Pricing ranges from
    $6,599 – 8,578/month

    Avamere at Bethany

    16360 NW Avamere Ct, Portland, OR 97229
    • Independent Living
    • Assisted Living
    • Memory Care

    Warm attentive staff, spotless community

    I moved my mom here and have been very pleased. The staff are warm, attentive and knowledgeable - they made the transition easy and keep families informed. The community is spotless, bright and well-maintained with spacious apartments, lovely gardens, a piano in the foyer, coffee shop, ice-cream parlor and plenty of activities, plus separate dining for memory care. It feels safe, upscale and family-oriented, offering independent, assisted and memory care that gives us real peace of mind.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.20·(49)

    Overall rating

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

      4.1
    • Staff

      4.2
    • Meals

      3.5
    • Amenities

      4.4
    • Value

      2.5

    Pros

    • well-maintained grounds and attractive gardens
    • spacious, bright apartments with balconies
    • clean, fresh-smelling common areas
    • inviting, hotel-like lobby and common spaces
    • on-site amenities (coffee shop, ice cream parlor, salon)
    • separate dining areas for memory care and independent living
    • compassionate and attentive caregiving staff
    • engaged med-techs and serving staff
    • active social programming and scheduled outings
    • assistance with move-in and transitions
    • pet-friendly community
    • convenient access to regional walking trails

    Cons

    • inconsistent medication administration and clinical oversight
    • variable food quality and unreliable meal-service timing
    • uneven housekeeping and room-maintenance follow-through
    • management instability and inconsistent family communication
    • inconsistent activity staffing and individualized programming
    • security and access-control weaknesses
    • not suited for residents requiring continuous one-on-one high-acuity care
    • allegations of staff theft and insufficient incident response

    Summary of reviews

    Avamere at Bethany is described across reviews as an upscale, well-maintained community with attractive grounds, inviting common spaces, and a range of on-site amenities (coffee shop, ice cream parlor, salon) that contribute to a hotel-like atmosphere. Many families and residents highlight spacious, bright apartments—often with balconies—and easy access to trails and landscaped outdoor areas. The facility is positioned to serve independent living, assisted living, and memory care populations, and several accounts emphasize strong move-in support and a generally welcoming environment.

    Care and staff strengths are a common theme: reviewers frequently describe caregiving staff as compassionate, attentive, and familiar with residents' needs. Med-techs, servers, and activities staff are often singled out for being engaged and personable, and families mention good communication and collaboration in many cases. That said, there are multiple, divergent accounts about clinical consistency. A limited number of reviews describe lapses in medication administration and clinical oversight, including at least one serious medication-related event; these accounts suggest potential gaps in clinical protocols and monitoring that prospective families should clarify with leadership. Several reviewers also noted practices that can compromise individualized assistance or privacy, indicating variability in how care routines are implemented.

    Dining and activities present a mixed picture. Some reviewers praise the dining room, presentation, and daily meals; others describe bland or poor food and occasional delivery or timing delays. The activity program is active in many respects—games, exercise classes, outings, workshops, and memory-enhancement activities are mentioned—but staffing for activities and the degree of individualized programming is described as uneven, and a recently hired activities director was noted in some accounts as a positive step.

    Facilities and housekeeping are generally cited as strengths in public areas: clean, bright, and tastefully arranged common spaces recur in reviews. However, room-level housekeeping and some ongoing maintenance have been described as inconsistent, with management hiring additional housekeeping staff in response. Security and access control have been raised as concerns in several accounts, including doors left unsecured and sign-in bypasses; there is also at least one allegation of staff-related theft and subsequent dissatisfaction with the facility's incident response. Prospective residents should verify security procedures and incident investigation processes during a tour.

    Management and operations show variability. Reviewers mention leadership turnover, periods without a permanent administrator, and examples of poor communication about pricing and policy changes. While many families describe transparent, helpful staff and a collaborative approach, others report fee increases without notice and slow administrative responsiveness. Cost tends to reflect the community's upscale presentation, and several reviewers recommend confirming contractual terms, fee-change policies, staffing ratios, and clinical oversight practices prior to committing.

    Overall impression: Avamere at Bethany offers an attractive physical environment, a broad set of amenities, and many examples of caring, engaged staff—features that make it a strong option for residents seeking independent or assisted living in a community-oriented setting. At the same time, there are recurrent operational concerns—most notably around medication administration consistency, food-service reliability, housekeeping follow-through, security controls, and management stability—that prospective residents and families should evaluate directly. Recommended pre-move actions include observing a mealtime, asking for current staffing ratios and medication-administration protocols, reviewing incident and security policies, confirming housekeeping schedules, and speaking with current family members about communication and responsiveness.

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    Location

    Map showing location of Avamere at Bethany

    Avamere at Bethany is located at 16360 NW Avamere Ct, Portland, OR, 97229.

    About Avamere at Bethany

    Avamere at Bethany sits in Portland, Oregon, surrounded by lively greenery, offering senior living with independent living, assisted living, memory care, and respite care, and the whole place has 105 rooms and cottages, including 71 beds overall, and it features both private apartments and some smaller memory care units, with about 15 residents there at any time. Residents can expect services that fit their changing needs, so when someone starts off in independent living but needs more help later, things are set up for them to stay and get extra care if needed, with round-the-clock staff, wellness check-ins, emergency call systems, medication help, and personalized plans. There's always someone on staff, and the emergency call system works all day and night; the care team really does focus on things like helping with daily living, making sure health needs are checked, and supporting folks with Alzheimer's or other dementia in a small, quieter setting, and they use Dementia Live high-impact training for the staff working with memory care residents.

    Residents enjoy a dining program that serves nutritious meals using good quality ingredients in a restaurant-style setting, and there's housekeeping and maintenance, so nobody has to worry about chores if they don't want to, and the facility has technology like Wi-Fi and a computer center. There are a lot of activities on the calendar, including fitness classes, small group gatherings, and sometimes individual activities when someone prefers things quieter, and a new activities director works on programs especially for memory care. Residents who bring pets will find the place pet-friendly, and living spaces get designed for comfort with both style and practical needs in mind, and the building comes with advanced security features and easy access for wheelchairs or people who need extra support getting around. Avamere at Bethany also offers in-house transportation, so residents can get out for appointments or outings.

    The staff includes Senior Director of Sales and Outreach Cristal Ruvalcaba, Executive Director Matthew Mullen, Interim Executive Director Sara Sutherland, Operations Manager Cara Richard, Director of Community Relations Vicky Frazier, and Regional Director Mia Mullins (acting director), and the facility is managed by Areté Living. People can take a virtual tour or schedule a visit to see the place for themselves. The community supports aging in place, so someone doesn't have to move away if care needs change, whether in independent living, assisted living, or memory care. The setting is meant for active seniors as well as those who need more help, and the focus stays on keeping life comfortable and supportive, without making things too complicated or overwhelming. The website has more details for those who want to see more about the place.

    About Avamere

    Avamere at Bethany is managed by Avamere.

    Founded in 1995 by Rick Miller in Oregon, Avamere is headquartered in Wilsonville and operates skilled nursing and rehabilitation facilities across the Pacific Northwest. Originally growing to 33 facilities, the company spun off its senior living division (Arete Living) in 2022, refocusing on skilled nursing care.

    People often ask...

    Avamere at Bethany offers competitive pricing, with rates starting at a cost of $6,599 per month.

    Avamere at Bethany offers independent living, assisted living, and memory care.

    There are 53 photos of Avamere at Bethany on Mirador.

    Yes, Avamere at Bethany allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 16360 NW Avamere Ct, Portland, OR 97229.

    No, Avamere at Bethany 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 number50R320
    StatusActive
    Facility typeResidential Care Facility
    Capacity26 residents
    LicenseeAvamere Bethany Operations, LLC.
    EffectiveAugust 29th, 2003
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    92

    Reports

    0

    Type A Citations

    0

    Type B Citations

    4

    Complaints

    16

    Years

    21 Nov 2025Abuse: Neglect
    Investigated an allegation of neglect related to dietary safety and supervision. Found that a resident with a shellfish allergy was served shellfish and dietary restrictions were not adequately supervised during meals.
    • AbuseFailed to assure food safety
    17 Nov 2025Abuse: Neglect
    Determined that supervision was inadequate, allowing a resident to elope and be at risk of harm; a fine was assessed.
    • AbuseFailed to provide safe environment
    02 Sept 2025Abuse: Neglect
    Found that failure to follow physician orders and maintain an accurate MAR delayed treatment and contributed to hospitalization; a $1500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    06 Mar 2025Licensure
    Investigated several deficiencies related to resident move-in evaluations, service planning, change-of-condition monitoring, health services, infection control, and facility operations, with numerous instances where plans and care did not reflect current resident needs or documented changes.
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyStaffing Requirements and Training – Pre-service
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyAnnual and Biennial Inservice for All Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    • DeficiencyResident Units
    • DeficiencyHeating and Ventilation
    • DeficiencyPlumbing Systems
    • DeficiencyStaffing Requirements and Training – Pre-service
    06 Mar 2025Licensure
    Found multiple failures across move-in evaluations, service plans, change-of-condition processes, health services, and safety systems. Numerous deficiencies affected resident care planning, monitoring, and communication of outside provider recommendations.
    • DeficiencyResident Move-in & Evaluation: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Treatment Orders
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyTraining Within 30 Days of Hire – Direct Care Staff
    • DeficiencyFire and Life Safety: Training for Residents
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, TV, or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance with Rules Health Care
    02 Oct 2024Abuse: Neglect
    Investigated and found a neglect/abuse violation where a resident was left without access to a call light for more than twelve hours while ill, with a cold room and no blanket.
    • AbuseFailed to properly plan care
    10 Aug 2024Abuse: Neglect
    Investigated alleged neglect and abuse related to fall risk; found failure to identify a resident as a fall risk and to implement adequate fall interventions, resulting in a fracture and severe pain, and assessed a fine.
    • AbuseFailed to properly plan care
    10 Jul 2024Licensure
    Identified sanitation deficiencies in the kitchen and staff PPE during the initial survey, with follow-up visits showing substantial compliance for meals and food sanitation rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    10 Jul 2024Licensure
    Found extensive kitchen sanitation deficiencies across multiple visits; follow-up visits led to substantial compliance.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    09 Apr 2024Complaint
    Identified deficiencies related to medications and treatments, treatment orders, and acuity-based staffing, each with potential for moderate harm.
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencyAcuity-Based Staffing Tool
    21 Jul 2023Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system, resulting in missed medications and harm to a resident. The resident experienced significant pain and anxiety due to the missed doses.
    • AbuseFailed to provide a safe medication administration system
    17 Jul 2023License Condition
    Found failure to use an ABST as required by the rule.
    • Regulatory ActionFailed to use an ABST
    20 Jun 2023Licensure
    Identified deficiencies in kitchen cleanliness and glove use during the initial visit; subsequent follow-up showed substantial compliance for meals and food sanitation, with administration compliance also addressed.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    20 Jun 2023Licensure
    Observed deficiencies in kitchen cleanliness and glove-use practices; follow-up determined substantial compliance with food sanitation rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    27 Apr 2023Complaint
    Investigated a complaint and identified deficiencies in policy and procedure, service planning, treatment orders, acuity-based staffing, direct care staff training, and environmental controls.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Policy & Procedure
    • DeficiencyService Plan: General
    • DeficiencySystems: Treatment Orders
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyDoors, Walls, Elevators, Odors
    21 Apr 2023Inspection
    Investigated a medication-error allegation and found that a trainee administered the wrong medication, causing discomfort; supervision during training was lacking and the medication administration system was unsafe.
    • LicensingFailed to provide a safe medication administration system
    17 Mar 2023Inspection
    Investigated an allegation of failing to provide medical treatment as ordered and found a violation related to unsafe medication and treatment administration systems.
    • LicensingFailed to provide medical treatment as ordered
    17 Mar 2023Inspection
    Investigated an allegation of failing to administer medication as ordered and determined that medication and treatment orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    06 Mar 2023Inspection
    Found a licensing violation for not documenting observation and evaluation of an individual's ability to safely perform medication and treatment administration unsupervised, indicating a deficient medication administration system.
    • LicensingFailed to provide a safe medication administration system
    06 Mar 2023Inspection
    Found insufficient qualified awake direct care staff to meet residents' 24-hour needs, creating an unsafe environment.
    • LicensingFailed to provide safe environment
    28 Feb 2023Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in adverse effects and neglect/abuse; a $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    03 Feb 2023Inspection
    Investigated deficiencies in the Acuity-Based Staffing Tool (ABST) and related data, indicating a violation of Oregon Administrative Rules.
    • LicensingFailed to use an ABST
    01 Feb 2023Inspection
    Found insufficient qualified awake direct care staff to meet residents' 24-hour needs, creating an unsafe environment.
    • LicensingFailed to provide safe environment
    01 Feb 2023Inspection
    Found a violation for failure to complete quarterly service plans.
    • LicensingFailed to properly plan care
    19 Dec 2022Inspection
    Investigated the allegation and found failure to respond to and resolve resident complaints, resulting in an unsafe environment.
    • LicensingFailed to provide safe environment
    19 Dec 2022Inspection
    Determined that there was a failure to document observation and evaluation of an individual’s ability to perform safe medication and treatment administration unsupervised.
    • LicensingFailed to provide a safe medication administration system
    19 Dec 2022Inspection
    Found a deficiency for failing to keep all interior and exterior surfaces clean, compromising a safe environment.
    • LicensingFailed to provide safe environment
    19 Dec 2022Inspection
    Found that equipment was not kept in good repair, resulting in an unsafe environment.
    • LicensingFailed to provide safe environment
    06 Dec 2022Abuse: Neglect
    Investigated the allegation and found that the care plan wasn't updated or followed, risking the resident's health due to meals oversight and monitoring lapses.
    • AbuseFailed to follow care plan
    05 Dec 2022Abuse: Neglect
    Found failure to plan and maintain a comprehensive care plan for a resident requiring increased ADL assistance, which contributed to about 30 pounds of weight loss and related discomfort.
    • AbuseFailed to properly plan care
    16 Nov 2022Inspection
    Investigated a failure to provide a safe environment that allowed a non-consensual sexual relationship. Findings substantiated.
    • LicensingFailed to provide safe environment
    26 Oct 2022Abuse: Neglect
    Investigated a complaint about medication administration and found a failure to provide a safe system, causing unnecessary discomfort and constituting neglect and abuse. A $250 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    08 Aug 2022Complaint
    Investigated the complaint and identified deficiencies related to reasonable precautions and safety-related areas, indicating potential for moderate harm.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyReasonable Precautions
    • DeficiencyDoors, Walls, Elevators, Odors
    08 Aug 2022Complaint
    Identified a deficiency related to reasonable precautions during the complaint investigation.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyReasonable Precautions
    05 Aug 2022Inspection
    Identified a deficiency related to infection control that could threaten residents' health and safety. Investigative findings indicated a violation of Oregon Administrative Rules.
    • LicensingFailed to provide infection control
    05 Aug 2022Inspection
    Investigated the allegation of an unsafe environment and found that equipment was not kept in good repair.
    • LicensingFailed to provide safe environment
    21 Jul 2022Inspection
    Identified a safety-related deficiency due to inadequate precautions against conditions that threaten residents' health, safety, or welfare.
    • LicensingFailed to provide safe environment
    02 May 2022Inspection
    Found a licensing violation for failing to submit timely weekly reporting on vaccinated individuals, residents, and staff. The noncompliance occurred during April 2022.
    • LicensingFailed to submit timely or adequate staffing documentation
    14 Mar 2022Validation
    Investigations identified multiple deficiencies across care planning, health services, medication management, and safety. Several residents experienced incomplete evaluations, noncompliant service plans, and inadequate incident investigations.
    • DeficiencyComment
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyActivities
    14 Mar 2022Validation
    Identified deficiencies in pre-service orientation, competency within 30 days, annual in-service training, and fire safety documentation during the re-licensure survey; a later revisit found substantial compliance.
    • DeficiencyComment
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyAnnual and Biennial Inservice For All Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    08 Feb 2022Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in harm to a resident; a fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    03 Jan 2022Inspection
    Investigated and determined that there was a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    09 Dec 2021Abuse: Neglect
    Found a failure to provide a safe environment, resulting in abuse and neglect; a fine was assessed.
    • AbuseFailed to provide safe environment
    03 Dec 2021Abuse: Neglect
    Found a violation for failing to provide a safe medication administration system, resulting in neglect and abuse; a $375 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    03 Dec 2021Abuse: Neglect
    Identified a deficiency in providing a safe medication administration system, resulting in neglect and abuse, with a $375 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    30 Nov 2021Abuse: Neglect
    Found a deficiency in the medication administration system due to failing to administer essential medications as ordered; a $375 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    05 Nov 2021Abuse: Neglect
    Found a failure to provide a safe medication administration system, leading to missed doses and hospital observation for a resident. Missed dosages occurred on multiple dates in November 2021.
    • AbuseFailed to provide a safe medication administration system
    27 Sept 2021Inspection
    Verified the allegation that a call light was not answered promptly.
    • LicensingFailed to answer call light in a timely manner
    24 Sept 2021Inspection
    Investigated a staffing allegation and observed improper glove changes during incontinent care and lack of hand hygiene and aprons during meals.
    • LicensingFailed to provide appropriate staffing
    14 Sept 2021Inspection
    Investigated and found that call lights were not answered promptly.
    • LicensingFailed to answer call light in a timely manner
    24 Aug 2021Abuse: Neglect
    Found failure to provide a safe environment after a resident eloped when a courtyard gate was left propped open, resulting in a substantiated abuse/neglect finding.
    • AbuseFailed to provide safe environment
    26 Jul 2021Inspection
    Investigated an allegation of unsafe medication administration and found a failure to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    10 Apr 2021Inspection
    Investigated a medication administration incident and found a violation related to unsafe medication practices after a resident received medications meant for another resident. A fine was assessed.
    • LicensingFailed to provide a safe medication administration system
    29 Nov 2020Inspection
    Investigated a neglect allegation where an incontinence garment was left extremely soiled and not changed, and care was not completed as required.
    • LicensingFailed to follow care plan
    29 Nov 2020Abuse: Neglect
    Investigated an incident where a staff member yelled at a resident during daily tasks, indicating verbal abuse; also found neglect due to failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    16 Nov 2020Inspection
    Found that meals were not provided as required. The finding verified a deficiency in meal provision.
    • LicensingFailed to provide proper food/nutrition
    21 Oct 2020Inspection
    Concluded that the allegation of failing to provide a safe environment was supported by findings that interior and exterior materials, surfaces, and all equipment were not kept clean and in good repair.
    • LicensingFailed to provide safe environment
    23 Sept 2020Inspection
    Found failure to provide hygiene assistance after investigating an allegation of inadequate care, specifically bathing and washing hair.
    • LicensingFailed to provide or assist with hygiene
    23 Sept 2020Inspection
    Found failure to implement service plans.
    • LicensingFailed to follow care plan
    23 Sept 2020Inspection
    Concluded that a resident's rights to consent to or refuse medications and treatments were not upheld.
    • LicensingFailed to assure resident rights
    11 Mar 2020Inspection
    Found that there was inadequate professional oversight of the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    26 Feb 2020Abuse: Neglect
    Investigated and found a failure to provide a safe environment. A resident was locked in his/her room for several hours, risking serious harm.
    • AbuseFailed to provide safe environment
    25 Feb 2020Abuse: Neglect
    Investigated an allegation of neglect. Found staff failed to intervene when a resident's condition changed, resulting in a fall and injuries; a fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    18 Feb 2020Abuse: Neglect
    Investigated and found failures to assess after a fall, update care plans, and respond to a change in condition, with injuries observed and a fine assessed.
    • AbuseFailed to provide safe environment
    08 Feb 2020Inspection
    Investigated an allegation that a prescribed medication was not administered; found a failure to administer as ordered.
    • LicensingFailed to administer ordered medication
    05 Feb 2020Inspection
    Found a deficiency for failing to maintain a safe physical environment that could threaten residents' health, safety, or welfare.
    • LicensingFailed to maintain a safe physical environment
    01 Oct 2019Inspection
    Investigated an allegation that a resident did not receive medications as ordered and found a deficiency in the medication administration system that created a risk of harm.
    • LicensingFailed to administer medication as ordered
    02 Sept 2019Abuse: Neglect
    Found neglect due to failure to follow up with the resident's medical team and to document the injury timely, which created risk of harm; a fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    03 Aug 2019Abuse: Neglect
    Investigated an allegation of neglect and found failure to follow the care plan led to an unsafe environment. A fine was assessed.
    • AbuseFailed to follow care plan
    30 Jun 2019Inspection
    Found a licensing violation due to failure to provide a safe medication administration system, creating risk of serious harm.
    • LicensingFailed to provide a safe medication administration system
    01 Jan 2019Abuse: Neglect
    Investigated the complaint about delays in pain medications and found neglect related to unsafe medication administration and failure to follow ordering protocols, resulting in the resident going without prescribed medications.
    • AbuseFailed to provide a safe medication administration system
    14 Dec 2018Abuse: Neglect
    Found neglect due to failure to provide a safe environment and assessed a $250 fine.
    • AbuseFailed to provide safe environment
    14 Dec 2018Inspection
    Found failure to report suspected abuse; a $750 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    01 Feb 2018Inspection
    Identified a deficiency in the medication administration system. It was categorized as a licensing violation.
    • LicensingFailed to provide a safe medication administration system
    10 Feb 2017Inspection
    Found that the care plan was not followed.
    • LicensingFailed to follow care plan
    23 Aug 2016Abuse: Financial abuse
    Found residents were not protected from theft due to a system that failed to prevent theft or misuse of medications.
    • AbuseFailure to provide a system that prevents theft or misuse of medication
    27 Jun 2016Abuse: Neglect
    Investigated the allegation of abuse/neglect and found failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    27 Apr 2016Inspection
    Investigated a licensing allegation of unsafe medication administration and found the system not maintained.
    • LicensingFailed to provide a safe medication administration system
    02 Nov 2015Abuse: Neglect
    Found that a safe environment was not provided, resulting in injury.
    • AbuseFailed to address resident's behavior
    12 Feb 2014Inspection
    Found failure to follow the resident's plan of care.
    • LicensingFailed to follow care plan
    14 Aug 2013Abuse: Neglect
    Found an inadequate medication management system and assessed a $300 fine.
    • AbuseFailed to provide a safe medication administration system
    24 Jul 2013Inspection
    Investigated an allegation of failing to provide a safe environment and found emotional abuse occurred.
    • LicensingFailed to provide safe environment
    09 Jun 2013Abuse: Physical Abuse
    Investigated a physical abuse allegation and identified a failure to provide a safe environment.
    • AbuseFailed to protect resident from rough treatment
    30 May 2013Abuse: Neglect
    Found deficient care and services and assessed a $300 fine.
    • AbuseFailed to follow care plan
    25 May 2013Inspection
    Found a lack of a safe environment after a resident-to-resident altercation caused injury.
    • LicensingFailed to provide safe environment
    23 Dec 2012Inspection
    Investigated the allegation and found a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    06 Apr 2012Abuse: Neglect
    Investigated a neglect allegation related to toileting assistance and found inadequate care. This could cause minor harm or risk of moderate harm.
    • AbuseFailed to assist with toileting
    05 Apr 2012Inspection
    Found that the medication administration system was not adequately maintained.
    • LicensingFailed to keep medication record current or accurate
    20 Sept 2011Abuse: Neglect
    Found failure to follow the care plan, indicating neglect with potential for harm.
    • AbuseFailed to follow care plan
    13 Aug 2011Inspection
    Investigated an allegation and substantiated a deficiency related to medication records. Found a failure to provide a safe environment.
    • LicensingFailed to keep medication record current or accurate
    11 Jan 2011Inspection
    Found a deficiency in providing a safe environment.
    • LicensingFailed to address resident's behavior
    25 Feb 2010Inspection
    Found that the facility failed to provide a safe environment.
    • LicensingFailed to follow care plan

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