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
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Transportation arrangement (medical)
Transportation to doctors appointments
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.15·(72)
Overall rating
5
4
3
2
1
Care
3.7
Staff
4.2
Meals
3.4
Amenities
3.6
Value
3.0
Pros
Respectful, personalized staff interactions
Warm, home-like atmosphere
Clean, attractive common areas
Comfortable, light-filled apartments
Scenic, walkable neighborhood setting
Engaging activities and community outings
Improved dining under a new chef and menu
Transportation included in monthly cost
Secure memory-care measures and controlled access
Responsive front-desk and reception team
On-site computer and IT support
Restored housekeeping and maintenance improvements
Cons
Inconsistent staffing levels and high turnover
Understaffing in memory-care operations
Inconsistent cleanliness and sanitation practices
Variable meal quality and service continuity
Gaps in dementia-care training and supervision
Medication-management and reconciliation inconsistencies
Unreliable housekeeping and laundry workflows
Communication lapses with families and administration
Management instability and periodic rate increases
Uneven activity programming, especially on weekends
Accessibility constraints related to elevator and dining layout
Personal-item controls and inventory management gaps
Summary of reviews
Hawthorne Gardens presents as a small, neighborhood-oriented senior community with a clearly articulated home-like aesthetic and several operational strengths. Across reviews families and residents frequently highlighted welcoming, respectful staff interactions, attentive front-desk service, light-filled apartments, attractive common spaces, and a walkable residential setting. The community offers secure memory-care features such as controlled access, fenced outdoor areas, and an intimate size that some families find preferable to larger institutions. Recent leadership and staffing changes have coincided with visible improvements in dining, housekeeping, and activity programming according to multiple accounts.
Care quality is a mixed picture. Many reviewers praise compassionate caregiving, individualized attention, and clinicians described as attentive; a subset of families credited specific staff members and new management for measurable improvements. However, recurring operational concerns include inconsistent staffing levels and high turnover, with particular understaffing noted on the memory-care unit. Those staffing patterns have been associated with delayed or inconsistent completion of routine tasks, variable responsiveness, and concerns about dementia-care supervision.
Dining and housekeeping show divergent experiences. Several families described an upgraded culinary program under a new chef, with fresh ingredients, improved presentation, and expanded menu choices. At the same time, other accounts describe cold or unappealing meals and uneven menu execution, indicating variability in meal-service continuity. Housekeeping and laundry services were reported to have improved under newer leadership, but inconsistent workflows remain a theme, with some reports of missed laundry, sanitation concerns, and odor issues in specific rooms or common areas.
Activities and resident engagement also vary. Many reviewers noted a robust set of programs, neighborhood outings, exercise options, and effective activity coordination that contributes to resident satisfaction. Conversely, some families reported that activities are limited or reduced on weekends, and that activity staff are occasionally reassigned to caregiving duties, reducing scheduled programming for residents in memory care.
Facility features are generally viewed positively: the building, grounds, and public rooms are attractive and designed to feel non-institutional. Practical constraints include a single small elevator and a dining room location that some find less accessible, as well as uneven sidewalks in the surrounding neighborhood. Additional operational issues raised include occasional medication-management discrepancies, communication gaps between families and administration, and concerns about personal-item controls and inventory tracking.
Management history is a notable pattern. Reviewers describe a period of instability and corporate transition followed by visible recovery under more recent directors, with restored standards, new housekeeping staff, and an active culinary refresh. Nevertheless, lingering concerns about staffing consistency, training in dementia care, medication reconciliation, and periodic rate increases mean the facility may be a better fit for families willing to verify current staffing ratios, housekeeping schedules, medication policies, and activity calendars in person. Prospective families should tour during different times of day, ask for up-to-date staffing and inspection information, and request documentation of dementia-care staffing practices before making a placement decision.
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Location
Hawthorne Gardens Senior Living Community is located at 2828 SE Taylor St, Portland, OR, 97214.
About Hawthorne Gardens Senior Living Community
Hawthorne Gardens Senior Living Community sits in a quiet, residential part of Portland's scenic Willamette Valley, offering a peaceful place for seniors while still being close to city life. The building is three stories tall with large windows and soft Pacific Northwest colors, and has cozy spaces decorated to feel warm, inviting, and a little elegant without being fussy. There are several types of apartments, including studios and one-bedroom suites, all designed so they feel like home, and folks here can bring pets since the place is pet-friendly.
Residents must be at least 63 and have a choice of independent living, assisted living, skilled nursing, respite care, and memory care, so people can stay here while their needs change instead of moving somewhere else. The memory care program supports people living with memory loss, dementia, or Alzheimer's, focusing on safety, routines, and specialized activities for the mind, and it has a secure environment with staff who know what they're doing, in a separate but nurturing part of the community. For those in assisted living, there's daily help available, like bathing, dressing, grooming, medication management, and reminders, with care plans shaped around each person and plenty of staff present 24/7. Respite care is also available for short stays when caregivers need time off or someone just needs temporary extra help.
Housekeeping, laundry, and linen service come once a week in the base rent, with added support for personal care, incontinence, and escorting folks to activities or meals as needed. There's free Wi-Fi for residents and good parking options including covered spots, plus complimentary and fee-based transportation for outings, medical visits, and activities around Portland, and the property's near bus lines if someone wants to be independent.
There's always a full calendar of activities, with group events like shopping trips, crafts, socials, and devotional services either on-site or close by. There's a piano, an organ, raised gardening beds, outdoor courtyards, and a TV lounge for people to relax or visit with friends and family, and staff encourage new friendships through all sorts of social opportunities. The dining room feels lively at mealtimes, with nutritious, chef-prepared meals served restaurant-style, a private dining area for family gatherings, guest meal options, and they cater for special diets like gluten-free.
Common areas include a beauty salon, fireplaces, open lounges, and both indoor and outdoor space for gatherings. Everything is designed with comfort and safety in mind, including wheelchair accessible showers and plenty of space to move around. Hawthorne Gardens has a reputation for helpful, upbeat staff, with awards for kindness, active engagement, and the overall caring atmosphere-folks can even follow the community on social media if they want, since the community's got Facebook and Instagram. Care teams are easy to find at any time, so residents get help when they need it, and the community puts a lot of focus on independence, dignity, and creating a real sense of belonging, so people feel at home even as their care needs change. Tours are available for those who want to see what life is like at Hawthorne Gardens and the staff use a "Get Acquainted Visit" to make sure new residents get the right support.
People often ask...
Hawthorne Gardens Senior Living Community offers competitive pricing, with rates starting at a cost of $4,427 per month.
Hawthorne Gardens Senior Living Community offers assisted living and memory care.
There are 53 photos of Hawthorne Gardens Senior Living Community on Mirador.
The full address for this community is 2828 SE Taylor St, Portland, OR 97214.
No, Hawthorne Gardens Senior Living Community 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.
Investigated an allegation of unsafe conditions in a memory care setting, identifying a failure to maintain a safe environment when a resident exited a secured area by climbing over a fence, resulting in injuries.
Regulatory Action—Failed to provide safe environment
04 Aug 2026Inspection
04 Aug 2026Inspection
Identified a failure to immediately notify the local Department office of any incident of abuse or suspected abuse.
Licensing—Failed to report potential or suspected abuse
07 Jul 2026Inspection
07 Jul 2026Inspection
Determined that the service plan did not reflect the resident's needs.
Licensing—Failed to properly plan care
25 Apr 2026Inspection
25 Apr 2026Inspection
Found that a staff member took two bottles of a resident's liquid narcotic medication, exposing the resident to financial exploitation.
Licensing—Failed to protect resident from financial exploitation
22 Dec 2025Inspection
22 Dec 2025Inspection
Investigated the allegation and found that service plans did not reflect residents' needs or include preferences that support dignity, privacy, choice, individuality, and independence.
Licensing—Failed to properly plan care
22 Dec 2025Inspection
22 Dec 2025Inspection
Investigated an allegation of inadequate oversight and monitoring of changes in condition and identified a violation of Change of Conditions and Monitoring requirements.
Licensing—Failed to provide oversight and monitoring of change of condition
18 Dec 2025Kitchen
18 Dec 2025Kitchen
Identified deficiencies in food sanitation practices and administration compliance. Observations showed unsanitary kitchen conditions and failures to follow licensing rules.
Investigated a violation regarding safe medication administration practices and found that medications were left unattended, placing a resident at risk.
Licensing—Failed to provide a safe medication administration system
15 Oct 2025Inspection
15 Oct 2025Inspection
Found that the Acuity-Based Staffing Tool evaluations were not completed or updated for every resident quarterly as required.
Licensing—Failed to use an ABST
15 Aug 2025Inspection
15 Aug 2025Inspection
Found that an Acuity Based Staffing Tool was not developed, maintained, and implemented. This constitutes a licensing violation.
Licensing—Failed to use an ABST
11 Aug 2025License Condition
11 Aug 2025License Condition
Determined non-compliance with safety requirements. The non-compliance posed a threat to residents' health, safety, and welfare.
Regulatory Action—Failed to provide safe environment
11 Jul 2025License Condition
11 Jul 2025License Condition
Determined the provider was not in substantial compliance and posed a threat to residents' health, safety, and welfare.
Regulatory Action—Failed to provide safe environment
04 Jul 2025Inspection
04 Jul 2025Inspection
Found failure to complete or update ABST evaluations quarterly for each resident.
Licensing—Failed to use an ABST
04 Jul 2025Abuse: Neglect
04 Jul 2025Abuse: Neglect
Investigated an abuse and neglect allegation and identified safety and care planning deficiencies that risked resident safety.
Abuse—Failed to address resident's behavior
01 Jul 2025Inspection
01 Jul 2025Inspection
Found a deficiency for failing to develop, maintain, and implement an Acuity Based Staffing Tool, in violation of state rules.
Licensing—Failed to use an ABST
13 Jun 2025Change of Owner
13 Jun 2025Change of Owner
Multiple deficiencies found in abuse reporting, resident move-in evaluations, service planning, condition monitoring, health services, medication systems, staffing, ABST updates, training, fire safety, building maintenance, plumbing temps, call systems, resident choice, and move-in documentation.
Investigated a licensing complaint and identified deficiencies with regulatory compliance.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity Based Staffing Tool - Abst Time
31 Mar 2025Abuse: Neglect
31 Mar 2025Abuse: Neglect
Investigated an abuse and neglect allegation and found insufficient oversight of changes in condition during transfers, leading to injuries and failure to monitor or respond.
Abuse—Failed to provide oversight and monitoring of change of condition
18 Feb 2025Abuse: Neglect
18 Feb 2025Abuse: Neglect
Investigated an allegation of neglect and abuse and found a failure to provide a safe environment, resulting in injury to a resident.
Abuse—Failed to provide safe environment
12 Nov 2024Kitchen
12 Nov 2024Kitchen
Identified multiple deficiencies in kitchen sanitation and administration compliance. Observed numerous unsanitary conditions and failure to follow licensing rules.
Investigated the allegation and found that records were not provided upon request, constituting a violation.
Licensing—Failed to make facility or resident records accessible
03 Oct 2024License Condition
03 Oct 2024License Condition
Found that acts/omissions created a risk of immediate jeopardy by failing to provide a safe environment.
Regulatory Action—Failed to provide safe environment
21 Sept 2024Abuse: Neglect
21 Sept 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment that constitutes abuse and neglect.
Abuse—Failed to provide safe environment
21 Aug 2024Abuse: Neglect
21 Aug 2024Abuse: Neglect
Found neglect and abuse due to failure to monitor a resident's condition and to implement wound care, leading to hospitalization for sepsis.
Abuse—Failed to provide oversight and monitoring of change of condition
05 Jul 2024Abuse: Neglect
05 Jul 2024Abuse: Neglect
Investigated a complaint and found cough medication was not given on time as ordered, causing discomfort and indicating neglect/abuse; a fine was assessed.
Abuse—Failed to administer medication as ordered
04 Apr 2024Inspection
04 Apr 2024Inspection
Found that the entity failed to fully implement and update an acuity-based staffing tool, violating Oregon Administrative Rules.
Licensing—Failed to use an ABST
01 Apr 2024Inspection
01 Apr 2024Inspection
Found a deficiency in verifying that direct care staff demonstrated satisfactory performance in any assigned duty.
Licensing—Failed to assure resident rights
01 Apr 2024Inspection
01 Apr 2024Inspection
Investigated and found that resident records were not prepared, complete, accurate, or preserved.
Licensing—Failed to make facility or resident records accessible
01 Apr 2024Inspection
01 Apr 2024Inspection
Found that there were not enough qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs.
Licensing—Failed to staff as indicated by ABST
01 Apr 2024Inspection
01 Apr 2024Inspection
Investigated an allegation of inadequate infection control leadership and found a failure to designate an Infection Control Specialist responsible for implementing infection prevention protocols and serving as the primary contact for outbreaks.
Licensing—Failed to assure resident rights
01 Apr 2024Complaint
01 Apr 2024Complaint
Investigated and found deficiencies across records retention, resident meals and food safety, service plan implementation, infection prevention, medication management, staffing, and staff training.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Annual and Biennial Inservice For All Staff
01 Apr 2024Inspection
01 Apr 2024Inspection
Investigated a records-keeping issue and identified that resident records were not kept for at least three years after discharge, violating state rules.
Licensing—Failed to assure resident rights
01 Apr 2024Inspection
01 Apr 2024Inspection
Investigated the allegation of an unsafe medication administration system and found inadequate professional oversight of the medication and treatment administration system.
Licensing—Failed to provide a safe medication administration system
01 Apr 2024Inspection
01 Apr 2024Inspection
Found a substantiated violation for failing to provide three daily nutritious meals with snacks seven days a week and not ensuring food was prepared and served according to hygiene rules and USDA guidelines.
Licensing—Failed to provide proper food/nutrition
01 Apr 2024Inspection
01 Apr 2024Inspection
Investigated the allegation of failing to follow the care plan and found a violation related to ensuring the implementation of services.
Licensing—Failed to follow care plan
23 Mar 2024Inspection
23 Mar 2024Inspection
Determined a failure to administer medication as ordered occurred.
Licensing—Failed to administer medication as ordered
16 Mar 2024Inspection
16 Mar 2024Inspection
Investigated an allegation that a family member administered an unprescribed medication causing falls, found violations regarding medication management and resident rights, and assessed a fine.
Licensing—Failed to provide safe environment
19 Feb 2024Abuse: Neglect
19 Feb 2024Abuse: Neglect
Investigated a failure to provide a safe medication administration system; seven of twenty prescribed antibiotic doses were given, delaying wound treatment.
Abuse—Failed to provide a safe medication administration system
18 Jan 2024Inspection
18 Jan 2024Inspection
Investigated a complaint and found a failure to provide a safe medication administration system. The investigation found no abuse by any individual.
Licensing—Failed to provide a safe medication administration system
12 Jan 2024Inspection
12 Jan 2024Inspection
Investigated the allegation of failing to provide service and supervision for a resident with behavioral symptoms and cited a violation of Oregon Administrative Rules.
Licensing—Failed to provide service
09 Jan 2024Abuse: Neglect
09 Jan 2024Abuse: Neglect
Investigated the complaint and identified deficiencies in monitoring and wound care for pressure injuries, leading to worsening wounds and a hospital visit.
Abuse—Failed to provide oversight and monitoring of change of condition
01 Jan 2024Inspection
01 Jan 2024Inspection
Determined that medication orders were not administered as prescribed.
Licensing—Failed to administer medication as ordered
14 Nov 2023Licensure
14 Nov 2023Licensure
Determined substantial compliance with meal service and food sanitation requirements.
Deficiency—Comment
14 Nov 2023Licensure
14 Nov 2023Licensure
Determined substantial compliance with meals and food sanitation rules following a kitchen inspection.
Deficiency—Comment
15 Oct 2023Inspection
15 Oct 2023Inspection
Investigated a medication safety complaint and found a failure to provide a safe medication administration system, resulting in an incorrect medication being given and increased pain; identified neglect and abuse.
Licensing—Failed to provide a safe medication administration system
14 Oct 2023Inspection
14 Oct 2023Inspection
Investigated a restraint-related case; found neglect and abuse due to administering sedating medications to restrain a resident during nail trimming, and a failure to provide a safe environment.
Licensing—Failed to use restraint properly
02 Jun 2023License Condition
02 Jun 2023License Condition
Found insufficient direct care staff to meet residents' scheduled and unscheduled needs. Nighttime falls increased due to staffing shortages.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
02 Jun 2023License Condition
02 Jun 2023License Condition
Found failure to use an ABST as required.
Regulatory Action—Failed to use an ABST
01 Jun 2023Inspection
01 Jun 2023Inspection
Fined $7,500 for failing to report vaccination information for residents, staff, and vaccinated individuals to the proper authority as required by law.
Licensing—Failed to submit timely or adequate staffing documentation
28 May 2023Inspection
28 May 2023Inspection
Found a failure to provide a safe medication administration system, resulting in a resident receiving another resident's medication.
Licensing—Failed to provide a safe medication administration system
19 May 2023Inspection
19 May 2023Inspection
Investigated and found a violation for failing to submit timely or adequate staffing documentation, and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
26 Apr 2023Abuse: Neglect
26 Apr 2023Abuse: Neglect
Investigated an abuse/neglect allegation and found failures in medication administration and continence care that could harm; a $500 fine was assessed.
Abuse—Failed to provide service
20 Apr 2023Inspection
20 Apr 2023Inspection
Found failure to submit timely or adequate staffing documentation and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
17 Apr 2023Abuse: Neglect
17 Apr 2023Abuse: Neglect
Investigated found neglect and abuse due to failure to provide appropriate care, including incontinence care, resulting in discomfort and loss of dignity.
Abuse—Failed to provide service
14 Apr 2023Abuse: Neglect
14 Apr 2023Abuse: Neglect
Found a failure to provide a safe environment, resulting in neglect and abuse, with a fine assessed.
Abuse—Failed to provide safe environment
04 Apr 2023Abuse: Neglect
04 Apr 2023Abuse: Neglect
Found the resident did not receive appropriate services, including inadequate skin checks and failure to administer a prescribed PRN antifungal medication. This resulted in discomfort and was considered neglect.
Abuse—Failed to provide service
16 Mar 2023Inspection
16 Mar 2023Inspection
Found that medications were not stored in locked containers in a secured environment, violating the rule.
Licensing—Failed to provide a safe medication administration system
16 Mar 2023Complaint
16 Mar 2023Complaint
Identified multiple deficiencies across governance, resident care, health services, infection control, medication management, staffing, and equipment maintenance.
Found failure to establish and maintain infection prevention and control protocols, resulting in an unsafe and unsanitary environment.
Licensing—Failed to provide infection control
07 Mar 2023Abuse: Neglect
07 Mar 2023Abuse: Neglect
Investigated an allegation of unsafe medication administration and found a failure to provide a safe medication administration system, leading to missed eye medication doses and pain for the resident, constituting abuse and neglect.
Abuse—Failed to provide a safe medication administration system
03 Mar 2023Inspection
03 Mar 2023Inspection
Investigated and found deficiencies in cleanliness of interior and exterior materials and surfaces and in keeping equipment in good repair for health, safety, and comfort.
Licensing—Failed to provide service
03 Mar 2023Inspection
03 Mar 2023Inspection
Found failure to provide bathing and hair washing assistance as required.
Licensing—Failed to provide service
03 Mar 2023Abuse: Neglect
03 Mar 2023Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in neglect and abuse findings. A $250 fine was assessed.
Abuse—Failed to provide a safe medication administration system
03 Mar 2023Inspection
03 Mar 2023Inspection
Found insufficient qualified awake direct care staff to cover 24-hour needs as required by the rule.
Licensing—Failed to provide service
03 Mar 2023Inspection
03 Mar 2023Inspection
Found a deficiency in safe medication administration practices. The deficiency was categorized as a minor harm or potential for moderate harm.
Licensing—Failed to provide a safe medication administration system
03 Mar 2023Inspection
03 Mar 2023Inspection
Investigated an allegation of failing to provide service and found a deficiency due to missing written policies for a 24-hour resident monitoring and reporting system.
Licensing—Failed to provide service
28 Feb 2023Inspection
28 Feb 2023Inspection
Investigated and found a deficiency in how resident complaints were addressed, with ineffective methods for responding to and resolving complaints in line with state rules.
Licensing—Failed to provide service
28 Feb 2023Inspection
28 Feb 2023Inspection
Investigated an allegation that bathing assistance wasn't provided; found a violation of the bathing assistance requirement.
Licensing—Failed to provide service
28 Feb 2023Inspection
28 Feb 2023Inspection
Investigated a complaint alleging inadequate awake direct care staffing leading to delayed call-light responses and toileting assistance.
Licensing—Failed to provide service
28 Feb 2023Inspection
28 Feb 2023Inspection
Identified a cleanliness deficiency for interior and exterior spaces and surfaces.
Licensing—Failed to provide service
28 Feb 2023Inspection
28 Feb 2023Inspection
Identified a deficiency in completing quarterly service plans as required by rule.
Licensing—Failed to properly plan care
24 Feb 2023Inspection
24 Feb 2023Inspection
Found that the staffing plan based on acuity was not updated and the acuity-based staffing tool was not fully implemented.
Licensing—Failed to update staffing plan based on ABST
22 Feb 2023Inspection
22 Feb 2023Inspection
Found insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs of residents.
Licensing—Failed to provide service
22 Feb 2023Inspection
22 Feb 2023Inspection
Found a failure to implement a service plan that reflects residents' needs identified in the evaluation.
Licensing—Failed to properly plan care
18 Jan 2023Inspection
18 Jan 2023Inspection
Found a failure to submit timely weekly reports of vaccinated individuals, residents, and staff for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
06 Dec 2022Inspection
06 Dec 2022Inspection
Found that the nursing delegation requirement was not met because no Oregon-licensed nurse was regularly scheduled onsite and available for phone consultation.
Licensing—Failed to comply with nursing delegation requirement
24 Nov 2022Inspection
24 Nov 2022Inspection
Identified deficiencies in the medication administration system; a medication was not administered as ordered and another was administered late, marking a second such violation within six months.
Licensing—Failed to provide a safe medication administration system
24 Nov 2022Inspection
24 Nov 2022Inspection
Found a failure to provide a safe medication administration system and to administer medication as ordered.
Licensing—Failed to provide a safe medication administration system
16 Nov 2022Abuse: Neglect
16 Nov 2022Abuse: Neglect
Investigated a medication safety issue and found a lack of a safe medication administration system that created risk of harm to residents.
Abuse—Failed to provide a safe medication administration system
02 Aug 2022Licensure
02 Aug 2022Licensure
Identified deficiencies in kitchen cleanliness during the initial visit; subsequent revisit found substantial compliance.
Found failure to submit timely or adequate weekly vaccination reporting for residents, staff, and vaccinated individuals for 30 days in March 2022.
Licensing—Failed to submit timely or adequate staffing documentation
01 Mar 2022Inspection
01 Mar 2022Inspection
Found that the respondent failed to submit timely or adequate staffing documentation for vaccinated individuals, residents, and staff for 27 days. A $7,500 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
28 Jan 2022Abuse: Neglect
28 Jan 2022Abuse: Neglect
Found a failure to provide a safe environment for a resident, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to provide safe environment
24 Jan 2022Abuse: Neglect
24 Jan 2022Abuse: Neglect
Investigators found that anti-psychotic medications were not provided as prescribed, leading to a resident-to-resident altercation and injuries. A fine of $188 was assessed.
Abuse—Failed to provide service
21 Jan 2022Inspection
21 Jan 2022Inspection
Determined that the allegation about failing to respond to and resolve resident complaints was substantiated. Findings showed that effective methods to address and resolve a long-standing complaint were not developed or implemented.
Licensing—Failed to assure resident rights
13 Jan 2022Inspection
13 Jan 2022Inspection
Investigated the medication administration allegation and verified failure to visually observe a resident take medications as ordered.
Licensing—Failed to administer medication as ordered
02 Jan 2022Abuse: Neglect
02 Jan 2022Abuse: Neglect
Investigated and found a failure to provide a safe environment resulting in abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
12 Dec 2021Inspection
12 Dec 2021Inspection
Investigated a complaint and found insufficient staff to meet residents' scheduled and unscheduled needs, including timely call-light responses.
Licensing—Failed to provide service
12 Dec 2021Inspection
12 Dec 2021Inspection
Found deficiencies in safe medication administration practices due to failure to follow doctor orders.
Licensing—Failed to provide a safe medication administration system
31 Oct 2021Inspection
31 Oct 2021Inspection
Investigated the staffing allegation and verified insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
25 Oct 2021Inspection
25 Oct 2021Inspection
Found insufficient staffing to meet scheduled and unscheduled needs of residents, violating Oregon Administrative Rules.
Licensing—Failed to provide service
14 Oct 2021Inspection
14 Oct 2021Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs, delaying responses to call lights and timely medication administration.
Licensing—Failed to answer call light in a timely manner
17 Sept 2021Inspection
17 Sept 2021Inspection
Investigated the complaint and found insufficient staff to meet residents' scheduled and unscheduled needs and to provide housekeeping.
Licensing—Failed to provide appropriate housekeeping services
17 Sept 2021Inspection
17 Sept 2021Inspection
Investigated the allegation and found a staff training deficiency.
Licensing—Failed to provide appropriate staffing
17 Sept 2021Inspection
17 Sept 2021Inspection
Determined that housekeeping services were not provided as required.
Licensing—Failed to provide appropriate housekeeping services
09 May 2021Abuse: Neglect
09 May 2021Abuse: Neglect
Investigated and found that staff failed to follow a resident's care plan to empty a catheter bag, resulting in neglect and abuse; a $1,000 fine was assessed.
Abuse—Failed to follow care plan
06 May 2021Abuse: Neglect
06 May 2021Abuse: Neglect
Investigated an allegation and found that the care plan was not followed, resulting in abuse/neglect. A $1000 fine was assessed.
Abuse—Failed to follow care plan
16 Apr 2021License Condition
16 Apr 2021License Condition
Investigated the allegation of inadequate administrative oversight and found violations for failing to provide needed/necessary services.
Regulatory Action—Failed to provide service
10 Mar 2021Abuse: Neglect
10 Mar 2021Abuse: Neglect
Investigated and found that a resident’s changing condition was not addressed, contributing to weight loss and dehydration. A $250 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
21 Feb 2021Inspection
21 Feb 2021Inspection
Investigated the hygiene-related allegation and found residents were not assisted with bathing and toileting.
Licensing—Failed to provide or assist with hygiene
21 Feb 2021Inspection
21 Feb 2021Inspection
Investigated and found service plans for residents were not updated quarterly, violating the applicable rule.
Licensing—Failed to care plan in accordance with assessment
21 Feb 2021Inspection
21 Feb 2021Inspection
Determined that the allegation of failing to assist with dressing or grooming was verified.
Licensing—Failed to assist with dressing or grooming
30 Jan 2021Abuse: Neglect
30 Jan 2021Abuse: Neglect
Found neglect and abuse due to failure to ensure dental treatment for a resident, and a $500 fine was assessed.
Abuse—Failed to assure dental treatment
30 Jan 2021Inspection
30 Jan 2021Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
30 Jan 2021Inspection
30 Jan 2021Inspection
Investigated and verified that twice-daily oral care was not provided as outlined in the resident's service plan.
Licensing—Failed to follow care plan
04 Dec 2020Inspection
04 Dec 2020Inspection
Investigated a staffing allegation and found direct care staffing levels insufficient to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
04 Dec 2020Inspection
04 Dec 2020Inspection
Investigated the allegation that the administrator failed to implement services per resident service plans; findings verified the failure to implement as required.
Licensing—Failed to follow care plan
04 Dec 2020Inspection
04 Dec 2020Inspection
Investigated the allegation and found that information about the method for evaluating service needs and assessing costs was not provided.
Licensing—Failed to communicate necessary information
04 Dec 2020Inspection
04 Dec 2020Inspection
Identified an ineffective method for responding to and resolving resident complaints.
Licensing—Failed to communicate necessary information
04 Dec 2020Inspection
04 Dec 2020Inspection
Found that physician orders were not carried out as prescribed.
Licensing—Failed to follow care plan
04 Dec 2020Inspection
04 Dec 2020Inspection
Concluded that resident service plans were not updated.
Licensing—Failed to follow care plan
04 Dec 2020Inspection
04 Dec 2020Inspection
Investigated the allegation that a call system connecting resident units to staff pagers was not maintained and verified the deficiency.
Licensing—Failed to maintain functional door alarm or call system
03 Dec 2020Inspection
03 Dec 2020Inspection
Determined that the allegation of failing to communicate necessary information and to coordinate off-site health services for residents who cannot or choose not to self-manage their health services was verified.
Licensing—Failed to communicate necessary information
03 Dec 2020Inspection
03 Dec 2020Inspection
Found that care planning failed to update resident service plans.
Licensing—Failed to properly plan care
03 Dec 2020Inspection
03 Dec 2020Inspection
Found that information about evaluating service needs and costs for provided services was not communicated.
Licensing—Failed to communicate necessary information
01 Dec 2020Inspection
01 Dec 2020Inspection
Investigated and verified that resident service plans were not updated.
Licensing—Failed to follow care plan
01 Dec 2020Inspection
01 Dec 2020Inspection
Investigated the allegation and verified that services based on resident service plans were not implemented.
Licensing—Failed to follow care plan
01 Dec 2020Inspection
01 Dec 2020Inspection
Investigated the allegation that medical treatment was not provided as ordered and confirmed non-compliance with physician orders.
Licensing—Failed to provide medical treatment as ordered
20 Nov 2020Inspection
20 Nov 2020Inspection
Found a deficiency in infection control and substantiated a Level 2 licensing violation.
Licensing—Failed to provide infection control
15 Oct 2020Inspection
15 Oct 2020Inspection
Found insufficient awake qualified direct care staff to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
15 Oct 2020Inspection
15 Oct 2020Inspection
Investigated an allegation about resident records and found that service plans did not reflect residents' needs or were not readily accessible to staff.
Licensing—Failed to keep resident record current or accurate
14 Oct 2020Inspection
14 Oct 2020Inspection
Found insufficient qualified awake direct care staffing to meet residents' 24-hour needs.
Licensing—Failed to provide appropriate staffing
14 Oct 2020Inspection
14 Oct 2020Inspection
Identified a deficiency in training to determine direct care staff competency. The finding showed no program to assess competency through evaluation, observation, or written testing.
Licensing—Failed to assure a qualified caregiver was present
14 Oct 2020Inspection
14 Oct 2020Inspection
Investigated and found a deficiency related to failing to promptly investigate all reports of abuse and suspected abuse and to take measures necessary to protect residents.
Licensing—Failed to report potential or suspected abuse
14 Oct 2020Abuse: Neglect
14 Oct 2020Abuse: Neglect
Found that staff failed to follow the resident’s care plan, resulting in an unwitnessed fall with head injury and inadequate two-hour checks.
Abuse—Failed to follow care plan
06 Oct 2020Inspection
06 Oct 2020Inspection
Investigated the allegation and found a deficiency in maintaining a safe environment, including PPE noncompliance and coded alerts for PPE when state workers were on site.
Licensing—Failed to maintain a safe physical environment
06 Oct 2020Inspection
06 Oct 2020Inspection
Determined that there were not enough qualified awake direct care staff to meet residents' 24-hour needs.
Licensing—Failed to assure a qualified caregiver was present
06 Oct 2020Inspection
06 Oct 2020Inspection
Verified that a daily program of social and recreational activities based on residents' interests and needs was not provided.
Licensing—Failed to provide appropriate activities
06 Oct 2020Inspection
06 Oct 2020Inspection
Investigated and found deficiencies in care and cleanliness, including lack of bathing, toileting, and bladder/bowel management, and housekeeping.
Licensing—Failed to provide or assist with hygiene
11 Sept 2020Abuse: Neglect
11 Sept 2020Abuse: Neglect
Identified abuse and neglect violations; failed to provide prescribed care, including oxygen and pain management orders, risking the resident's care, and a fine was assessed.
Abuse—Failed to provide service
15 Jul 2020Abuse: Neglect
15 Jul 2020Abuse: Neglect
Investigated a complaint and found the facility failed to provide adequate health assessment and monitoring during a change in condition, leading to harm; a $500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
10 Jun 2020Abuse: Neglect
10 Jun 2020Abuse: Neglect
Investigated allegations of abuse and neglect found failure to assess and intervene with a resident's changing condition, resulting in the resident becoming lost and at risk of serious harm.
Abuse—Failed to provide safe environment
22 May 2020Abuse: Neglect
22 May 2020Abuse: Neglect
Investigated an allegation of neglect and abuse due to failure to plan care for a resident with challenging behaviors; determined improper care planning and a sanction was imposed.
Abuse—Failed to properly plan care
10 Feb 2020Inspection
10 Feb 2020Inspection
Investigated an allegation of failing to properly plan care and found service plans were not updated to reflect residents' needs at move-in, within 30 days, and quarterly per the rule.
Licensing—Failed to properly plan care
10 Feb 2020Inspection
10 Feb 2020Inspection
Investigated the allegation of an unsafe environment and found interior materials and surfaces were not kept clean or in good repair.
Licensing—Failed to maintain a safe physical environment
23 Jan 2020Abuse: Neglect
23 Jan 2020Abuse: Neglect
Found neglect and abuse due to failure to provide basic care and services; a $250 fine assessed.
Abuse—Failed to provide service
22 Oct 2019Abuse: Neglect
22 Oct 2019Abuse: Neglect
Found a failure to provide a safe medication administration system, which led to ongoing inflammation after surgery and the need for additional medication.
Abuse—Failed to provide a safe medication administration system
22 Sept 2019Abuse: Financial abuse
22 Sept 2019Abuse: Financial abuse
Determined that a resident was financially exploited and a care deficiency led to financial loss.
Abuse—Failed to protect resident from financial exploitation
27 Aug 2019Abuse: Financial abuse
27 Aug 2019Abuse: Financial abuse
Investigated the financial exploitation allegation and determined there was a failure to protect a resident from financial exploitation, resulting in financial loss.
Abuse—Failed to protect resident from financial exploitation
26 Jun 2019Abuse: Neglect
26 Jun 2019Abuse: Neglect
Found neglect causing physical harm to a resident; a fine was assessed.
Abuse—Failed to assure resident was safe
10 Sept 2018Abuse: Neglect
10 Sept 2018Abuse: Neglect
Investigated the allegation of neglect; found that basic care was not provided, resulting in physical harm to a resident.
Abuse—Failed to assure resident was safe
13 Jul 2018Abuse: Neglect
13 Jul 2018Abuse: Neglect
Investigated an abuse/neglect allegation and found failure to follow the care plan, resulting in harm; a fine was assessed.
Abuse—Failed to follow care plan
17 Jun 2018Inspection
17 Jun 2018Inspection
Investigated and found that care planning failed to ensure a safe environment, creating a risk of serious harm.
Licensing—Failed to properly plan care
02 May 2018Inspection
02 May 2018Inspection
Determined that a failure to prepare and serve food in compliance with food sanitation rules occurred, including unlabeled foods.
Licensing—Failed to assure food safety
09 Apr 2018Abuse: Neglect
09 Apr 2018Abuse: Neglect
Investigated and found a failure to provide a safe environment for two residents, resulting in a $338 fine.
Abuse—Failed to provide safe environment
10 Mar 2018Abuse: Neglect
10 Mar 2018Abuse: Neglect
Investigated the allegation and found failure to follow the care plan.
Abuse—Failed to follow care plan
18 Jan 2018Abuse: Neglect
18 Jan 2018Abuse: Neglect
Determined that two residents did not receive medications as ordered. The neglect allegation was substantiated.
Abuse—Failed to assure timely medical treatment
15 Sept 2017Abuse: Neglect
15 Sept 2017Abuse: Neglect
Investigated the complaint and found a failure to provide a safe environment for the reported victim.
Abuse—Failed to provide safe environment
03 Aug 2017Abuse: Neglect
03 Aug 2017Abuse: Neglect
Investigated an allegation of neglect and found that staff failed to assess and intervene when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
20 Jul 2017Abuse: Financial abuse
20 Jul 2017Abuse: Financial abuse
Investigated a financial exploitation allegation and found a failure to protect a resident from loss of property.
Abuse—Failed to protect resident from financial exploitation
21 Jun 2017Inspection
21 Jun 2017Inspection
Found a deficiency in the medication administration system that could lead to a medication error.
Licensing—Failed to provide a safe medication administration system
05 Apr 2017Abuse: Verbal/Mental abuse
05 Apr 2017Abuse: Verbal/Mental abuse
Investigated a verbal/mental abuse allegation and found a violation for failing to protect a resident from inappropriate comments and actions.
Abuse—Failed to protect resident from verbal abuse
07 Mar 2015Inspection
07 Mar 2015Inspection
Found a deficiency for failing to provide a safe environment.
Licensing—Failed to provide safe environment
16 Feb 2011Inspection
16 Feb 2011Inspection
Found failure to follow the care plan.
Licensing—Failed to follow care plan
08 Jun 2010Inspection
08 Jun 2010Inspection
Investigated allegation of unsafe medication practices and found an inadequate medication system.
Licensing—Failed to provide a safe medication administration system
07 Apr 2010Abuse: Neglect
07 Apr 2010Abuse: Neglect
Investigated a medication-safety concern and found an inadequate medication system.
Abuse—Failed to provide a safe medication administration system
07 Jan 2010Abuse: Neglect
07 Jan 2010Abuse: Neglect
Investigated an allegation of neglect and identified an inadequate screening or assessment.
Abuse—Failed to perform adequate screening or assessment
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Mirador Living is not affiliated with the owner or operator(s) of Hawthorne Gardens Senior Living Community. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hawthorne Gardens Senior Living Community directly. There is no cost for this service. We are compensated by the community you select.
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