I feel reassured leaving my loved one here - the staff are genuinely caring and treat residents like family, the facility is bright, secure and exceptionally clean, and residents' dignity is always respected. Meals are home-cooked with healthy options and substitutions, activities are varied and tailored to requests, and management and owners are responsive and hands-on. Overall a warm, well-run community that gave our family real peace of mind; I would recommend it.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
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
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
3.62·(37)
Overall rating
5
4
3
2
1
Care
3.8
Staff
3.8
Meals
4.1
Amenities
4.0
Value
2.3
Pros
Compassionate, family-like caregiving
Knowledgeable nursing oversight
Personalized care plans and quarterly reviews
Responsive management and accessible administration
Secure, safety-focused environment
Clean, well-maintained common and private spaces
Modern, well-appointed interiors and pleasant patios
Ample natural light and attractive seasonal decor
Home-style meals with substitutions available
Dietary accommodations and healthy meal options
Daily engaging and varied activities
Regular social events and creative classes (painting, bingo)
Activities tailored to resident preferences
Strong coordination with hospice and external clinicians
Dignified end-of-life care and respect for resident privacy
Welcoming family involvement and positive tour experiences
Efficient housekeeping and room maintenance
Competitive pricing and perceived value
Active owner involvement and visible oversight
Cons
Inadequate staffing levels and coverage
Undertrained and inexperienced caregiving staff
High staff turnover and workforce burnout
Inconsistent responsiveness to resident needs
Management and administrative communication gaps
Perceived prioritization of finances over care
Reduced dietetic resources and limited menu variety
Limited clinical nursing coverage during transitions
Unclear billing and extra-fee practices
Gaps in crisis-response and escalation procedures
HR dysfunction and front-office coordination issues
Operational disorganization affecting continuity of care
Summary of reviews
The reviews present a mixed but discernible pattern: many families and visitors praise the facility for its compassionate, home-like culture, while a number of accounts highlight operational weaknesses tied to staffing, training, and management. Strengths most consistently noted include attentive, respectful caregiving (often described as family-like), individualized care planning with periodic reviews, and visible owner involvement. Clinical coordination with hospice and outside medical consultants is frequently cited, and reviewers commonly emphasize dignity-preserving end-of-life care.
Care and staff: Positive comments focus on genuine, caring staff interactions, knowledgeable nursing oversight, and personalized attention. At the same time, multiple reviewers raised concerns about staffing adequacy and staff experience — understaffing, inexperienced new hires, and signs of burnout were described as contributors to inconsistent responsiveness. These issues are linked in several accounts to delayed assistance, uneven skill levels among caregivers, and variability in clinical coverage during transitions from rehabilitation or hospital stays.
Dining and nutrition: The dining program is viewed favorably by many families for home-style, balanced meals, dessert offerings, and the ability to make substitutions. However, there are recurring operational complaints about reduced dietetic resources, menu monotony in some meal cycles (for example, repetitive items), and the perceived impact of budget constraints on menu variety. Prospective families should ask about current dietitian involvement and menu rotation during a tour.
Activities and social life: The facility earns strong marks for programming: varied daily activities, seasonal and uplifting decor, creative classes (painting, bingo), and events for holidays. Reviews indicate that activities are often tailored to resident interests and contribute positively to residents’ quality of life.
Facilities and environment: Physical spaces are frequently described as modern, well-appointed, and clean, with ample natural light, pleasant patios, and a welcoming, home-like atmosphere. Housekeeping and cleanliness are commonly cited as strengths, and many reviewers noted positive first impressions during tours.
Management and operations: Feedback on management is polarized. Many reviewers describe responsive administration, proactive owners, and accessible communication. Conversely, notable criticisms focus on managerial dysfunction: communication gaps between families and office/HR, unclear billing or extra charges, a perceived emphasis on financial considerations, and operational disorganization. Several reviews reference Ombudsman visits and crisis-related external involvement; this suggests that prospective families should inquire directly about any regulatory findings or corrective plans.
Notable patterns and recommendations: The dominant trade-off in these reviews is a strong culture of compassionate caregiving and a pleasant physical environment versus recurring operational issues tied to staffing, training, and administrative consistency. Prospective residents and families should verify current staffing ratios, ask about nurse coverage during weekends and transitions, review recent menus and dietitian involvement, clarify billing practices, and request documentation of any regulatory or Ombudsman actions and their resolutions. An in-person visit focusing on staff interaction during a typical shift and a conversation with management about turnover and training plans will help assess whether the facility’s caregiving strengths are consistently supported by reliable operations.
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Location
RN Villa Senior Care is located at 401 NE 139th Ave, Portland, OR, 97230.
About RN Villa Senior Care
RN Villa Senior Care sits in Portland, Oregon, right in a neighborhood full of people from many backgrounds, with hospitals, clinics, and pharmacies like Walgreens nearby, so residents can get medical help and medicine easily. The place cares for up to 45 seniors in a home-like setting, offering assisted living, memory care, skilled nursing, independent living, respite care for short-term stays, and continuing care all under one roof, which means people with different needs can find what they need here. Special programs like Life Journeys, designed for people with age-related concerns, help residents stay interested and active, while staff trained in dementia care and specialty bariatric support can provide for seniors with extra health needs or mobility challenges. Each resident gets an individualized care plan, and consistent team members help with daily needs such as bathing, dressing, and medication management, while 24-hour supervision and a safety call system ensure help is there if anything goes wrong, and there's extra support for people who need help transferring or have incontinence.
Residents have their own private suites or patio-style apartments, and the facility itself is filled with comfortable spaces, including a library, walking paths, gardens, a barber/salon, and rooms for movie nights, which gives a little bit of that cozy feeling, and for folks who need a little more-palliative care, hospice services, or diabetic and high acuity care are on hand. Social life stays lively with resident-run and community-sponsored activities, and the staff makes a point of providing programs for physical, mental, educational, and spiritual growth, which have led to high ratings, even being in the top 7% for available activities in similar communities, which is saying something for keeping people busy and engaged. The kitchen serves up locally inspired meals and made-from-scratch entrees, catering to preferences and medical needs, so eating remains something people can look forward to. Staff are known to be friendly and attentive, and regular schedules for showering and room cleaning keep everything tidy and comfortable.
With its focus on safety, wellness, and helping people keep their independence, RN Villa Senior Care creates a peaceful, supportive environment where residents feel respected, welcome, and able to age with dignity, all helped along by strong connections to the local community and healthcare providers. More details can be found at the RN Villa Senior Living website.
People often ask...
RN Villa Senior Care offers competitive pricing, with rates starting at a cost of $5,117 per month.
RN Villa Senior Care offers assisted living and board and care.
There are 14 photos of RN Villa Senior Care on Mirador.
The full address for this community is 401 NE 139th Ave, Portland, OR 97230.
No, RN Villa Senior 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.
Investigated a neglect allegation found the care plan for repositioning was not followed, resulting in a wound and worsening condition; a $500 fine was assessed.
Abuse—Failed to follow care plan
15 Oct 2025Inspection
15 Oct 2025Inspection
Investigated the allegation that a physician was not notified when a resident refused to consent to an order. Found a deficiency that violated Oregon Administrative Rules.
Licensing—Failed to provide a safe medication administration system
14 Oct 2025Inspection
14 Oct 2025Inspection
Found failure to update the ABST quarterly.
Licensing—Failed to use an ABST
02 Sept 2025Abuse: Neglect
02 Sept 2025Abuse: Neglect
Determined that financial exploitation occurred, seven jewelry items were taken from the resident, and the resident did not have access to a locking cabinet key, resulting in abuse and a fine assessed.
Abuse—Failed to protect resident from financial exploitation
25 Jul 2025Inspection
25 Jul 2025Inspection
Investigated a failure to prevent theft or misuse of medications, resulting in the resident's narcotic medications being replaced with OTC products and loss of prescription medication.
Licensing—Failure to provide a system that prevents theft or misuse of medication
18 Jul 2025Abuse: Neglect
18 Jul 2025Abuse: Neglect
Investigated an abuse/neglect allegation about incontinence care planning and related injuries; found the care plan inadequate and staff guidance missing.
Abuse—Failed to properly plan care
16 Jun 2025Abuse: Neglect
16 Jun 2025Abuse: Neglect
Investigated found neglect and abuse for failing to provide bathing and catheter care, leaving a resident in a soiled brief for about eight days and leading to open wounds requiring hospitalization.
Abuse—Failed to provide service
09 May 2025Abuse: Neglect
09 May 2025Abuse: Neglect
Investigated a neglect allegation and found daily wound care was not performed as required, risking infection for a resident.
Abuse—Failed to follow care plan
26 Apr 2025Inspection
26 Apr 2025Inspection
Investigated allegations that a staff member mishandled a resident's narcotics and signed out medications not given, indicating financial exploitation and neglect. Found a failure to protect the resident from financial abuse.
Licensing—Failed to protect resident from financial exploitation
26 Apr 2025Inspection
26 Apr 2025Inspection
Investigated a report of financial exploitation and improper medication administration; found that a staff member signed out medication for the resident when not requested and narcotics were given more often than reported, indicating neglect and financial abuse.
Licensing—Failed to protect resident from financial exploitation
26 Apr 2025Inspection
26 Apr 2025Inspection
Investigated concerns about medication handling and emotional abuse; found improper medication administration and diversion by a staff member that caused emotional trauma and violated resident rights.
Licensing—Failed to protect resident from mental or emotional abuse
27 Mar 2025Licensure
27 Mar 2025Licensure
Identified multiple deficiencies across records, service plans, change-of-condition processes, health services, treatment orders, and fire safety documentation, with incomplete or incorrect care documentation observed.
Deficiency—Facility Administration: Records
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Fire and Life Safety: Safety
23 Dec 2024Abuse: Neglect
23 Dec 2024Abuse: Neglect
Found a failure to maintain a safe medication administration system, resulting in nine missed doses and a seizure.
Abuse—Failed to provide a safe medication administration system
05 Dec 2024Abuse: Neglect
05 Dec 2024Abuse: Neglect
Found neglect where medication was not promptly increased after a physician's order, causing ongoing pain; a $375 fine was assessed.
Abuse—Failed to administer medication as ordered
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated a complaint of neglect related to medical treatment; found that daily wound cleaning ordered was not performed, risking infection. A $500 fine was assessed.
Abuse—Failed to provide medical treatment as ordered
30 Aug 2024Abuse: Neglect
30 Aug 2024Abuse: Neglect
Found that needed services were not provided, leading to worsening condition and hospital transfer. A $375 fine was assessed.
Abuse—Failed to provide service
09 Aug 2024Abuse: Neglect
09 Aug 2024Abuse: Neglect
Determined that improper care planning and repositioning caused injury to the resident's left shoulder.
Abuse—Failed to properly plan care
23 May 2024Abuse: Neglect
23 May 2024Abuse: Neglect
Found violations of a safe medication administration system and assessed a $375 fine.
Abuse—Failed to provide a safe medication administration system
09 Jan 2024Inspection
09 Jan 2024Inspection
Found failure to prevent entry of rodents, flies and other insects. This violated pest control requirements.
Licensing—Failed to control pests
09 Jan 2024Inspection
09 Jan 2024Inspection
Determined that nursing delegation requirements were not met due to lack of RN-provided delegation and documentation according to applicable rules.
Licensing—Failed to comply with nursing delegation requirement
09 Jan 2024Inspection
09 Jan 2024Inspection
Found failure to keep the medication administration record current or accurate.
Licensing—Failed to keep medication record current or accurate
09 Jan 2024Inspection
09 Jan 2024Inspection
Investigated and found a housekeeping deficiency due to interior odors and failure to keep interiors clean and in good repair.
Licensing—Failed to provide appropriate housekeeping services
08 Jan 2024Complaint
08 Jan 2024Complaint
Investigated multiple deficiencies across meals, resident service plans, medications, staffing, and facility maintenance.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
27 Dec 2023Inspection
27 Dec 2023Inspection
Found that a staff member used the resident's toilet during the shower, causing distress and violating resident rights. The findings indicate abuse and neglect and a failure to protect resident rights.
Licensing—Failed to assure resident rights
15 Dec 2023Abuse: Neglect
15 Dec 2023Abuse: Neglect
Investigated allegations of delayed call-light responses and found that call lights were not answered promptly, resulting in neglect and abuse, with a fine assessed.
Abuse—Failed to answer call light in a timely manner
15 Dec 2023Abuse: Neglect
15 Dec 2023Abuse: Neglect
Investigated staffing-related concerns and found that insufficient staff led to long call-light delays and discomfort for a bedbound resident.
Abuse—Failed to provide appropriate staffing
15 Dec 2023Inspection
15 Dec 2023Inspection
Determined that the care plan did not reflect the resident's needs and no assistance was provided when the call button could not be used.
Licensing—Failed to properly plan care
14 Dec 2023Inspection
14 Dec 2023Inspection
Substantiated deficiencies in providing required resident services, including help with compression stockings, and in housekeeping and laundry practices.
Licensing—Failed to provide service
14 Dec 2023Inspection
14 Dec 2023Inspection
Investigated a complaint and found insufficient qualified awake direct care staff to meet residents' 24-hour needs, with long call light responses and untimely changes.
Licensing—Failed to provide appropriate staffing
14 Dec 2023Inspection
14 Dec 2023Inspection
Found that meals were not provided as required, with meals arriving late, cold, or not served, including a burnt sandwich.
Licensing—Failed to provide proper food/nutrition
13 Dec 2023Abuse: Neglect
13 Dec 2023Abuse: Neglect
Investigated and found that staff did not respond to call lights promptly, leaving the resident in discomfort; a $250 fine was assessed.
Abuse—Failed to answer call light in a timely manner
09 Nov 2023Inspection
09 Nov 2023Inspection
Found insufficient qualified awake direct care staff to meet 24-hour needs, resulting in residents waiting up to an hour for assistance.
Licensing—Failed to provide appropriate staffing
09 Nov 2023Inspection
09 Nov 2023Inspection
Identified deficiencies in the medication administration system, delaying a resident's dose and causing discomfort, with violations of resident rights identified.
Licensing—Failed to provide a safe medication administration system
09 Nov 2023Inspection
09 Nov 2023Inspection
Identified deficiencies in meal provision; three daily meals with snacks seven days a week were not provided and meals were often cold.
Licensing—Failed to provide proper food/nutrition
09 Nov 2023Inspection
09 Nov 2023Inspection
Investigated and found that the service plan did not reflect identified resident needs and preferences, and a resident had not been showered since 10/26/23.
Licensing—Failed to properly plan care
08 Nov 2023Inspection
08 Nov 2023Inspection
Found insufficient qualified awake direct care staff to meet 24-hour needs of residents.
Licensing—Failed to provide appropriate staffing
04 Nov 2023Inspection
04 Nov 2023Inspection
Found that residents were not provided three meals daily, seven days a week, violating Oregon Administrative Rules.
Licensing—Failed to provide proper food/nutrition
04 Nov 2023Inspection
04 Nov 2023Inspection
Investigated a complaint and identified a deficiency in carrying out medication orders as prescribed.
Licensing—Failed to provide a safe medication administration system
21 Oct 2023Inspection
21 Oct 2023Inspection
Investigated a complaint and found a failure to provide a safe medication administration system, resulting in a three-hour delay in delivering pain medication and substantiated abuse/neglect findings.
Licensing—Failed to provide a safe medication administration system
10 Oct 2023Abuse: Neglect
10 Oct 2023Abuse: Neglect
Found that a resident did not receive pain medication on time, causing unnecessary pain and discomfort and constituting neglect and abuse. A $188 fine was assessed.
Abuse—Failed to administer medication as ordered
06 Oct 2023Inspection
06 Oct 2023Inspection
Found a lack of oversight and monitoring of changes in condition when wound care was not provided as ordered.
Licensing—Failed to provide oversight and monitoring of change of condition
22 Sept 2023Abuse: Neglect
22 Sept 2023Abuse: Neglect
Investigated and found neglect of care and abuse due to failure to respond to a changing condition and provide timely wound care, resulting in risk of serious harm; a $500 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
20 Sept 2023Licensure
20 Sept 2023Licensure
Identified deficiencies in kitchen cleanliness on 2023-09-20, then determined substantial compliance after the 2023-11-08 follow-up.
Found insufficient qualified awake direct care staffing to meet 24-hour needs of residents. This violated Oregon Administrative Rules.
Licensing—Failed to provide appropriate staffing
01 Aug 2023Inspection
01 Aug 2023Inspection
Investigated a complaint and found that a staff member accepted gifts from a resident, leading to concerns about financial exploitation and neglect.
Licensing—Failed to protect resident from financial exploitation
07 Jul 2023Abuse: Neglect
07 Jul 2023Abuse: Neglect
Investigated a complaint of abuse and neglect related to incontinence care; found improper hygiene and double briefing that endangered a resident, and a fine was assessed.
Abuse—Failed to provide or assist with hygiene
28 May 2023Inspection
28 May 2023Inspection
Concluded there was unsafe medication administration and related neglect/abuse by staff, resulting in a resident receiving the wrong medication.
Licensing—Failed to provide a safe medication administration system
24 May 2023Inspection
24 May 2023Inspection
Investigated a medication administration issue and found a violation of the rule requiring staff to visually observe residents taking their medications.
Licensing—Failed to provide a safe medication administration system
05 May 2023Inspection
05 May 2023Inspection
Investigated a meals-related complaint and found that three daily nutritious meals with snacks seven days a week were not consistently provided, with residents reportedly missing food or dessert.
Licensing—Failed to provide proper food/nutrition
25 Apr 2023License Condition
25 Apr 2023License Condition
Found that ABST was not used as required. The finding cites a violation of the applicable rule.
Regulatory Action—Failed to use an ABST
25 Apr 2023License Condition
25 Apr 2023License Condition
Found insufficient direct care staffing to meet scheduled and unscheduled resident needs, with residents waiting for assistance.
Regulatory Action—Failed to provide appropriate staffing
07 Feb 2023Complaint
07 Feb 2023Complaint
Identified multiple deficiencies related to service planning, infection control, medication orders, staffing, and staff training.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: Service Planning Team
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Rqmt and Training: Training Rqmts
31 Jan 2023Inspection
31 Jan 2023Inspection
Found that direct care staff were not verified as satisfactorily performing duties and did not know hypoglycemia policies or how to respond to low blood sugar.
Licensing—Failed to provide a safe medication administration system
01 Jan 2023Abuse: Neglect
01 Jan 2023Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in incorrect medication and hospitalization; a $450 fine was assessed.
Abuse—Failed to provide a safe medication administration system
03 Dec 2022Inspection
03 Dec 2022Inspection
Found deficiencies for failing to provide a safe environment and to follow the care plan, risking harm to two residents.
Licensing—Failed to provide safe environment
03 Dec 2022Inspection
03 Dec 2022Inspection
Found violations of state rules for protecting residents from verbal and emotional abuse after a staff member was verbally aggressive toward a resident during care, causing distress. The behavior was observed on 2022-12-03.
Licensing—Failed to protect resident from verbal abuse
28 Nov 2022Inspection
28 Nov 2022Inspection
Identified a deficiency in the acuity-based staffing tool, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
28 Nov 2022Abuse: Neglect
28 Nov 2022Abuse: Neglect
Investigated an allegation of neglect and abuse related to delayed response to a resident call light. Found a resident waited about one hour and five minutes for assistance, and the failure to respond timely constituted abuse with a $250 fine assessed.
Abuse—Failed to answer call light in a timely manner
28 Nov 2022Inspection
28 Nov 2022Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs, causing delays in care.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
01 Oct 2022Inspection
01 Oct 2022Inspection
Investigated an allegation that records were not submitted timely or adequately and found a violation for failing to report weekly vaccination data for residents, staff, and vaccinated individuals.
Licensing—Failed to submit timely or adequate staffing documentation
09 Sept 2022Abuse: Neglect
09 Sept 2022Abuse: Neglect
Found neglect and abuse due to improper transfer assistance, resulting in a knee fracture. A $450 fine was assessed.
Abuse—Failed to provide service
14 Aug 2022Abuse: Neglect
14 Aug 2022Abuse: Neglect
Found a violation of safe medication administration that left a resident without prescribed narcotic pain medication, and assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
11 Aug 2022Licensure
11 Aug 2022Licensure
Identified deficiencies in food preparation and sanitation, including improper thawing, dirty equipment, and cleaning issues. Follow-up visits showed substantial compliance.
Identified a deficiency in staff training to determine direct care staff competency, with medication administration occurring without proper training.
Licensing—Failed to provide appropriate staffing
07 Apr 2022Inspection
07 Apr 2022Inspection
Determined that staffing deficiencies existed, with insufficient awake direct care staff to cover 24-hour needs, including reports of no med techs on duty and untrained caregivers passing medications.
Licensing—Failed to provide appropriate staffing
09 Feb 2022Inspection
09 Feb 2022Inspection
Found a deficiency in medication administration for failing to carry out prescribed medication orders, risking residents' access to medications.
Licensing—Failed to provide a safe medication administration system
03 Jan 2022Inspection
03 Jan 2022Inspection
Investigated staffing allegation and found insufficient staff to meet residents' scheduled and unscheduled needs, including timely medication administration.
Licensing—Failed to provide appropriate staffing
03 Jan 2022Inspection
03 Jan 2022Inspection
Investigated and identified a deficiency in medication administration related to late delivery of medications.
Licensing—Failed to provide a safe medication administration system
18 Dec 2021Inspection
18 Dec 2021Inspection
Found that medication and treatment orders were not carried out as prescribed, resulting in inadequate wound care for a resident.
Licensing—Failed to provide a safe medication administration system
18 Dec 2021Inspection
18 Dec 2021Inspection
Identified insufficient staffing to meet residents' needs, including toileting assistance.
Licensing—Failed to provide appropriate staffing
18 Dec 2021Inspection
18 Dec 2021Inspection
Investigated a complaint and found the resident was not included in the service planning team, violating the service planning rule.
Licensing—Failed to properly plan care
18 Dec 2021Inspection
18 Dec 2021Inspection
Found deficiencies in infection prevention and control protocols, including failure to prevent development and transmission of communicable diseases during a Covid outbreak.
Licensing—Failed to provide infection control
08 Dec 2021Inspection
08 Dec 2021Inspection
Investigated the staffing allegation and determined there was insufficient staff to meet residents' needs.
Licensing—Failed to provide appropriate staffing
15 Nov 2021Validation
15 Nov 2021Validation
Found multiple deficiencies across governance, care planning, medication management, staffing, safety, and environmental maintenance.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Rn Delegation and Teaching
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Emergency and Disaster Planning
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
02 Sept 2021Abuse: Neglect
02 Sept 2021Abuse: Neglect
Investigated found neglect due to short staffing, resulting in a resident not receiving needed medications, showers, and hygiene services and placed at risk for harm.
Abuse—Failed to provide service
31 Aug 2021Abuse: Neglect
31 Aug 2021Abuse: Neglect
Found that the provider failed to provide skin/wound care and related services as ordered, constituting neglect and abuse; a $250 fine was assessed.
Abuse—Failed to provide service
25 Aug 2021Inspection
25 Aug 2021Inspection
Investigated the staffing allegation and concluded that insufficient staff contributed to unmet resident needs and delayed response to call lights.
Licensing—Failed to provide appropriate staffing
25 Aug 2021Inspection
25 Aug 2021Inspection
Investigated a complaint and found a deficiency that equipment was not kept in good repair, with a hoyer lift broken for six weeks.
Licensing—Failed to provide service
25 Aug 2021Inspection
25 Aug 2021Inspection
Investigated a complaint and found a failure to assist residents with activities of daily living, including toileting and showers.
Licensing—Failed to provide service
25 Aug 2021Inspection
25 Aug 2021Inspection
Investigated the medication oversight allegation and found inadequate professional oversight of the medication and treatment administration system.
Licensing—Failed to administer medication as ordered
24 Aug 2021Inspection
24 Aug 2021Inspection
Found that three daily nutritious meals with snacks seven days a week were not provided, with complaints that food was not palatable, served cold, and menus changed without notice.
Licensing—Failed to provide service
24 Aug 2021Inspection
24 Aug 2021Inspection
Identified staffing shortages and slow call-light response times that could harm residents.
Licensing—Failed to provide appropriate staffing
24 Aug 2021Inspection
24 Aug 2021Inspection
Identified a deficiency for failure to keep equipment in good repair, including a broken Hoyer lift and iPods used for monitoring call lights.
Licensing—Failed to provide service
24 Aug 2021Inspection
24 Aug 2021Inspection
Investigated and found a deficiency for failing to assist residents with activities of daily living, including timely toileting/incontinence care and showers.
Licensing—Failed to assist with toileting
16 Aug 2021Abuse: Neglect
16 Aug 2021Abuse: Neglect
Found violations of neglect and abuse due to failure to provide services and to administer prescribed treatments. A $250 fine was assessed.
Abuse—Failed to provide service
13 Aug 2021Inspection
13 Aug 2021Inspection
Determined that insufficient staffing led to delays in responding to call lights and in meal delivery.
Licensing—Failed to provide appropriate staffing
05 Aug 2021Inspection
05 Aug 2021Inspection
Investigated a staffing allegation and found insufficient staff to meet residents' needs, with response to call lights taking up to 45 minutes.
Licensing—Failed to provide appropriate staffing
08 Jul 2021Inspection
08 Jul 2021Inspection
Investigated the staffing allegation and found insufficient staff to meet scheduled and unscheduled resident needs, resulting in up to an hour delay in responding to call lights.
Licensing—Failed to provide appropriate staffing
08 Jul 2021Inspection
08 Jul 2021Inspection
Found that three daily nutritious meals, including seasonal fresh fruit and vegetables, were not provided, with meals served cold and no fresh fruits or vegetables available.
Licensing—Failed to provide service
09 Dec 2020Abuse: Neglect
09 Dec 2020Abuse: Neglect
Investigated the allegation of financial exploitation; found the resident was not protected, resulting in abuse and neglect and a $1,500 fine assessed.
Abuse—Failed to protect resident from financial exploitation
14 Nov 2020Inspection
14 Nov 2020Inspection
Investigated the staffing allegation and found insufficient staffing to meet residents' needs, including timely water provision and responses to call lights.
Licensing—Failed to provide appropriate staffing
13 Nov 2020Abuse: Neglect
13 Nov 2020Abuse: Neglect
Investigated and found that a resident was not protected from financial exploitation after a wedding ring went missing, believed taken by a staff member; a $500 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
03 Nov 2020Abuse: Neglect
03 Nov 2020Abuse: Neglect
Investigated an allegation of financial exploitation and found neglect and abuse due to failure to protect a resident's funds and lack of an inventory procedure for valuables after death.
Abuse—Failed to protect resident from financial exploitation
29 Oct 2020Inspection
29 Oct 2020Inspection
Investigated and found a deficiency in resident safety; the provider failed to exercise reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
Licensing—Failed to assure resident was safe
05 Aug 2020Inspection
05 Aug 2020Inspection
Concluded that a resident was financially exploited by an unknown staff member and that protections against exploitation were inadequate.
Licensing—Failed to protect resident from financial exploitation
22 May 2020Inspection
22 May 2020Inspection
Concluded that residents' rights were not upheld and confidentiality of resident records was not maintained.
Licensing—Failed to assure resident rights
04 May 2020Inspection
04 May 2020Inspection
Investigated and found failure to provide a daily program of social and recreational activities.
Licensing—Failed to provide service
28 Feb 2020Inspection
28 Feb 2020Inspection
Investigated the allegation of failing to provide a safe environment and identified a deficiency for not maintaining reasonable precautions to protect residents' health, safety, and welfare.
Licensing—Failed to provide safe environment
28 Feb 2020Inspection
28 Feb 2020Inspection
Investigated and found a deficiency in providing a daily program of social and recreational activities based on individual and group interests and needs.
Licensing—Failed to provide appropriate activities
28 Feb 2020Inspection
28 Feb 2020Inspection
Investigated the allegation of not providing a homelike environment and found that menus were not prepared at least one week in advance and were not made available to all residents.
Licensing—Failed to provide a homelike environment
30 Jan 2020Inspection
30 Jan 2020Inspection
Found that a staff member verbally/emotionally abused a resident and that the resident was not protected from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
06 Aug 2019Abuse: Neglect
06 Aug 2019Abuse: Neglect
Investigated and found neglect resulting in harm due to failure to provide basic services. A $15,000 fine was assessed.
Abuse—Failed to provide service
25 Jun 2019Abuse: Neglect
25 Jun 2019Abuse: Neglect
Investigated a neglect allegation and found failures to promptly respond to a resident's call light, risking serious harm. A $500 fine was assessed.
Abuse—Failed to answer call light in a timely manner
25 Jun 2019Inspection
25 Jun 2019Inspection
Determined that there was a failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
23 Apr 2019Abuse: Neglect
23 Apr 2019Abuse: Neglect
Investigated a complaint about medication safety and found neglect in providing basic care, creating risk of serious harm.
Abuse—Failed to provide a safe medication administration system
23 Apr 2019Inspection
23 Apr 2019Inspection
Determined that the failure to report suspected abuse occurred and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
06 Apr 2019Abuse: Neglect
06 Apr 2019Abuse: Neglect
Investigated a complaint and found neglect causing a resident to suffer a third-degree burn and require hospitalization; a $2,500 fine was assessed.
Abuse—Failed to provide service
12 Mar 2019Abuse: Neglect
12 Mar 2019Abuse: Neglect
Concluded neglect by failing to provide basic care, risking serious harm; a $250 fine was assessed.
Abuse—Failed to provide safe environment
12 Mar 2019Inspection
12 Mar 2019Inspection
Investigated an allegation of failure to report suspected abuse; a $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
01 Dec 2018Abuse: Financial abuse
01 Dec 2018Abuse: Financial abuse
Found violations related to protecting a resident from financial exploitation and failure to provide basic care, resulting in risk of harm, and assessed a $281 fine.
Abuse—Failed to protect resident from financial exploitation
01 Dec 2018Abuse: Financial abuse
01 Dec 2018Abuse: Financial abuse
Investigated allegations of financial exploitation and found neglect of basic care and services necessary to maintain health and safety. The result included risk of harm to a resident.
Abuse—Failed to protect resident from financial exploitation
01 Dec 2018Abuse: Financial abuse
01 Dec 2018Abuse: Financial abuse
Found substantiated financial exploitation risk and neglect of basic care, resulting in potential harm to a resident; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
01 Dec 2018Abuse: Financial abuse
01 Dec 2018Abuse: Financial abuse
Found violations involving protection from financial exploitation and neglect of basic care, exposing residents to risk of harm. A $750 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
01 Dec 2018Abuse: Financial abuse
01 Dec 2018Abuse: Financial abuse
Found financial exploitation and neglect of basic care that caused risk of harm to a resident; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
06 Nov 2018Abuse: Neglect
06 Nov 2018Abuse: Neglect
Found neglect for failing to provide basic services, creating a risk of serious harm; a $1500 fine was assessed.
Abuse—Failed to properly plan care
06 Nov 2018Inspection
06 Nov 2018Inspection
Concluded that there was a failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
05 Nov 2018Inspection
05 Nov 2018Inspection
Found failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
05 Nov 2018Abuse: Neglect
05 Nov 2018Abuse: Neglect
Found neglect resulting in physical harm due to failure to provide adequate basic care. A $1,000 fine was assessed.
Abuse—Failed to adequately care plan related to falls
29 Sept 2018Abuse: Neglect
29 Sept 2018Abuse: Neglect
Found neglect for delaying PRN medications, causing unnecessary discomfort, and assessed a $250 fine.
Abuse—Failed to administer medication as ordered
29 Sept 2018Inspection
29 Sept 2018Inspection
Determined that the facility failed to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
19 Jun 2018Abuse: Financial abuse
19 Jun 2018Abuse: Financial abuse
Determined that a financial abuse allegation was substantiated, finding the licensee failed to protect residents from loss of money. A $375 fine was assessed.
Abuse—Failed to provide safe environment
23 Apr 2018Inspection
23 Apr 2018Inspection
Investigated and found that medication and treatment orders were not followed. This violated the rule on following doctor orders for resident care.
Licensing—Failed to provide medical treatment as ordered
16 Mar 2018Inspection
16 Mar 2018Inspection
Concluded that there was a failure to self-report potential or suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
16 Mar 2018Abuse: Neglect
16 Mar 2018Abuse: Neglect
Investigated the allegation of failure to properly plan care and found that appropriate care was not provided to the reported victim.
Abuse—Failed to properly plan care
18 Jan 2018Abuse: Verbal/Mental abuse
18 Jan 2018Abuse: Verbal/Mental abuse
Investigated a verbal/mental abuse allegation and found a resident was not protected from loss of dignity and invasion of personal privacy.
Abuse—Failed to protect resident from mental or emotional abuse
30 Dec 2017Abuse: Financial abuse
30 Dec 2017Abuse: Financial abuse
Found that residents were not protected from loss of property, indicating a financial abuse incident.
Abuse—Failed to provide safe environment
07 Aug 2017Inspection
07 Aug 2017Inspection
Found a failure to provide a safe medication administration system with potential for harm from a medication error.
Licensing—Failed to provide a safe medication administration system
03 Nov 2016Inspection
03 Nov 2016Inspection
Found inadequate hygiene-related care for residents. This indicated potential harm.
Licensing—Failed to provide or assist with hygiene
29 Dec 2015Abuse: Physical Abuse
29 Dec 2015Abuse: Physical Abuse
Investigated the abuse allegation and found a failure to protect the Reported Victim from rough treatment.
Abuse—Failed to provide safe environment
13 Aug 2015Inspection
13 Aug 2015Inspection
Investigated and found a resident was not protected from rough treatment.
Licensing—Failed to protect resident from rough treatment
09 Jan 2013Abuse: Financial abuse
09 Jan 2013Abuse: Financial abuse
Found that a secure environment was not maintained and there was a financial abuse allegation.
Abuse—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of RN Villa Senior Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact RN Villa Senior Care directly. There is no cost for this service. We are compensated by the community you select.
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