24 Jul 2021Abuse: Neglect
24 Jul 2021Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system, which put a resident at risk when medications were consumed by another resident.
Abuse—Failed to provide a safe medication administration system
23 Jun 2021Abuse: Neglect
23 Jun 2021Abuse: Neglect
Investigated improper restraint use during a wheelchair outing that led to a resident's arm fracture; identified neglect and abuse with a fine assessed.
Abuse—Failed to use restraint properly
01 Jun 2021Abuse: Neglect
01 Jun 2021Abuse: Neglect
Investigated an allegation of verbal abuse toward a resident and found neglect and abuse, with a $1,500 fine assessed.
Abuse—Failed to protect resident from verbal abuse
03 May 2021Abuse: Neglect
03 May 2021Abuse: Neglect
Investigated an abuse and neglect allegation; found failure to follow the care plan led to skin tears.
Abuse—Failed to follow care plan
19 Apr 2021Inspection
19 Apr 2021Inspection
Verified a failure to have a training program that includes methods to determine competency of direct care staff.
Licensing—Failed to provide appropriate staffing
20 Dec 2020Abuse: Neglect
20 Dec 2020Abuse: Neglect
Found deficiencies in care planning to address resident behaviors, creating risk of injury.
Abuse—Failed to properly plan care
30 Nov 2020Inspection
30 Nov 2020Inspection
Found a deficiency for failing to protect a resident from physical abuse. The incident involved a staff member grabbing the resident's wrist, causing bruising and a skin tear.
Licensing—Failed to protect resident from physical abuse
20 Oct 2020Abuse: Neglect
20 Oct 2020Abuse: Neglect
Found staff did not check the resident's toileting needs or provide required care, leading to discomfort and loss of dignity, and the care plan was not updated to meet toileting needs.
Abuse—Failed to properly plan care
02 Oct 2020Inspection
02 Oct 2020Inspection
Investigated a financial exploitation allegation and found a violation for charging a resident's credit card and failing to protect the resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
28 Aug 2020Abuse: Neglect
28 Aug 2020Abuse: Neglect
Investigated a failure to administer ordered medication that caused a delayed treatment and a hospital transfer; a $500 fine was assessed.
Abuse—Failed to administer ordered medication
07 Aug 2020Abuse: Neglect
07 Aug 2020Abuse: Neglect
Investigated a complaint of abuse/neglect and found the provider failed to implement interventions and follow the care plan, resulting in another bruise and discomfort. A $188 fine was assessed.
Abuse—Failed to provide safe environment
13 Feb 2020Abuse: Neglect
13 Feb 2020Abuse: Neglect
Determined that a resident's fall-risk care plan was not followed, leading to a fall and pain; a fine was assessed.
Abuse—Failed to follow care plan
18 Jan 2020Abuse: Neglect
18 Jan 2020Abuse: Neglect
Found a violation for failing to provide a safe environment, resulting in a resident's fall with a skin tear; a $188 fine was assessed.
Abuse—Failed to provide safe environment
20 Dec 2019Abuse: Neglect
20 Dec 2019Abuse: Neglect
Found neglect of care and abuse related to assisting with ted hose; a $188 fine was assessed.
Abuse—Failed to assure a qualified caregiver was present
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of River Terrace Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact River Terrace Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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