I placed my mom at Cedar Village and I'm very pleased. The staff are kind, attentive and professional-caregivers go above and beyond and families feel supported. The community is clean, well-maintained and welcoming, with comfortable rooms, good dining and plenty of activities; our grandma is happy and I recommend a tour.
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
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Spa
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Transportation arrangement (medical)
Transportation to doctors appointments
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.26·(106)
Overall rating
5
4
3
2
1
Care
3.9
Staff
4.3
Meals
3.5
Amenities
3.5
Value
2.3
Pros
Compassionate and attentive caregiving
Strong personal connections between staff and residents
High staff-to-resident ratio at times
Engaging activity program and social opportunities
Therapy animals and diverse programmed events
Restaurant-style dining presentation
Varied menu with multiple entree options
On-site chef and printed menus
Clean, bright, and well-maintained common areas
Spacious, well-lit floor plans and private rooms
Accessible apartment features (kitchenettes, walk-in showers)
Secure memory-care unit and routine safety checks
Convenient location near hospital and services
Helpful admissions and appointment coordination
Quick maintenance response for repairs and updates
Low staff turnover in some periods
Strong social community and family-like atmosphere
Pet-friendly policy (outside memory care)
Regular transportation and outings offered
Cons
Inconsistent medication management and privacy procedures
Variable food quality and meal-temperature control
Uneven staffing levels and periodic high turnover
Inconsistent housekeeping and sanitation practices
Variable activity-program quality and scheduling reliability
Inconsistent adherence to individual care plans and follow-through
Management responsiveness and communication variability
Price and cost-transparency concerns
Gaps in clinical oversight and medication knowledge among aides
Security-procedure inconsistencies in memory care access
Maintenance and daily-living task lapses
Odor concerns in some common areas and memory-care wing
Allegations of medication mishandling and regulatory scrutiny
Summary of reviews
Overall impression: Cedar Village presents as a well-appointed, bright community with many families experiencing strong, personalized caregiving and an active social environment. Reviewers frequently cite compassionate staff, restaurant-style dining presentation, a varied menu, and a broad activity calendar that includes therapy animals and frequent events. The facility’s physical plant—spacious floor plans, private apartments with kitchenettes and walk-in showers, a two-level layout, and proximity to medical services—receives consistent praise. Several families described the community as clean, welcoming, and well maintained, with staff who create meaningful social opportunities and a family-like atmosphere.
Care and clinical oversight: Clinical experiences are mixed. Positive accounts emphasize attentive nursing checks, hydration and weight monitoring, and staff who follow care plans and support independence. However, a recurring concern centers on medication management and privacy during administration: reviewers described practices that lack discretion, limited aide familiarity with specific medications, and instances that led to questions about controlled-substance handling. These concerns have been significant enough in some cases to prompt Ombudsman involvement and allegations, indicating an area families should evaluate closely during a tour.
Staffing and management: Staff warmth and engagement are often highlighted, with many families naming individual caregivers and lifestyle staff as strengths. Conversely, other reports point to variable staffing levels, periods of high turnover, caregiver fatigue, and instances of delayed responses to call lights. Management performance appears inconsistent across accounts: some reviews praise responsive administration, quick resolution of issues, and effective admissions support; others cite unresponsiveness, poor follow-through on service requests, and communication gaps. Leadership transitions were specifically mentioned as a factor that correlated with perceived declines in consistency.
Dining and housekeeping: Dining impressions range from highly favorable (chef-driven meals, appealing presentation, printed menus on tables) to critical (inconsistent quality, overcooked vegetables, dry entrees, and cold food on delivery). Memory-care dining and snack availability were singled out as less reliable in several accounts. Housekeeping and sanitation are generally described as good in many areas, but intermittent lapses—missed trash pick-up, inconsistent room cleaning, reused cleaning rags, and odor concerns in some common spaces—were also reported. Prospective families should ask about meal-service timing, kitchen oversight, and housekeeping schedules.
Activities and community life: Activity programming is a clear strength for many residents: daily schedules with multiple options, strong lifestyle staff, outings, and social events create an engaged community for those who participate. At the same time, a portion of reviews characterize the programming as limited or overly dependent on bingo and describe canceled activities. This suggests variability in program delivery and an uneven resident experience depending on timing and staff availability.
Facilities and safety: The community’s design and amenities receive frequent praise—bright common spaces, roomy apartments, security measures for memory care, and proximity to local services. Noted weaknesses include traffic noise affecting the dementia wing and some outdoor spaces that are not consistently restful. Maintenance responsiveness is often highlighted positively, though occasional lapses such as closet doors off tracks or delayed small repairs were reported.
Notable patterns and guidance: Reviews show a pronounced split between families who find Cedar Village exceptional and those who have experienced operational lapses. The most actionable concerns center on medication practices, consistency of housekeeping and dining, and administrative follow-through. Prospective residents and family members should observe medication administration routines, ask about staff training and turnover, request sample menus and meal observation, confirm housekeeping and bathing schedules, and clarify pricing and contract fine print. Verifying any regulatory or Ombudsman history and asking how leadership addresses identified issues will provide additional context for decision-making.
In summary, Cedar Village offers many features that appeal to families seeking an active, well-appointed community with attentive caregivers and robust programming. At the same time, variability in operational consistency—particularly around medication management, dining, housekeeping, and management responsiveness—warrants careful, specific inquiry during a tour and before moving a loved one in.
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Location
Cedar Village by Cogir is located at 4452 Lancaster Dr NE, Salem, OR, 97305.
About Cedar Village by Cogir
Cedar Village Assisted Living & Memory Care offers an inviting and supportive environment for seniors seeking both Assisted Living and Memory Care services in the Salem area. This community extends its warm and attentive care to residents from neighboring towns including Aumsville, Jefferson, Mt. Angel, Woodburn, and throughout Marion and Polk counties. Designed with comfort and style in mind, Cedar Village features elegant interiors and thoughtfully planned floorplans, fostering a sense of home and tranquility for all who live there. Whether new to the area or a local resident, everyone is welcomed into a vibrant and caring community.
The community emphasizes an elevated living experience, balancing independence with support. Residents of Cedar Village Assisted Living enjoy private apartments that offer the comforts of home paired with the freedom of a maintenance-free lifestyle. Housekeeping and daily chores are managed by a dedicated staff, allowing residents to spend more time engaging in their passions, nurturing relationships, and appreciating the fullness of each day. There is a strong sense of camaraderie fostered by frequent social programs, enriching activities, and wellness classes, all designed to keep residents both engaged and fulfilled.
Cedar Village is particularly known for its specialized Memory Care program, which provides compassionate and individualized care for those living with dementia or Alzheimer’s Disease. This attentive, round-the-clock support addresses residents’ physical, emotional, and spiritual needs, ensuring safety and dignity at every stage. Enriching activities and gourmet, chef-prepared meals help stimulate the senses and provide daily enjoyment. The staff at Cedar Village take pride in their resident-centered approach, prioritizing both well-being and personal fulfillment.
One standout aspect of Cedar Village is the Spark™ program, a unique initiative crafted to help residents realize their full potential while enjoying a vibrant sense of purpose each day. Spark™ focuses on nurturing the natural spark within each individual—supporting their ideas, encouraging independence, and helping to bring personal projects and passions to life. By empowering residents to shape the community according to their interests, Cedar Village fosters a uniquely dynamic and supportive environment.
Nestled in the scenic Willamette Valley, Cedar Village Assisted Living & Memory Care also offers easy access to Oregon’s rich cultural and natural attractions. The city of Salem features historic districts, fine dining, distinctive shopping, museums, and more, all just a short distance from the community. For those who enjoy exploring, Portland and the Oregon coast are comfortably accessible for day trips. Cedar Village stands as a premier choice for senior living, where safety, comfort, and an active, fulfilling lifestyle are always at the forefront.
Cogir Senior Living was founded in 1995 by Serge G. Duguay, a passionate real estate entrepreneur in Quebec, Canada. What began as a small family business has grown into one of North America's leading senior living operators. From humble beginnings with about a dozen U.S. communities in 2020, Cogir has experienced remarkable growth, approaching 100 communities across 11 states by 2025. The company's U.S. operations are headquartered in Sacramento, California, with additional offices in Scottsdale, Arizona, and Seattle, Washington, under the leadership of CEO David Eskenazy.
People often ask...
Cedar Village by Cogir offers competitive pricing, with rates starting at a cost of $6,604 per month.
Cedar Village by Cogir offers independent living, assisted living, memory care, and board and care.
There are 29 photos of Cedar Village by Cogir on Mirador.
Yes, Cedar Village by Cogir allows residents to age in place and adjust their level of care as needed.
The full address for this community is 4452 Lancaster Dr NE, Salem, OR 97305.
No, Cedar Village by Cogir does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Identified multiple deficiencies in resident service plans, medication orders, staffing evaluations, and fire drills, indicating noncompliance with several care and safety requirements.
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Fire and Life Safety: Safety
28 May 2026Change of Owner
28 May 2026Change of Owner
Identified deficiencies in PRN psychotropic medication management and in staff training for memory care.
Deficiency—Systems: Psychotropic Medication
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
29 Dec 2025Abuse: Neglect
29 Dec 2025Abuse: Neglect
Determined that abuse by neglect occurred due to failure to properly plan care to keep the resident hydrated, which contributed to dehydration and a urinary tract infection.
Abuse—Failed to properly plan care
28 Dec 2025Abuse: Neglect
28 Dec 2025Abuse: Neglect
Investigated a complaint of neglect related to skin care and found staff did not follow the care plan or apply prescribed skin creams, causing a rash to worsen into a yeast infection and discomfort.
Abuse—Failed to follow care plan
18 Sept 2025Abuse: Neglect
18 Sept 2025Abuse: Neglect
Investigated a failure to properly plan care for a known fall risk, with deficiencies contributing to falls and serious injuries.
Abuse—Failed to properly plan care
18 Aug 2025Abuse: Neglect
18 Aug 2025Abuse: Neglect
Found safety violations due to failure to provide a safe environment after noting prior injuries and an incident with a swollen finger, leading to a fine.
Abuse—Failed to provide safe environment
18 Aug 2025Abuse: Neglect
18 Aug 2025Abuse: Neglect
Found neglect due to failure to provide a safe environment during transfers and ambulation, resulting in injuries to a known fall risk. A $375 fine was assessed.
Abuse—Failed to provide safe environment
07 Aug 2025Abuse: Neglect
07 Aug 2025Abuse: Neglect
Identified violations for failing to provide a safe environment after an incident where a resident bit another, causing swelling and bleeding.
Abuse—Failed to provide safe environment
22 Jul 2025Abuse: Neglect
22 Jul 2025Abuse: Neglect
Found a neglect of care violation for failing to plan care to prevent injuries of unknown origin, resulting in safety concerns for an Alleged Victim; a $500 fine was assessed.
Abuse—Failed to properly plan care
18 Jul 2025Abuse: Neglect
18 Jul 2025Abuse: Neglect
Identified safety-care planning deficiencies that constituted neglect and abuse related to unknown injuries.
Abuse—Failed to properly plan care
16 Jun 2025Abuse: Neglect
16 Jun 2025Abuse: Neglect
Found a failure to provide a safe environment that placed a resident at risk; a $375 fine was assessed.
Abuse—Failed to provide safe environment
07 Jun 2025Abuse: Neglect
07 Jun 2025Abuse: Neglect
Investigated an alleged neglect and abuse incident where staff failed to follow the care plan, resulting in a resident being slapped by another resident; a $188 fine was assessed.
Abuse—Failed to follow care plan
06 Jun 2025Abuse: Neglect
06 Jun 2025Abuse: Neglect
Investigated and found the resident was not kept safe from skin tears, resulting in neglect and abuse; a $250 fine was assessed.
Abuse—Failed to provide safe environment
05 Jun 2025Abuse: Neglect
05 Jun 2025Abuse: Neglect
Investigated an allegation that a safe environment was not provided. Found a violation due to residents being in a common area unsupervised, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
05 Jun 2025Abuse: Neglect
05 Jun 2025Abuse: Neglect
Investigated an altercation between residents and found a failure to provide a safe environment that placed residents at risk of harm.
Abuse—Failed to provide safe environment
04 Jun 2025Licensure
04 Jun 2025Licensure
Multiple deficiencies across resident evaluations, service planning, health services, infection control, safety, staff training, and building maintenance were identified during two visits.
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Infection Prevention & Control
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
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—Individual Rights Settings Right to Freedom
30 May 2025License Condition
30 May 2025License Condition
Found deficiencies related to providing a safe environment. Evidence and interviews supported the finding.
Regulatory Action—Failed to provide safe environment
23 May 2025Abuse: Neglect
23 May 2025Abuse: Neglect
Found that insufficient care planning placed a resident at risk for harm and constitutes neglect and abuse; a $375 fine was assessed.
Abuse—Failed to properly plan care
23 May 2025Abuse: Neglect
23 May 2025Abuse: Neglect
Investigated a complaint found that a resident did not receive a scheduled bath for about a week after returning from hospital, resulting in discomfort; a $250 fine was assessed.
Abuse—Failed to provide or assist with hygiene
15 May 2025Licensure
15 May 2025Licensure
Investigators found widespread deficiencies across abuse reporting, resident evaluations, service planning, change-of-condition monitoring, health services, safety, and resident rights.
Investigated found a failure to provide a safe environment that allowed a resident to exit on two occasions; a fine was assessed.
Abuse—Failed to provide safe environment
25 Oct 2024Abuse: Neglect
25 Oct 2024Abuse: Neglect
Investigated a safety concern and found a failure to provide a safe environment, constituting abuse and neglect.
Abuse—Failed to provide safe environment
23 Oct 2024Abuse: Neglect
23 Oct 2024Abuse: Neglect
Determined that failure to properly plan care placed residents at risk due to repeated altercations; a $188 fine assessed.
Abuse—Failed to properly plan care
15 Oct 2024Abuse: Neglect
15 Oct 2024Abuse: Neglect
Determined that a safe environment was not provided, creating an elopement risk during a fire alarm and constituting abuse and neglect.
Abuse—Failed to provide safe environment
19 Aug 2024Inspection
19 Aug 2024Inspection
Found failure to report vaccination status for vaccinated individuals, residents, and staff for three months, violating monthly reporting requirements.
Licensing—Failed to report vaccination status
23 Jul 2024Abuse: Neglect
23 Jul 2024Abuse: Neglect
Investigated a neglect allegation and found the resident's fall risk was not properly addressed through care planning. The resident sustained a leg fracture as a result.
Abuse—Failed to properly plan care
03 May 2024Abuse: Neglect
03 May 2024Abuse: Neglect
Found failure to provide appropriate fall-prevention interventions, leading to a fall and hip fracture with related abuse/neglect findings and a $500 fine assessed.
Abuse—Failed to provide safe environment
25 Mar 2024Inspection
25 Mar 2024Inspection
Investigated and found a deficiency in implementing and updating an acuity-based staffing tool.
Licensing—Failed to use an ABST
25 Mar 2024Complaint
25 Mar 2024Complaint
Investigated a staffing issue and found the acuity-based staffing tool was not updated, and quarterly updates to some resident profiles were missing.
Deficiency—Acuity-Based Staffing Tool
Deficiency—Training Within 30 Days: Direct Care Staff
07 Mar 2024Inspection
07 Mar 2024Inspection
Determined that safe medication administration was not observed or evaluated unsupervised, and that caregivers were passing medication without proper training.
Licensing—Failed to provide a safe medication administration system
19 Feb 2024Abuse: Neglect
19 Feb 2024Abuse: Neglect
Found inadequate care planning that allowed two bathroom falls resulting in injuries.
Abuse—Failed to properly plan care
03 Jan 2024Inspection
03 Jan 2024Inspection
Found that direct care staff were not oriented to residents, including awareness of residents' service plans. This deficiency left staff unaware of residents' service plans.
Licensing—Failed to provide safe environment
06 Nov 2023Licensure
06 Nov 2023Licensure
Investigated kitchen practices revealed violations related to food sanitation, temperature control, and administration during multiple visits.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
06 Nov 2023Licensure
06 Nov 2023Licensure
Identified numerous kitchen sanitation and maintenance deficiencies, including dirty surfaces, damaged equipment, and infection control lapses. A follow-up visit reviewed the conditions.
Found that an acuity-based staffing tool was not implemented or updated and did not reflect the correct care time for residents.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
06 Oct 2023Complaint
06 Oct 2023Complaint
Investigated and found ongoing bed bug infestations and a failure to prevent entry of rodents and other insects. Pest control actions had not prevented ongoing infestation.
Deficiency—Licensing Complaint Investigation
Deficiency—General Building Exterior
06 Oct 2023Inspection
06 Oct 2023Inspection
Investigated pest-control allegation and found failure to prevent entry of other insects.
Licensing—Failed to control pests
28 Sept 2023Inspection
28 Sept 2023Inspection
Investigated the allegation and found a pest-control deficiency. Failure to prevent entry of rodents and other insects violated Oregon Administrative Rules.
Licensing—Failed to provide proper food/nutrition
16 Sept 2023Abuse: Neglect
16 Sept 2023Abuse: Neglect
Found inadequate supervision placed a resident at risk of harm. A $500 fine was assessed.
Abuse—Failed to provide safe environment
15 Sept 2023Abuse: Neglect
15 Sept 2023Abuse: Neglect
Found a failure to provide a safe environment that resulted in abuse, and a $375 fine was assessed.
Abuse—Failed to provide safe environment
22 Aug 2023Abuse: Neglect
22 Aug 2023Abuse: Neglect
Investigated a complaint alleging neglect and abuse due to an unsafe environment and inadequate interventions; found that a resident was pushed after wandering into another resident's room, indicating unsafe conditions.
Abuse—Failed to provide safe environment
01 Aug 2023Abuse: Neglect
01 Aug 2023Abuse: Neglect
Identified a failure to provide a safe environment that placed a resident at risk of harm, constituting neglect and abuse.
Abuse—Failed to provide safe environment
01 Aug 2023Abuse: Neglect
01 Aug 2023Abuse: Neglect
Found a failure to provide a safe environment, resulting in injuries after an altercation.
Abuse—Failed to provide safe environment
10 Jul 2023Complaint
10 Jul 2023Complaint
Investigated a complaint and found deficiencies in acuity-based staffing and pest prevention, including failure to implement/update ABST and ongoing bed bug infestation due to insufficient preventative measures.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
Deficiency—General Building Exterior
16 Jun 2023Abuse: Neglect
16 Jun 2023Abuse: Neglect
Found failure to properly plan care to prevent altercations, constituting neglect and abuse, with a $500 fine assessed.
Abuse—Failed to properly plan care
13 May 2023Abuse: Neglect
13 May 2023Abuse: Neglect
Determined that neglect and abuse occurred due to failure to plan care and address a resident's unsafe behavior, risking safety; a $500 fine was assessed.
Abuse—Failed to properly plan care
25 Apr 2023Abuse: Neglect
25 Apr 2023Abuse: Neglect
Fined for neglect due to failure to properly plan care, risking harm to a known fall risk resident; a $500 penalty was assessed.
Abuse—Failed to properly plan care
18 Apr 2023Abuse: Neglect
18 Apr 2023Abuse: Neglect
Determined that an unsafe environment contributed to an incident between residents, with one resident hitting another, constituting abuse and neglect.
Abuse—Failed to provide safe environment
30 Jan 2023Abuse: Neglect
30 Jan 2023Abuse: Neglect
Found neglect and abuse for failing to properly plan care, resulting in multiple falls and a fine.
Abuse—Failed to properly plan care
26 Jan 2023Inspection
26 Jan 2023Inspection
Found a pest control deficiency due to bed bug infestation and insufficient action to eliminate it.
Licensing—Failed to control pests
24 Dec 2022Abuse: Neglect
24 Dec 2022Abuse: Neglect
Found neglect due to failure to properly plan care, resulting in bruising risk for a resident with thin skin. Observed lack of interventions after a prior fall and no guidance for staff to prevent further bruising.
Abuse—Failed to properly plan care
20 Dec 2022Abuse: Neglect
20 Dec 2022Abuse: Neglect
Found neglect and abuse due to failure to properly plan care, which contributed to a fall with injury. A fine was assessed.
Abuse—Failed to properly plan care
14 Nov 2022Validation
14 Nov 2022Validation
Identified deficiencies across administration, health services, meals, medications, and building operations, with follow-up showing substantial compliance thereafter.
Identified widespread deficiencies across resident care, health services, sanitation, staff training, and safety with multiple repeat violations noted.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Rn Delegation and Teaching
Deficiency—Infection Prevention & Control
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Fire and Life Safety: Safety
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Housekeeping and Laundry
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Resident Rooms
11 Nov 2022Abuse: Neglect
11 Nov 2022Abuse: Neglect
Investigated a fall-related complaint and found deficiencies in care planning that failed to reduce fall risk, resulting in a fracture.
Abuse—Failed to properly plan care
11 Oct 2022Complaint
11 Oct 2022Complaint
Investigated and identified deficiencies related to cleaning/repair of interior surfaces and floors, including a floor in need of replacement due to disrepair and staining.
Investigated the allegation and identified a deficiency in keeping interior surfaces and equipment clean and in good repair.
Licensing—Failed to provide safe environment
13 Sept 2022Abuse: Neglect
13 Sept 2022Abuse: Neglect
Identified neglect and abuse due to failing to respond to a resident's call light promptly, which led to a fall and related pain. The findings indicate the failure to answer the call light timely violated resident rights.
Abuse—Failed to answer call light in a timely manner
07 Jul 2022Abuse: Neglect
07 Jul 2022Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment. An individual eloped through an open gate, creating risk of harm.
Abuse—Failed to provide safe environment
28 Jun 2022Abuse: Neglect
28 Jun 2022Abuse: Neglect
Investigated and found that a resident was left unsupervised, resulting in injuries, and that a safe environment was not provided.
Abuse—Failed to provide safe environment
20 Jan 2022Abuse: Neglect
20 Jan 2022Abuse: Neglect
Investigated a complaint and found abuse/neglect due to failure to provide a safe environment and prevent altercations; a $250 fine was assessed.
Abuse—Failed to provide safe environment
10 May 2021Abuse: Neglect
10 May 2021Abuse: Neglect
Found neglect for failing to properly plan care, leading to a hip fracture of a known fall risk resident.
Abuse—Failed to properly plan care
19 Apr 2021Abuse: Neglect
19 Apr 2021Abuse: Neglect
Found a violation of safe environment after a known elopement risk escaped through a patio gate, likely due to an outage and lack of gate security monitoring. A $188 fine was assessed.
Abuse—Failed to provide safe environment
16 Dec 2020Abuse: Neglect
16 Dec 2020Abuse: Neglect
Found a neglect and abuse violation due to failing to administer pain medication on time, causing unnecessary pain and discomfort.
Abuse—Failed to administer medication as ordered
28 Sept 2020Abuse: Neglect
28 Sept 2020Abuse: Neglect
Found deficiencies in care planning for a resident at risk of falls, and the fall led to an ankle fracture. The deficiencies were linked to neglect and abuse.
Abuse—Failed to properly plan care
14 Jun 2020Abuse: Neglect
14 Jun 2020Abuse: Neglect
Determined that a safe environment was not provided, resulting in abuse and neglect. A $188 fine was assessed.
Abuse—Failed to provide safe environment
02 Jun 2020Inspection
02 Jun 2020Inspection
Investigated and found a deficient practice in maintaining a safe physical environment, which allowed a resident to elope when a gate was left unlocked.
Licensing—Failed to maintain a safe physical environment
24 Feb 2020Inspection
24 Feb 2020Inspection
Found a licensing violation due to insufficient staff to meet residents' needs. The allegation concerned failing to answer call lights promptly.
Licensing—Failed to answer call light in a timely manner
09 Feb 2020Inspection
09 Feb 2020Inspection
Identified a licensing violation for failing to answer call lights promptly, with repeated delays of 20 to 30 minutes.
Licensing—Failed to answer call light in a timely manner
25 Jan 2020Abuse: Neglect
25 Jan 2020Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment after an altercation; a $250 fine was assessed.
Abuse—Failed to provide safe environment
21 Nov 2019Abuse: Neglect
21 Nov 2019Abuse: Neglect
Investigated a resident fall caused by a walker with faulty brakes and found neglect and abuse due to failure to maintain equipment and provide fall-prevention interventions.
Abuse—Failed to provide or maintain resident care equipment
09 Aug 2019Abuse: Neglect
09 Aug 2019Abuse: Neglect
Found neglect of basic care and supervision for an individual in care, creating significant risk of harm, and a $375 fine was assessed.
Abuse—Failed to provide safe environment
31 May 2019Inspection
31 May 2019Inspection
Identified a deficiency for failing to notify the resident's physician after the resident refused their medication.
Licensing—Failure to provide a system that prevents theft or misuse of medication
31 May 2019Inspection
31 May 2019Inspection
Investigated an allegation of inadequate hydration planning and found a deficiency in providing an individualized hydration plan throughout residents' waking hours.
Licensing—Failed to assure proper hydration
24 May 2019Abuse: Neglect
24 May 2019Abuse: Neglect
Investigated a neglect allegation and found failure to supervise led to a resident's skin tear.
Abuse—Failed to follow care plan
07 Mar 2019Inspection
07 Mar 2019Inspection
Found that meals were not palatable and served cold, violating the applicable rule.
Licensing—Failed to provide proper food/nutrition
28 Jan 2019Inspection
28 Jan 2019Inspection
Found a deficiency for not providing a safe medication administration system following medications going missing when a resident moved.
Licensing—Failed to provide a safe medication administration system
31 Dec 2018Abuse: Neglect
31 Dec 2018Abuse: Neglect
Found neglect in basic care related to falls, putting a resident at risk of serious harm and resulting in injury; a $500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
31 Dec 2018Inspection
31 Dec 2018Inspection
Determined that suspected abuse was not reported and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
04 Oct 2018Inspection
04 Oct 2018Inspection
Found a failure to provide a safe environment due to inadequate supervision, creating a risk of serious harm to an individual in care.
Licensing—Failed to provide safe environment
13 Aug 2018Condition
13 Aug 2018Condition
Investigated the allegation of failure to provide a safe environment and found violations; a zero-dollar civil penalty was assessed.
Regulatory Action—Failed to provide safe environment
26 Jul 2018Abuse: Sexual abuse
26 Jul 2018Abuse: Sexual abuse
Found a substantiated violation involving failure to protect a resident from inappropriate sexual contact by a staff member.
Abuse—Failed to protect resident from inappropriate sexual contact
17 Apr 2018Abuse: Neglect
17 Apr 2018Abuse: Neglect
Identified a failure to assess and intervene on care needs that led to a fall and injuries.
Abuse—Failed to properly plan care
26 Mar 2018Inspection
26 Mar 2018Inspection
Found failure to report potential or suspected abuse; civil penalty assessed.
Licensing—Failed to report potential or suspected abuse
26 Mar 2018Abuse: Neglect
26 Mar 2018Abuse: Neglect
Investigated a complaint about falls and found failures to assess and intervene that led to three falls and injuries.
Abuse—Failed to adequately care plan related to falls
06 Mar 2018Inspection
06 Mar 2018Inspection
Found a medication administration violation when the incorrect insulin was given, resulting in a resident being sent to the emergency room.
Licensing—Failed to administer medication as ordered
27 Feb 2018Abuse: Neglect
27 Feb 2018Abuse: Neglect
Investigated a failure to follow the care plan that caused a resident to fall and cut their lip. A fine of $188 was assessed.
Abuse—Failed to follow care plan
03 Feb 2018Inspection
03 Feb 2018Inspection
Found an inadequate medication system that led to medications not being provided as ordered.
Licensing—Failed to administer medication as ordered
13 Oct 2017Abuse: Neglect
13 Oct 2017Abuse: Neglect
Investigated abuse/neglect allegation and found inadequate screening or assessment that led to a resident-to-resident altercation.
Abuse—Failed to perform adequate screening or assessment
19 Jun 2017Abuse: Neglect
19 Jun 2017Abuse: Neglect
Determined that there was an inadequate medication system, resulting in a resident receiving another resident's medications.
Abuse—Failed to provide a safe medication administration system
06 May 2017Abuse: Neglect
06 May 2017Abuse: Neglect
Investigated and found deficiencies in the medication system that caused a resident to receive the wrong medications and end up in the emergency room.
Abuse—Failed to provide a safe medication administration system
18 Dec 2016Abuse: Physical Abuse
18 Dec 2016Abuse: Physical Abuse
Investigated abuse allegation and determined there was failure to protect a resident from rough treatment.
Abuse—Failed to protect resident from rough treatment
18 Dec 2016Abuse: Verbal/Mental abuse
18 Dec 2016Abuse: Verbal/Mental abuse
Investigated an allegation of verbal/mental abuse and concluded that a resident was not protected from humiliation, resulting in significant emotional harm.
Abuse—Failed to protect resident from verbal abuse
05 Oct 2016Inspection
05 Oct 2016Inspection
Investigated and found a licensing violation related to unsafe medication administration and pain medication management.
Licensing—Failed to provide a safe medication administration system
17 Jul 2016Inspection
17 Jul 2016Inspection
Investigated the allegation and found a deficiency in medication administration.
Licensing—Failed to provide a safe medication administration system
13 Nov 2015Inspection
13 Nov 2015Inspection
Determined that a licensing violation occurred due to failure to modify the service plan and document attempts to resolve the move-out reason.
Licensing—Failed to adequately plan discharge
07 Nov 2015Abuse: Sexual abuse
07 Nov 2015Abuse: Sexual abuse
Found a sexual abuse allegation involving inappropriate contact and inadequate supervision, creating a safety risk; a $300 fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
06 Nov 2015Abuse: Neglect
06 Nov 2015Abuse: Neglect
Investigated a neglect allegation and found failure to properly assess and intervene on the resident's behalf, creating moderate harm or potential for serious harm.
Abuse—Failed to assure timely medical treatment
14 Jun 2015Abuse: Neglect
14 Jun 2015Abuse: Neglect
Investigated a neglect allegation that staff failed to intervene when a resident's condition changed; found a failure to assess and intervene.
Abuse—Failed to intervene when resident's condition changed
15 Jan 2015Inspection
15 Jan 2015Inspection
Determined a safety deficiency where a safe environment wasn’t provided and one resident harmed another.
Licensing—Failed to provide safe environment
02 Oct 2014Inspection
02 Oct 2014Inspection
Found failure to provide appropriate care to a resident, indicating a breach of the care plan and related requirements.
Licensing—Failed to follow care plan
21 Sept 2014Abuse: Neglect
21 Sept 2014Abuse: Neglect
Investigated the allegation of neglect and found failure to protect residents from physical aggression.
Abuse—Failed to address resident's behavior
12 Jan 2014Inspection
12 Jan 2014Inspection
Found failure to provide a safe environment for residents.
Licensing—Failed to address resident's behavior
30 Jun 2013Inspection
30 Jun 2013Inspection
Found a failure to provide a safe environment.
Licensing—Failed to address resident's behavior
16 Jun 2013Inspection
16 Jun 2013Inspection
Found inadequate falls-related care planning and unsafe conditions due to failure to provide a safe environment.
Licensing—Failed to adequately care plan related to falls
20 May 2013Abuse: Verbal/Mental abuse
20 May 2013Abuse: Verbal/Mental abuse
Investigated an allegation of verbal abuse and found a safety deficiency.
Abuse—Failed to protect resident from verbal abuse
16 May 2013Inspection
16 May 2013Inspection
Found a safety deficiency for failing to provide a safe environment.
Licensing—Failed to address resident's behavior
11 May 2013Abuse: Neglect
11 May 2013Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in a $300 fine.
Abuse—Failed to properly plan care
25 Apr 2013Inspection
25 Apr 2013Inspection
Investigated a complaint alleging failure to administer medication as ordered and found medication mismanagement placing a resident at risk.
Licensing—Failed to administer medication as ordered
07 Apr 2013Inspection
07 Apr 2013Inspection
Found a deficiency in medication management that could lead to harm. Cited a violation related to safe medication administration.
Licensing—Failed to provide a safe medication administration system
15 Mar 2013Abuse: Financial abuse
15 Mar 2013Abuse: Financial abuse
Investigated a complaint of financial exploitation and found deficiencies related to protecting residents from financial exploitation and to providing a safe environment.
Abuse—Failed to protect resident from financial exploitation
15 Nov 2012Inspection
15 Nov 2012Inspection
Found that a safe environment was not provided. The case was classified as a minor harm or potential for moderate harm.
Licensing—Failed to provide safe environment
16 Apr 2012Abuse: Neglect
16 Apr 2012Abuse: Neglect
Determined neglect occurred due to failure to seek medical attention after a resident's injury fall.
Abuse—Failed to intervene when resident's condition changed
25 Feb 2012Inspection
25 Feb 2012Inspection
Investigated the complaint and found a failure to provide a safe medication system.
Licensing—Failed to administer ordered medication
23 Dec 2011Abuse: Neglect
23 Dec 2011Abuse: Neglect
Investigated allegations of neglect related to falls and found a failure to assess and intervene.
Abuse—Failed to adequately care plan related to falls
04 Nov 2011Abuse: Physical Abuse
04 Nov 2011Abuse: Physical Abuse
Investigated an allegation of physical abuse and found failure to protect a resident from rough treatment.
Abuse—Failed to protect resident from rough treatment
06 Oct 2011Abuse: Financial abuse
06 Oct 2011Abuse: Financial abuse
Found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
09 Sept 2011Inspection
09 Sept 2011Inspection
Investigated and found a deficiency in medication management. The allegation was supported.
Licensing—Failed to provide a safe medication administration system
19 Aug 2011Abuse: Neglect
19 Aug 2011Abuse: Neglect
Investigated an abuse/neglect allegation about medication care and found deficiencies in safe administration; a $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
08 Aug 2011Abuse: Neglect
08 Aug 2011Abuse: Neglect
Investigated a neglect allegation and identified a failure to provide a safe medication administration system, risking moderate harm; a fine was assessed.
Abuse—Failed to provide a safe medication administration system
07 Dec 2010Inspection
07 Dec 2010Inspection
Found failure to provide a safe and secure environment with minor harm potential.
Licensing—Failed to provide safe environment
19 Oct 2010Inspection
19 Oct 2010Inspection
Investigated the allegation and found that a safe environment was not provided.
Licensing—Failed to provide safe environment
11 Sept 2010Inspection
11 Sept 2010Inspection
Investigated the allegation and found a failure to provide a safe environment.
Licensing—Failed to provide service
25 Aug 2010Inspection
25 Aug 2010Inspection
Found a deficiency in providing a safe environment for RVs.
Licensing—Failed to provide safe environment
30 Jul 2010Abuse: Neglect
30 Jul 2010Abuse: Neglect
Investigated an allegation of failing to perform adequate screening or assessment; found deficiencies and a $300 fine was assessed.
Abuse—Failed to perform adequate screening or assessment
07 Jul 2010Inspection
07 Jul 2010Inspection
Investigated and found failure to provide appropriate care to residents.
Licensing—Failed to follow care plan
01 Jul 2010Abuse: Verbal/Mental abuse
01 Jul 2010Abuse: Verbal/Mental abuse
Investigated and found that a staff member failed to protect a resident from humiliating treatment by another staff member.
Abuse—Failed to protect resident from mental or emotional abuse
19 May 2010Abuse: Neglect
19 May 2010Abuse: Neglect
Found a substantiated allegation of failing to provide a safe environment; a fine was assessed.
Abuse—Failed to provide safe environment
14 Apr 2010Inspection
14 Apr 2010Inspection
Substantiated a failure to provide a safe environment. The finding identified a safety rule violation.
Licensing—Failed to provide safe environment
15 Mar 2010Abuse: Financial abuse
15 Mar 2010Abuse: Financial abuse
Investigated a financial exploitation allegation and found a failure to protect residents from theft, resulting in a $300 fine assessed.
Abuse—Failed to protect resident from financial exploitation
25 Feb 2010Abuse: Neglect
25 Feb 2010Abuse: Neglect
Determined that the neglect allegation regarding failure to intervene was supported. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
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