Overall I'm very pleased with this beautiful, brand-new community - clean, spacious, stylish and smelling fresh with a lovely patio and well-kept common areas. The staff are caring, attentive and professional, providing dignified memory care and peaceful hospice transitions, engaging daily activities, and reliable on-site medical, shuttle and video visit services, which gives me 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
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
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
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
3.64·(28)
Overall rating
5
4
3
2
1
Care
3.9
Staff
3.7
Meals
5.0
Amenities
4.7
Value
1.0
Pros
Clean, bright, well-maintained environment
Brand-new, modern facility design
Secure access and dedicated memory-care unit
Private and spacious resident rooms
Inviting outdoor courtyard and patio
On-site clinical integration (PACE and medical visits)
Attentive nursing leadership
Dependable administrative and reception staff
Caring and accommodating direct-care staff
Personalized, dignity-focused care routines
Active activity program and daily memory-care offerings
Regular community outings and shuttle service
Salon and step-in bathing facilities
Varied dining options and daily menus
Family-friendly events and facilitated visitation
Cleanliness and good odor control in many areas
Timely communication and responsiveness from some staff
Cons
Inconsistent staffing levels and assignment continuity
Gaps in clinical oversight and variable responsiveness
Communication gaps between management and families
Allegations of theft and property mismanagement
Sanitation concerns in isolated instances
Staff professionalism and conduct
Perceived management emphasis on financial priorities
Hospitality-style atmosphere that may feel impersonal for some residents
Staff compensation and retention challenges
Summary of reviews
Sunnyside Meadows Memory Care is frequently described as a new, well‑maintained memory‑care community with modern finishes, private rooms, secure access, and pleasant outdoor spaces. Many families and visitors comment positively on the facility’s cleanliness, bright common areas, and amenities such as a salon, step‑in bathing room, library, snack bar/cafeteria, and a secure courtyard. On-site clinical integration (including PACE services and regular on-site medical visits) and shuttle transportation are notable operational strengths that many families found reassuring.
Staffing and direct care receive mixed but detailed praise. Several accounts highlight attentive nursing leadership, caring direct‑care staff, a supportive administrative team, and personalized routines that treat residents with dignity. Positive experiences include effective hospice transitions, timely clinical responses in some emergencies, and staff who facilitate family involvement and visits. At the same time, there are consistent operational concerns about staffing consistency—caregiver assignments can be variable and staff levels may fluctuate—creating risk for delays in care and uneven continuity.
Dining and activities are generally well regarded. Reviewers mention varied menus, daily meals, celebratory events (for example holiday gatherings and birthday participation), daily crafts, music, movement classes, and frequent outings. The activity calendar is active and includes twice‑weekly excursions for some residents; that said, activity fit is individualized, and some residents or families felt the social programming did not match their loved one’s preferences.
Facility‑level safety and housekeeping are strengths in many reports, but a subset of accounts raises sanitation and property‑security concerns. While many families describe the environment as safe and well cared for, isolated instances describe lapses in personal‑care responsiveness and concerns about missing belongings; these are serious operational issues that warrant follow‑up. Clinical oversight is uneven in some reports—families should seek clear documentation on staffing ratios, assignment practices, incident reporting, and emergency protocols.
Management and culture display both positive and negative patterns. Several families praise an accommodating executive director and dependable front‑line administration; others describe turnover or management changes that coincided with declines in communication, professionalism, or perceived prioritization of financial targets over resident needs. There are also mentions of staff compensation and retention problems that can affect continuity of care.
Bottom line: Sunnyside Meadows offers many of the physical and programmatic elements families expect in a modern memory‑care community—clean facilities, medical integration, active programming, and compassionate staff leadership in many cases. Prospective residents and families should verify current staffing practices, ask for examples of staff assignment continuity, review security and property‑management protocols, and request recent incident and staffing metrics to ensure the operational concerns highlighted by some families have been addressed.
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Location
Sunnyside Meadows Memory Care is located at 12195 SE 117th Ave, Portland, OR, 97086.
About Sunnyside Meadows Memory Care
Sunnyside Meadows Memory Care, located in Happy Valley, offers specialized senior living options for individuals with memory loss due to Alzheimer’s and dementia. Situated close to public parks, medical care providers, and other daily life necessities, residents have easy access to a range of conveniences. Additionally, Clackamas Town Center is nearby, providing added convenience for shopping and entertainment.
The facility offers a variety of activities to engage residents and promote social interaction and mental stimulation. From exercise and walking clubs to weekly book clubs and social events like movies and happy hour, there is something for everyone. Residents can also enjoy music programs, cards and board games, cooking and art classes, as well as nondenominational worship services. Each neighborhood within Sunnyside Meadows has its own spacious kitchen and dining room area, creating a homely and communal atmosphere for residents to enjoy meals together.
One of the highlights of Sunnyside Meadows Memory Care is the dining experience. The chef and cooks take pride in using from-scratch cooking techniques, in-season fruits and vegetables, and natural herbs and spices to create delicious and well-balanced meals. Residents can look forward to enjoying comfort foods and family-favorite recipes, as the chef often seeks input from residents and family members to ensure meal preferences are accommodated. Special dietary restrictions are also accommodated, with a focus on promoting brain health and overall wellness through the food choices offered.
Overall, Sunnyside Meadows Memory Care prioritizes providing a comfortable and engaging environment for residents with memory loss. With a range of activities, personalized dining options, and compassionate care from the staff, residents can feel at home and enjoy a high quality of life.
People often ask...
Sunnyside Meadows Memory Care offers competitive pricing, with rates starting at a cost of $6,582 per month.
Sunnyside Meadows Memory Care offers assisted living and memory care.
There are 20 photos of Sunnyside Meadows Memory Care on Mirador.
The full address for this community is 12195 SE 117th Ave, Portland, OR 97086.
No, Sunnyside Meadows Memory Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Identified multiple deficiencies in acuity-based staffing documentation, staff training, building exterior chemical storage, and adherence to health care and memory care licensing rules.
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Training Within 30 Days of Hire – Direct Care Staff
Deficiency—General Building Exterior
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
13 Nov 2025FEOS
13 Nov 2025FEOS
Investigated deficiencies in acuity-based staffing; ABST did not accurately capture care time and care elements for three sampled residents.
Deficiency—Acuity Based Staffing Tool - ABST Time
01 Nov 2025Abuse: Neglect
01 Nov 2025Abuse: Neglect
Identified abuse and neglect due to failure to revise the care plan and protect a resident from known risk behaviors. The resident experienced unreasonable discomfort as a result.
Abuse—Failed to properly plan care
21 Jul 2025Abuse: Neglect
21 Jul 2025Abuse: Neglect
Investigated a fall risk care plan deficiency and found that insufficient fall prevention led to an unwitnessed fall with fractures and hospitalization, resulting in abuse and neglect findings.
Abuse—Failed to properly plan care
25 Jun 2025Abuse: Neglect
25 Jun 2025Abuse: Neglect
Found failure to provide a safe environment, resulting in a resident's fall and discomfort, which constitutes abuse and neglect.
Abuse—Failed to provide safe environment
11 Jun 2025Abuse: Neglect
11 Jun 2025Abuse: Neglect
Determined that dietary orders weren’t followed, exposing a resident to allergenic sausage and causing breathing difficulties and swelling. A fine was assessed.
Abuse—Failed to follow care plan
10 May 2025Inspection
10 May 2025Inspection
Found violations in medication administration safety, including missed doses of prescribed thyroid medication.
Licensing—Failed to provide a safe medication administration system
26 Apr 2025Abuse: Neglect
26 Apr 2025Abuse: Neglect
Investigated a complaint about care that left a resident with a worsening condition due to lack of a proper care plan and wound care.
Abuse—Failed to properly plan care
17 Apr 2025Inspection
17 Apr 2025Inspection
Investigated a care plan violation where restricted food was given, causing a resident to choke and suffer harm. Found neglect and abuse, with a $1,500 fine assessed.
Licensing—Failed to follow care plan
14 Apr 2025Inspection
14 Apr 2025Inspection
Found a violation for failing to provide a safe medication administration system, leading to prolonged incorrect administration of diabetic medication with no negative outcome. No corrective actions described here.
Licensing—Failed to provide a safe medication administration system
08 Apr 2025Inspection
08 Apr 2025Inspection
Found a violation for failing to provide a safe medication administration system, which could lead to harm from incorrect medication handling.
Licensing—Failed to provide a safe medication administration system
08 Apr 2025Inspection
08 Apr 2025Inspection
Identified a deficiency for failing to provide a safe environment for residents. The finding indicates risk to health, safety, or welfare.
Licensing—Failed to provide safe environment
08 Apr 2025Inspection
08 Apr 2025Inspection
Investigated a complaint and found deficiencies in psychotropic medication use. The findings showed medications were used without proper consultation and without documenting non-pharmacological interventions.
Licensing—Failed to provide service
08 Apr 2025Inspection
08 Apr 2025Inspection
Investigated the allegation and concluded that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to provide service
08 Apr 2025Inspection
08 Apr 2025Inspection
Investigated a complaint and found that inadequate administrative oversight of operations, including supervision and training of staff, posed a risk to resident safety.
Licensing—Failed to provide service
08 Apr 2025Inspection
08 Apr 2025Inspection
Investigated and found that the service plan did not reflect the resident's needs and implementation of services was not ensured.
Licensing—Failed to follow care plan
08 Apr 2025Inspection
08 Apr 2025Inspection
Found a failure to provide records when requested during an investigation. The finding documented that records were not made available to the Department.
Licensing—Failed to cooperate with an investigation
08 Apr 2025Inspection
08 Apr 2025Inspection
Identified a deficiency in care planning related to evaluating a resident and updating the service plan.
Licensing—Failed to properly plan care
08 Apr 2025Inspection
08 Apr 2025Inspection
Identified failure to have an emergency preparedness plan for a sampled resident.
Licensing—Failed to provide safe environment
08 Apr 2025Inspection
08 Apr 2025Inspection
Found failure to assess all residents with a significant change of condition, posing an immediate jeopardy to residents' health and safety.
Licensing—Failed to provide oversight and monitoring of change of condition
07 Apr 2025License Condition
07 Apr 2025License Condition
Determined that the facility failed to provide a safe environment and posed immediate jeopardy to residents, resulting in a license condition restricting admissions.
Regulatory Action—Failed to provide safe environment
06 Apr 2025Inspection
06 Apr 2025Inspection
Identified a licensing violation for failing to provide records to the Department upon request. This presented minor harm potential.
Licensing—Failed to provide safe environment
06 Apr 2025Abuse: Neglect
06 Apr 2025Abuse: Neglect
Investigated a sexual abuse/neglect case where delayed alerts and insufficient supervision allowed inappropriate contact between residents, causing emotional harm; a fine was assessed.
Abuse—Failed to provide safe environment
06 Apr 2025Inspection
06 Apr 2025Inspection
Found failure to provide and document RN delegation and teaching for sampled residents, creating an immediate jeopardy to health, safety, and welfare.
Licensing—Failed to provide service
03 Apr 2025Inspection
03 Apr 2025Inspection
Found deficiencies in an acuity-based staffing tool and related staffing levels, with inconsistencies among the resident roster, care plans, and ABST data that did not meet residents' needs.
Licensing—Failed to use an ABST
03 Apr 2025Inspection
03 Apr 2025Inspection
Identified a deficient safe medication administration system after a missed insulin dose; a $500 fine was assessed.
Licensing—Failed to provide a safe medication administration system
02 Apr 2025Inspection
02 Apr 2025Inspection
Determined that records were not provided when requested, violating administrative rules.
Licensing—Failed to provide safe environment
02 Apr 2025Inspection
02 Apr 2025Inspection
Identified deficiencies in ABST accuracy and staffing levels to meet resident needs.
Licensing—Failed to use an ABST
01 Apr 2025Inspection
01 Apr 2025Inspection
Found a deficiency due to an outdated ABST not reflecting resident needs, with inconsistencies among the roster, care plans, and ABST data. Determined that this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
30 Mar 2025Inspection
30 Mar 2025Inspection
Investigated identified an issue with the Acuity-Based Staffing Tool not reflecting residents’ care needs. Inconsistencies existed between the resident roster, care plans, and ABST.
Licensing—Failed to use an ABST
29 Mar 2025Inspection
29 Mar 2025Inspection
Found insufficient direct care staff to meet residents' needs, with understaffing on all shifts due to walk-outs.
Licensing—Failed to use an ABST
29 Mar 2025Inspection
29 Mar 2025Inspection
Investigated and found a failure to document that staff can safely administer medications unsupervised, and identified inadequate staff training and supervision due to staffing shortages.
Licensing—Failed to provide a safe medication administration system
29 Mar 2025Inspection
29 Mar 2025Inspection
Investigated a complaint and found a deficiency in documenting observation and evaluation of safe medication and treatment administration unsupervised. Staff were reportedly not properly trained and were working unsupervised on the floor due to staffing shortages.
Licensing—Failed to use an ABST
28 Mar 2025Inspection
28 Mar 2025Inspection
Investigated and found a failure to immediately notify the local Department office or local AAA of abuse or suspected abuse, and that multiple resident incidents were not reported.
Licensing—Failed to communicate necessary information
24 Mar 2025Inspection
24 Mar 2025Inspection
Identified a deficiency for failing to provide records upon request.
Licensing—Failed to provide safe environment
10 Mar 2025Inspection
10 Mar 2025Inspection
Investigated found that an updated Acuity-Based Staffing Tool was not in place and did not reflect resident needs. Inconsistencies with the roster and care plans led to a determination of a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
06 Mar 2025Inspection
06 Mar 2025Inspection
Found that records were not made available upon request during an offsite review.
Licensing—Failed to cooperate with an investigation
06 Mar 2025Inspection
06 Mar 2025Inspection
Found that requested records were not provided when asked by the department. The missing records included the staffing plan, staff roster, resident roster with room numbers, and the direct care schedule for 01/19/25.
Licensing—Failed to provide safe environment
06 Mar 2025Inspection
06 Mar 2025Inspection
Investigated an allegation that the provider failed to cooperate by not providing requested information to the Department; findings indicate information was not provided.
Licensing—Failed to cooperate with an investigation
06 Mar 2025Inspection
06 Mar 2025Inspection
Determined that records were not provided to Department personnel upon request. Missing items included the staffing plan, staff roster with titles, resident roster with room numbers, and the direct care staff schedule for 01/11/25.
Licensing—Failed to provide safe environment
27 Feb 2025Inspection
27 Feb 2025Inspection
Found a violation for failing to provide records requested by the Department.
Licensing—Failed to provide safe environment
22 Feb 2025Inspection
22 Feb 2025Inspection
Identified deficiencies in the ABST's accuracy, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
18 Feb 2025Abuse: Neglect
18 Feb 2025Abuse: Neglect
Found failures to plan and supervise falls-related care for a resident with a history of falls, resulting in an unwitnessed fall and injury. A $1,125 fine was assessed.
Abuse—Failed to properly plan care
18 Feb 2025Inspection
18 Feb 2025Inspection
Investigated allegation of failing to provide documentation upon request and found a violation.
Licensing—Failed to cooperate with an investigation
18 Feb 2025Inspection
18 Feb 2025Inspection
Investigated the allegation of failing to cooperate with an investigation and determined a violation of Oregon Administrative Rules for not providing requested documentation.
Licensing—Failed to cooperate with an investigation
14 Feb 2025Inspection
14 Feb 2025Inspection
Found a violation for failing to provide records to the Department upon request.
Licensing—Failed to provide safe environment
13 Feb 2025Abuse: Neglect
13 Feb 2025Abuse: Neglect
Found staffing gaps and insufficient interventions allowed a resident to inappropriately touch another resident.
Abuse—Failed to properly plan care
13 Feb 2025Inspection
13 Feb 2025Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to provide safe environment
13 Feb 2025Abuse: Neglect
13 Feb 2025Abuse: Neglect
Found that staff failed to provide a safe environment and to adequately address sexually inappropriate behaviors, resulting in a resident experiencing discomfort and pain from an incident.
Abuse—Failed to provide safe environment
13 Feb 2025Inspection
13 Feb 2025Inspection
Found that records were not provided as requested, violating state rules.
Licensing—Failed to provide safe environment
03 Feb 2025Inspection
03 Feb 2025Inspection
Found that records were not provided to the Department upon request. This violated Oregon Administrative Rules.
Licensing—Failed to provide safe environment
03 Feb 2025Abuse: Neglect
03 Feb 2025Abuse: Neglect
Investigated abuse and neglect due to failure to follow a care plan for transfers, resulting in injuries to the resident. The violations included missing signature on the service plan and noncompliance with the care plan.
Abuse—Failed to follow care plan
02 Feb 2025Inspection
02 Feb 2025Inspection
Found a failure to provide records upon request, violating Oregon Administrative Rules.
Licensing—Failed to submit timely or adequate staffing documentation
29 Jan 2025Inspection
29 Jan 2025Inspection
Investigated and found a failure to implement a service plan reflecting residents' needs. The finding was based on observation, interviews, and record review during a site visit.
Licensing—Failed to properly plan care
26 Jan 2025Inspection
26 Jan 2025Inspection
Investigated a staffing records issue and substantiated a deficiency for failing to provide records upon request.
Licensing—Failed to submit timely or adequate staffing documentation
08 Jan 2025Inspection
08 Jan 2025Inspection
Investigated found that the acuity-based staffing tool was not updated to reflect resident needs. Inconsistencies existed between the resident roster, care plans, and ABST data, violating Oregon Administrative Rules.
Licensing—Failed to use an ABST
06 Jan 2025Inspection
06 Jan 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data, showing the ABST was not updated to reflect residents' care needs.
Licensing—Failed to use an ABST
02 Jan 2025Inspection
02 Jan 2025Inspection
Identified a deficiency in the Acuity-Based Staffing Tool reflecting resident care needs. Inconsistencies between the resident roster, care plans, and ABST data violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
01 Jan 2025Inspection
01 Jan 2025Inspection
Investigated the allegation and identified a deficiency in the Acuity-Based Staffing Tool (ABST) that failed to reflect resident care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
16 Dec 2024Inspection
16 Dec 2024Inspection
Identified an outdated ABST not reflecting residents' care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
15 Dec 2024Inspection
15 Dec 2024Inspection
Identified deficiencies in the Acuity-Based Staffing Tool that failed to reflect residents’ needs. Found inconsistencies between the roster, care plans, and ABST entries, in violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
13 Dec 2024Inspection
13 Dec 2024Inspection
Found that the Acuity-Based Staffing Tool was not updated to reflect resident care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
11 Dec 2024Inspection
11 Dec 2024Inspection
Determined that an updated ABST reflecting resident population and care needs was not maintained, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
10 Dec 2024Inspection
10 Dec 2024Inspection
Investigated and found that an updated ABST reflecting resident care needs was not maintained, with inconsistencies between the roster, care plans, and ABST.
Licensing—Failed to use an ABST
10 Dec 2024Inspection
10 Dec 2024Inspection
Identified inconsistencies between ABST data, the resident roster, and care plans, resulting in a licensing violation.
Licensing—Failed to use an ABST
09 Dec 2024Inspection
09 Dec 2024Inspection
Investigated and found a deficiency in updating the Acuity-Based Staffing Tool to reflect resident care needs and related data inconsistencies.
Licensing—Failed to use an ABST
06 Dec 2024Inspection
06 Dec 2024Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data, with an updated staffing tool not reflected, resulting in a licensing violation.
Licensing—Failed to use an ABST
03 Dec 2024Inspection
03 Dec 2024Inspection
Identified a deficiency in the Acuity-Based Staffing Tool that did not accurately reflect resident care needs, with inconsistencies among the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
29 Nov 2024Inspection
29 Nov 2024Inspection
Investigated and found deficiencies in updating the Acuity-Based Staffing Tool to accurately reflect resident care needs.
Licensing—Failed to use an ABST
24 Nov 2024Inspection
24 Nov 2024Inspection
Investigated and determined that an updated Acuity-Based Staffing Tool reflecting resident needs was not maintained, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
21 Nov 2024Abuse: Neglect
21 Nov 2024Abuse: Neglect
Found failure to properly plan care resulting in neglect and abuse related to skin care; assessed a $500 fine.
Abuse—Failed to properly plan care
14 Nov 2024Inspection
14 Nov 2024Inspection
Found an outdated ABST not reflecting resident needs, with inconsistencies among the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
09 Nov 2024Inspection
09 Nov 2024Inspection
Investigated the allegation and concluded staffing did not meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
09 Nov 2024Inspection
09 Nov 2024Inspection
Determined that staffing levels did not align with ABST indications and resident needs. Inconsistencies were found among the resident roster, care plans, and ABST data.
Licensing—Failed to staff as indicated by ABST
30 Oct 2024Abuse: Neglect
30 Oct 2024Abuse: Neglect
Found that a safe environment was not provided, resulting in abuse and neglect findings; a $500 fine was assessed.
Abuse—Failed to provide safe environment
28 Oct 2024Abuse: Neglect
28 Oct 2024Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system, resulting in resident discomfort and neglect. A $375 fine was assessed.
Abuse—Failed to provide a safe medication administration system
19 Oct 2024Inspection
19 Oct 2024Inspection
Found that medication and treatment orders were not carried out as prescribed. This represented a violation of Oregon Administrative Rules.
Licensing—Failed to administer medication as ordered
01 Oct 2024Inspection
01 Oct 2024Inspection
Investigated and identified deficiencies in care planning and interventions for a known fall risk, leading to repeated falls; a $250 fine was assessed.
Licensing—Failed to properly plan care
27 Sept 2024Abuse: Neglect
27 Sept 2024Abuse: Neglect
Found that care around a resident's known history of falls was not properly planned, leading to abuse and neglect findings and a fine.
Abuse—Failed to properly plan care
18 Sept 2024Inspection
18 Sept 2024Inspection
Investigated and found a deficiency in the Acuity-Based Staffing Tool that did not reflect resident needs, violating Oregon Administrative Rules.
Licensing—Failed to use an ABST
18 Sept 2024Complaint
18 Sept 2024Complaint
Investigated and found Acuity-Based Staffing Tool not fully implemented, with evening shifts understaffed relative to posted staffing plans on multiple dates.
Deficiency—Acuity-Based Staffing Tool
17 Sept 2024Inspection
17 Sept 2024Inspection
Investigated determined a failure to provide a safe medication administration system and incomplete staff training, leading to the resident not receiving medications as ordered.
Licensing—Failed to provide a safe medication administration system
17 Sept 2024Inspection
17 Sept 2024Inspection
Investigated and found that a staff member did not complete required medication administration training and was assigned to pass medications, resulting in a resident missing a scheduled blood pressure dose. The provider failed to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
17 Sept 2024Inspection
17 Sept 2024Inspection
Found a deficiency in the medication administration system due to incomplete staff training and placing an inadequately trained staff member on duty, resulting in a scheduled medication not being administered.
Licensing—Failed to provide a safe medication administration system
17 Sept 2024Inspection
17 Sept 2024Inspection
Found a failure to provide a safe medication administration system and inadequate staff training, resulting in a scheduled medication not given as ordered.
Licensing—Failed to provide a safe medication administration system
11 Sept 2024Abuse: Neglect
11 Sept 2024Abuse: Neglect
Found failure to follow the nail care component of the care plan, leading to a skin tear and neglect/abuse; a $500 fine was assessed.
Abuse—Failed to follow care plan
15 Aug 2024Inspection
15 Aug 2024Inspection
Found a licensing violation for failing to maintain an updated ABST that accurately reflects resident population and care needs.
Licensing—Failed to use an ABST
22 Jul 2024Inspection
22 Jul 2024Inspection
Found a failure to provide a safe environment that led to a resident fall and injury.
Licensing—Failed to provide safe environment
02 Jul 2024Abuse: Neglect
02 Jul 2024Abuse: Neglect
Investigated found abuse and neglect due to ants in a resident's room and delayed treatment; a $500 fine was assessed.
Abuse—Failed to provide service
25 May 2024Inspection
25 May 2024Inspection
Investigated a complaint and found a violation for failing to provide a safe medication administration system with potential for harm.
Licensing—Failed to provide a safe medication administration system
14 May 2024Inspection
14 May 2024Inspection
Investigated failure to report suspected abuse promptly, resulting in a finding of a reportable incident under abuse notification rules.
Licensing—Failed to report potential or suspected abuse
13 May 2024Inspection
13 May 2024Inspection
Found that the resident's service plan did not reflect mobility needs and was not properly implemented. A wheelchair used for transport was not addressed in the plan, and the resident fell after sitting in an unlocked wheelchair.
Licensing—Failed to properly plan care
13 May 2024Complaint
13 May 2024Complaint
Investigated found multiple deficiencies related to abuse reporting, service planning, resident monitoring, medication administration, and interior maintenance.
Investigated the allegation of failing to provide a safe environment and concluded there was a safety deficiency, including a loose rubber threshold between carpeted and linoleum areas that created a tripping hazard.
Licensing—Failed to provide safe environment
13 May 2024Inspection
13 May 2024Inspection
Identified a deficiency for not maintaining an updated ABST that reflects residents' care needs.
Licensing—Failed to use an ABST
30 Apr 2024Inspection
30 Apr 2024Inspection
Found that service plans were not readily available to staff and did not provide clear direction for delivering services. Violated Oregon Administrative Rules.
Licensing—Failed to communicate necessary information
29 Apr 2024Abuse: Neglect
29 Apr 2024Abuse: Neglect
Investigated found the care provider failed to plan and provide appropriate care for the resident, resulting in bruising, skin tears, and discomfort.
Abuse—Failed to properly plan care
28 Apr 2024Abuse: Neglect
28 Apr 2024Abuse: Neglect
Investigated found a resident fell twice after being left alone, resulting in injuries. Staff lacked care plans to guide care, creating an unsafe environment.
Abuse—Failed to provide safe environment
26 Apr 2024Inspection
26 Apr 2024Inspection
Investigated an allegation that oversight and monitoring of a resident's change of condition wasn't provided; found no documented written communication of the change of condition or required interventions for direct care staff on each shift.
Licensing—Failed to provide oversight and monitoring of change of condition
22 Mar 2024Inspection
22 Mar 2024Inspection
Investigated a narcotics count discrepancy and found a violation related to safe medication administration. The investigation also found no abuse in relation to alleged financial exploitation.
Licensing—Failed to provide a safe medication administration system
21 Mar 2024Inspection
21 Mar 2024Inspection
Found that medication orders were not carried out as prescribed, resulting in a missed dose on March 21, 2024 for Levothyroid.
Licensing—Failed to provide a safe medication administration system
14 Mar 2024Abuse: Neglect
14 Mar 2024Abuse: Neglect
Found neglect and abuse occurred when a resident was slapped after inadequate monitoring of a resident's known behavior, causing redness and discomfort.
Abuse—Failed to provide safe environment
14 Mar 2024Inspection
14 Mar 2024Inspection
Identified deficiencies in an Acuity-Based Staffing Tool that did not accurately reflect resident needs and ADLs, with inconsistencies among the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
29 Feb 2024Abuse: Neglect
29 Feb 2024Abuse: Neglect
Investigated a groping incident and found inadequate supervision of a resident with known inappropriate sexualized behavior, resulting in emotional harm to a resident.
Abuse—Failed to provide safe environment
20 Feb 2024Abuse: Neglect
20 Feb 2024Abuse: Neglect
Investigated found the care plan was not followed and lights were off, resulting in a resident fall and discomfort.
Abuse—Failed to follow care plan
14 Feb 2024Inspection
14 Feb 2024Inspection
Found that medications were not administered as prescribed to a resident, including a missed dose on February 12, 2024.
Licensing—Failed to provide a safe medication administration system
03 Feb 2024Inspection
03 Feb 2024Inspection
Determined that medication orders were not carried out as prescribed, with a missed dose on February 2, 2024.
Licensing—Failed to provide a safe medication administration system
31 Jan 2024Abuse: Neglect
31 Jan 2024Abuse: Neglect
Investigated an allegation of neglect and abuse related to care planning. Found that care planning failed to address fall risk and the fall mat was moved, contributing to an unwitnessed fall and discomfort.
Abuse—Failed to properly plan care
25 Jan 2024Inspection
25 Jan 2024Inspection
Investigated an allegation of abuse and found that a caregiver used physical force on a resident, did not follow the care plan, causing a fall and creating an unsafe environment.
Licensing—Failed to provide safe environment
23 Jan 2024Abuse: Neglect
23 Jan 2024Abuse: Neglect
Investigated and found that inadequate interventions and care planning related to a resident's fall history led to an unwitnessed fall and hospital transfer with head injuries.
Abuse—Failed to provide safe environment
15 Jan 2024Inspection
15 Jan 2024Inspection
Investigated a failure to follow physician orders for a chest x-ray and oxygen; the ordered services were not provided as requested.
Licensing—Failed to provide medical treatment as ordered
28 Dec 2023Licensure
28 Dec 2023Licensure
Identified sanitation and administration deficiencies; a follow-up found substantial compliance.
Identified a failure to provide a safe medication administration system and to carry out medication orders as prescribed.
Licensing—Failed to provide a safe medication administration system
18 Dec 2023Complaint
18 Dec 2023Complaint
Investigated identified deficiencies in reporting abuse, medication administration, staffing, training documentation, record-keeping, and odor control. Found multiple violations cited.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Inspections and Investigations
Deficiency—Doors, Walls, Elevators, Odors
18 Dec 2023Inspection
18 Dec 2023Inspection
Found a deficiency for failing to keep the indoor environment free from unpleasant odors.
Licensing—Failed to provide safe environment
04 Dec 2023Inspection
04 Dec 2023Inspection
Found a failure to provide a safe medication administration system. This involved improper administration of medications and posed a safety risk.
Licensing—Failed to provide a safe medication administration system
04 Dec 2023Inspection
04 Dec 2023Inspection
Investigated an allegation of failing to provide a safe environment and identified deficiencies in medication administration and the medication administration system.
Licensing—Failed to provide safe environment
28 Nov 2023Inspection
28 Nov 2023Inspection
Identified a failure to administer hypertension and dementia medications as ordered, with five days of missed doses in November 2023.
Licensing—Failed to provide a safe medication administration system
20 Nov 2023Inspection
20 Nov 2023Inspection
Identified insufficient awake direct care staffing to meet 24-hour needs, with no staff visible and reports of sick calls reducing coverage.
Licensing—Failed to provide appropriate staffing
05 Nov 2023Abuse: Neglect
05 Nov 2023Abuse: Neglect
Found violations of resident rights due to neglect and abuse, with a fine assessed.
Abuse—Failed to provide safe environment
21 Oct 2023Inspection
21 Oct 2023Inspection
Investigated the staffing complaint and found insufficient qualified awake direct care staff to meet 24-hour needs, resulting in a substantiated violation.
Licensing—Failed to provide appropriate staffing
18 Oct 2023Inspection
18 Oct 2023Inspection
Found that a safe environment was not provided when an elopement-risk individual exited the premises without assistance.
Licensing—Failed to provide safe environment
09 Oct 2023Abuse: Neglect
09 Oct 2023Abuse: Neglect
Found that staff failed to follow the care plan, leading to a resident fall and head injury; a $1500 fine was assessed.
Abuse—Failed to follow care plan
30 Sept 2023Abuse: Neglect
30 Sept 2023Abuse: Neglect
Investigated fall-risk care planning failures that led to a resident fall and injury; a $2,500 fine was assessed.
Abuse—Failed to properly plan care
26 Sept 2023Inspection
26 Sept 2023Inspection
Found a deficiency in documenting that observed and evaluated an individual's ability to perform safe medication and treatment administration unsupervised.
Licensing—Failed to provide a safe medication administration system
24 Sept 2023Abuse: Neglect
24 Sept 2023Abuse: Neglect
Found failures in care planning and staff training that led to an unwitnessed fall with injury.
Abuse—Failed to properly plan care
24 Sept 2023Abuse: Neglect
24 Sept 2023Abuse: Neglect
Investigated a fall-related incident and found failures to monitor changing condition and prevent falls, leading to an unwitnessed fall and hospital treatment.
Abuse—Failed to provide oversight and monitoring of change of condition
21 Sept 2023License Condition
21 Sept 2023License Condition
Investigated the allegation of a failure to provide a safe environment and found noncompliance with Oregon Administrative Rules, placing residents at risk.
Regulatory Action—Failed to provide safe environment
14 Sept 2023Abuse: Neglect
14 Sept 2023Abuse: Neglect
Found that the resident did not receive basic care promptly after a fall, resulting in a broken wrist and unnecessary discomfort.
Abuse—Failed to provide service
08 Sept 2023Abuse: Neglect
08 Sept 2023Abuse: Neglect
Found neglect due to failure to monitor a resident's change of condition, leading to injury and hospitalization.
Abuse—Failed to provide oversight and monitoring of change of condition
06 Sept 2023Inspection
06 Sept 2023Inspection
Investigated a narcotics administration allegation and identified a failure to provide a safe medication administration system. Found a deficiency related to the medication administration system.
Licensing—Failed to provide a safe medication administration system
05 Sept 2023Validation
05 Sept 2023Validation
Identified widespread noncompliance across resident rights, abuse reporting, service planning, health services, medications, infection control, safety, and operations. Multiple deficiencies were cited during the re-licensure process and follow-up visits, with one area noted as immediate jeopardy prior to correction.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
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—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Infection Prevention & Control
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Tracking Control Substances
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Acuity-Based Staffing Tool
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—General Building Exterior
Deficiency—Housekeeping and Laundry
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Individual Rights Settings: Privacy, Dignity
Deficiency—Individual Privacy: Own Unit
Deficiency—Administration Responsibilities
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Behavior
Deficiency—Secure Outdoor Recreation Area
Deficiency—Exit Doors
01 Sept 2023Inspection
01 Sept 2023Inspection
Investigated the allegation of neglect and found that a staff member gave AV a cold, rough bed bath, causing pain and discomfort, and failed to provide a safe environment.
Licensing—Failed to provide safe environment
30 Aug 2023Complaint
30 Aug 2023Complaint
Found multiple deficiencies in abuse reporting, service planning, medication orders, staffing, acuity-based staffing, and staff pre-service training.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Requirements and Training – Pre-Serv
25 Aug 2023Inspection
25 Aug 2023Inspection
Investigated a complaint and determined that neglect occurred, leaving a resident standing unattended during toileting, which led to a fall and injury.
Licensing—Failed to provide safe environment
21 Aug 2023Inspection
21 Aug 2023Inspection
Identified a failure to provide a safe environment due to unsatisfactory staff performance verification and improper turning/positioning of residents.
Licensing—Failed to provide safe environment
14 Aug 2023Abuse: Neglect
14 Aug 2023Abuse: Neglect
Found violations for failure to plan adequate care, resulting in skin breakdown and discomfort for a resident. A $500 fine was assessed.
Abuse—Failed to properly plan care
14 Aug 2023Abuse: Neglect
14 Aug 2023Abuse: Neglect
Investigated an abuse and neglect case and found that care left a resident in urine-soaked briefs, causing discomfort.
Abuse—Failed to follow care plan
04 Aug 2023Inspection
04 Aug 2023Inspection
Investigated and identified a failure to develop a service plan reflecting resident needs and to implement behavior interventions.
Licensing—Failed to properly plan care
04 Aug 2023Inspection
04 Aug 2023Inspection
Determined that there was a failure to provide a safe environment and to investigate and report abuse incidents.
Licensing—Failed to provide safe environment
27 Jul 2023Abuse: Neglect
27 Jul 2023Abuse: Neglect
Found the provider failed to provide adequate care, with an ant infestation causing unreasonable discomfort to a resident. A $1500 fine was assessed.
Abuse—Failed to provide safe environment
17 Jul 2023Abuse: Neglect
17 Jul 2023Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in a resident not receiving prescribed blood pressure medication and suffering a stroke.
Abuse—Failed to provide a safe medication administration system
07 Jul 2023Abuse: Neglect
07 Jul 2023Abuse: Neglect
Investigated an incident of resident-to-resident sexual misconduct and found neglect and abuse due to failure to provide basic care, supervision, and proper care planning.
Abuse—Failed to properly plan care
03 Jul 2023Abuse: Neglect
03 Jul 2023Abuse: Neglect
Found inadequate interventions and care planning for known resident behaviors, leading to risk of harm and neglect/abuse. A $500 fine was assessed.
Abuse—Failed to properly plan care
26 Jun 2023Inspection
26 Jun 2023Inspection
Identified a staffing deficiency due to insufficient qualified awake direct care staff to meet 24-hour needs, compromising resident safety.
Licensing—Failed to provide appropriate staffing
19 Jun 2023Inspection
19 Jun 2023Inspection
Found a violation of safe medication administration practices due to failing to carry out prescribed medication orders. The issue affected a resident between 2023-06-19 and 2023-07-05.
Licensing—Failed to provide a safe medication administration system
11 Jun 2023Abuse: Neglect
11 Jun 2023Abuse: Neglect
Investigated the allegation and found neglect due to inadequate supervision, which led to a resident fall and injuries; a $1,000 fine was assessed.
Abuse—Failed to properly plan care
11 Jun 2023Abuse: Neglect
11 Jun 2023Abuse: Neglect
Investigated and determined supervision and care planning failed for a resident with a known history of falls, resulting in a fall with injury.
Abuse—Failed to properly plan care
19 May 2023Inspection
19 May 2023Inspection
Investigated an allegation of unsafe medication administration and determined that an antibiotic prescribed for AV was not administered because it was not entered correctly on the MAR.
Licensing—Failed to provide a safe medication administration system
25 Apr 2023Inspection
25 Apr 2023Inspection
Found insufficient awake direct care staff to meet 24-hour needs, with delayed responses to call lights creating an unsafe environment.
Licensing—Failed to provide safe environment
15 Feb 2023Inspection
15 Feb 2023Inspection
Investigated and found that the ABST was not updated to reflect residents' needs, with inconsistencies among the resident roster, care plans, posted staffing plan, and ABST data. The finding noted a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
10 Feb 2023Abuse: Neglect
10 Feb 2023Abuse: Neglect
Investigated and found a failure to provide a safe environment, constituting abuse and neglect. A $375.00 fine was assessed.
Abuse—Failed to provide safe environment
12 Jan 2023Complaint
12 Jan 2023Complaint
Identified deficiencies in abuse investigation, service planning, infection control, and staffing, including inadequate investigations, outdated service plans, poor masking, and insufficient awake staff.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
06 Jan 2023Inspection
06 Jan 2023Inspection
Found that an acuity-based staffing tool was not adopted or fully implemented.
Licensing—Failed to use an ABST
06 Jan 2023Inspection
06 Jan 2023Inspection
Found a staffing deficiency due to insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
06 Jan 2023Inspection
06 Jan 2023Inspection
Determined that masking requirements were not followed.
Licensing—Failed to provide infection control
06 Jan 2023Inspection
06 Jan 2023Inspection
Investigated the allegation and found a failure to update service plans as required by rule.
Licensing—Failed to care plan in accordance with assessment
01 Jan 2023Abuse: Neglect
01 Jan 2023Abuse: Neglect
Investigated a complaint and found neglect of care and abuse for failing to follow the care plan, resulting in an eye injury and a bruise from not wearing proper footwear. A $188 fine was assessed.
Abuse—Failed to follow care plan
28 Dec 2022Abuse: Neglect
28 Dec 2022Abuse: Neglect
Investigated and found that the facility failed to provide a safe environment, resulting in harm to a resident and a $500 fine assessed.
Abuse—Failed to provide safe environment
15 Dec 2022Inspection
15 Dec 2022Inspection
Found that the service plan did not reflect residents' needs, a deficiency with potential for minor to moderate harm due to inadequate care planning.
Licensing—Failed to properly plan care
15 Dec 2022Inspection
15 Dec 2022Inspection
Investigated and determined a safety violation due to failing to promptly investigate abuse reports and protect residents.
Licensing—Failed to provide safe environment
12 Dec 2022Abuse: Neglect
12 Dec 2022Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in a resident injury from a resident-to-resident altercation.
Abuse—Failed to provide safe environment
12 Dec 2022Abuse: Neglect
12 Dec 2022Abuse: Neglect
Found that a resident experienced multiple unwitnessed falls and did not receive appropriate services for changing condition, resulting in ongoing discomfort. A fine was assessed.
Abuse—Failed to provide service
08 Dec 2022Licensure
08 Dec 2022Licensure
Found improper food storage and sanitation in the kitchen during the initial visit; a follow-up determined substantial compliance with applicable rules.
Investigated an allegation that a staff member with a history of sexually inappropriate behavior touched a resident, causing discomfort and loss of dignity. Found a failure to provide a safe environment by not protecting the resident from the staff member's behavior.
Abuse—Failed to provide safe environment
25 Nov 2022Abuse: Neglect
25 Nov 2022Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment. This resulted in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
21 Nov 2022Abuse: Neglect
21 Nov 2022Abuse: Neglect
Investigated and found that there was a failure to plan care for wandering behavior, leading to a resident entering another resident's room and causing a scratch; a $250 fine was assessed.
Abuse—Failed to properly plan care
01 Nov 2022Inspection
01 Nov 2022Inspection
Found violations for failing to submit timely weekly vaccination reporting to the proper authority for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
18 Apr 2022Inspection
18 Apr 2022Inspection
Found that there were no policies and procedures to prevent and respond to incidents, resulting in a failure to provide a safe environment.
Licensing—Failed to provide safe environment
07 Aug 2021Abuse: Neglect
07 Aug 2021Abuse: Neglect
Investigated an allegation of neglect and abuse and found that the care plan was not updated after a significant change in condition, contributing to an injury. A fine was assessed.
Abuse—Failed to properly plan care
14 Jul 2021Abuse: Neglect
14 Jul 2021Abuse: Neglect
Investigated found a failure to provide a safe environment, leading to a resident being found outside unsupervised.
Abuse—Failed to provide safe environment
27 May 2021Abuse: Neglect
27 May 2021Abuse: Neglect
Determined that a safe environment was not provided, resulting in substantiated abuse/neglect.
Abuse—Failed to provide safe environment
29 Mar 2021Abuse: Neglect
29 Mar 2021Abuse: Neglect
Found a substantiated violation for failing to provide a safe environment during an outing, resulting in a $500 fine assessed.
Abuse—Failed to provide safe environment
02 Feb 2021Abuse: Neglect
02 Feb 2021Abuse: Neglect
Found inadequate care planning for a resident at risk of falls. The resident fell, was hospitalized, and required staples to the head.
Abuse—Failed to properly plan care
25 Jan 2021Abuse: Neglect
25 Jan 2021Abuse: Neglect
Investigated an allegation of neglect and found that failing to follow the care plan led to a fall with minor injury.
Abuse—Failed to follow care plan
22 Jan 2021Abuse: Neglect
22 Jan 2021Abuse: Neglect
Investigated an allegation of abuse and neglect; found failure to properly plan care led to a fall with injury, including a clavicle fracture and a skin laceration. A fine was assessed.
Abuse—Failed to properly plan care
01 Jan 2021Inspection
01 Jan 2021Inspection
Investigated the allegation of failing to administer medication as ordered and found that medication and treatment orders were not carried out.
Licensing—Failed to administer medication as ordered
28 Oct 2020Abuse: Neglect
28 Oct 2020Abuse: Neglect
Found inadequate care planning for fall risk, with injuries observed as a result, constituting neglect and abuse. A fine was assessed.
Abuse—Failed to properly plan care
19 Aug 2020Inspection
19 Aug 2020Inspection
Investigated the allegation and found failure to exercise reasonable precautions that may threaten residents' health, safety, or welfare.
Licensing—Failed to assure resident was safe
17 Aug 2020Inspection
17 Aug 2020Inspection
Determined that residents did not have a safe and homelike environment.
Licensing—Failed to provide a homelike environment
13 Aug 2020Inspection
13 Aug 2020Inspection
Found that direct care staff performance verification was not ensured.
Licensing—Failed to provide appropriate staffing
21 Jun 2020Abuse: Neglect
21 Jun 2020Abuse: Neglect
Concluded that a safe environment was not provided, resulting in a skin injury and constituting abuse and neglect.
Abuse—Failed to provide safe environment
05 May 2020Abuse: Neglect
05 May 2020Abuse: Neglect
Found neglect due to insufficient supervision of fall risks, exposing a resident to potential harm; a $500 fine was assessed.
Abuse—Failed to provide safe environment
04 May 2020Inspection
04 May 2020Inspection
Identified a deficiency where the service plan did not reflect the resident's needs.
Licensing—Failed to properly plan care
30 Apr 2020Abuse: Neglect
30 Apr 2020Abuse: Neglect
Found deficiencies in supervision and staff support related to known behaviors, resulting in injury; a fine was assessed.
Abuse—Failed to provide safe environment
16 Apr 2020Abuse: Neglect
16 Apr 2020Abuse: Neglect
Investigated and found neglect for failing to provide a safe environment, with bruises observed and delayed staff notification; a fine was assessed.
Abuse—Failed to provide safe environment
30 Jan 2020Abuse: Neglect
30 Jan 2020Abuse: Neglect
Investigated and found that a staff member transferred a resident inappropriately without proper training, placing residents at risk for harm; a $338 fine was assessed.
Abuse—Failed to provide safe environment
28 Jan 2020Inspection
28 Jan 2020Inspection
Investigated and found failure to immediately report abuse and to promptly investigate all abuse reports.
Licensing—Failed to report potential or suspected abuse
13 Jan 2020Abuse: Neglect
13 Jan 2020Abuse: Neglect
Investigated a neglect allegation for failing to follow the care plan with 30‑minute safety checks, leading to an unwitnessed fall and head injury; a $1,500 fine was assessed.
Abuse—Failed to follow care plan
09 Jan 2020Abuse: Neglect
09 Jan 2020Abuse: Neglect
Found that the resident’s care plan to use Geri sleeves was not followed, leading to skin tears and bruising on the forearms. This constitutes neglect and abuse.
Abuse—Failed to follow care plan
08 Jan 2020Abuse: Neglect
08 Jan 2020Abuse: Neglect
Found deficiencies related to unsafe environment and inadequate staff transfer training. The transfer of a resident was performed inappropriately by pulling up with hands, causing bruising, and staff lacked training to transfer safely.
Abuse—Failed to provide safe environment
06 Jan 2020Abuse: Neglect
06 Jan 2020Abuse: Neglect
Identified neglect and physical abuse violations tied to how a resident was assisted with showering, and a $225 fine was assessed. Also noted a failure to provide a care plan for staff to guide showering.
Abuse—Failed to protect resident from physical abuse
03 Jan 2020Inspection
03 Jan 2020Inspection
Found violations involving protection from abuse after investigating a staff member grabbing a resident's arm to keep him/her from leaving, causing distress and a red mark.
Licensing—Failed to protect resident from physical abuse
02 Jan 2020Inspection
02 Jan 2020Inspection
Determined the care plan wasn't followed during a transfer, causing injury to a resident.
Licensing—Failed to follow care plan
11 Dec 2019Inspection
11 Dec 2019Inspection
Identified a chemical restraint involving medication administration that endangered a resident.
Licensing—Failure to provide a system that prevents theft or misuse of medication
11 Dec 2019Abuse: Neglect
11 Dec 2019Abuse: Neglect
Found neglect and abuse due to failure to follow a resident's care plan and to protect arms and hands during glove washing, resulting in bruises; a fine was assessed.
Abuse—Failed to follow care plan
04 Dec 2019Abuse: Neglect
04 Dec 2019Abuse: Neglect
Investigated and determined violations of resident rights due to neglect and abuse related to shower supervision and failure to investigate a prior incident.
Abuse—Failed to investigate injury of unknown origin to rule out abuse
21 Nov 2019Abuse: Neglect
21 Nov 2019Abuse: Neglect
Found violations related to medication administration safety and resident rights after a staff member administered end-of-life medication and soon after gave pain medication, leading to a fall with injuries.
Abuse—Failed to provide a safe medication administration system
21 Nov 2019Abuse: Neglect
21 Nov 2019Abuse: Neglect
Concluded that staff failed to timely seek medical treatment after a resident's fall, placing the resident at risk for serious harm and constituting abuse and neglect.
Abuse—Failed to assure timely medical treatment
18 Nov 2019Abuse: Neglect
18 Nov 2019Abuse: Neglect
Found that the care plan requiring a two-person transfer was not followed, with staff unaware of the two-person transfer requirement, placing the resident at risk of serious harm.
Abuse—Failed to follow care plan
17 Nov 2019Inspection
17 Nov 2019Inspection
Determined that a staff member used force on a resident to board an activity bus, prevented use of a walker during ambulation, and did not follow the resident's care plan, constituting physical abuse and neglect.
Licensing—Failed to protect resident from physical abuse
17 Nov 2019Abuse: Neglect
17 Nov 2019Abuse: Neglect
Found failure to follow the resident care plan left a resident in a soiled and soaked brief, risking skin breakdown. The finding identified neglect and abuse and a fine was assessed.
Abuse—Failed to follow care plan
14 Nov 2019Abuse: Neglect
14 Nov 2019Abuse: Neglect
Investigated a complaint of neglect; found the care plan for an air mattress wasn't followed, causing the resident discomfort.
Abuse—Failed to follow care plan
10 Nov 2019Abuse: Neglect
10 Nov 2019Abuse: Neglect
Investigated a complaint and found improper transfer techniques due to inadequate training led to bruising and an unsafe environment. A $169 fine was assessed.
Abuse—Failed to provide safe environment
11 Aug 2019Abuse: Neglect
11 Aug 2019Abuse: Neglect
Investigated the allegation of neglect and found a failure to provide a safe environment. A fine was assessed.
Abuse—Failed to provide safe environment
17 Apr 2019Abuse: Neglect
17 Apr 2019Abuse: Neglect
Found neglect by failing to provide basic care necessary to maintain health and safety, resulting in harm or risk of harm; a fine was assessed.
Abuse—Failed to provide safe environment
17 Apr 2019Abuse: Neglect
17 Apr 2019Abuse: Neglect
Found neglect and failure to provide a safe environment, resulting in harm and risk of harm to an adult; a fine was assessed.
Abuse—Failed to provide safe environment
24 Nov 2018Abuse: Neglect
24 Nov 2018Abuse: Neglect
Found neglect to provide basic care and services, resulting in a fall and risk of serious harm to a resident.
Abuse—Failed to provide safe environment
24 Nov 2018Abuse: Neglect
24 Nov 2018Abuse: Neglect
Investigated a neglect allegation and found that basic care and services were not provided, creating a risk of serious harm.
Abuse—Failed to administer medication as ordered
19 Jun 2018Inspection
19 Jun 2018Inspection
Found that staff failed to properly assess and intervene, leading to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
26 Feb 2018Inspection
26 Feb 2018Inspection
Investigated a resident records allegation and found that entries in service plans were not properly initialed and dated.
Licensing—Failed to keep resident record current or accurate
09 Jan 2018Inspection
09 Jan 2018Inspection
Concluded that failure to report potential or suspected abuse occurred, resulting in a civil penalty.
Licensing—Failed to report potential or suspected abuse
09 Jan 2018Abuse: Neglect
09 Jan 2018Abuse: Neglect
Found a failure to administer medication as ordered, resulting in an inadequate medication system and a $500 fine.
Abuse—Failed to administer medication as ordered
30 Dec 2017Abuse: Neglect
30 Dec 2017Abuse: Neglect
Concluded that a safe environment was not provided, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
24 Dec 2017Abuse: Neglect
24 Dec 2017Abuse: Neglect
Investigated allegations of neglect and improper care planning; found a failure to provide a safe environment that led to a resident to resident altercation.
Abuse—Failed to properly plan care
14 Dec 2017Abuse: Neglect
14 Dec 2017Abuse: Neglect
Found failure to provide a safe environment resulting in an RV fall with injury; a $300 fine was assessed.
Abuse—Failed to provide safe environment
04 Nov 2017Abuse: Neglect
04 Nov 2017Abuse: Neglect
Found that medication was not administered as ordered, resulting in physical harm.
Abuse—Failed to administer medication as ordered
04 Jan 2017Inspection
04 Jan 2017Inspection
Investigated an allegation of an unsafe environment. Found that a resident was not prevented from falling out of bed.
Licensing—Failed to provide safe environment
29 Dec 2016Inspection
29 Dec 2016Inspection
Found violations for failing to follow the care plan and for an unsafe environment that caused an injury.
Licensing—Failed to follow care plan
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Mirador Living is not affiliated with the owner or operator(s) of Sunnyside Meadows Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Sunnyside Meadows Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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