I moved my mom here and I'm very pleased - the staff are welcoming, caregivers are genuinely caring, and management is responsive (Kylie has made a real difference). The community feels like a second home with private apartments, meals included, abundant activities and outings (movie theater, pub, pool, bingo, Columbia Gorge trips, patio parties and luaus), plus great on-site amenities like a coffee and frozen yogurt bar, beauty/barber shop, hobby room and exercise equipment. Residents are happy, family events are frequent, and I highly recommend this caring, resident-focused community.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
does not accept Medicaid and high out-of-pocket cost
Summary of reviews
Bonaventure of Salem presents as a physically attractive, well-appointed senior living community with many hospitality-style amenities. Multiple accounts praise the interior design, recent renovations, spacious apartments, large windows and tasteful furnishings. The community offers a broad amenity set — movie theater, pub/café, salon/barber, exercise room, hobby and recreation spaces, and transportation for outings — and many residents and families describe an active social calendar that includes happy hours, themed events, outings, and family-oriented gatherings.
Staffing and care receive mixed evaluations. A substantial number of families and visitors describe caregivers as compassionate, friendly and resident-focused, and several reviewers single out specific leaders and teams for strong, responsive management. At the same time, a recurring operational pattern is understaffing and high turnover; reviewers link those staffing constraints to inconsistent hands-on care, delayed assistance, irregular bathing and laundry schedules, and occasional lapses in following care plans. Medication-management issues are a prominent concern in multiple accounts: late deliveries, irregular insulin timing, missed orders, and delayed nebulizer treatment were all described. For prospective residents with significant clinical needs or complex medication regimens, the community's clinical coordination and staffing stability merit careful review.
Dining and food service are polarizing. The facility provides multiple dining venues, a broad menu, and some families report varied, healthy and enjoyable meals as well as specialty offerings (vegetarian options, dessert bars, a pub menu). Conversely, many accounts describe inconsistent meal quality, bland or heavily carbohydrate-focused entrees, limited diabetic-friendly customization, and service delays tied to staffing shortages. Operational policies (for example, limiting assisted dining to the dining room and restricting in-room tray service) may affect residents who require assistance with meals.
Activities and amenities are a clear strength for socially engaged and mobile residents. The community supports frequent events, outings, and a range of on-site options that contribute to a lively social environment. A pattern to note is that some activities and spaces are less accessible or appealing to residents with significant mobility limitations; a few reviewers characterized amenities as being more appropriate for independent or lightly assisted residents than for those who require full assistance with mobility or transfers.
Facility upkeep and housekeeping show variability. Many reviewers praise spotlessly maintained common areas, proactive maintenance, and attractive landscaping. However, there are repeated mentions of inconsistent housekeeping in some apartments or temporary rooms, pest-control concerns in isolated instances, and limited maintenance responsiveness outside business hours. The exterior appearance and location were sometimes described less favorably, including proximity to a busy highway and associated noise.
Management and administration elicit mixed impressions. Several families highlight responsive leaders and tangible improvements under new managers; others describe administrative instability, frequent leadership turnover, opaque billing practices, and difficulties obtaining clear invoices or timely resolutions. There are allegations of billing inconsistencies and missing personal items in some accounts; prospective residents should verify financial policies (including the non-refundable admission fee) and confirm whether Medicaid is accepted (it is not). Cost is frequently described as high relative to perceived value by some families.
Bottom line: Bonaventure of Salem offers a high-amenity, hotel-like living environment that suits independent seniors and many families seeking robust social programming and attractive physical spaces. The community has demonstrable strengths in amenities, social life, and in many cases compassionate staff and maintenance. However, recurring operational concerns — notably staffing shortages, high turnover, inconsistent care and medication practices, variability in dining and housekeeping quality, and administrative opacity — mean that families of prospective residents with higher medical or memory-care needs should conduct targeted due diligence. Recommended pre-move steps include meeting direct-care staff on multiple shifts, reviewing care-plan adherence and medication protocols, confirming meal accommodations for dietary restrictions, verifying maintenance and housekeeping schedules, and obtaining clear written billing and contract terms.
Reviews written on Mirador
We have no reviews to show about Bonaventure of Salem.
Help other families by writing a review about your experience with this community.
Location
Bonaventure of Salem is located at 3411 Boone Rd SE, Salem, OR, 97317.
About Bonaventure of Salem
Bonaventure of Salem is a distinct retirement community nestled against a woodland backdrop, offering a tranquil and welcoming setting for its residents. Positioned conveniently off the Kuebler exit on I-5, this community enjoys easy access for visiting family and friends, as well as straightforward travel opportunities for residents themselves. The location places Bonaventure of Salem within proximity to the historic charm of Salem’s downtown district, where landmarks such as the Oregon State Capitol Building and Mission Mill Museum offer engaging outings and a connection to the region’s rich history.
The community is designed to provide a continuum of care, including retirement living, assisted living, and memory care, accommodating the various needs of its residents as they change over time. Those seeking independent living will find a sense of privacy and luxury in the thoughtfully designed suites, while those requiring additional support benefit from attentive personal care services. It is important to note that personal care services are not available in Independent Living at this community. Spacious floorplans are available, and prospective residents are encouraged to schedule a tour to fully appreciate the accommodations and amenities.
Among the many amenities, transportation services are offered to make outings and appointments more convenient. While flexible and accommodating, these transportation services must be scheduled in advance and are subject to availability, as they may be cancelled at any time without notice. Residents also enjoy the attentive support of a friendly, helpful staff dedicated to not only meeting but exceeding expectations, helping to create an atmosphere of warmth and belonging throughout daily living.
Bonaventure of Salem places a strong emphasis on creating vibrant experiences for those who call it home. Residents have access to a variety of activities and opportunities for adventure, fostering both social connections and an enriching lifestyle. Whether the need is for higher levels of specialized care, or simply a safe and engaging place to enjoy retirement, Bonaventure of Salem strives to provide an environment where privacy, luxury, and genuine support are at the forefront. Prospective residents are invited to discover the difference by experiencing the community first-hand and exploring all the benefits of Retirement Perfected™.
Founded in 1999 and headquartered in Salem, Oregon, Bonaventure Senior Living is a family-owned company operating 28 communities across Washington, Oregon, and Colorado. They offer independent living, assisted living, and memory care services with their "Retirement Perfected™" philosophy.
People often ask...
Bonaventure of Salem offers competitive pricing, with rates starting at a cost of $6,241 per month.
Bonaventure of Salem offers independent living, assisted living, and memory care.
There are 47 photos of Bonaventure of Salem on Mirador.
Yes, Bonaventure of Salem allows residents to age in place and adjust their level of care as needed.
The full address for this community is 3411 Boone Rd SE, Salem, OR 97317.
No, Bonaventure of Salem 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 across administration, health care, safety, and resident rights, including missing required postings, failure to report abuse, and gaps in service planning and monitoring. Fire safety, infection control, and privacy issues were also found.
Found extensive sanitation and food safety deficiencies in kitchen areas and memory care kitchenette, including improper labeling, uncovered foods, inadequate hygiene, and cross-contamination risks, with administration compliance cited.
Found that a staff member grabbed a resident by the wrist and pulled them from a chair, and failed to protect the resident from physical abuse.
Licensing—Failed to protect resident from physical abuse
15 Oct 2025Inspection
15 Oct 2025Inspection
Investigated a records request and found documentation was not provided when requested. Concluded that this violated state administrative rules.
Licensing—Failed to cooperate with an investigation
15 Oct 2025Inspection
15 Oct 2025Inspection
Found a licensing violation for failing to provide documentation upon request during an investigation.
Licensing—Failed to cooperate with an investigation
12 Oct 2025Abuse: Neglect
12 Oct 2025Abuse: Neglect
Found abuse by neglect for failing to implement safety interventions after falls, leading to injuries; a $500 fine was assessed.
Abuse—Failed to properly plan care
22 Aug 2025Abuse: Neglect
22 Aug 2025Abuse: Neglect
Investigated a neglect allegation found failure to provide a safe environment for a resident, leading to injuries; a $500 fine was assessed.
Abuse—Failed to provide safe environment
05 Aug 2025Abuse: Neglect
05 Aug 2025Abuse: Neglect
Investigated an allegation of neglect and found that insufficient interventions were in place for an exit-seeking resident, leading to an elopement and safety concerns.
Abuse—Failed to properly plan care
05 Aug 2025Inspection
05 Aug 2025Inspection
Found a violation for inaccuracies in the acuity-based staffing tool and misalignment between resident needs, care plans, and ABST data. Staffing levels did not reflect ABST indications to meet residents' scheduled and unscheduled needs.
Licensing—Failed to use an ABST
01 Aug 2025Abuse: Neglect
01 Aug 2025Abuse: Neglect
Investigated a complaint and found neglect due to failure to implement meaningful interventions for elopements, resulting in an unattended exit. A $250 fine was assessed.
Abuse—Failed to properly plan care
01 Aug 2025Inspection
01 Aug 2025Inspection
Found a deficiency in the Acuity-Based Staffing Tool (ABST) that did not reflect resident needs and ADLs, with inconsistencies among the roster, care plans, and ABST data, resulting in inadequate staffing.
Licensing—Failed to use an ABST
28 Jul 2025Inspection
28 Jul 2025Inspection
Investigated identified deficiencies in the Acuity-Based Staffing Tool that did not reflect resident needs or ADLs. Inconsistencies between the roster, care plans, and ABST data showed staffing did not meet ABST-indicated levels.
Licensing—Failed to use an ABST
17 Jul 2025Inspection
17 Jul 2025Inspection
Identified deficiencies in ABST accuracy and staffing levels, with inconsistencies between the resident roster, care plans, and ABST.
Licensing—Failed to use an ABST
15 Jul 2025Kitchen
15 Jul 2025Kitchen
Identified ongoing sanitation deficiencies in the kitchen with repeated noncompliance and a failing plan of correction, observed across multiple visits.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
10 Jul 2025Abuse: Neglect
10 Jul 2025Abuse: Neglect
Concluded abuse by neglect occurred, leading to the individual's death.
Abuse—Failed to provide service
08 Jul 2025Inspection
08 Jul 2025Inspection
Investigated the staffing-related allegation and found the ABST did not accurately reflect resident needs or ADLs, with inconsistencies between the roster, care plans, and ABST data, and staffing not aligned with ABST recommendations.
Licensing—Failed to use an ABST
22 Jun 2025Inspection
22 Jun 2025Inspection
Identified deficiencies in the acuity-based staffing tool and related staffing levels. Inconsistencies were found between the resident roster, care plans, and ABST data that led to staffing not reflecting resident needs.
Licensing—Failed to use an ABST
31 Dec 2024Inspection
31 Dec 2024Inspection
Investigated and found that a resident was not protected from financial exploitation; a staff member was seen on camera taking items from the resident’s packages, leaving items missing.
Licensing—Failed to protect resident from financial exploitation
08 Dec 2024Abuse: Neglect
08 Dec 2024Abuse: Neglect
Identified failure to plan and mitigate fall risk, which led to a resident's fractured hip. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
23 Oct 2024Abuse: Neglect
23 Oct 2024Abuse: Neglect
Investigated and found that leaving a resident unattended violated the care plan and resident rights, constituting neglect and abuse, with a fine assessed.
Abuse—Failed to follow care plan
10 Sept 2024Abuse: Neglect
10 Sept 2024Abuse: Neglect
Investigated a falls-related care issue and found that fall risk was not properly planned or mitigated, leading to neglect and abuse; a $375 fine was assessed.
Abuse—Failed to properly plan care
10 Sept 2024Complaint
10 Sept 2024Complaint
Identified deficiencies in staffing requirements and training, and in the acuity-based staffing tool.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
25 Aug 2024Abuse: Neglect
25 Aug 2024Abuse: Neglect
Found a failure to provide a safe environment that allowed exit-seeking and multiple elopements with resulting falls. This placed a resident at risk for harm.
Abuse—Failed to provide safe environment
25 Aug 2024Abuse: Neglect
25 Aug 2024Abuse: Neglect
Found a failure to provide a safe environment and elopement risk monitoring for a resident, resulting in a $500 fine.
Abuse—Failed to provide safe environment
24 Jul 2024Complaint
24 Jul 2024Complaint
Investigated a complaint about an acuity-based staffing tool and noted potential for moderate harm.
Deficiency—Acuity-Based Staffing Tool
20 Jul 2024Inspection
20 Jul 2024Inspection
Found insufficient awake direct care staffing to meet 24-hour needs of residents, with levels below ABST indications.
Licensing—Failed to staff as indicated by ABST
08 May 2024Licensure
08 May 2024Licensure
Identified significant sanitation and food safety deficiencies in kitchen and memory care areas during the initial review, with substantial compliance achieved on the follow-up.
Identified deficiencies in the Acuity-Based Staffing Tool and related data reflecting resident needs.
Licensing—Failed to use an ABST
06 Mar 2024Abuse: Neglect
06 Mar 2024Abuse: Neglect
Found that falls risk was not properly managed, leading to multiple falls and an injury; a fine was assessed.
Abuse—Failed to properly plan care
25 Feb 2024Abuse: Neglect
25 Feb 2024Abuse: Neglect
Investigated allegations of unsafe medication administration; found a resident was given another resident’s medication, causing an adverse drug reaction and hospital transport, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
26 Dec 2023Validation
26 Dec 2023Validation
Found multiple deficiencies across administration, resident care planning, infection control, fire safety, and staff training. These issues violated licensing rules.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Psychotropic Medication
Deficiency—Acuity-Based Staffing Tool
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
14 Dec 2023Abuse: Neglect
14 Dec 2023Abuse: Neglect
Investigated a complaint and found that a staff member failed to protect a resident from mental abuse, resulting in a violation and a $250 fine.
Abuse—Failed to protect resident from mental or emotional abuse
12 Dec 2023Validation
12 Dec 2023Validation
Found multiple deficiencies across operations, including resident safety, service planning, medication management, infection control, fire safety, and staffing.
Deficiency—Comment
Deficiency—Reasonable Precautions
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Infection Prevention & Control
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
Deficiency—Annual and Biennial Inservice For All 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—Resident Units
Deficiency—Common Use Areas: Social
Deficiency—House Keeping and Sanitation
20 Oct 2023Inspection
20 Oct 2023Inspection
Investigated and found that the provider did not maintain an up-to-date ABST reflecting resident needs, causing inconsistencies among the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
14 Oct 2023Abuse: Neglect
14 Oct 2023Abuse: Neglect
Found that staff did not follow the care plan, resulting in a resident eloping; a fine was assessed.
Abuse—Failed to follow care plan
10 Sept 2023Abuse: Neglect
10 Sept 2023Abuse: Neglect
Determined that staff did not follow the resident's service plan to escort him/her to meals, allowing wandering that caused a fall and additional incidents; a $500 fine was assessed.
Abuse—Failed to follow care plan
26 Aug 2023Complaint
26 Aug 2023Complaint
Investigated the complaint and conducted an on-site visit to determine compliance with applicable regulations for residential care and memory care.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Treatment Orders
31 May 2023Abuse: Neglect
31 May 2023Abuse: Neglect
Found that a safe environment was not provided, resulting in harm to a resident. A fine was assessed.
Abuse—Failed to provide safe environment
29 May 2023Abuse: Neglect
29 May 2023Abuse: Neglect
Found that a resident’s care plan was not followed, resulting in a skin tear and risk of harm.
Abuse—Failed to follow care plan
27 May 2023Abuse: Neglect
27 May 2023Abuse: Neglect
Found that failure to properly plan care led to six falls and related injuries in the memory care setting.
Abuse—Failed to properly plan care
18 May 2023Abuse: Neglect
18 May 2023Abuse: Neglect
Identified violations for failing to plan care around a resident's known aggressive behavior, which led to an incident involving another resident; a fine was assessed.
Abuse—Failed to properly plan care
13 May 2023Inspection
13 May 2023Inspection
Determined that failure to follow the care plan during a transfer led to a resident fall and abuse, with violations cited.
Licensing—Failed to follow care plan
10 May 2023Inspection
10 May 2023Inspection
Found a deficiency in medication administration where orders were not carried out as prescribed, resulting in a resident not receiving medications from 2023-05-10 to 2023-05-12.
Licensing—Failed to provide a safe medication administration system
28 Apr 2023License Condition
28 Apr 2023License Condition
Found that an acuity-based staffing tool was not fully implemented as required.
Regulatory Action—Failed to use an ABST
03 Apr 2023Complaint
03 Apr 2023Complaint
Investigated a complaint and found deficiencies in quarterly service plan updates, staffing adequacy, acuity-based staffing implementation, direct-care staff training verification, and record provision.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Inspections and Investigations
25 Mar 2023Abuse: Neglect
25 Mar 2023Abuse: Neglect
Investigated a safety allegation and found a failure to provide a safe environment, resulting in an injury. A fine was assessed.
Abuse—Failed to provide safe environment
24 Mar 2023Abuse: Neglect
24 Mar 2023Abuse: Neglect
Investigated a complaint of abuse and neglect and found care planning around residents with a known history of altercations was inadequate, with a $375 fine assessed.
Abuse—Failed to properly plan care
23 Mar 2023Inspection
23 Mar 2023Inspection
Investigated and found deficiencies in the acuity-based staffing tool, which did not accurately reflect the resident population and their needs, with discrepancies between required ADLs and ABST data.
Licensing—Failed to use an ABST
23 Mar 2023Inspection
23 Mar 2023Inspection
Found that the resident service plan was not completed quarterly as required.
Licensing—Failed to properly plan care
23 Mar 2023Inspection
23 Mar 2023Inspection
Investigated the allegation of failing to cooperate with an investigation and found records were not made available as required.
Licensing—Failed to cooperate with an investigation
23 Mar 2023Inspection
23 Mar 2023Inspection
Investigated the complaint and found that direct care staff were not properly trained on transfers and changing residents, and that satisfactory performance was not verified.
Licensing—Failed to provide appropriate staffing
01 Mar 2023Abuse: Neglect
01 Mar 2023Abuse: Neglect
Found abuse and neglect due to failure to properly plan around known resident behaviors, leading to a wandering incident and injury.
Abuse—Failed to properly plan care
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated the complaint and found deficiencies in laundry services, staffing tool implementation, and building cleanliness.
Investigated the complaint and found a deficiency in cleanliness resulting in unsanitary interior and exterior surfaces and a shower with body matter for over a week.
Licensing—Failed to provide safe environment
23 Feb 2023Inspection
23 Feb 2023Inspection
Investigated and found that personal and other laundry services were not provided, leaving bed sheets unwashed for a very long time.
Licensing—Failed to provide service
20 Feb 2023Inspection
20 Feb 2023Inspection
Investigated a medication administration incident and found that morphine was given without waiting the required time, causing pain; a $500 fine was assessed.
Licensing—Failed to administer medication as ordered
17 Jan 2023Abuse: Neglect
17 Jan 2023Abuse: Neglect
Found neglect of care and abuse due to failure to provide services, with a $500 fine assessed.
Abuse—Failed to provide service
11 Jan 2023Licensure
11 Jan 2023Licensure
Found ongoing deficiencies in kitchen cleanliness and food storage, with repeated noncompliance with sanitation rules and the re-licensure plan of correction. Observations occurred across visits from January to July 2023.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
07 Jan 2023Inspection
07 Jan 2023Inspection
Investigated determined that a resident was not protected from financial exploitation, with a wallet stolen and multiple charges placed on the resident’s card.
Licensing—Failed to protect resident from financial exploitation
05 Jan 2023Complaint
05 Jan 2023Complaint
Investigated a complaint and identified deficiencies in service plan management, infection prevention, and medication administration oversight. Findings included out-of-date service plans, lack of infection-control signage including masking guidance, and insulin administration without proper delegation.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Infection Prevention & Control
Deficiency—Annual and Biennial Inservice For All Staff
05 Jan 2023Complaint
05 Jan 2023Complaint
Found deficiencies in resident services, staffing training, and conditions with potential for moderate harm.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Staffing Rqmt and Training: Training Rqmts
Deficiency—Conditions
14 Dec 2022Abuse: Neglect
14 Dec 2022Abuse: Neglect
Found neglect and abuse due to failure to provide a needed urine analysis, with a $500 fine assessed.
Abuse—Failed to provide service
05 Dec 2022Inspection
05 Dec 2022Inspection
Investigated and found deficiencies in providing daily living assistance, including personal hygiene and grooming.
Licensing—Failed to provide service
02 Dec 2022License Condition
02 Dec 2022License Condition
Investigated a staffing ABST compliance issue. Found the staffing plan was not updated based on ABST.
Regulatory Action—Failed to update staffing plan based on ABST
02 Dec 2022License Condition
02 Dec 2022License Condition
Investigated the allegation of a safe-environment deficiency and found that a laundry room was not locked, allowing access to chemicals and Tide Pods, with dirty supplies in resident areas.
Regulatory Action—Failed to provide safe environment
02 Dec 2022License Condition
02 Dec 2022License Condition
Found that a qualified caregiver was not present as required.
Regulatory Action—Failed to assure a qualified caregiver was present
02 Dec 2022License Condition
02 Dec 2022License Condition
Identified sanitation violations after a site visit, including molded foods, non-labeled foods, and open containers.
Regulatory Action—Failed to provide service
02 Dec 2022License Condition
02 Dec 2022License Condition
Found that resident service plans were not updated as required, leaving them out of date.
Regulatory Action—Failed to properly plan care
30 Nov 2022Abuse: Neglect
30 Nov 2022Abuse: Neglect
Investigated a safety incident and found a failure to provide a safe environment, resulting in substantiated neglect and a $500 fine.
Abuse—Failed to provide safe environment
22 Nov 2022Inspection
22 Nov 2022Inspection
Investigated a complaint about infection control and found failures to post signs at entrances when positive COVID cases were identified, screen visitors, and require masks.
Licensing—Failed to provide safe environment
02 Nov 2022Inspection
02 Nov 2022Inspection
Investigated a complaint and found that service plans were not properly implemented or updated before residents move in or during quarterly evaluations.
Licensing—Failed to properly plan care
02 Nov 2022Inspection
02 Nov 2022Inspection
Determined that documentation did not demonstrate an observed ability to perform safe medication and treatment administration unsupervised.
Licensing—Failed to provide safe environment
02 Nov 2022Inspection
02 Nov 2022Inspection
Investigated a complaint and substantiated a failure to provide a safe environment.
Licensing—Failed to provide safe environment
02 Nov 2022Inspection
02 Nov 2022Inspection
Investigated an allegation of inadequate staffing and found direct care staffing insufficient to meet scheduled and unscheduled resident needs due to the absence of swing or night caregivers and the receptionist covering memory care.
Licensing—Failed to provide appropriate staffing
13 Oct 2022Complaint
13 Oct 2022Complaint
Investigated a complaint and found failures to prepare and serve food in compliance with sanitation rules, including improper temperatures, inadequate temperature monitoring, and gloves worn from pockets.
Investigated a complaint and found that care planning did not address elopement history, leading to neglect and abuse; a fine was assessed.
Abuse—Failed to properly plan care
04 Sept 2022Abuse: Neglect
04 Sept 2022Abuse: Neglect
Identified violations for failure to provide a safe environment, resulting in abuse and neglect. A fine of $375 was assessed.
Abuse—Failed to provide safe environment
26 Aug 2022Abuse: Neglect
26 Aug 2022Abuse: Neglect
Investigated a report of abuse and neglect and found an unsafe environment that could harm a resident; assessed a $500 fine.
Abuse—Failed to provide safe environment
02 Aug 2022Inspection
02 Aug 2022Inspection
Investigated an allegation of safety oversight for a resident and found neglect in providing a safe environment, with substantiated findings.
Licensing—Failed to provide safe environment
30 Jul 2022Abuse: Neglect
30 Jul 2022Abuse: Neglect
Investigated a neglect/abuse allegation and found failure to properly plan care and implement interventions to prevent skin injuries, risking harm to a resident.
Abuse—Failed to properly plan care
27 Jul 2022Inspection
27 Jul 2022Inspection
Found violations of food sanitation rules due to serving food at improper temperatures and sending out plates with old food stuck on them.
Licensing—Failed to provide service
22 Jul 2022Complaint
22 Jul 2022Complaint
Identified deficiencies in multiple regulatory areas, including administration, resident services, service planning, staffing, and acuity-based staffing.
Deficiency—Licensing Complaint Investigation
Deficiency—Facility Administration: Criminal History
Deficiency—Resident Services: Activities
Deficiency—Service Plan: General
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
13 Jul 2022Complaint
13 Jul 2022Complaint
Investigated and found that ABST was not fully implemented or updated, and no staffing plan was posted; staffing appeared to rely on UDS rather than ABST.
Deficiency—Acuity-Based Staffing Tool
13 Jul 2022Inspection
13 Jul 2022Inspection
Found ABST not implemented or updated and no staffing plan posted; staffing appeared to follow UDS levels with several two-person transfers expected.
Licensing—Failed to use an ABST
13 Jul 2022Complaint
13 Jul 2022Complaint
Found deficiencies in safety and staffing: a salon door was not locked and chemicals were visible, and staffing levels were insufficient to meet residents' needs, leaving them with minimal supervision.
Deficiency—Licensing Complaint Investigation
Deficiency—Reasonable Precautions
Deficiency—Resident Services: Activities
Deficiency—Staffing Requirements and Training: Staffing
08 Jul 2022Inspection
08 Jul 2022Inspection
Investigated an allegation that the care plan was not followed during a transfer, resulting in a person being dropped and injured.
Licensing—Failed to follow care plan
06 Jul 2022Inspection
06 Jul 2022Inspection
Identified a deficiency for not providing a daily program of social and recreational activities.
Licensing—Failed to assure resident rights
06 Jul 2022Inspection
06 Jul 2022Inspection
Found insufficient staffing to meet scheduled and unscheduled resident needs, including instances where only one staff member worked with multiple two-person assist residents.
Licensing—Failed to provide appropriate staffing
06 Jul 2022Inspection
06 Jul 2022Inspection
Found a licensing violation for failing to provide a safe environment, with hazards including unmasked staff, trip hazards from items leaning against walls, and chemicals stored openly and unlocked.
Licensing—Failed to provide safe environment
26 Jun 2022Abuse: Neglect
26 Jun 2022Abuse: Neglect
Investigated a resident-to-resident incident and identified a failure to provide a safe environment, constituting abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
23 Jun 2022Abuse: Neglect
23 Jun 2022Abuse: Neglect
Investigated the complaint and found a failure to provide a safe environment, with residents eloping on multiple occasions.
Abuse—Failed to provide safe environment
02 Jun 2022Inspection
02 Jun 2022Inspection
Determined that a daily program of social and recreational activities was not provided as required. The allegation was substantiated.
Licensing—Failed to provide appropriate activities
25 May 2022Abuse: Neglect
25 May 2022Abuse: Neglect
Found that care planning failed to address fall risk and implement interventions, resulting in an abuse/neglect finding and a $1,500 fine.
Abuse—Failed to properly plan care
16 May 2022Abuse: Neglect
16 May 2022Abuse: Neglect
Found neglect and abuse due to improper care planning, with a $1,000 fine assessed.
Abuse—Failed to properly plan care
16 May 2022Abuse: Neglect
16 May 2022Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment, with a $1,000 fine assessed.
Abuse—Failed to provide safe environment
16 May 2022Abuse: Neglect
16 May 2022Abuse: Neglect
Investigated and found neglect and abuse due to failure to plan care around removing protective sleeves, leading to continued arm injuries. A $1,000 fine was assessed.
Abuse—Failed to properly plan care
16 May 2022Abuse: Neglect
16 May 2022Abuse: Neglect
Investigated an allegation of abuse and neglect; found failure to plan care around removing a wheelchair pad, which violated resident rights.
Abuse—Failed to properly plan care
30 Apr 2022Abuse: Neglect
30 Apr 2022Abuse: Neglect
Investigated a care incident and found abuse and neglect from failure to provide a safe environment, leading to multiple injuries.
Abuse—Failed to provide safe environment
14 Apr 2022Abuse: Neglect
14 Apr 2022Abuse: Neglect
Investigated an abuse/neglect allegation and found failure to plan care and to mitigate fall risk, resulting in multiple falls and injuries. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
14 Apr 2022Abuse: Neglect
14 Apr 2022Abuse: Neglect
Investigated and found a failure to provide a safe environment resulting in multiple unsupervised falls and abuse; a $1,500 fine was assessed.
Abuse—Failed to provide safe environment
05 Apr 2022Abuse: Neglect
05 Apr 2022Abuse: Neglect
Found that an unsafe environment led to multiple falls and injuries for a resident; a $1,125 fine was assessed.
Abuse—Failed to provide safe environment
19 Mar 2022Abuse: Neglect
19 Mar 2022Abuse: Neglect
Found that the care plan did not properly address the resident's fall risk, and there were multiple unmitigated falls with no new interventions implemented.
Abuse—Failed to properly plan care
03 Mar 2022Abuse: Neglect
03 Mar 2022Abuse: Neglect
Investigated an allegation of unsafe environment and abusive conduct; findings show a resident-to-resident altercation and an incident where a resident pulled another's wrist and arm, indicating neglect and abuse.
Abuse—Failed to provide safe environment
03 Mar 2022Abuse: Neglect
03 Mar 2022Abuse: Neglect
Investigated an allegation of neglect and abuse; found failures to provide a safe environment and to plan around a resident's history of altercations, creating risk of harm.
Abuse—Failed to properly plan care
21 Feb 2022Abuse: Neglect
21 Feb 2022Abuse: Neglect
Found failure to properly plan care, resulting in bruising and injuries and constituting abuse and neglect; a fine was assessed.
Abuse—Failed to properly plan care
19 Feb 2022Abuse: Neglect
19 Feb 2022Abuse: Neglect
Investigated found neglect and abuse due to failure to properly plan care to prevent injuries, with a $500 fine assessed.
Abuse—Failed to properly plan care
18 Jan 2022Abuse: Neglect
18 Jan 2022Abuse: Neglect
Investigated found a failure to plan care to mitigate fall risk, leading to multiple falls and an injury.
Abuse—Failed to properly plan care
31 Oct 2021Abuse: Neglect
31 Oct 2021Abuse: Neglect
Found neglect and abuse due to failure to care plan for a resident with known aggressive behaviors, with a formal fine assessed.
Abuse—Failed to properly plan care
28 Oct 2021Abuse: Neglect
28 Oct 2021Abuse: Neglect
Found failure to follow the resident's care plan for 30-minute safety checks, leading to an unwitnessed fall and elbow pain; identified as neglect constituting abuse.
Abuse—Failed to follow care plan
24 Oct 2021Abuse: Neglect
24 Oct 2021Abuse: Neglect
Investigated and found that care planning and interventions to prevent falls were inadequate, leading to neglect and abuse. A $1500 fine was assessed.
Abuse—Failed to properly plan care
19 Oct 2021Abuse: Neglect
19 Oct 2021Abuse: Neglect
Found that a care setting failed to provide a safe environment, resulting in injuries to a resident who relies on it for care. A $500 fine was assessed.
Abuse—Failed to provide safe environment
17 Oct 2021Abuse: Neglect
17 Oct 2021Abuse: Neglect
Investigated an abuse/neglect allegation related to a resident's falls risk; found improper care planning and failure to implement fall-prevention interventions, resulting in multiple falls and injuries.
Abuse—Failed to properly plan care
11 Oct 2021Abuse: Neglect
11 Oct 2021Abuse: Neglect
Found that falls risk wasn't properly managed and staff were not consistently present during falls, constituting abuse and neglect.
Abuse—Failed to properly plan care
06 Oct 2021Abuse: Neglect
06 Oct 2021Abuse: Neglect
Investigated and found a failure to plan care to prevent falls, leading to multiple falls and injuries to a resident.
Abuse—Failed to properly plan care
03 Oct 2021Abuse: Neglect
03 Oct 2021Abuse: Neglect
Found that a resident sustained multiple falls and serious injuries after failure to properly plan care to prevent falls, constituting abuse and neglect.
Abuse—Failed to properly plan care
13 Sept 2021Abuse: Neglect
13 Sept 2021Abuse: Neglect
Investigated a complaint about falls risk management and found failure to properly plan care to mitigate falls, leading to multiple falls and injuries; a $500 fine was assessed.
Abuse—Failed to properly plan care
07 Sept 2021Inspection
07 Sept 2021Inspection
Found neglect of care and failure to provide service, leading to a skin tear and wet conditions after a night shift.
Licensing—Failed to provide service
20 Aug 2021Abuse: Neglect
20 Aug 2021Abuse: Neglect
Found that care was not properly planned, contributing to a fall and violating resident rights.
Abuse—Failed to properly plan care
07 Aug 2021Inspection
07 Aug 2021Inspection
Found violations for unsafe medication administration that could cause harm, including administering the wrong medication.
Licensing—Failed to provide a safe medication administration system
19 Jul 2021Inspection
19 Jul 2021Inspection
Investigated an allegation of neglect and found that the care plan was not followed, leading to injuries.
Licensing—Failed to follow care plan
23 Jun 2021Abuse: Neglect
23 Jun 2021Abuse: Neglect
Found a failure to provide a safe environment resulting in a fall and bruise, with a $250 fine assessed.
Abuse—Failed to provide safe environment
08 Jun 2021Inspection
08 Jun 2021Inspection
Found that an individual requiring outside supervision was left outside, resulting in a fall and bruising. The care plan was not followed, constituting neglect and abuse.
Licensing—Failed to follow care plan
02 Jun 2021Inspection
02 Jun 2021Inspection
Found improper restraint use by staff, resulting in neglect and abuse toward a resident. The facility failed to ensure restraints were properly used.
Licensing—Failed to use restraint properly
08 May 2021Abuse: Neglect
08 May 2021Abuse: Neglect
Investigated found a failure to provide a safe environment for a resident, with reports of domestic violence and injuries between February and April 2021. A $250 fine was assessed.
Abuse—Failed to provide safe environment
18 Apr 2021Abuse: Neglect
18 Apr 2021Abuse: Neglect
Concluded that inadequate care planning contributed to multiple falls and related injuries for a resident.
Abuse—Failed to properly plan care
16 Apr 2021License Condition
16 Apr 2021License Condition
Found deficiencies in providing needed/necessary services due to insufficient administrative oversight.
Regulatory Action—Failed to provide service
30 Mar 2021Inspection
30 Mar 2021Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs, violating state administrative rules.
Licensing—Failed to provide service
22 Mar 2021Abuse: Neglect
22 Mar 2021Abuse: Neglect
Found a violation for failure to provide a safe medication administration system, resulting in a $500 fine.
Abuse—Failed to provide a safe medication administration system
07 Mar 2021Abuse: Neglect
07 Mar 2021Abuse: Neglect
Found violations related to failure to properly plan care for falls and assessed a fine.
Abuse—Failed to properly plan care
19 Feb 2021Abuse: Neglect
19 Feb 2021Abuse: Neglect
Determined neglect of care and abuse occurred due to failure to provide appropriate supervision and mobility services, resulting in an unwitnessed fall with a fracture.
Abuse—Failed to provide service
19 Feb 2021Abuse: Neglect
19 Feb 2021Abuse: Neglect
Investigated the complaint and found that appropriate services were not provided, resulting in three days without proper care and loss of personal dignity. This constitutes abuse and neglect under regulatory standards.
Abuse—Failed to provide service
19 Feb 2021Abuse: Neglect
19 Feb 2021Abuse: Neglect
Found a failure to provide a safe medication administration system that led to severe pain for the resident, constituting abuse and neglect.
Abuse—Failed to provide a safe medication administration system
18 Feb 2021Abuse: Neglect
18 Feb 2021Abuse: Neglect
Investigated the complaint and found a failure to provide appropriate services and medication management, resulting in loss of personal dignity and discomfort.
Abuse—Failed to provide service
15 Feb 2021Abuse: Neglect
15 Feb 2021Abuse: Neglect
Found that the care plan was not followed, leading to a seven-hour lapse in checks after a fall and the resident being hospitalized; a fine was assessed.
Abuse—Failed to follow care plan
14 Feb 2021Abuse: Neglect
14 Feb 2021Abuse: Neglect
Investigated alleged neglect and abuse around falls; found the care plan did not address fall risk or prevention after multiple falls, resulting in injuries and ER visits.
Abuse—Failed to properly plan care
04 Feb 2021Abuse: Neglect
04 Feb 2021Abuse: Neglect
Investigated an allegation of neglect in medication administration and found a failure to provide a safe medication system and adequate staff training, resulting in a resident receiving another resident's medication and risk of harm.
Abuse—Failed to provide a safe medication administration system
02 Feb 2021Inspection
02 Feb 2021Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
01 Feb 2021Inspection
01 Feb 2021Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
26 Jan 2021Inspection
26 Jan 2021Inspection
Found that two direct care staff were not always available when residents required two-person assistance.
Licensing—Failed to provide appropriate staffing
25 Jan 2021Inspection
25 Jan 2021Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
24 Jan 2021Abuse: Neglect
24 Jan 2021Abuse: Neglect
Found violations for failure to properly plan mobility-related care, leading to multiple falls and facial bruising.
Abuse—Failed to properly plan care
24 Jan 2021Inspection
24 Jan 2021Inspection
Investigated the staffing allegation and found insufficient staff to meet the scheduled and unscheduled needs of the residents.
Licensing—Failed to hire according to administrative rules
24 Jan 2021Inspection
24 Jan 2021Inspection
Found that medication was not administered as ordered.
Licensing—Failed to administer medication as ordered
22 Jan 2021Inspection
22 Jan 2021Inspection
Found insufficient numbers of qualified awake direct care staff to meet 24-hour scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
22 Jan 2021Inspection
22 Jan 2021Inspection
Found a violation for failing to administer medication as ordered. Medication and treatment orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
21 Jan 2021Inspection
21 Jan 2021Inspection
Found staffing insufficient to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
13 Jan 2021Inspection
13 Jan 2021Inspection
Found insufficient staffing to meet residents' needs.
Licensing—Failed to provide appropriate staffing
13 Jan 2021Inspection
13 Jan 2021Inspection
Investigated a medication administration allegation and found medications were not given as prescribed.
Licensing—Failed to administer medication as ordered
05 Jan 2021Abuse: Neglect
05 Jan 2021Abuse: Neglect
Found a violation for failing to provide a safe medication administration system, resulting in about three days without required medication and a $1,500 fine.
Abuse—Failed to provide a safe medication administration system
17 Dec 2020Abuse: Neglect
17 Dec 2020Abuse: Neglect
Found insufficient supervision and a failure to maintain a secure environment, resulting in multiple elopements and risk of significant harm.
Abuse—Failed to provide safe environment
02 Dec 2020Abuse: Neglect
02 Dec 2020Abuse: Neglect
Determined neglect occurred due to failure to provide appropriate services, causing loss of personal dignity and discomfort. A monetary fine was assessed.
Abuse—Failed to provide service
15 Nov 2020Abuse: Neglect
15 Nov 2020Abuse: Neglect
Identified failures to provide adequate care and personal assistance, resulting in pain and swelling and constituting abuse.
Abuse—Failed to provide service
15 Nov 2020Abuse: Neglect
15 Nov 2020Abuse: Neglect
Found a failure to provide appropriate nutrition services, resulting in meals delivered hours late and risk of serious harm. This is considered neglect and abuse.
Abuse—Failed to provide service
15 Nov 2020Abuse: Neglect
15 Nov 2020Abuse: Neglect
Investigated a complaint found neglect and abuse due to failure to meet toileting needs, causing severe pain and loss of dignity.
Abuse—Failed to provide service
15 Nov 2020Abuse: Neglect
15 Nov 2020Abuse: Neglect
Found violations for neglect and abuse due to failure to follow the care plan, leading to hospital transport; assessed a $500 fine.
Abuse—Failed to follow care plan
15 Nov 2020Abuse: Neglect
15 Nov 2020Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failure to follow the resident's care plan. This led to long periods without bathing, loss of dignity, and risk of serious harm.
Abuse—Failed to provide service
31 Oct 2020Inspection
31 Oct 2020Inspection
Found deficiencies in infection control practices that could allow the spread of COVID-19, including issues with cohorting, PPE use, screening, and disinfection.
Licensing—Failed to provide infection control
28 Oct 2020License Condition
28 Oct 2020License Condition
Investigated an infection control allegation and found deficiencies in infection control.
Regulatory Action—Failed to provide infection control
30 Aug 2020Abuse: Neglect
30 Aug 2020Abuse: Neglect
Found neglect and abuse due to failure to provide care according to the care plan and toileting needs, resulting in unreasonable discomfort and loss of personal dignity.
Abuse—Failed to provide service
12 Jul 2020Abuse: Neglect
12 Jul 2020Abuse: Neglect
Found neglect and abuse due to failure to properly plan care and supervise a resident with a known fall history, leading to an unwitnessed fall and a fracture.
Abuse—Failed to properly plan care
25 Jun 2020Inspection
25 Jun 2020Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
24 Jun 2020Abuse: Neglect
24 Jun 2020Abuse: Neglect
Found neglect and abuse due to failure to properly plan care, resulting in an unwitnessed fall with a hip fracture. A $2,500 fine was assessed.
Abuse—Failed to properly plan care
22 Apr 2020Abuse: Neglect
22 Apr 2020Abuse: Neglect
Investigated the allegation of neglect and found failure to properly plan care that contributed to multiple falls and a broken rib.
Abuse—Failed to properly plan care
16 Mar 2020Inspection
16 Mar 2020Inspection
Found insufficient staff to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
16 Mar 2020Inspection
16 Mar 2020Inspection
Investigated the allegation and found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
03 Mar 2020Abuse: Neglect
03 Mar 2020Abuse: Neglect
Found neglect and abuse due to insufficient oversight of changes in condition, resulting in delayed medical care and prolonged discomfort.
Abuse—Failed to provide oversight and monitoring of change of condition
26 Jan 2020Abuse: Neglect
26 Jan 2020Abuse: Neglect
Found neglect due to failing to respond to a resident's deteriorating condition and seek emergency medical services, with the resident later found deceased.
Abuse—Failed to assure physician services
17 Oct 2019Abuse: Neglect
17 Oct 2019Abuse: Neglect
Found deficiencies in safety and medication management that led to an incident causing discomfort and constituting abuse and neglect.
Abuse—Failed to provide safe environment
25 Sept 2019Inspection
25 Sept 2019Inspection
Investigated a report of inadequate supervision that resulted in a resident fall and injury. The findings show deficiencies in providing basic care and supervision.
Licensing—Failed to assure resident was safe
12 Sept 2019Abuse: Neglect
12 Sept 2019Abuse: Neglect
Investigated and found deficiencies in safety and medication management that led to an altercation and resident discomfort. A fine was assessed.
Abuse—Failed to provide safe environment
27 Jul 2019Abuse: Neglect
27 Jul 2019Abuse: Neglect
Investigated a neglect allegation and found that basic care and a safe medication administration system were not provided, resulting in a resident not receiving medications for a heart condition and low hormone for three days, creating a serious risk.
Abuse—Failed to provide a safe medication administration system
09 Jul 2019Abuse: Neglect
09 Jul 2019Abuse: Neglect
Found neglect due to inadequate supervision that allowed a resident to elope into the parking lot.
Abuse—Failed to assure resident was safe
07 Apr 2019Abuse: Neglect
07 Apr 2019Abuse: Neglect
Investigated an allegation of neglect related to resident safety; failure to implement interventions and care planning led to a fall with serious injury.
Abuse—Failed to assure resident was safe
20 Feb 2019Abuse: Neglect
20 Feb 2019Abuse: Neglect
Investigated a neglect allegation and found failure to provide basic care and supervision resulting in resident harm. A fine was assessed.
Abuse—Failed to provide safe environment
15 Oct 2018Inspection
15 Oct 2018Inspection
Found a licensing violation for failing to provide a safe environment, risking head injuries to a resident.
Licensing—Failed to provide safe environment
15 Oct 2018Inspection
15 Oct 2018Inspection
Found a safety deficiency for failing to provide basic care to prevent harm to a resident.
Licensing—Failed to provide safe environment
31 May 2018Inspection
31 May 2018Inspection
Investigated and found a deficiency for failing to provide a safe environment, resulting in elopement; a $375 fine was assessed.
Licensing—Failed to provide safe environment
07 May 2018Inspection
07 May 2018Inspection
Found a deficiency for failing to provide a secure environment, resulting in a AV eloping out of memory care.
Licensing—Failed to provide safe environment
26 Apr 2018Abuse: Neglect
26 Apr 2018Abuse: Neglect
Found that medical treatment ordered was not provided, resulting in hospitalization.
Abuse—Failed to provide medical treatment as ordered
26 Apr 2018Inspection
26 Apr 2018Inspection
Investigated a failure to report potential or suspected abuse; determined the allegation true and assessed a civil penalty of $750.
Licensing—Failed to report potential or suspected abuse
15 Oct 2017Abuse: Neglect
15 Oct 2017Abuse: Neglect
Found a neglect deficiency where proper care was not provided, resulting in an individual not being toileted and changed timely. A $300 fine was assessed.
Abuse—Failed to provide service
26 Apr 2017Abuse: Neglect
26 Apr 2017Abuse: Neglect
Found a failure to provide a safe environment that caused physical injuries to a resident. A $500 fine was assessed.
Abuse—Failed to provide safe environment
18 Apr 2017Abuse: Neglect
18 Apr 2017Abuse: Neglect
Identified a deficiency in medication management that resulted in missing doses due to an unsafe medication administration system.
Abuse—Failed to provide a safe medication administration system
26 Feb 2017Abuse: Financial abuse
26 Feb 2017Abuse: Financial abuse
Investigated an allegation of financial abuse and concluded that a resident was not protected from theft.
Abuse—Failed to provide safe environment
10 Jan 2017Abuse: Financial abuse
10 Jan 2017Abuse: Financial abuse
Investigated an allegation of financial exploitation and found a deficiency in medication management that allowed misuse of a resident's PRN narcotic pain medication by a staff member.
Abuse—Failed to protect resident from financial exploitation
27 Nov 2016Abuse: Neglect
27 Nov 2016Abuse: Neglect
Found inadequate supervision, resulting in a resident leaving the premises unattended.
Abuse—Failed to provide safe environment
27 Nov 2016Inspection
27 Nov 2016Inspection
Investigated an allegation that medications were not administered as ordered and found improper medication management that prevented diabetic care.
Licensing—Failed to administer medication as ordered
09 Sept 2016Abuse: Neglect
09 Sept 2016Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to address resident's behavior
16 Aug 2016Inspection
16 Aug 2016Inspection
Concluded the allegation of failing to provide a safe environment. A civil penalty of $200 was assessed.
Licensing—Failed to provide safe environment
15 Aug 2016Inspection
15 Aug 2016Inspection
Identified a violation where staff improperly transferred a resident, risking harm. The allegation involved not following the care plan.
Licensing—Failed to follow care plan
01 Jun 2016Abuse: Neglect
01 Jun 2016Abuse: Neglect
Found a failure to maintain an effective medication system.
Abuse—Failed to provide a safe medication administration system
01 Feb 2016Inspection
01 Feb 2016Inspection
Investigated the allegation and identified a deficiency for failing to administer medication as ordered.
Licensing—Failed to administer medication as ordered
01 Feb 2016Inspection
01 Feb 2016Inspection
Found failure to maintain an accurate medication administration record.
Licensing—Failed to keep medication record current or accurate
29 Jan 2016Inspection
29 Jan 2016Inspection
Determined that ordered medication was not administered as required. This action identified a licensing violation.
Licensing—Failed to administer ordered medication
26 Jan 2016Inspection
26 Jan 2016Inspection
Found a deficiency in maintaining an accurate medication administration record. The finding indicates noncompliance with the medication records rule.
Licensing—Failed to keep medication record current or accurate
13 Jan 2016Abuse: Neglect
13 Jan 2016Abuse: Neglect
Found failure to provide appropriate care after a resident's condition changed. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
24 Aug 2015Inspection
24 Aug 2015Inspection
Investigated a licensing issue and found that professional oversight during medication administration was not provided. The finding involved failing to observe a resident taking medications.
Licensing—Failed to provide a safe medication administration system
17 Aug 2015Inspection
17 Aug 2015Inspection
Found that medications were not administered as ordered and that an inadequate medication system existed.
Licensing—Failed to administer medication as ordered
12 Aug 2015Abuse: Financial abuse
12 Aug 2015Abuse: Financial abuse
Investigated and found that a safe environment was not provided for a resident.
Abuse—Failed to provide safe environment
17 Feb 2015Inspection
17 Feb 2015Inspection
Found a failure to provide a safe environment due to lack of assessment and timely intervention.
Licensing—Failed to provide safe environment
17 Feb 2015Abuse: Neglect
17 Feb 2015Abuse: Neglect
Found a failure to provide a safe environment that led to a resident to resident altercation.
Abuse—Failed to address resident's behavior
05 Jul 2014Inspection
05 Jul 2014Inspection
Determined that an adequate medication system was not maintained.
Licensing—Failed to provide a safe medication administration system
10 Jun 2014Abuse: Neglect
10 Jun 2014Abuse: Neglect
Found a failure to follow the care plan that resulted in an unsafe environment; a $300 fine was assessed.
Abuse—Failed to follow care plan
14 May 2014Inspection
14 May 2014Inspection
Found an inadequate medication system. The medication was not administered as ordered.
Licensing—Failed to administer medication as ordered
29 Apr 2014Inspection
29 Apr 2014Inspection
Found that a resident did not receive appropriate hygiene care. The issue was identified as a licensing violation.
Licensing—Failed to provide or assist with hygiene
22 Apr 2014Abuse: Neglect
22 Apr 2014Abuse: Neglect
Investigated an allegation of neglect and found failure to provide appropriate care and treatment.
Abuse—Failed to provide service
09 Apr 2014Abuse: Financial abuse
09 Apr 2014Abuse: Financial abuse
Found a safety deficiency for failing to protect a resident from theft.
Abuse—Failed to provide safe environment
09 Apr 2014Abuse: Financial abuse
09 Apr 2014Abuse: Financial abuse
Investigated the allegation of financial abuse and found a failure to protect from theft.
Abuse—Failed to provide safe environment
10 Oct 2013Inspection
10 Oct 2013Inspection
Concluded that a safe environment was not provided and residents' personal supplies were not properly maintained.
Licensing—Failed to provide safe environment
10 Oct 2013Inspection
10 Oct 2013Inspection
Found deficiencies for failing to follow a care plan and maintain safety measures during a transfer.
Licensing—Failed to follow care plan
01 Oct 2013Abuse: Neglect
01 Oct 2013Abuse: Neglect
Investigated an allegation of failing to provide a safe environment and found a safety deficiency that could harm a resident.
Abuse—Failed to provide safe environment
21 Sept 2013Abuse: Neglect
21 Sept 2013Abuse: Neglect
Investigated a medication administration issue and found a deficiency in providing a scheduled medication to a resident on two dates; a $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
12 Sept 2013Abuse: Verbal/Mental abuse
12 Sept 2013Abuse: Verbal/Mental abuse
Investigated an allegation of verbal/mental abuse and identified a failure to protect a resident from intimidation.
Abuse—Failed to protect resident from mental or emotional abuse
09 Jun 2013Abuse: Sexual abuse
09 Jun 2013Abuse: Sexual abuse
Found a substantiated allegation of sexual abuse involving failure to protect residents from inappropriate sexual contact. A $2,500 fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
01 May 2013Inspection
01 May 2013Inspection
Investigated and found deficiencies in safe medication administration practices.
Licensing—Failed to provide a safe medication administration system
04 Apr 2013Abuse: Neglect
04 Apr 2013Abuse: Neglect
Investigated an abuse/neglect claim and found the allegation substantiated for failing to provide oversight and monitoring of change of condition.
Abuse—Failed to provide oversight and monitoring of change of condition
04 Apr 2013Abuse: Neglect
04 Apr 2013Abuse: Neglect
Investigated the allegation of failing to provide a safe environment and found multiple issues related to harm.
Abuse—Failed to provide safe environment
21 Mar 2013Inspection
21 Mar 2013Inspection
Investigated a failed to obtain medical order allegation and found an inadequate medication system.
Licensing—Failed to obtain medical order
13 Nov 2012Inspection
13 Nov 2012Inspection
Identified failure to provide a safe environment. Resulted in a substantiated licensing violation.
Licensing—Failed to provide safe environment
13 Nov 2012Inspection
13 Nov 2012Inspection
Investigated the allegation of failing to obtain a medical order and found an inadequate medication system.
Licensing—Failed to obtain medical order
23 Sept 2012Inspection
23 Sept 2012Inspection
Investigated a complaint alleging failure to provide service. Found that appropriate care was not provided.
Licensing—Failed to provide service
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Bonaventure of Salem. The information above has not been verified or approved by the owner or operator. For exact information, please contact Bonaventure of Salem directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of this community?
Claim this listing to receive messages from prospective customers and manage your community page.
