I'm very pleased with our move - the community feels like a beautiful, hotel-style home, my mom's apartment is spacious and sunlit, and the grounds and common areas are spotless. The staff are consistently kind, patient and attentive; Victoria, Myra, Derek and Executive Director Alicia Sykes stood out for their genuine care and communication, and the memory-care team has been exceptional. Meals are high quality, there are lots of activities and outings, and I feel my mom is safe, comfortable and truly cared for. I'd recommend this place without hesitation.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
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 (medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.90·(52)
Overall rating
5
4
3
2
1
Care
3.5
Staff
3.9
Meals
3.7
Amenities
4.6
Value
2.4
Pros
Compassionate, resident-centered caregiving
Skilled and attentive nursing and caregiving staff
Integrated assisted-living and memory-care services under one roof
New, well-maintained, light-filled building with scenic views
Spacious private apartments with ensuite bathrooms and garden views
Robust activity program with daily exercise classes and multiple engagement options
Nutritious, restaurant-style dining with dietary accommodations
Electronic care-tracking and documentation systems
Supportive move-in coordination and welcoming reception staff
Long-tenured management and a supportive workplace culture
Home-like atmosphere with chapel, artwork, and landscaped grounds
Cons
Inconsistent care quality across shifts and units
High staff turnover and retention challenges
Understaffing that can produce delayed assistance
Gaps in clinical-care practices and continuity (including wound and catheter care)
Inconsistent dining quality and meal-service timing
Incontinence-care and personal-hygiene lapses
Communication breakdowns between management and families
Unreliable resident-assist infrastructure and call-alarm systems
Billing, placement decisions, and contract enforcement
Allegations of privacy breaches and property-management failures
Low caregiver compensation and morale pressures
Summary of reviews
Boone Ridge presents a mixed operational profile: the physical campus and many frontline staff are frequently praised while several operational weaknesses recur across reviews. The facility’s new building, bright common areas, landscaped grounds, chapel, artwork and scenic views create an attractive, hotel-like environment. Apartments are described as spacious and comfortable, many with private baths and pleasant vistas. The campus model that combines assisted living and memory care under one roof is a noted convenience for families seeking continuity of service.
Staff behavior and caregiving receive both strong praise and significant criticism. Numerous families highlight compassionate, resident-centered care, rapid responses to assistance calls when staffing is adequate, skilled caregiving, and thoughtful end-of-life attention. Several reviewers also credit long-tenured managers and specific staff for supportive move-in experiences and family communication. Conversely, other accounts describe variability in care quality between shifts or units, high turnover, and periods of understaffing that lead to delayed assistance and reduced oversight. These staffing dynamics appear to be a central driver of the facility’s inconsistent resident experience.
Dining and engagement offerings are generally strong features. The community offers a robust activity calendar — daily exercise classes, multiple engagement options, outings and seasonal events — that families often find meaningful. Dining is frequently described as nutritious and restaurant-style with diabetic and other dietary accommodations; however, reviewers also note inconsistent meal quality and occasional late service, indicating variability in kitchen operations and meal timing.
Clinical practices, sanitation, and infrastructure reliability are areas of concern. Reviews point to gaps in clinical-care continuity (including wound and catheter care), incontinence-care and personal-hygiene assistance, and occasional lapses in property management. Reliability issues with call-alarm systems and inventory/control of personal items were also raised. Additionally, a subset of families described serious operational disputes involving billing, placement decisions, contract enforcement, and privacy practices; these have been characterized in some comments as alleged privacy breaches or financial disagreements.
Management and communication show divergent experiences. Many families praise welcoming reception, attentive move-in coordination, and approachable leadership; others describe poor responsiveness from managers, delayed updates, and difficulty resolving clinical or contractual concerns. Staffing compensation and morale constraints are reported as contributing factors to turnover and inconsistent service delivery.
For prospective residents and families: the community offers notable physical amenities, a full activity program, and many committed caregivers, but it also displays recurring operational weaknesses tied to staffing stability, clinical-care consistency, documentation continuity, and administrative transparency. Visitors making placement decisions should observe staffing levels and routines across multiple times of day, review clinical protocols and escalation pathways, examine contract and refund terms, and ask specific questions about staffing ratios, call-system reliability, hygiene and incontinence-care practices, and past incident resolution processes.
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Location
Boone Ridge Senior Living Community is located at 2950 Boone Rd SE, Salem, OR, 97306.
About Boone Ridge Senior Living Community
Boone Ridge Senior Living Community sits in Salem, Oregon, with services for independent living, assisted living, memory care, and nursing home needs, so folks can get a range of care all in one place without moving every time life changes a little, and the choices for living spaces, like studios, one-bedrooms, two-bedrooms, semi-private, or shared suites, offer different sizes for different needs, with independent living two-bedrooms running around 879 to 989 square feet, assisted living two-bedrooms close to 969 square feet, and memory care suits including studios of about 297 square feet or shared options for people who want a bit more company. You'll find a place that's pet friendly, has Wi-Fi, cable TV, housekeeping, washers and dryers, and kitchens or kitchenettes in most units, and Boone Ridge's property is accessible for wheelchairs or people who just need a little extra help, with plenty of safety features, sprinkler systems, and on-site maintenance and staff support at all hours. The indoor pool, sauna, hot tub, game rooms, communal lounges, landscaped grounds, and an on-site beauty salon mean people can stay active in many ways, and the community's restaurant, called the Restaurant on the Ridge, puts focus on meals that are both nutritious and enjoyable. Boone Ridge offers transportation, guest parking, and keeps family and friends in mind when it comes to visits.
Social programs are a big emphasis, since Boone Ridge aims for residents to enjoy themselves, stay engaged, and feel welcome, so activities include things like arts and crafts, fitness, sensory gardens, and music therapy, and residents can join education, wellness, or spiritual programs if they like. For those living with memory loss, there's a person-centered approach that means staff work to create a routine suited to the person's needs, with memory care specially designed to lower confusion and keep everyone safe, and support for bathing, walking, medication, and personal care, as well as wound care, nursing, occupational therapy, and podiatry, is available on site. The staff, known for being kind and helpful, have even gotten the place some awards for the variety and quality of their activity programs, which pay attention to social, physical, mental, and emotional well-being. For folks who'd like a hassle-free life without yard work or household chores, Boone Ridge has independent living, where residents can do as much as they like and enjoy a sense of belonging with neighbors, and assisted living, where there's always someone to help when more support is needed, such as with bathing, dressing, or managing medicines. Seniors who require more hands-on attention can opt for communal or shared homes, while memory care areas focus on a secure environment and plenty of programming designed just for people with Alzheimer's disease or other types of dementia. Safety, security, and comfort mix with the idea that seniors should keep an active lifestyle and savor new experiences, with staff values summed up in "F.A.I.T.H.E."-which stands for Fun, Attitude, Integrity, Teamwork, Honesty, and Effort-guiding how the community operates every day, with structured move-in processes, tours, and assessments to help make transitions smooth and clear for everyone involved. Boone Ridge holds 90 beds and doesn't try to be everything to everyone, but the place tries to give people choices and the right supports for whatever stage of aging they find themselves in.
People often ask...
Boone Ridge Senior Living Community offers competitive pricing, with rates starting at a cost of $6,548 per month.
Boone Ridge Senior Living Community offers independent living, assisted living, and memory care.
There are 15 photos of Boone Ridge Senior Living Community on Mirador.
Yes, Boone Ridge Senior Living Community allows residents to age in place and adjust their level of care as needed.
The full address for this community is 2950 Boone Rd SE, Salem, OR 97306.
No, Boone Ridge Senior Living Community does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated staffing and found that an acuity-based staffing tool was not developed or used, and staffing did not align with the tool or the posted plan.
Licensing—Failed to use an ABST
19 Nov 2025Abuse: Neglect
19 Nov 2025Abuse: Neglect
Investigated an incident in which unsafe storage and insufficient stand-by bathroom assistance contributed to serious injury to a resident; findings indicate abuse and neglect.
Abuse—Failed to provide safe environment
27 Aug 2025Abuse: Neglect
27 Aug 2025Abuse: Neglect
Determined that a resident-to-resident incident occurred due to insufficient person-centered interventions, resulting in abuse/neglect and serious risk of harm, with a fine assessed.
Abuse—Failed to provide safe environment
12 Aug 2025Abuse: Neglect
12 Aug 2025Abuse: Neglect
Found a failure to properly plan care after multiple falls, which led to ongoing falls and an injury.
Abuse—Failed to properly plan care
01 Aug 2025Abuse: Neglect
01 Aug 2025Abuse: Neglect
Found deficiencies in maintaining a safe environment and oversight of residents, resulting in a $375 fine.
Abuse—Failed to provide safe environment
26 Jul 2025Abuse: Neglect
26 Jul 2025Abuse: Neglect
Investigated found a failure to adjust the service plan for a resident, leading to continued aggressive behavior and abuse; a $375 fine was assessed.
Abuse—Failed to provide safe environment
26 Jul 2025Inspection
26 Jul 2025Inspection
Found failure to develop, maintain, and implement an Acuity-Based Staffing Tool, and staffing not aligned with ABST levels or the posted plan on 2025-07-26. The findings indicate noncompliance with Oregon Administrative Rules.
Licensing—Failed to use an ABST
06 Jun 2025Inspection
06 Jun 2025Inspection
Investigated and found a failure to develop and implement an Acuity-Based Staffing Tool, resulting in staffing not aligned with ABST levels or the posted staffing plan on the date reviewed.
Licensing—Failed to use an ABST
04 Jun 2025Inspection
04 Jun 2025Inspection
Found a violation for failing to protect a resident from financial exploitation. A staff member accepted groceries purchased by the resident, which constituted exploitation.
Licensing—Failed to protect resident from financial exploitation
25 Mar 2025Inspection
25 Mar 2025Inspection
Found that staff did not follow care plans, allowing a resident to wander into another resident's room and triggering a confrontation.
Licensing—Failed to follow care plan
26 Jan 2025Abuse: Neglect
26 Jan 2025Abuse: Neglect
Found violations for neglect and abuse related to falls and assessed a $1500 fine.
Abuse—Failed to provide safe environment
26 Jan 2025Abuse: Neglect
26 Jan 2025Abuse: Neglect
Investigated found failures to plan and implement falls prevention, resulting in neglect and a $1500 fine.
Abuse—Failed to properly plan care
23 Sept 2024Abuse: Neglect
23 Sept 2024Abuse: Neglect
Found that staff did not follow the care plan, leading to a fall and a fractured wrist; a $500 fine was assessed.
Abuse—Failed to follow care plan
22 Sept 2024Abuse: Neglect
22 Sept 2024Abuse: Neglect
Investigated and found failures to provide a safe environment and adequate interventions to address recurring falls, resulting in injuries.
Abuse—Failed to provide safe environment
14 Sept 2024Abuse: Neglect
14 Sept 2024Abuse: Neglect
Found abuse and neglect due to failure to administer an increased anticonvulsant dose and lack of a safe medication administration system, resulting in a seizure with head injury and hospital visit; a $1,500 fine assessed.
Abuse—Failed to provide a safe medication administration system
04 Sept 2024Abuse: Neglect
04 Sept 2024Abuse: Neglect
Found failures to properly plan care before surgery, resulting in a patient not fasting as ordered and at risk of aspiration; a $500 fine was assessed.
Abuse—Failed to properly plan care
13 Aug 2024Abuse: Neglect
13 Aug 2024Abuse: Neglect
Found abuse and neglect due to failure to properly plan care for a high fall-risk resident. The resident had 11 falls in a short period, including two with head injuries, and an unwitnessed fall causing a scalp laceration requiring hospitalization.
Abuse—Failed to properly plan care
19 Jun 2024Inspection
19 Jun 2024Inspection
Investigated a medication administration allegation and found that a staff member gave another resident's medications to the resident, causing discomfort and harm and violating several rules.
Licensing—Failed to administer medication as ordered
01 May 2024Inspection
01 May 2024Inspection
Investigated and concluded that a safe medication administration system was not provided, resulting in the wrong medication being administered and the resident at risk of serious harm.
Licensing—Failed to provide a safe medication administration system
21 Dec 2023Licensure
21 Dec 2023Licensure
Determined substantial compliance with resident services and food sanitation rules.
Deficiency—Comment
21 Dec 2023Licensure
21 Dec 2023Licensure
Concluded substantial compliance with the applicable meal service and food sanitation requirements.
Deficiency—Comment
05 Nov 2023Abuse: Neglect
05 Nov 2023Abuse: Neglect
Investigated an allegation of neglect regarding failure to administer prescribed pain medications as ordered; violations were found for not providing PRN doses on time, causing unnecessary discomfort.
Abuse—Failed to administer medication as ordered
05 Nov 2023Abuse: Neglect
05 Nov 2023Abuse: Neglect
Investigated a report found failure to provide bathing assistance to a resident, resulting in discomfort and redness from itching.
Abuse—Failed to provide or assist with hygiene
25 Sept 2023Validation
25 Sept 2023Validation
Determined substantial compliance with state rules governing residential care, memory care, and home and community-based services following the survey.
Deficiency—Comment
19 Sept 2023Validation
19 Sept 2023Validation
Determined substantial compliance with applicable regulations following the re-licensure survey.
Deficiency—Comment
17 Sept 2023Abuse: Neglect
17 Sept 2023Abuse: Neglect
Investigated and found that inadequate care planning and staff instructions led to a resident's serious injury after a fall.
Abuse—Failed to properly plan care
01 Aug 2023Inspection
01 Aug 2023Inspection
Investigated a complaint and found improper restraint during medication administration and failure to maintain a safe environment, violating resident rights and safety rules.
Licensing—Failed to use restraint properly
01 Aug 2023Inspection
01 Aug 2023Inspection
Investigated a complaint and found violations of resident rights involving improper restraint and unsafe conditions.
Licensing—Failed to use restraint properly
01 Aug 2023Inspection
01 Aug 2023Inspection
Identified violations involving improper restraint and failure to protect a resident from physical abuse. The actions by multiple staff interfered with breathing during medication administration and violated resident rights.
Licensing—Failed to use restraint properly
01 Aug 2023Inspection
01 Aug 2023Inspection
Found that staff restrained a resident and blocked breathing to administer medications, and failed to maintain a safe environment. The actions violated resident rights and safety.
Licensing—Failed to use restraint properly
01 Aug 2023Inspection
01 Aug 2023Inspection
Identified violations involving physical abuse and neglect, including restraining a resident and obstructing breathing during medication administration, and improper use of restraints.
Licensing—Failed to protect resident from physical abuse
16 Jun 2023Inspection
16 Jun 2023Inspection
Determined that a resident's debit card was stolen and used, and protection against financial exploitation failed.
Licensing—Failed to protect resident from financial exploitation
16 Jun 2023Inspection
16 Jun 2023Inspection
Found deficiencies in wound care provided after a surgical procedure and failure to follow orders for treatment administration.
Licensing—Failed to provide medical treatment as ordered
27 Jan 2023Abuse: Neglect
27 Jan 2023Abuse: Neglect
Found a violation for failing to provide appropriate services after an unwitnessed fall with head injury, leading to delayed evaluation; a $250.00 fine was assessed.
Abuse—Failed to provide service
23 Jan 2023Abuse: Neglect
23 Jan 2023Abuse: Neglect
Found violations for failing to plan care and protect a resident from wandering into unlocked rooms, which led to an injury during an incident.
Abuse—Failed to properly plan care
03 Jan 2023Licensure
03 Jan 2023Licensure
Found no deficiencies. Kitchen services were in substantial compliance with the applicable rules.
Deficiency—Comment
03 Jan 2023Licensure
03 Jan 2023Licensure
Determined substantial compliance with applicable rules. No deficiencies were cited.
Deficiency—Comment
29 Dec 2022Abuse: Neglect
29 Dec 2022Abuse: Neglect
Found violations of resident rights due to failure to adjust care plans and implement interventions for wandering and resident-to-resident altercations, with a $375 fine assessed.
Abuse—Failed to properly plan care
22 Dec 2022Abuse: Neglect
22 Dec 2022Abuse: Neglect
Investigated and found neglect and abuse due to failing to plan care to prevent falls; a $375 fine was assessed.
Abuse—Failed to properly plan care
02 Oct 2022Abuse: Neglect
02 Oct 2022Abuse: Neglect
Found a failure to provide a safe environment due to inadequate supervision and staff support, which led to an incident where a resident was struck.
Abuse—Failed to provide safe environment
07 Sept 2022Abuse: Neglect
07 Sept 2022Abuse: Neglect
Concluded that neglect and abuse occurred due to failure to properly plan care and implement reasonable interventions for escalating behaviors.
Abuse—Failed to properly plan care
05 Sept 2022Abuse: Neglect
05 Sept 2022Abuse: Neglect
Investigated a complaint and found a deficiency for improper care planning related to wandering and resident-to-resident aggression, resulting in harm.
Abuse—Failed to properly plan care
26 Aug 2022Abuse: Neglect
26 Aug 2022Abuse: Neglect
Found neglect due to failure to properly care plan after a significant change in condition, leading to injuries and two more falls; a $1,500 fine was assessed.
Abuse—Failed to properly plan care
27 Jul 2022Abuse: Neglect
27 Jul 2022Abuse: Neglect
Identified a failure to properly plan care and provide interventions to mitigate aggressive behavior, resulting in an incident where a resident slapped another person and left a red mark.
Abuse—Failed to properly plan care
26 Jul 2022Abuse: Neglect
26 Jul 2022Abuse: Neglect
Investigated a neglect and abuse allegation and found the care plan was not followed, leading to a resident head injury after wandering.
Abuse—Failed to follow care plan
20 Jun 2022Abuse: Neglect
20 Jun 2022Abuse: Neglect
Investigated a wandering resident incident and found failure to properly plan care, constituting neglect and abuse; a $500 fine assessed.
Abuse—Failed to properly plan care
09 May 2022Abuse: Neglect
09 May 2022Abuse: Neglect
Determined that care planning and interventions failed to prevent a fall, resulting in a broken arm.
Abuse—Failed to properly plan care
07 Dec 2021Inspection
07 Dec 2021Inspection
Found that a resident experienced verbal/emotional abuse. The facility failed to protect the resident from this abuse.
Licensing—Failed to protect resident from verbal abuse
16 Nov 2021Abuse: Neglect
16 Nov 2021Abuse: Neglect
Investigated a safety concern and found that a known fall risk was not kept safe, leading to multiple falls and injuries.
Abuse—Failed to provide safe environment
29 Sept 2021Abuse: Neglect
29 Sept 2021Abuse: Neglect
Investigated found that a resident's personal items were stolen by an unknown person and protection of the resident's property failed, constituting abuse and neglect, with a $500 fine assessed.
Abuse—Failed to protect resident from financial exploitation
29 Sept 2021Abuse: Neglect
29 Sept 2021Abuse: Neglect
Found failure to provide prescribed PRN pain medication, causing pain for the resident; a $500 fine was assessed.
Abuse—Failed to provide appropriate pain control
13 Sept 2021Inspection
13 Sept 2021Inspection
Investigated the allegation and identified a deficiency in wandering and egress prevention policies and procedures.
Licensing—Failed to provide safe environment
29 Aug 2021Abuse: Neglect
29 Aug 2021Abuse: Neglect
Investigated a complaint about failing to follow a care plan for wandering that caused an injury; a fine was assessed.
Abuse—Failed to follow care plan
28 Aug 2021Abuse: Neglect
28 Aug 2021Abuse: Neglect
Found staff failed to follow the care plan to manage wandering, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to follow care plan
19 Aug 2021Abuse: Neglect
19 Aug 2021Abuse: Neglect
Investigated an incident where a resident who relies on staff for care was not properly supported by the care plan, leading to neglect and abuse findings. A $500 fine was assessed.
Abuse—Failed to follow care plan
04 Aug 2021Abuse: Neglect
04 Aug 2021Abuse: Neglect
Found failure to follow the care plan resulting in neglect and potential harm; a fine was assessed.
Abuse—Failed to follow care plan
03 Jul 2021Abuse: Neglect
03 Jul 2021Abuse: Neglect
Investigated the allegation of abuse/neglect and found a failure to provide a safe environment, which caused a resident to sustain a skin tear; a $500 fine was assessed.
Abuse—Failed to provide safe environment
01 Jul 2021Abuse: Neglect
01 Jul 2021Abuse: Neglect
Found that a wandering resident was not redirected per the care plan, risking harm and indicating abuse and neglect.
Abuse—Failed to follow care plan
08 Jun 2021Abuse: Neglect
08 Jun 2021Abuse: Neglect
Investigated determined that a safe environment was not provided due to insufficient supervision, resulting in a resident being pushed to the floor.
Abuse—Failed to provide safe environment
03 May 2021Abuse: Neglect
03 May 2021Abuse: Neglect
Found violations for failing to provide a safe environment, constituting abuse and neglect, with a $375 fine assessed.
Abuse—Failed to provide safe environment
30 Apr 2021Abuse: Neglect
30 Apr 2021Abuse: Neglect
Found violations related to failure to follow the care plan, resulting in neglect and abuse.
Abuse—Failed to follow care plan
20 Apr 2021Abuse: Neglect
20 Apr 2021Abuse: Neglect
Found neglect and abuse due to failure to provide basic care, resulting in pain to a resident; a $375 fine assessed.
Abuse—Failed to provide safe environment
29 Mar 2021Abuse: Neglect
29 Mar 2021Abuse: Neglect
Investigated a complaint and found that a resident was not protected from aggressive behavior, leading to abuse and neglect findings.
Abuse—Failed to provide safe environment
19 Mar 2021Abuse: Neglect
19 Mar 2021Abuse: Neglect
Investigated a complaint and found that staff failed to follow a care plan and allowed inappropriate touching, constituting abuse and neglect.
Abuse—Failed to follow care plan
11 Mar 2021Abuse: Neglect
11 Mar 2021Abuse: Neglect
Found failures to plan and implement care, leading to repeated falls and injuries.
Abuse—Failed to properly plan care
13 Jan 2021Abuse: Neglect
13 Jan 2021Abuse: Neglect
Found a neglect and abuse violation due to failing to monitor an agitated resident, which led to an injury during a physical altercation.
Abuse—Failed to provide safe environment
16 Nov 2020Abuse: Neglect
16 Nov 2020Abuse: Neglect
Investigated a resident-to-resident incident and found a safety deficiency; a $375 fine was assessed.
Abuse—Failed to provide safe environment
01 Nov 2020Abuse: Neglect
01 Nov 2020Abuse: Neglect
Found neglect and abuse due to failure to implement interventions and an appropriate care plan for known behaviors, resulting in a physical altercation and injury.
Abuse—Failed to provide safe environment
31 Oct 2020Abuse: Neglect
31 Oct 2020Abuse: Neglect
Found neglect and abuse due to failure to plan and implement proper care, which led to an injury.
Abuse—Failed to properly plan care
22 Oct 2020Abuse: Neglect
22 Oct 2020Abuse: Neglect
Found that the facility failed to implement interventions and care planning for a resident with known behaviors, resulting in physical harm. A fine was assessed.
Abuse—Failed to provide safe environment
03 Oct 2020Inspection
03 Oct 2020Inspection
Found a violation for financial exploitation of a resident and failure to protect the resident from exploitation. The finding noted that an alleged perpetrator took cash and a personal item from the resident's room.
Licensing—Failed to protect resident from financial exploitation
17 Sept 2020Abuse: Neglect
17 Sept 2020Abuse: Neglect
Investigated a failure to obtain appropriate consultation for transporting a resident to the emergency department for a psychiatric hold; found neglect and abuse and assessed a $1,000 fine.
Abuse—Failed to obtain appropriate consultation
05 Sept 2020Abuse: Neglect
05 Sept 2020Abuse: Neglect
Found neglect and abuse due to failure to implement interventions and an appropriate care plan, which led to an injury during a physical altercation.
Abuse—Failed to provide safe environment
23 Aug 2020Inspection
23 Aug 2020Inspection
Investigated and found that a caregiver did not follow the care plan, leaving a resident unattended on the toilet, which led to a fall and fracture. The care plan was not adequately followed or supervised.
Licensing—Failed to follow care plan
17 Aug 2020Abuse: Neglect
17 Aug 2020Abuse: Neglect
Found that a care plan for a resident was not followed, leading to a physical altercation and unreasonable discomfort, constituting abuse and neglect.
Abuse—Failed to provide safe environment
09 Aug 2020Abuse: Neglect
09 Aug 2020Abuse: Neglect
Found a failure to provide a safe environment that led to an unwitnessed altercation and skin injury, constituting neglect and abuse.
Abuse—Failed to provide safe environment
05 Aug 2020Abuse: Neglect
05 Aug 2020Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment, resulting in a physical altercation causing skin injury and discomfort. A fine was assessed.
Abuse—Failed to provide safe environment
01 Aug 2020Abuse: Neglect
01 Aug 2020Abuse: Neglect
Investigated and found inadequate supervision that led to a physical altercation and injury.
Abuse—Failed to provide safe environment
27 Jul 2020Abuse: Neglect
27 Jul 2020Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in neglect and abuse. A $375 fine was assessed.
Abuse—Failed to provide safe environment
24 Jul 2020Abuse: Neglect
24 Jul 2020Abuse: Neglect
Investigated and found failures to implement interventions and care planning for wandering history, resulting in a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
30 Jun 2020Abuse: Neglect
30 Jun 2020Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in a resident injury during an unwitnessed altercation and constituting neglect and abuse.
Abuse—Failed to provide safe environment
29 May 2020Abuse: Neglect
29 May 2020Abuse: Neglect
Investigated and found substantiated abuse/neglect due to failure to implement interventions and appropriate care planning, resulting in an unwitnessed altercation and resident discomfort. A $375 fine was assessed.
Abuse—Failed to provide safe environment
29 May 2020Abuse: Neglect
29 May 2020Abuse: Neglect
Determined that the care plan was not followed and supervision was lacking, leading to inappropriate touching and resident discomfort; a fine was assessed.
Abuse—Failed to follow care plan
15 May 2020Abuse: Neglect
15 May 2020Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment and appropriate care planning for known behaviors, which led to a resident injury during an altercation.
Abuse—Failed to provide safe environment
15 Mar 2020Abuse: Neglect
15 Mar 2020Abuse: Neglect
Found that care planning and interventions for a resident with a known fall history were inadequate, leading to an unwitnessed fall and hospital transport; a fine was assessed.
Abuse—Failed to properly plan care
08 Mar 2020Abuse: Neglect
08 Mar 2020Abuse: Neglect
Found neglect due to failure to plan care for a resident with a known fall history, resulting in about fifteen falls and a hospital transport.
Abuse—Failed to properly plan care
07 Mar 2020Abuse: Neglect
07 Mar 2020Abuse: Neglect
Investigated found neglect and abuse due to failure to plan care, resulting in about forty falls over four months and continued discomfort; a $1,500 fine was assessed.
Abuse—Failed to properly plan care
01 Mar 2020Abuse: Neglect
01 Mar 2020Abuse: Neglect
Determined that neglect occurred due to poor care planning around a resident's fall history, resulting in multiple falls and hospital transports.
Abuse—Failed to properly plan care
21 Feb 2020Abuse: Neglect
21 Feb 2020Abuse: Neglect
Found that there was a failure to provide safe medication administration and timely dressing treatment, resulting in about ten days without proper care.
Abuse—Failed to provide medical treatment as ordered
29 Jan 2020Abuse: Neglect
29 Jan 2020Abuse: Neglect
Identified a failure to provide a safe medication administration system that resulted in a seizure and hospital transport. Violations were cited.
Abuse—Failed to provide a safe medication administration system
28 Jan 2020Abuse: Neglect
28 Jan 2020Abuse: Neglect
Investigated found that fall risk care wasn't properly planned, leading to multiple falls and a head injury, constituting abuse and neglect.
Abuse—Failed to properly plan care
22 Jan 2020Abuse: Neglect
22 Jan 2020Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment, which led to an injury; a $375 fine was assessed.
Abuse—Failed to provide safe environment
27 Dec 2019Abuse: Neglect
27 Dec 2019Abuse: Neglect
Identified neglect and abuse due to failure to properly plan care, resulting in additional falls and discomfort; a fine was assessed.
Abuse—Failed to properly plan care
09 Oct 2019Abuse: Neglect
09 Oct 2019Abuse: Neglect
Determined that failure to plan and implement care according to the resident's fall history led to multiple falls and ongoing discomfort, constituting neglect and abuse.
Abuse—Failed to properly plan care
18 Sept 2019Abuse: Neglect
18 Sept 2019Abuse: Neglect
Identified improper monitoring that led to an injury, constituting abuse and neglect.
Abuse—Failed to provide safe environment
14 Sept 2019Abuse: Neglect
14 Sept 2019Abuse: Neglect
Found that staff failed to implement interventions and appropriate care planning based on known behaviors, leading to a physical altercation and resident discomfort. A $375 fine was assessed.
Abuse—Failed to provide safe environment
09 Sept 2019Abuse: Neglect
09 Sept 2019Abuse: Neglect
Investigated a complaint and found neglect and abuse due to not following a care plan. This resulted in an altercation and a fine.
Abuse—Failed to provide safe environment
09 Sept 2019Abuse: Neglect
09 Sept 2019Abuse: Neglect
Investigated and determined that there was a failure to provide a safe environment, resulting in a physical altercation and harm to residents.
Abuse—Failed to provide safe environment
03 Sept 2019Abuse: Neglect
03 Sept 2019Abuse: Neglect
Found neglect due to failure to provide basic care, resulting in a resident fall and facial injuries; a $1,500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
31 May 2019Abuse: Neglect
31 May 2019Abuse: Neglect
Investigated found that failure to properly plan care led to an unwitnessed fall and hospital transfer, violating resident rights and constituting abuse and neglect. A $188 fine was assessed.
Abuse—Failed to properly plan care
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