Faye Wright Senior Living

    960 Boone Rd Southeast, Salem, OR 97306
    • Assisted Living
    • Memory Care

    Warm cottages, caring staff, responsive

    I toured this community and was impressed - a knowledgeable tour guide showed me well-kept, cottage-style living with a warm, homey feel. Staff are genuinely caring, attentive, and communicative; meals have good variety and activities/outings are plentiful. Management and medical teams are responsive and the multiple levels of care give me confidence for the future. I would recommend it.

    Loved one of resident
    Jul 2026

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    Reviews

    4.07·(68)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.2
    • Meals

      3.6
    • Amenities

      3.8
    • Value

      3.0

    Pros

    • clean, odor-free environment
    • friendly, compassionate caregiving staff
    • individualized care plans
    • management and executive involvement
    • long-tenured staff and internal promotions
    • small cottage, home-like layout
    • pet-friendly policy (cat allowed)
    • engaging activities and scheduled outings
    • dining-room social atmosphere
    • flexible pricing and multiple levels of care
    • memory-care wing with safe circular layout
    • 24/7 supervision and nursing oversight
    • prompt housekeeping and routine room cleaning
    • supportive hospice and end-of-life services
    • welcoming admissions and tour experience
    • sheltered outdoor spaces and raised gardens
    • regular live entertainment and music programming
    • personalized attention and use of resident names
    • competitive pricing/value options

    Cons

    • inconsistent staffing levels, particularly on weekends
    • high staff turnover and reliance on short-tenure caregivers
    • variable quality of direct care
    • communication gaps with families and between departments
    • management responsiveness is uneven
    • incontinence-care delays and related sanitation concerns
    • limited meal variety and inconsistent food quality
    • small resident rooms with limited storage
    • dated facility areas and constrained guest parking
    • confusing pricing, billing, and activity sign-up processes
    • inadequate personal-property accountability
    • gaps in supervision and fall-prevention practices
    • disruptive transitions between buildings as care needs progress

    Summary of reviews

    Overall impression: The community presents as a small, home‑oriented senior living setting with strengths in personalized care, a cottage-style layout, and an active social program. Many families describe a clean, welcoming environment and caregivers who provide warm, individualized attention. The facility offers multiple levels of care (including memory care), a 24/7 supervision model, and hospice support, which together create a continuum that can suit residents with evolving needs.

    Care and staff: Staffing and direct care are the most prominent mixed themes. Numerous accounts praise compassionate, long-tenured caregivers, hands-on managers, and staff who know residents by name and support pets and family requests. At the same time, reviewers frequently cite inconsistent staffing levels, weekend coverage shortfalls, and turnover that can affect continuity of care. These operational staffing issues are associated with variability in care quality, occasional lapses in supervision, and intermittent delays in addressing personal‑care needs.

    Dining and activities: The community provides a wide range of activities, from daily programs and music to weekly bus outings and seasonal family events; the cottage/dining-room model supports social meals for many residents. Food quality garners mixed feedback — some find meals appetizing and varied, while others note limited main‑course options or inconsistent flavor/visual presentation. Activity scheduling and sign-up mechanisms have been described as confusing at times, and encouragement to participate can vary by staff shift.

    Facilities and accommodations: Physical spaces are generally described as clean and well maintained, with pleasant outdoor areas, raised gardens, and sheltered patios that support safe circulation, especially in memory‑care areas with circular layouts. Unit sizes are often characterized as small with limited storage, and portions of the building are viewed as dated; guest parking and some exterior access points were noted as constrained. The cottage model and separate pods for memory care are appealing to families seeking a homelike scale, but transitions between buildings as care needs change can be disruptive for some residents.

    Management and operations: Management visibility and responsiveness are cited as positives by many families, especially when directors engage directly with care planning. However, there are repeated concerns about inconsistent responsiveness — difficulty reaching leadership at times, billing and pricing confusion, and lapses in cross‑department communication (housekeeping, nursing, billing, and admissions). A subset of reviews raises serious clinical and sanitation concerns, including delays in attending to toileting/incontinence needs and hygiene issues; while these appear less frequent than positive accounts, they represent high‑impact areas that prospective families should investigate directly.

    Notable patterns and recommendations: The strongest, consistent positives are the community’s small, family‑style culture, individualized care plans, and active programming. The most recurrent operational weaknesses are inconsistent staffing/turnover, uneven management responsiveness, variable dining experience, and logistical issues around small rooms and transitions between care buildings. Prospective residents and families should tour the community, ask about current staffing ratios (including weekend coverage), review fall‑prevention and supervision protocols, examine sanitation and incontinence‑care procedures, clarify pricing and billing terms, and discuss how the facility manages transitions between care levels. These targeted questions will help assess whether the community’s many strengths align with an individual resident’s needs and expectations.

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    Location

    Map showing location of Faye Wright Senior Living

    Faye Wright Senior Living is located at 960 Boone Rd Southeast, Salem, OR, 97306.

    About Faye Wright Senior Living

    Faye Wright Senior Living sits in Salem, Oregon, close to shopping, restaurants, and parks, and offers different care levels, so someone can get independent living, assisted living, memory care, and skilled nursing all in one place. The community is family-owned and run, with 122 total beds, including 70 for memory care, and they have staff who know how to help people with Alzheimer's or dementia, including special training for memory loss and safety features like secure walking paths, exit alerts, and lockable outside areas. You'll find both studio, one-bedroom, and two-bedroom apartments, with some having private or shared spaces and kitchenettes, walk-in showers, and heating and air controls in the rooms, and everything is ADA accessible if someone uses a wheelchair or walker. They offer an activity program for everyone, with staff providing help for daily needs like bathing, dressing, getting around, and taking medicine, and the staff also keep up on training with monthly courses for memory care, so residents get up-to-date support. The IN2L-It's Never 2 Late program is ready for memory care residents, offering them special computer activities, and there are respite apartments for short-term stays. There's also a beauty shop, a place outside to smoke, and Wi-Fi you can use throughout the community, and if someone has a pet, they can move in after paying a deposit and monthly fee, with staff to help care for animals. Faye Wright has a Medicaid contract, accepts hospice care, and can admit new people on weekends. There are community nurses present during business hours and on-call after hours, plus extra help for insulin-dependent diabetics but they can't care for people with unstable diabetes, severe aggressive behavior, feeding tubes, wound vacs, ureterostomy, or those who need a staff person with them all the time. The community comes with features like laundry service, transportation-including wheelchair transport-and even a Hoyer lift and two-person transfers in memory care, plus tray service or community shower/tub access if needed. Meals get served in shared spaces, or someone can have food delivered if needed. The focus stays on helping residents have connections and stay active, with a variety of activities and support as health needs change, all while keeping things simple, safe, and as independent as possible.

    People often ask...

    Faye Wright Senior Living offers assisted living and memory care.

    There are 17 photos of Faye Wright Senior Living on Mirador.

    The full address for this community is 960 Boone Rd Southeast, Salem, OR 97306.

    No, Faye Wright Senior Living 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.

    License number50A034
    StatusActive
    Facility typeResidential Care Facility
    Capacity122 residents
    LicenseeSabra West Coast Operations III, LLC
    EffectiveDecember 1st, 2024
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    190

    Reports

    0

    Type A Citations

    0

    Type B Citations

    3

    Complaints

    15

    Years

    05 Feb 2026Inspection
    Investigated the allegation of failing to cooperate with an investigation and determined a violation for not providing requested documentation.
    • LicensingFailed to cooperate with an investigation
    20 Jan 2026Inspection
    Identified a deficiency in updating the Acuity-Based Staffing Tool to reflect residents' care needs. The ABST had not been updated quarterly for multiple residents.
    • LicensingFailed to use an ABST
    05 Nov 2025Inspection
    Found a violation concerning the safety of the medication and treatment administration system after a resident received the incorrect medication.
    • LicensingFailed to provide a safe medication administration system
    27 Aug 2025Abuse: Neglect
    Concluded that failure to plan care and implement fall interventions led to injury and emergency evaluation.
    • AbuseFailed to properly plan care
    27 Aug 2025Inspection
    Found that resident profiles in the ABST were not updated quarterly, with 52 of 61 residents lacking quarterly evaluations.
    • LicensingFailed to update staffing plan based on ABST
    22 Jul 2025Kitchen
    Identified extensive sanitation and administration deficiencies in meals service and kitchen areas, unsafe conditions, and improper puree meal practice. Violations cited.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    07 Jul 2025Inspection
    Determined that an acuity-based staffing tool was not developed, maintained, or implemented.
    • LicensingFailed to update staffing plan based on ABST
    02 Jul 2025Inspection
    Found failure to update the staffing plan based on ABST and to develop, maintain, and implement an Acuity Based Staffing Tool.
    • LicensingFailed to update staffing plan based on ABST
    03 Jun 2025Inspection
    Found deficiencies in maintaining an updated ABST that reflects resident needs, with inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    11 Apr 2025Inspection
    Identified a deficiency in maintaining an updated ABST that reflects resident needs. Inconsistencies were found between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    07 Apr 2025Inspection
    Found deficiencies in the Acuity-Based Staffing Tool not reflecting residents' needs, with inconsistencies among the roster, care plans, and ABST data. A licensing violation was identified.
    • LicensingFailed to use an ABST
    28 Mar 2025Complaint
    Investigated licensure complaint regarding medications and treatments; found no deficiencies.
    • DeficiencySystems: Medications and Treatments
    09 Jan 2025Abuse: Neglect
    Investigated and found neglect and abuse due to failure to properly plan care for a resident with a history of falls; a fine was assessed.
    • AbuseFailed to properly plan care
    25 Oct 2024Abuse: Neglect
    Investigated found that the facility failed to provide a safe environment and did not address known resident behaviors, leading to risk of harm; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    17 Sept 2024Abuse: Neglect
    Investigated a complaint and found neglect and abuse due to failure to provide a safe environment and appropriate interventions for a resident with known behaviors.
    • AbuseFailed to provide safe environment
    24 Jun 2024Abuse: Neglect
    Investigated and found neglect of care and abuse due to failure to properly plan fall interventions after a resident fall with skin tears; a fine was assessed.
    • AbuseFailed to properly plan care
    27 May 2024Abuse: Neglect
    Investigated and found deficiencies in safety and care planning due to repeated resident altercations and failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    22 May 2024Abuse: Neglect
    Found violations of resident rights due to neglect and abuse, including failing to provide a safe environment and appropriate care, resulting in multiple skin tears.
    • AbuseFailed to provide safe environment
    22 May 2024Abuse: Neglect
    Found neglect and abuse due to failure to provide a safe environment, with multiple falls and inadequate care planning.
    • AbuseFailed to provide safe environment
    21 May 2024Abuse: Neglect
    Investigated a fall-risk allegation and found failures to implement fall-prevention interventions and proper care planning, with multiple documented falls and injuries.
    • AbuseFailed to properly plan care
    09 Apr 2024Abuse: Neglect
    Found neglect of care and abuse for not following the care plan, leading to poor personal hygiene; a $500 fine was assessed.
    • AbuseFailed to provide service
    07 Apr 2024Abuse: Neglect
    Investigated the allegation of unsafe medication administration; found neglect and abuse due to missed antidepressant doses and failure to administer medications as prescribed.
    • AbuseFailed to provide a safe medication administration system
    03 Apr 2024Inspection
    Determined that medication and treatment orders were not carried out as prescribed. This violated Oregon Administrative Rules.
    • LicensingFailed to administer medication as ordered
    26 Mar 2024License Condition
    Investigated and identified deficiencies for failing to provide a safe environment. Multiple rule violations were cited.
    • Regulatory ActionFailed to provide safe environment
    24 Mar 2024Abuse: Neglect
    Found that staff were not qualified to administer prescribed medication to a resident, leaving them without blood glucose checks and medication and creating a risk of harm.
    • AbuseFailed to provide appropriate staffing
    24 Mar 2024Abuse: Neglect
    Found that no staff were qualified to administer prescribed medication, leaving the resident without medication and at risk of harm.
    • AbuseFailed to provide appropriate staffing
    24 Mar 2024Abuse: Neglect
    Investigated an allegation that staff failed to provide qualified personnel to administer medication, leaving a resident without glucose checks or prescribed medication.
    • AbuseFailed to provide appropriate staffing
    10 Mar 2024Abuse: Neglect
    Investigated and found neglect related to failure to provide appropriate services and care planning to mitigate fall risk, leading to multiple falls and injuries.
    • AbuseFailed to provide service
    04 Mar 2024Validation
    Identified widespread deficiencies in resident care planning, health services, safety, coordination, and facility operations. Violations spanned multiple licensing rules and standards.
    • DeficiencyComment
    • DeficiencyFacility Administration: Operation
    • DeficiencyReasonable Precautions
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services: Activities
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication and Treatment Review
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Treatment Administration
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building Exterior
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyCall Sys, Exit Dr Alarm, Phones, Tv, Or Cable
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    02 Mar 2024Abuse: Neglect
    Investigated found that a resident developed multiple skin tears and bruises. Care planning and skin-integrity interventions were not properly implemented.
    • AbuseFailed to properly plan care
    14 Feb 2024Abuse: Neglect
    Found abuse and neglect due to failure to provide a safe environment for a resident who was harmed and exposed to aggression.
    • AbuseFailed to provide safe environment
    03 Feb 2024Abuse: Neglect
    Investigated found a failure to provide a safe environment, with aggression not adequately managed and a resident harmed after wandering into another resident’s room.
    • AbuseFailed to provide safe environment
    03 Feb 2024Abuse: Neglect
    Investigated the complaint and concluded the neglect allegation regarding medication supplies did not hold; identified a deficiency in training on medication administration supplies and assessed a $250 fine.
    • AbuseFailed to provide inservice
    02 Feb 2024Abuse: Neglect
    Investigated fall-risk care planning and found failures to plan and implement interventions, resulting in injuries from multiple falls.
    • AbuseFailed to properly plan care
    27 Jan 2024Abuse: Neglect
    Investigated an allegation of neglect and abuse; found failure to properly plan care to reduce fall risk led to a fall requiring emergency care.
    • AbuseFailed to properly plan care
    14 Jan 2024Abuse: Neglect
    Found neglect and abuse due to failure to address an aggressive resident and provide a safe environment, resulting in injury.
    • AbuseFailed to provide safe environment
    08 Jan 2024Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system, placing a resident at risk of harm due to not following orders.
    • AbuseFailed to provide a safe medication administration system
    01 Jan 2024Abuse: Neglect
    Investigated and found that the care plan was not followed, leading to a resident's fall and skin tear.
    • AbuseFailed to follow care plan
    13 Dec 2023Complaint
    Found deficiencies in posted staffing plans, availability of service plans, awake direct care staffing levels, and use of an acuity-based staffing tool.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Required Postings
    • DeficiencyService Plan: General
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    02 Dec 2023Abuse: Neglect
    Investigated and found that prescribed medications were not given as ordered, risking harm to the resident.
    • AbuseFailed to administer ordered medication
    20 Nov 2023Abuse: Neglect
    Investigated and found neglect and abuse due to failing to answer a resident's call light promptly, resulting in prolonged wait times and risk of discomfort or infection.
    • AbuseFailed to answer call light in a timely manner
    13 Sept 2023Abuse: Neglect
    Investigated a failure to plan and implement fall-risk interventions for a resident, resulting in multiple documented falls and related discomfort.
    • AbuseFailed to properly plan care
    30 Aug 2023Abuse: Neglect
    Found deficiencies in care planning that led to neglect and abuse. The incident involved a fall causing lip injury and inadequate response to care needs.
    • AbuseFailed to properly plan care
    14 Aug 2023Inspection
    Found that the current staffing plan was not posted, violating Oregon Administrative Rules.
    • LicensingFailed to update staffing plan based on ABST
    14 Aug 2023Inspection
    Identified inconsistencies between the resident roster, care plans, and the Acuity-Based Staffing Tool. The ABST was not updated to reflect resident care needs.
    • LicensingFailed to use an ABST
    14 Aug 2023Inspection
    Found inadequate staffing to meet residents' 24-hour care needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    11 Jul 2023Abuse: Neglect
    Found neglect for delaying administration of prescribed pain medication, causing repeated discomfort; a $1500 fine was assessed.
    • AbuseFailed to provide appropriate pain control
    11 Jul 2023Abuse: Neglect
    Identified violations for failing to update the resident's service plan and to assess and treat a hand injury, resulting in unnecessary discomfort and hospital treatment.
    • AbuseFailed to properly plan care
    11 Jul 2023Abuse: Neglect
    Found neglect due to failure to provide required transfers and toileting assistance, resulting in discomfort and loss of dignity for the resident. A $1,500 fine was assessed.
    • AbuseFailed to provide service
    16 Jun 2023License Condition
    Identified failure to use an Acuity Based Staffing Tool as required by the rule. The issue occurred during the action period from mid-June to mid-August 2023.
    • Regulatory ActionFailed to use an ABST
    03 Jun 2023Abuse: Neglect
    Investigated a care-related allegation and found that improper care planning and inadequate staff training contributed to bruising during a transfer, indicating neglect and abuse; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    09 May 2023Licensure
    Found extensive deficiencies in kitchen sanitation and food service operations across multiple visits, with a final determination of substantial compliance on the most recent review.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    29 Apr 2023Abuse: Neglect
    Identified neglect and abuse for failing to plan and implement interventions for a known fall risk, leading to injuries and a delayed hospital transfer; a $1,500 fine was assessed.
    • AbuseFailed to properly plan care
    19 Apr 2023Complaint
    Found deficiencies in quarterly service plan updates, insufficient awake direct care staffing, and incomplete implementation of an acuity-based staffing tool.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyService Plan: General
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    14 Mar 2023Inspection
    Investigated the allegation of failing to follow the care plan and found a licensing violation occurred because resident service plans were not completed quarterly.
    • LicensingFailed to follow care plan
    18 Feb 2023Abuse: Neglect
    Found a failure to provide a safe medication administration system, leading to delayed medication and discomfort for a resident.
    • AbuseFailed to provide a safe medication administration system
    28 Jan 2023Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment that caused a bruise during a clothing change. The alleged use of physical force by staff was not substantiated.
    • AbuseFailed to provide safe environment
    17 Jan 2023Inspection
    Found that direct care staff performance verification for assigned duties was not demonstrated.
    • LicensingFailed to assure resident rights
    11 Jan 2023Abuse: Neglect
    Found neglect and abuse due to failure to address increasing fall risk for an at-risk resident. A $500 fine was assessed.
    • AbuseFailed to properly plan care
    11 Jan 2023Abuse: Neglect
    Investigated allegations of neglect found that inadequate care planning led to falls and injuries, constituting abuse.
    • AbuseFailed to properly plan care
    06 Jan 2023Abuse: Neglect
    Found that a safe medication administration system was not provided, resulting in the unadministered narcotic anxiety medication and patient discomfort.
    • AbuseFailed to provide a safe medication administration system
    02 Jan 2023Abuse: Neglect
    Found failures in care planning and fall prevention that led to a resident fall and injury; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    16 Nov 2022Abuse: Neglect
    Investigated and found a failure to provide a safe environment, resulting in neglect and abuse.
    • AbuseFailed to provide safe environment
    15 Nov 2022Licensure
    Identified deficiencies in kitchen cleanliness and storage practices, and in administration compliance with licensing rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    14 Oct 2022Abuse: Neglect
    Investigated a complaint and found a violation of resident rights due to neglect and abuse when interventions for known behaviors were not in place, leading to a fall and injury with a $250 fine assessed.
    • AbuseFailed to provide safe environment
    11 Oct 2022Abuse: Neglect
    Concluded neglect and abuse due to failure to properly plan care and implement safety interventions, resulting in a fall and injury.
    • AbuseFailed to properly plan care
    20 Sept 2022Abuse: Neglect
    Found a failure to provide a safe environment that constitutes abuse and neglect. A $188 fine was assessed.
    • AbuseFailed to provide safe environment
    12 Sept 2022Abuse: Neglect
    Investigated and found a failure to provide a safe environment that led to an unwitnessed fall and injuries.
    • AbuseFailed to provide safe environment
    12 Sept 2022Abuse: Neglect
    Investigated a complaint of neglect related to care planning after bruising was observed; found failure to properly plan care in response to continued bruising, constituting neglect and abuse.
    • AbuseFailed to properly plan care
    22 Aug 2022Inspection
    Investigated the allegation of financial exploitation of a resident; found that approximately $20,000 was taken from the resident's account by another person, constituting financial abuse.
    • LicensingFailed to protect resident from financial exploitation
    30 Jun 2022Inspection
    Found failure to follow masking requirements to control the spread of COVID-19, a Level 2 violation (minor harm or potential for moderate harm).
    • LicensingFailed to provide infection control
    25 Sept 2021Abuse: Neglect
    Investigated and found violations of safety and resident rights due to inadequate behavior management and failure to provide a safe environment. The findings documented that a resident with known behaviors caused harm to another resident.
    • AbuseFailed to provide safe environment
    02 Aug 2021Abuse: Neglect
    Identified a failure to provide a safe environment that placed a resident at risk for harm, constituting abuse and neglect; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    28 Jul 2021Abuse: Neglect
    Found neglect for failing to provide a safe environment, after a resident wandered into another resident's room and was struck, causing head discoloration; a $250 fine was assessed.
    • AbuseFailed to provide safe environment
    19 Jul 2021Abuse: Neglect
    Found neglect due to failure to provide a safe environment after two falls, resulting in a $375 fine.
    • AbuseFailed to provide safe environment
    18 Jul 2021Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment. This resulted in harm to a resident.
    • AbuseFailed to provide safe environment
    06 Jun 2021Abuse: Neglect
    Investigated a fall-related neglect allegation and found supervision and staff support inadequate for known fall risks, resulting in an injury requiring hospital care.
    • AbuseFailed to provide safe environment
    22 May 2021Abuse: Neglect
    Investigated and found that staff failed to follow the resident’s care plan and respond to changing health conditions, leading to dehydration and death.
    • AbuseFailed to provide service
    22 May 2021Abuse: Neglect
    Investigated and found the care plan wasn't followed, leading to loss of personal dignity and abuse.
    • AbuseFailed to follow care plan
    13 May 2021Abuse: Neglect
    Found neglect and abuse due to inadequate supervision of known behaviors, including an incident where a resident was pushed. A fine of $188 was assessed.
    • AbuseFailed to provide safe environment
    14 Jan 2021Abuse: Neglect
    Investigated and found neglect due to failure to plan transfers, with a fine assessed.
    • AbuseFailed to properly plan care
    07 Jan 2021Abuse: Neglect
    Found a care plan violation led to a resident fall and injury when a bed alarm wasn't connected, constituting neglect and abuse.
    • AbuseFailed to follow care plan
    15 Oct 2020Inspection
    Found that a provider failed to protect a resident from financial exploitation. A staff member took a resident's birdfeeder home without authorization after it was placed in storage.
    • LicensingFailed to protect resident from financial exploitation
    01 Sept 2020Abuse: Neglect
    Found violations for neglect related to bathing assistance and resident rights; a $500 fine was assessed.
    • AbuseFailed to provide or assist with hygiene
    26 Aug 2020Abuse: Neglect
    Investigated a complaint about fall injuries; found that care planning to mitigate fall risk was not implemented, resulting in abuse and neglect with a $1,500 fine assessed.
    • AbuseFailed to properly plan care
    09 Aug 2020Abuse: Neglect
    Investigated and found that a resident experienced inappropriate sexual contact and the provider failed to address the behavior with care planning and interventions, constituting abuse and neglect.
    • AbuseFailed to protect resident from inappropriate sexual contact
    09 Jun 2020Inspection
    Investigated an allegation that a perimeter fence did not reduce elopement risk; found the fencing did not meet safety requirements.
    • LicensingFailed to provide safe environment
    20 May 2020Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system, which led to hospital admission and death.
    • AbuseFailed to provide a safe medication administration system
    04 May 2020Abuse: Neglect
    Investigated a known fall risk resident's care. Found failure to plan and implement interventions to mitigate fall risk, leading to multiple self-transfer falls.
    • AbuseFailed to properly plan care
    06 Feb 2020Abuse: Neglect
    Determined that a contracted worker failed to ensure a qualified caregiver was present, resulting in neglect and abuse of a resident.
    • AbuseFailed to provide safe environment
    16 Jan 2020Abuse: Neglect
    Investigated and found that care planning and interventions for a resident with a known history of falls were inadequate, leading to abuse/neglect findings.
    • AbuseFailed to properly plan care
    12 Dec 2019Abuse: Neglect
    Concluded that the allegation of neglect due to failure to properly plan care was proven, with inadequate interventions to mitigate fall risk identified. A $375 fine was assessed.
    • AbuseFailed to properly plan care
    12 Nov 2019Abuse: Neglect
    Identified a failure to provide a safe environment, with a resident wandering into other residents' rooms and pushing a peer, leading to a fall and repeat altercations.
    • AbuseFailed to provide safe environment
    12 Oct 2019Abuse: Neglect
    Investigated a medication-management issue and found neglect that resulted in severe pain for a resident. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Oct 2019Inspection
    Investigated the allegation of failing to report suspected abuse; findings substantiated and a fine assessed.
    • LicensingFailed to report potential or suspected abuse
    29 Sept 2019Abuse: Neglect
    Investigated the allegation and found a failure to provide a safe environment, resulting in injuries from a fall.
    • AbuseFailed to provide safe environment
    27 Sept 2019Abuse: Neglect
    Concluded neglect occurred, resulting in a resident fall with injury due to failure to properly plan care and maintain safety.
    • AbuseFailed to properly plan care
    09 Sept 2019Abuse: Neglect
    Investigated an allegation of neglect and determined inadequate supervision led to a resident falling and hitting his head; a fine was assessed.
    • AbuseFailed to follow care plan
    08 Sept 2019Abuse: Neglect
    Found neglect due to a failure to provide basic care and supervision to keep a resident safe from falls.
    • AbuseFailed to adequately care plan related to falls
    23 Aug 2019Abuse: Neglect
    Investigated a complaint of neglect related to falls; found that the resident did not receive adequate basic care and supervision, resulting in a fall from a wheelchair and a skin tear.
    • AbuseFailed to adequately care plan related to falls
    17 Aug 2019Abuse: Neglect
    Found neglect due to inadequate supervision that led to a resident falling and being found on the bathroom floor. A $375 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    12 Aug 2019Abuse: Neglect
    Investigated allegations concluded that staff were physically abusive toward a resident and failed to develop a care plan for handling aggression, constituting abuse and neglect. The incident involved a resident who became combative and sustained bruises.
    • AbuseFailed to properly plan care
    09 Aug 2019Abuse: Neglect
    Determined that care plans were not followed, resulting in a fall and skin tear.
    • AbuseFailed to provide safe environment
    05 Aug 2019Abuse: Neglect
    Found a failure to provide a safe environment and to follow the care plan, resulting in a resident's fall and injury.
    • AbuseFailed to provide safe environment
    02 Aug 2019Abuse: Neglect
    Investigated the allegation of neglect and abuse; found that not following the care plan and fall-prevention interventions led to a fall with a hip fracture, and a $2,500 fine was assessed.
    • AbuseFailed to properly plan care
    21 Jul 2019Abuse: Neglect
    Found substantiated neglect due to failure to provide basic care and supervision, resulting in a resident fall and injury. A $1125 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    17 Jul 2019Abuse: Neglect
    Found neglect that led to a resident's fall and hospital visit; a fine was assessed.
    • AbuseFailed to follow care plan
    13 Jul 2019Abuse: Neglect
    Investigated the allegation of neglect related to falls and found inadequate basic care resulting in a resident falling and hitting their head.
    • AbuseFailed to adequately care plan related to falls
    11 Jul 2019Abuse: Neglect
    Found neglect and abuse due to failing to maintain a tab alarm and to care plan for a resident with a history of turning off the alarm. The resident fell causing pain.
    • AbuseFailed to provide safe environment
    08 Jul 2019Abuse: Neglect
    Investigated an allegation of neglect and abuse for not following a resident's care plan, which placed the resident at risk after sliding from a wheelchair.
    • AbuseFailed to follow care plan
    20 Jun 2019Abuse: Neglect
    Investigated and found failure to follow the care plan led to a fall and related neglect/abuse; a fine was assessed.
    • AbuseFailed to follow care plan
    13 Jun 2019Abuse: Neglect
    Found neglect due to failure to provide basic care, resulting in a resident leaving a walker in another room and then falling.
    • AbuseFailed to adequately care plan related to falls
    13 Jun 2019Abuse: Neglect
    Found neglect due to failure to keep an individual safe from injury, resulting in a skin tear; a $375 fine was assessed.
    • AbuseFailed to properly plan care
    12 Jun 2019Abuse: Neglect
    Investigated a complaint and found neglect of care and abuse due to not following a resident’s care plan, resulting in a fall and skin injuries; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    11 Jun 2019Inspection
    Found that the resident's high fall risk care plan was not followed, resulting in a fall and injuries.
    • LicensingFailed to provide safe environment
    06 Jun 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care and peri- and catheter-care were not provided, resulting in harm including skin breakdown, catheter issues, genital swelling, pressure ulcers, unkempt hygiene, and hospitalization.
    • AbuseFailed to provide service
    05 Jun 2019Inspection
    Investigated and found that a staff member attempted a solo transfer, causing injuries. The care plan was not followed, with neglect and abuse identified.
    • LicensingFailed to provide safe environment
    02 Jun 2019Abuse: Neglect
    Found a neglect deficiency for failing to provide a safe environment and assessed a fine.
    • AbuseFailed to provide safe environment
    31 May 2019Abuse: Neglect
    Determined neglect occurred by failing to provide basic care and supervision, resulting in a resident fall.
    • AbuseFailed to follow care plan
    14 May 2019Abuse: Neglect
    Investigated an allegation of neglect and found that basic care and supervision were not provided, resulting in a fall with injuries.
    • AbuseFailed to follow care plan
    12 May 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care and supervision weren't provided, resulting in a resident fall and abrasion.
    • AbuseFailed to provide safe environment
    11 May 2019Inspection
    Determined a safety violation for failing to provide basic care and supervision, resulting in AV eloping from the building.
    • LicensingFailed to provide safe environment
    10 May 2019Abuse: Neglect
    Investigated a neglect allegation and found failure to adequately care for falls. The resulting resident fall caused a skin tear and bruising, and a $1125 fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    09 May 2019Abuse: Neglect
    Found neglect due to inadequate supervision that allowed a resident to be hit in the face.
    • AbuseFailed to provide safe environment
    01 May 2019Abuse: Neglect
    Investigated an allegation of neglect and found that supervision failed, resulting in a resident falling and creating a risk of serious harm. A $375 fine was assessed.
    • AbuseFailed to follow care plan
    30 Apr 2019Abuse: Neglect
    Investigated the allegation of neglect and found failures in basic care, services, and supervision that led to a resident's ER visit with a left foot fracture; a fine was assessed.
    • AbuseFailed to intervene when resident's condition changed
    22 Apr 2019Abuse: Neglect
    Found neglect due to inadequate supervision during a 4/22/2019 visit, resulting in a resident being forcibly squeezed. A $1,125 fine was assessed.
    • AbuseFailed to protect resident from rough treatment
    17 Apr 2019Condition
    Investigated and found a failure to protect a resident from inappropriate sexual contact and failure to maintain substantial compliance.
    • Regulatory ActionFailed to protect resident from inappropriate sexual contact
    14 Apr 2019Inspection
    Investigated and found a failure to report suspected abuse. A $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    14 Apr 2019Abuse: Neglect
    Determined neglect occurred due to failure to provide basic care, resulting in a resident falling and bruising. Assessed a $1000 fine.
    • AbuseFailed to intervene when resident's condition changed
    14 Apr 2019Abuse: Neglect
    Investigated and found that a resident was not protected from sexually abuse, resulting in a $2,500 fine.
    • AbuseFailed to protect resident from inappropriate sexual contact
    14 Apr 2019Abuse: Neglect
    Investigated the complaint and found neglect-related failures resulting in medical conditions not treated as ordered; a $500 fine was assessed.
    • AbuseFailed to provide service
    14 Apr 2019Inspection
    Investigated a complaint alleging failure to report suspected abuse and found the allegation true; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    27 Mar 2019Abuse: Neglect
    Investigated an allegation of neglect and determined that basic care and supervision were not provided, resulting in injury. A $2,500 fine was assessed.
    • AbuseFailed to follow care plan
    17 Mar 2019Inspection
    Found that suspected abuse was not reported. A $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    17 Mar 2019Abuse: Neglect
    Found neglect related to medication administration that caused increased anxiety and pain. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    18 Feb 2019Abuse: Neglect
    Investigated an allegation of neglect and found a basic-care deficiency that led to a resident falling and bruising; a $500 fine was assessed.
    • AbuseFailed to properly plan care
    18 Feb 2019Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    01 Dec 2018Inspection
    Found a failure to provide a safe environment that could harm residents. This involved neglecting health and safety, which led to an incident.
    • LicensingFailed to provide safe environment
    30 Nov 2018Abuse: Neglect
    Investigated and found neglect of a resident, resulting in minor harm or potential for moderate harm.
    • AbuseFailed to properly plan care
    20 Nov 2018Abuse: Neglect
    Found neglect resulting in minor harm or potential for moderate harm; assessed a $375 fine.
    • AbuseFailed to properly plan care
    16 Nov 2018Abuse: Neglect
    Determined neglect for failing to maintain the health and safety of the recipient, resulting in an incident. A fine was assessed.
    • AbuseFailed to follow care plan
    06 Nov 2018Inspection
    Investigated and found a failure to provide a safe medication administration system. A narcotic medication schedule and urinalysis indicated medication was not administered as prescribed.
    • LicensingFailed to provide a safe medication administration system
    22 Aug 2018Inspection
    Investigated a failure to report suspected abuse; a $750 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    22 Aug 2018Abuse: Neglect
    Investigated a neglect allegation and found that a resident did not receive basic care or adequate fall-related planning, putting them at significant risk; a fine was assessed.
    • AbuseFailed to adequately care plan related to falls
    18 Aug 2018Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    18 Aug 2018Abuse: Neglect
    Investigated a report of abuse/neglect and found violations involving neglect leading to inappropriate sexual contact; a $2,500 fine was assessed.
    • AbuseFailed to protect resident from inappropriate sexual contact
    18 Aug 2018Abuse: Neglect
    Found neglect due to failing to intervene when the resident's condition changed, resulting in the resident not being treated for a UTI; a $1500.00 fine assessed.
    • AbuseFailed to intervene when resident's condition changed
    18 Aug 2018Inspection
    Identified a violation for failing to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    18 Aug 2018Inspection
    Investigated and found that suspected abuse was not reported; a $750 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    18 Aug 2018Abuse: Neglect
    Found neglect of a resident that led to inappropriate sexual contact by another resident.
    • AbuseFailed to protect resident from inappropriate sexual contact
    16 Aug 2018Inspection
    Found failure to report suspected abuse; a $1,000 fine was assessed.
    • LicensingFailed to report potential or suspected abuse
    16 Aug 2018Abuse: Neglect
    Investigated and concluded neglect led to inappropriate sexual contact with a resident due to failure to maintain health and safety.
    • AbuseFailed to protect resident from inappropriate sexual contact
    16 Aug 2018Inspection
    Cited a failure to report suspected abuse and imposed a $750 fine.
    • LicensingFailed to report potential or suspected abuse
    16 Aug 2018Abuse: Neglect
    Determined neglect led to inappropriate sexual contact involving a resident, and a $2,500 fine was assessed.
    • AbuseFailed to protect resident from inappropriate sexual contact
    15 Aug 2018Abuse: Neglect
    Found neglect in supervision that placed a resident at risk of harm. Violations were cited under several Oregon Administrative Rules.
    • AbuseFailed to protect resident from inappropriate sexual contact
    11 May 2018Abuse: Neglect
    Found that residents were not protected from a resident-to-resident altercation, resulting in bruising and neck grabbing; a fine was assessed.
    • AbuseFailed to properly plan care
    29 Jan 2018Abuse: Neglect
    Investigated and found a failure to maintain a safe environment, resulting in a head injury during an altercation between residents.
    • AbuseFailed to provide safe environment
    21 Jan 2018Inspection
    Found a deficiency for failing to prevent a resident-to-resident altercation.
    • LicensingFailed to assure resident was safe
    18 Oct 2017Inspection
    Investigated and identified a deficiency for failing to provide a safe environment, which led to a resident-to-resident altercation due to not assessing care needs.
    • LicensingFailed to provide safe environment
    11 Oct 2017Abuse: Neglect
    Investigated an allegation of neglect for failing to oversee and monitor a change in condition; harm concerns were noted and a $300 fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    29 Jul 2017Abuse: Sexual abuse
    Found a failure to protect a resident from inappropriate sexual contact.
    • AbuseFailed to protect resident from inappropriate sexual contact
    10 Jul 2017Inspection
    Concluded that there was a failure to provide a safe environment, resulting in elopement.
    • LicensingFailed to provide safe environment
    07 Jun 2017Abuse: Neglect
    Investigated the allegation and found that the care plan was not followed, resulting in a resident-to-resident altercation; a $250 fine was assessed.
    • AbuseFailed to provide safe environment
    28 Mar 2017Abuse: Neglect
    Investigated and determined that abuse/neglect occurred due to failure to provide a safe environment, resulting in a resident-to-resident physical altercation with injuries.
    • AbuseFailed to provide safe environment
    16 Mar 2017Inspection
    Investigated a licensing matter and found failure to provide a safe environment, resulting in a resident-to-resident altercation.
    • LicensingFailed to provide safe environment
    13 Nov 2016Inspection
    Identified a deficient medication administration system that led to a resident running out of prescription medications.
    • LicensingFailed to provide a safe medication administration system
    30 Jun 2016Inspection
    Investigated the allegation and found inadequate assessment of care needs that led to involuntary seclusion.
    • LicensingFailed to perform adequate screening or assessment
    30 Jun 2016Inspection
    Investigated a failure to reassess care needs and provide proper level of care. Found deficiencies in screening or assessment.
    • LicensingFailed to perform adequate screening or assessment
    21 May 2015Inspection
    Found noncompliance with a final order, including a restriction of admissions for diabetic care residents and required posting of an ROA poster at all entrances and exits; a $200 fine was assessed.
    • LicensingFailed to comply with a final order
    18 Apr 2015Abuse: Financial abuse
    Investigated and found a safety failure that allowed a resident's belongings to be stolen.
    • AbuseFailed to provide safe environment
    25 Mar 2015Abuse: Neglect
    Investigated an allegation of neglect and concluded with substantiated findings that administrative oversight impacted residents' quality of care.
    • AbuseFailed to provide a safe medication administration system
    18 Jan 2015Abuse: Neglect
    Found a deficient medication administration system that posed a risk of moderate to serious harm. The finding was substantiated.
    • AbuseFailed to provide a safe medication administration system
    09 Aug 2014Inspection
    Investigated the allegation of an unsafe environment and found a failure to provide a secure environment.
    • LicensingFailed to provide safe environment
    01 Jan 2014Abuse: Neglect
    Found that the provider failed to provide appropriate care, substantiating the neglect allegation.
    • AbuseFailed to provide service
    30 Nov 2013Abuse: Neglect
    Found failure to provide a safe environment, leading to a $300 fine.
    • AbuseFailed to provide safe environment
    31 Jul 2013Abuse: Neglect
    Investigated an allegation of neglect and found failures to provide a safe environment for residents.
    • AbuseFailed to provide safe environment
    16 Jul 2013Abuse: Neglect
    Found a failure to provide a safe environment for a resident.
    • AbuseFailed to provide safe environment
    16 Jul 2013Abuse: Neglect
    Investigated the neglect allegation and found a deficiency relating to resident safety.
    • AbuseFailed to address resident's behavior
    20 Jun 2013Inspection
    Investigated the allegation and found the resident did not receive proper care, including dressing or grooming assistance.
    • LicensingFailed to assist with dressing or grooming
    29 May 2013Abuse: Neglect
    Investigated an allegation of neglect related to failing to provide oversight and monitoring of a change in condition and sustained the allegation. A $300 fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    24 May 2013Abuse: Physical Abuse
    Found that resident rights were not assured and the environment was unsafe, with a substantiated abuse allegation.
    • AbuseFailed to assure resident rights
    11 May 2013Abuse: Neglect
    Investigated an allegation of neglect related to falls; found a failure to provide a safe environment and assessed a $300 fine.
    • AbuseFailed to adequately care plan related to falls
    08 Mar 2013Abuse: Neglect
    Determined neglect due to failure to provide oversight and monitoring of change of condition; a fine was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    04 Nov 2012Abuse: Neglect
    Investigated the allegation of failing to provide a safe environment and found a violation.
    • AbuseFailed to provide safe environment
    19 Mar 2012Abuse: Neglect
    Found improper care provided to residents and failure to provide medical treatment as ordered.
    • AbuseFailed to provide medical treatment as ordered
    25 Aug 2011Abuse: Neglect
    Investigated and found failure to provide proper care to a resident.
    • AbuseFailed to provide service
    11 Jul 2011Inspection
    Found a violation for failing to obtain a medical order and for not following doctor's orders about medication administration.
    • LicensingFailed to obtain medical order
    11 Jul 2011Abuse: Financial abuse
    Investigated the complaint and found a failure to provide a secure environment.
    • AbuseFailed to provide safe environment
    22 Jun 2011Abuse: Neglect
    Investigated an allegation of failing to follow the care plan and found a failure to provide a safe environment.
    • AbuseFailed to follow care plan

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