Pricing ranges from
    $6,836 – 8,886/month

    Prestige Senior Living Orchard Heights

    695 Orchard Heights Rd NW, Salem, OR 97304
    • Assisted Living
    • Memory Care

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Tour Type

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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
    • Respite program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Located close to restaurants
    • Located close to shopping centers
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Pet friendly
    • Religious/meditation center
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.71·(66)

    Overall rating

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

      3.6
    • Staff

      3.7
    • Meals

      3.9
    • Amenities

      3.5
    • Value

      2.6

    Pros

    • Compassionate and attentive direct-care staff
    • Warm, family-like community atmosphere
    • Wide variety of daily activities and social clubs
    • Optional excursions and on-site transportation
    • Chef-prepared meals with menu options
    • Weekly apartment housekeeping
    • On-site laundry service
    • Pet-friendly policies with dog-walking assistance
    • Spacious apartment layouts and multiple floor-plan options
    • Scenic location and attractive views
    • Bright, renovated common areas and dining room
    • Memory-care neighborhood and memory center availability
    • Non-pushy, informative admissions and tour staff
    • On-site salon/hairdresser
    • Accessible courtyards and outdoor spaces
    • Regular social events and live music

    Cons

    • Inconsistent meal quality and limited special-diet accommodations
    • Medication-management and after-hours clinical response gaps
    • Communication and responsiveness gaps from management
    • High staff turnover and insufficient staffing levels
    • Cleanliness and sanitation inconsistencies in some areas
    • Maintenance and repair delays
    • Billing and service-delivery discrepancies and asset-tracking weaknesses
    • Variability in memory-care programming and environment
    • Gaps in resident safety oversight for mobility and bathing assistance
    • Limited acceptance of Medicaid
    • Unreliable in-room Wi‑Fi availability
    • Inconsistent admissions follow-through and expectation setting

    Summary of reviews

    Overall impression: Reviews of Prestige Senior Living Orchard Heights are notably mixed. Many families and residents praise the on-the-ground caregiving team, the social life, and the facility’s location and appearance; concurrently a recurring set of operational weaknesses appears across reviews, producing polarized experiences. Prospective residents and families will find clear strengths in the community aspects and physical environment, but should also verify clinical, dietary and administrative practices before committing.

    Care and staff: Numerous accounts describe compassionate, attentive direct-care staff who know residents personally and create a warm, family-like atmosphere. Reviewers frequently cite helpful caregivers, memorable staff interactions, and strong end-of-life or hospice support in individual cases. At the same time, there is a consistent pattern of staffing challenges: high turnover, periods of understaffing, and variable supervisory presence. These staffing patterns correlate with reports of delayed responses to clinical needs, medication-management problems, and inconsistent follow-up after incidents. Families should ask about current staffing ratios, on-site nursing coverage (including after-hours arrangements), and formal medication-administration protocols.

    Dining and nutrition: Dining is a divisive area. Many reviewers praise chef-prepared meals, attractive restaurant-style dining, and menu variety. Other reviewers describe inconsistent food quality and express that special-diet accommodations (for example, low-sodium or other therapeutic diets) are not always reliably implemented. Some accounts mention canned or substandard meals during specific periods. Prospective residents should request current sample menus, inquire about dietitian oversight and processes for individualized meal plans, and confirm how dietary changes are handled.

    Activities and memory care: The community offers a broad range of daily activities, clubs, social events, live music, and transportation for outings; these features are often highlighted as strengths that foster belonging. Memory-care resources exist on-site and a memory center is available, but reviewers indicate variability in programming quality and environment—some describe limited or less-inviting memory-care spaces. Families with memory-care needs should assess the specific activity calendar, staffing levels in the memory neighborhood, and the physical environment in person.

    Facilities and maintenance: Many reviewers appreciate the scenic West Salem location, spacious apartment choices, renovated common areas, and accessible outdoor spaces. At the same time, recurring maintenance and housekeeping lapses are noted—examples include delayed repairs and inconsistent cleanliness in certain areas. There are occasional comments about exterior upkeep and individual unit maintenance delays. Confirm expectations for turnaround times on repairs, housekeeping scope and frequency, and pest-control or exterior maintenance schedules.

    Management and administration: Admissions and tour staff receive frequent praise for a non-pushy, informative approach. However, several reviewers cite leadership instability, communication and responsiveness gaps from management, and unfulfilled administrative commitments. Financial and operational concerns also appear: billing or service-delivery discrepancies, lost or unreturned equipment, and expectations not matching follow-through in a subset of cases. These patterns suggest the need to review contractual terms carefully, obtain written confirmation of included services, and ask how the facility handles disputes or lost property.

    Notable patterns and takeaways: The overall pattern is one of strong person-to-person caregiving and a community-oriented culture combined with variable operational reliability. Positive experiences are often tied to dedicated frontline staff and recent facility improvements; negative experiences most commonly relate to staffing instability, communication breakdowns, dietary and medication-management inconsistencies, cleanliness or maintenance lapses, and uneven memory-care offerings. Several reviewers noted improvements over time when leadership and kitchen staffing were stabilized, indicating that conditions can change.

    Actionable checks for families: During a visit, verify nurse and after-hours clinical coverage, ask for documented dietary accommodation processes, observe cleanliness and maintenance responsiveness, review the activity calendar and memory-care schedule, confirm in-writing what services are included in fees, and inquire about current staff turnover rates and management tenure. These targeted checks will help determine whether the facility’s strengths align with a prospective resident’s needs and whether operational risks are adequately managed.

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    Location

    Prestige Senior Living Orchard Heights is located at 695 Orchard Heights Rd NW, Salem, OR, 97304.

    About Prestige Senior Living Orchard Heights

    Prestige Senior Living Orchard Heights offers a vibrant and supportive environment in Salem, Oregon, dedicated to enriching the lives of its residents through a blend of comfort, community, and exceptional care. The community is designed for individuals seeking an active and fulfilling senior lifestyle without the burdens of home maintenance, allowing them to enjoy all the amenities of home while focusing on what truly matters most to them. Residents are welcomed into a friendly, family-like atmosphere where camaraderie flourishes, and each day presents new opportunities for engagement, wellness, and relaxation.

    The cornerstone of life at Prestige Senior Living Orchard Heights is its industry-leading approach to wellness, epitomized by the innovative Celebrations program. This wellness initiative is rooted in six distinct categories that nurture the mind, body, and spirit, granting residents the freedom and choices to celebrate life every day. Through a diverse range of exhilarating activities and a full calendar of enriching events, residents are encouraged to explore new horizons, maintain a healthy lifestyle, and achieve personal fulfillment. The programming is thoughtfully designed to support an optimum level of health and wellness, acknowledging that every individual’s journey in aging is unique.

    Prestige Senior Living Orchard Heights is also renowned for its award-winning Expressions Memory Care program. This unique approach to dementia and Alzheimer’s care incorporates innovative techniques and life enrichment programming specifically tailored for those living with cognitive impairments. Expressions transforms everyday activities into meaningful experiences, providing an outlet for creativity through arts, learning, and spirituality, and embraces the philosophy that “Life is an Activity.” Memory care residents are supported in an environment where dignity, respect, and engagement are paramount, ensuring they remain productive, active, and connected with their sense of self.

    The amenities at Prestige Senior Living Orchard Heights are designed to deliver a first-class experience. Residents have access to thoughtfully designed private and communal spaces, including a library, private dining room, sitting areas, a theater, and a beautifully maintained courtyard. There are always fresh and exciting events curated by the dedicated team, ensuring that there is never a dull moment for anyone in the community. Residents can choose from a variety of comfortable floorplans, allowing them to select the home that best suits their needs and preferences.

    Overall, Prestige Senior Living Orchard Heights stands out as a place where residents can truly thrive, supported by unparalleled care, a warm and active community, and a host of opportunities to live life to its fullest. With a passionate team always striving to enrich residents' lives and a comprehensive wellness philosophy, it is a community where seniors can enjoy their years with joy, dignity, and meaning.

    About Prestige Care

    Prestige Senior Living Orchard Heights is managed by Prestige Care.

    Founded in 1985 but tracing its roots to 1946, Prestige Care began with Sarah Delamarter, a nursing pioneer who started caring for seniors in her Troutdale, Oregon home. What began as a compassionate effort to support her family evolved into a multi-generational legacy when her grandsons Harold and Dr. Rick Delamarter, along with business partner Greg Vislocky, expanded the business throughout the western United States. Today, this family-owned company remains headquartered in Vancouver, Washington, maintaining Sarah's original spirit of personalized, compassionate care. Prestige Care operates over 75 communities across seven western states including Oregon, Washington, California, Arizona, Nevada, Idaho, and Montana.

    People often ask...

    Prestige Senior Living Orchard Heights offers competitive pricing, with rates starting at a cost of $6,836 per month.

    Prestige Senior Living Orchard Heights offers assisted living and memory care.

    There are 34 photos of Prestige Senior Living Orchard Heights on Mirador.

    The full address for this community is 695 Orchard Heights Rd NW, Salem, OR 97304.

    No, Prestige Senior Living Orchard Heights 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 number50R297
    StatusActive
    Facility typeResidential Care Facility
    Capacity18 residents
    LicenseeCHP Salem-Orchard Heights OR Tenant Corp.
    EffectiveMay 9th, 2002
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    142

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    16

    Years

    17 Sept 2026Kitchen
    Identified significant sanitation deficiencies in kitchen and memory care kitchenette and noted administration compliance issues.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    17 Sept 2026Kitchen
    Identified deficiencies in kitchen sanitation and equipment maintenance. Findings included dirty surfaces and debris on multiple appliances, rusted walk-in cooler racks with peeling coating, damaged seals, plumbing issues affecting back flow, and a cook not wearing facial hair restraints.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    30 Mar 2026Inspection
    Investigated a resident’s financial exploitation allegation and found a failure to protect the resident from exploitation, including medication misuse.
    • Licensing—Failed to protect resident from financial exploitation
    14 Mar 2026Inspection
    Concluded that a record-keeping deficiency existed due to failure to determine and document required actions when a resident experiences a short-term change of condition.
    • Licensing—Failed to keep resident record current or accurate
    14 Mar 2026Abuse: Neglect
    Investigated a neglect allegation and found failures to provide appropriate services, including care planning and interventions. This created a risk of harm to the resident.
    • Abuse—Failed to provide service
    11 Feb 2026Inspection
    Found failure to update and review ABST evaluations for each resident quarterly.
    • Licensing—Failed to use an ABST
    11 Feb 2026Abuse: Neglect
    Found neglect for failing to follow a care plan, which led to a resident injury from a fall; a fine was assessed.
    • Abuse—Failed to follow care plan
    03 Sept 2025Inspection
    Investigated an allegation of rough handling of a resident; found the actions violated resident rights and constituted abuse and neglect.
    • Licensing—Failed to protect resident from physical abuse
    03 Sept 2025Abuse: Neglect
    Cited neglect and abuse due to rough handling of a resident, and assessed a $375 fine.
    • Abuse—Failed to protect resident from physical abuse
    03 Sept 2025Abuse: Neglect
    Investigated and found that a staff member verbally abused a resident and failed to protect the resident from verbal abuse, constituting neglect and abuse.
    • Abuse—Failed to protect resident from verbal abuse
    29 Aug 2025Abuse: Neglect
    Investigated found neglect for failing to ensure timely medical treatment after falls, leading to a left knee fracture.
    • Abuse—Failed to assure timely medical treatment
    29 Aug 2025Abuse: Neglect
    Found that care planned for mobility support wasn't followed, resulting in a resident fall and pain.
    • Abuse—Failed to follow care plan
    22 Aug 2025Abuse: Neglect
    Found neglect and physical abuse related to rough care, with a fine assessed.
    • Abuse—Failed to protect resident from physical abuse
    19 Aug 2025Abuse: Neglect
    Investigated and found neglect due to failure to properly plan care to mitigate fall risk, which led to multiple injuries.
    • Abuse—Failed to properly plan care
    24 Jun 2025Licensure
    Identified multiple deficiencies across abuse reporting, resident activities, changes of condition monitoring, infection control, fire safety, resident privacy, door locks, call systems, administration, and staff training.
    • Deficiency—Reporting & Investigating Abuse-Other Action
    • Deficiency—Resident Services: Activities
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Infection Prevention & Control
    • Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training for Residents
    • Deficiency—Doors, Walls, Elevators, Odors
    • Deficiency—Call Sys, Exit Dr Alarm, Phones, TV, or Cable
    • Deficiency—Individual Privacy: Own Unit
    • Deficiency—Individual Door Locks: Key Access
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Compliance with Rules Health Care
    02 May 2025Kitchen
    Identified sanitation and safety deficiencies in the kitchen, including cleanliness issues, improper equipment setup, lack of sanitization materials, and staff knowledge gaps.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    02 May 2025Kitchen
    Found deficiencies in food sanitation and administration compliance, including extensive kitchen sanitation issues and failure to follow licensing rules.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    25 Apr 2025Abuse: Neglect
    Determined that care planning failed to address personal care needs, resulting in neglect when showers were refused and the resident was not kept clean.
    • Abuse—Failed to properly plan care
    12 Jan 2025Inspection
    Investigated and determined that a staff member engaged in sexual abuse with a resident and the resident was not protected from abuse.
    • Licensing—Failed to protect resident from inappropriate sexual contact
    15 Feb 2024Licensure
    Identified sanitation and equipment deficiencies in the kitchen during the initial visit; follow-up found substantial compliance with meals and food sanitation rules.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    15 Feb 2024Licensure
    Identified extensive deficiencies in kitchen sanitation and administration during the initial assessment; a follow-up found substantial compliance with applicable rules.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    15 Dec 2023Inspection
    Found that care plans were not followed, resulting in a skin tear and indicating neglect and abuse.
    • Licensing—Failed to follow care plan
    22 Sept 2023Abuse: Neglect
    Investigated an allegation of medication mismanagement and financial exploitation; found failures to prevent theft and protect the resident from exploitation. The issues included inadequate narcotic color verification, insufficient two-person narcotic audits, and unsafe medication practices that allowed exploitation.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    06 Sept 2023License Condition
    Identified a deficiency for not using an acuity-based staffing tool to accurately reflect the time needed to care for residents.
    • Regulatory Action—Failed to use an ABST
    31 Jul 2023Validation
    Identified numerous deficiencies in resident move-in evaluations, care planning, condition monitoring, health services, staffing and training, and safety practices.
    • Deficiency—Comment
    • 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—Systems: Treatment Orders
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—Staffing Requirements and Training – Pre-Serv
    • Deficiency—Training Within 30 Days: Direct Care Staff
    • Deficiency—Annual and Biennial Inservice For All Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—General Building Interior
    25 May 2023Abuse: Neglect
    Investigated a neglect allegation and found multiple falls with inadequate interventions, culminating in a hip fracture after a later fall.
    • Abuse—Failed to properly plan care
    14 Apr 2023Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system, contributing to hospitalization after an approximately eighteen-day discontinuation of mental health medication. A $500 fine was assessed.
    • Abuse—Failed to administer medication as ordered
    17 Mar 2023Abuse: Neglect
    Found neglect and abuse due to failure to properly plan care for falls, resulting in approximately eleven falls and related injuries.
    • Abuse—Failed to properly plan care
    14 Feb 2023License Condition
    Found insufficient direct care staff to meet residents' scheduled and unscheduled needs, with a delayed response to a call button.
    • Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
    14 Feb 2023License Condition
    Investigated the allegation that staffing did not align with ABST and found failure to implement and update ABST in accordance with OAR 411-054-0037.
    • Regulatory Action—Failed to staff as indicated by ABST
    24 Jan 2023Abuse: Neglect
    Investigated an allegation of neglect and found that care planning and interventions were insufficient, contributing to multiple falls and injuries for a known high-risk resident.
    • Abuse—Failed to provide service
    13 Dec 2022Complaint
    Investigated and found deficiencies in infection prevention and control, staffing adequacy, Acuity-Based Staffing Tool implementation, and pest control.
    • Deficiency—Licensing Complaint Investigation
    • Deficiency—Infection Prevention & Control
    • Deficiency—Staffing Requirements and Training: Staffing
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—General Building Exterior
    07 Dec 2022Licensure
    Identified widespread sanitation deficiencies in the kitchen during the initial visit; follow-up found substantial compliance with required food sanitation standards.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    07 Dec 2022Licensure
    Identified deficiencies in kitchen sanitation and improper holding temperatures for foods.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    12 Nov 2022Abuse: Neglect
    Found neglect of care due to failure to provide appropriate services, resulting in multiple falls and an injury; a fine was assessed.
    • Abuse—Failed to provide service
    09 Nov 2022Inspection
    Investigated the pest-control allegation and identified failure to prevent rodent entry.
    • Licensing—Failed to control pests
    09 Nov 2022Inspection
    Investigated a complaint and found a failure to follow masking requirements. Identified a violation of Oregon Administrative Rules.
    • Licensing—Failed to provide infection control
    04 Nov 2022Abuse: Neglect
    Investigated neglect and abuse due to failure to provide needed services, resulting in a fractured hip after additional falls; a fine was assessed.
    • Abuse—Failed to provide service
    04 Nov 2022Abuse: Neglect
    Found neglect and abuse due to failure to provide appropriate services, resulting in multiple falls and harm, with a fine assessed.
    • Abuse—Failed to provide service
    07 Oct 2022License Condition
    Investigated and found failure to use ABST as required by Oregon Administrative Rules.
    • Regulatory Action—Failed to use an ABST
    01 Oct 2022Inspection
    Found a violation for failing to submit timely or adequate staffing documentation. The failure involved not reporting weekly vaccination status of staff, residents, and vaccinated individuals to the proper authority for September 2022.
    • Licensing—Failed to submit timely or adequate staffing documentation
    28 Jul 2022Abuse: Neglect
    Found that failure to provide appropriate services led to multiple falls and discomfort, constituting neglect and abuse; a fine was assessed.
    • Abuse—Failed to provide service
    27 Jun 2022Validation
    Investigated a relicensure case and identified multiple deficiencies in activities, service planning, health services, medication management, staffing, nutrition, and safety. Concluded with substantial compliance.
    • Deficiency—Comment
    • Deficiency—Resident Services: Activities
    • Deficiency—Resident Move-In and Eval: Res Evaluation
    • Deficiency—Service Plan: General
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Resident Health Services
    • Deficiency—Systems: Medication Administration
    • Deficiency—Systems: Psychotropic Medication
    • Deficiency—Acuity-Based Staffing Tool
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Compliance With Rules Health Care
    • Deficiency—Nutrition and Hydration
    • Deficiency—Activities
    • Deficiency—Behavior
    24 Jun 2022Abuse: Neglect
    Found that services were not provided to meet the resident's needs related to falls, resulting in multiple falls and injuries. A $450 fine was assessed.
    • Abuse—Failed to provide service
    16 Jun 2022Inspection
    Investigated the staffing allegation and found direct care staff were insufficient to meet scheduled and unscheduled resident needs, with none on duty and only two med aides performing personal care tasks.
    • Licensing—Failed to provide appropriate staffing
    14 May 2022Abuse: Neglect
    Investigated and found the care plan was not followed, leading to a physical altercation and resident discomfort. A $500 fine was assessed.
    • Abuse—Failed to follow care plan
    14 Apr 2022Abuse: Neglect
    Investigated a complaint about resident-to-resident aggression; failure to intervene led to a skin tear after one resident entered another's room and swung a comb.
    • Abuse—Failed to follow care plan
    11 Apr 2022Abuse: Neglect
    Found violations of the care plan and resident rights that caused harm, constituting neglect and abuse.
    • Abuse—Failed to follow care plan
    09 Feb 2022Abuse: Neglect
    Found failure to follow the care plan during meals, resulting in breathing trouble and aspiration pneumonia. A fine was assessed.
    • Abuse—Failed to follow care plan
    07 Feb 2022Inspection
    Concluded that inadequate professional oversight of the medication administration system led to frequent medication shortages and residents going without medications.
    • Licensing—Failed to have medication available
    25 Jan 2022Abuse: Neglect
    Investigated a resident-to-resident incident and found failure to properly plan care for known behaviors, indicating abuse and neglect.
    • Abuse—Failed to properly plan care
    25 Jan 2022Abuse: Neglect
    Determined that staff failed to plan for residents' known behaviors, leading to a resident-to-resident altercation and a substantiated finding of abuse and neglect.
    • Abuse—Failed to properly plan care
    18 Jan 2022Inspection
    Investigated and found interior odors did not meet odor-control requirements.
    • Licensing—Failed to provide appropriate housekeeping services
    05 Jan 2022Abuse: Neglect
    Investigated a resident safety incident involving inappropriate sexual contact and found that protections were lacking, resulting in a $450 fine.
    • Abuse—Failed to protect resident from inappropriate sexual contact
    25 Dec 2021Abuse: Neglect
    Found a failure to administer medication as ordered, resulting in neglect and abuse; a $225 fine was assessed.
    • Abuse—Failed to administer medication as ordered
    13 Dec 2021Abuse: Neglect
    Found neglect and abuse due to failure to properly care plan for a resident relying on care from the facility, which led to a resident-to-resident incident and head injury; a fine was assessed.
    • Abuse—Failed to properly plan care
    16 Oct 2021Abuse: Neglect
    Investigated a complaint and found failure to provide appropriate services to meet mobility needs, resulting in multiple falls and discomfort. Found neglect of care that constitutes abuse.
    • Abuse—Failed to provide service
    13 Sept 2021Abuse: Neglect
    Investigated a complaint alleging neglect due to delayed medical treatment. Found failures to provide timely care and proper documentation, with a $250 fine assessed.
    • Abuse—Failed to assure timely medical treatment
    31 Jul 2021Abuse: Neglect
    Investigated and found neglect and abuse related to medication management, with failures to monitor blood pressure and administer prescribed meds, resulting in a $1,500 fine.
    • Abuse—Failed to provide service
    11 Mar 2021Abuse: Neglect
    Determined violations involving neglect and abuse due to failure to plan and intervene for a resident's falls, leading to multiple falls and a hospital visit with surgical intervention.
    • Abuse—Failed to properly plan care
    29 Dec 2020Inspection
    Found that medication and treatment orders were not carried out.
    • Licensing—Failed to administer medication as ordered
    03 Dec 2020Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in missed medications that put a resident at risk.
    • Abuse—Failed to provide a safe medication administration system
    04 Oct 2020Abuse: Neglect
    Investigated and found that a prescribed medication was not administered as ordered, resulting in neglect and abuse. A $1,500 fine was assessed.
    • Abuse—Failed to administer medication as ordered
    28 Aug 2020Inspection
    Identified a violation where medication orders were not carried out as prescribed.
    • Licensing—Failed to obtain medication order
    06 Aug 2020Inspection
    Found a deficiency in the safe medication and treatment system.
    • Licensing—Failed to provide a safe medication administration system
    20 Jul 2020Abuse: Neglect
    Investigated an allegation of unsafe medication administration; identified a deficient safe medication system and assessed a $500 fine.
    • Abuse—Failed to provide a safe medication administration system
    16 Jul 2020Abuse: Neglect
    Found a failure to provide a safe medication administration system, leading to multiple prescription shortages and related resident discomfort.
    • Abuse—Failed to provide a safe medication administration system
    04 Jul 2020Abuse: Neglect
    Investigated a resident fall history with insufficient care planning and monitoring, resulting in death and a civil penalty.
    • Abuse—Failed to properly plan care
    04 Jul 2020Abuse: Neglect
    Investigated an allegation of neglect found staff failed to attach a required tab alarm, leading to a fall with head injury; a prior alarm malfunction contributed, and a fine was assessed.
    • Abuse—Failed to follow care plan
    27 Jun 2020Inspection
    Investigated involuntary seclusion and found that a resident was confined to bed using a wheelchair and furniture, constituting abuse and creating an unsafe environment.
    • Licensing—Failed to provide safe environment
    25 Jun 2020Inspection
    Found a safety lapse when someone left the premises unassisted through an unlocked gate. This created a potential safety risk due to an unsafe environment.
    • Licensing—Failed to provide safe environment
    25 Jun 2020Abuse: Neglect
    Investigated the allegation of improper care planning related to falls and found that interventions to mitigate fall risk were not adequately implemented, leading to injuries.
    • Abuse—Failed to properly plan care
    03 Feb 2020Inspection
    Found that residents were not treated with dignity and respect.
    • Licensing—Failed to provide social services
    09 Jan 2020Inspection
    Investigated and found a deficiency for failing to provide transportation for medical or social purposes. The finding cited residential services requirements.
    • Licensing—Failed to provide transportation for medical or social purposes
    26 Sept 2019Abuse: Verbal/Mental abuse
    Investigated and found verbal abuse occurred due to supervision failure, causing emotional harm.
    • Abuse—Failed to protect resident from verbal abuse
    01 Jul 2019Abuse: Neglect
    Determined that abuse/neglect occurred when two gait belts were linked to restrain a high fall risk resident, causing discomfort, with care provided by an unqualified staff member; a $188 fine was assessed.
    • Abuse—Failed to use restraint properly
    07 Jun 2019Inspection
    Found failure to report suspected abuse. A $750 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    06 May 2019Inspection
    Found that equipment for residents' health, safety and comfort was not kept in good working order, including a stove in the kitchen not working.
    • Licensing—Failed to assure food safety
    01 May 2019Inspection
    Found that prescribed medications were not administered as ordered, with doses missed or given late.
    • Licensing—Failed to administer medication as ordered
    01 May 2019Inspection
    Investigated the allegation and found a failure to coordinate outside services necessary to support the resident's health, including canceling a necessary medical appointment without informing the resident.
    • Licensing—Failed to provide transportation for medical or social purposes
    12 Mar 2019Abuse: Neglect
    Investigated found a failure to provide a safe medication administration system that led to unadministered pain medication and resident discomfort, with inconsistent audits and missing training documents.
    • Abuse—Failed to provide a safe medication administration system
    05 Mar 2019Inspection
    Found failure to report suspected abuse, resulting in a licensing violation and a $1,000 fine.
    • Licensing—Failed to report potential or suspected abuse
    05 Mar 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care and supervision were not provided, resulting in harm. A $500 fine was assessed.
    • Abuse—Failed to provide safe environment
    02 Mar 2019Abuse: Neglect
    Investigated a neglect allegation and found serious deficiencies in care and supervision that caused a resident to fall, sustain serious injuries, and require hospital care, with a $2,500 fine assessed.
    • Abuse—Failed to adequately care plan related to falls
    30 Jan 2019Abuse: Neglect
    Found neglect for failing to supervise safety, allowing an individual to leave; a fine was assessed.
    • Abuse—Failed to properly plan care
    28 Jan 2019Inspection
    Concluded that a failure to provide service occurred.
    • Licensing—Failed to provide service
    12 Jan 2019Abuse: Neglect
    Investigated neglect by failing to maintain health and safety, resulting in a resident being struck.
    • Abuse—Failed to provide safe environment
    10 Jan 2019Abuse: Neglect
    Determined neglect due to failure to supervise care, resulting in inappropriate touching and serious loss of dignity; a $375 fine assessed.
    • Abuse—Failed to properly plan care
    10 Jan 2019Abuse: Neglect
    Investigated and found a failure to implement interventions for a known fall risk, leading to an unassisted exit and fall with injury; a $1,125 fine was assessed.
    • Abuse—Failed to properly plan care
    07 Jan 2019Inspection
    Investigated the allegation of failing to provide or maintain resident care equipment and found deficiencies in building requirements; the allegation was substantiated.
    • Licensing—Failed to provide or maintain resident care equipment
    26 Oct 2018Abuse: Neglect
    Investigated a complaint and found neglect resulting in harm due to failure to provide basic care to maintain safety. A $375 fine was assessed.
    • Abuse—Failed to properly plan care
    23 Oct 2018Abuse: Neglect
    Investigated and found neglect of basic care that led to an infection after a shower was not provided for 35 weeks.
    • Abuse—Failed to provide service
    23 Oct 2018Inspection
    Found a substantiated licensing violation alleging failure to assist with toileting.
    • Licensing—Failed to assist with toileting
    23 Oct 2018Inspection
    Investigated and found a failure to report suspected abuse, with a fine assessed.
    • Licensing—Failed to report potential or suspected abuse
    17 Aug 2018Abuse: Neglect
    Investigated a neglect allegation and found failure to provide basic care, creating serious risk; a $2,500 fine was assessed.
    • Abuse—Failed to provide service
    17 Aug 2018Inspection
    Found failure to report suspected abuse; a $1,000 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    17 Jul 2018Abuse: Neglect
    Found neglect due to failure to provide a safe medication administration system, resulting in loss of medication. A fine of $375 was assessed.
    • Abuse—Failed to provide a safe medication administration system
    14 Jul 2018Abuse: Physical Abuse
    Investigated a physical abuse allegation and found failure to protect a resident from rough treatment, resulting in a $2,500 fine.
    • Abuse—Failed to protect resident from rough treatment
    28 Jun 2018Inspection
    Found failure to report suspected abuse. A $750 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    28 Jun 2018Abuse: Neglect
    Found a neglect deficiency for failing to administer anticoagulants as ordered, affecting resident safety. Imposed a $500 fine.
    • Abuse—Failed to administer medication as ordered
    15 Jun 2018Abuse: Neglect
    Investigated an abuse/neglect allegation and found failure to assess and intervene for falls, resulting in a fracture and pain; a fine was assessed.
    • Abuse—Failed to adequately care plan related to falls
    15 Jun 2018Inspection
    Found a violation for failing to report potential or suspected abuse and assessed a $750 fine.
    • Licensing—Failed to report potential or suspected abuse
    07 Jun 2018Abuse: Neglect
    Concluded that a neglect allegation involved failure to provide service, leading to multiple falls with injuries, and a $450 fine was assessed.
    • Abuse—Failed to provide service
    13 Feb 2018Abuse: Neglect
    Investigated and found a failure to provide a safe environment, resulting in multiple altercations and bruising.
    • Abuse—Failed to provide safe environment
    15 Nov 2017Inspection
    Determined that the allegation of failing to properly plan care occurred and identified safety deficiencies where residents were not kept safe from physical altercations.
    • Licensing—Failed to properly plan care
    26 Oct 2017Inspection
    Found deficiencies in the medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    23 Oct 2017Abuse: Neglect
    Found an inadequate medication system that led to a resident receiving another resident's morning medications; a $350 fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    25 Aug 2017Inspection
    Investigated a complaint and found a violation for failing to provide a safe environment by not preventing a resident-to-resident physical altercation. Assessed a $300 fine.
    • Licensing—Failed to provide safe environment
    16 Jun 2017Inspection
    Determined that medication management records were not maintained accurately, resulting in a resident missing three scheduled doses.
    • Licensing—Failed to administer medication as ordered
    25 Apr 2017Abuse: Neglect
    Identified failure to assess and intervene, which resulted in a resident-to-resident altercation.
    • Abuse—Failed to provide safe environment
    23 Apr 2017Abuse: Neglect
    Investigated and found a failure to assess and intervene, leading to a resident-to-resident altercation.
    • Abuse—Failed to provide safe environment
    17 Feb 2017Abuse: Neglect
    Investigated and concluded that a safe environment was not provided, resulting in a resident-to-resident altercation.
    • Abuse—Failed to provide safe environment
    17 Feb 2017Abuse: Neglect
    Investigated the allegation of neglect; found the resident was not protected from injuries and the behavior issue was not addressed.
    • Abuse—Failed to address resident's behavior
    23 Jan 2017Abuse: Neglect
    Investigated a medication safety issue and found a violation that led to wrong medications being administered and hospitalization. A $300 fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    16 Jan 2017Abuse: Financial abuse
    Investigated a financial exploitation allegation and found that a resident was not protected from theft of medications.
    • Abuse—Failed to protect resident from financial exploitation
    12 Jun 2016Abuse: Financial abuse
    Investigated and identified a deficiency in protecting residents from medication theft.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    13 Sept 2015Abuse: Neglect
    Investigated neglect allegation found there was not a safe environment due to resident-to-resident altercations.
    • Abuse—Failed to address resident's behavior
    29 May 2015Abuse: Neglect
    Investigated and found a substantiated failure to protect a resident from theft and financial exploitation.
    • Abuse—Failed to protect resident from financial exploitation
    29 May 2015Abuse: Financial abuse
    Determined that financial exploitation occurred due to failure to protect residents' resources. Findings showed misappropriation of residents' resources.
    • Abuse—Failed to protect resident from financial exploitation
    25 Mar 2015Abuse: Neglect
    Determined that the resident's care plan was not followed.
    • Abuse—Failed to follow care plan
    22 Aug 2014Inspection
    Found a failure to provide a safe medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    29 May 2014Inspection
    Investigated a complaint and found a violation of resident rights due to inappropriate treatment.
    • Licensing—Failed to assure resident rights
    14 May 2014Inspection
    Investigated the allegation and found that proper care was not provided for the RV.
    • Licensing—Failed to provide service
    14 May 2014Inspection
    Found an inadequate medication system that allowed multiple pain patches to be found, creating potential harm.
    • Licensing—Failed to provide a safe medication administration system
    05 May 2014Abuse: Neglect
    Concluded that medications were not administered as ordered, resulting in a narcotic overdose to a resident.
    • Abuse—Failed to administer medication as ordered
    24 Apr 2014Abuse: Neglect
    Investigated the neglect allegation and found a failure to provide a safe medication administration system; a $300 fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    21 Nov 2013Inspection
    Investigated an allegation of not providing a safe environment; found a deficient safe environment.
    • Licensing—Failed to provide safe environment
    23 Mar 2012Abuse: Financial abuse
    Investigated a financial abuse allegation and found that a resident's money was not protected from being taken.
    • Abuse—Failed to provide safe environment
    28 Feb 2012Abuse: Financial abuse
    Concluded that a safe and secure environment was not provided and substantiated a financial abuse allegation.
    • Abuse—Failed to provide safe environment
    01 Feb 2012Abuse: Neglect
    Investigated the neglect allegation and found that appropriate care was not provided to a resident.
    • Abuse—Failed to provide service
    20 Jan 2012Abuse: Verbal/Mental abuse
    Investigated and found a violation involving demeaning verbal comments toward a resident and failure to protect from verbal abuse.
    • Abuse—Failed to protect resident from verbal abuse
    12 Jan 2012Abuse: Financial abuse
    Found a failure to provide a safe and secure environment for a resident.
    • Abuse—Failed to provide safe environment
    20 Oct 2011Abuse: Financial abuse
    Investigated the allegation and found that a safe and secure environment was not provided.
    • Abuse—Failed to provide safe environment
    29 Sept 2011Inspection
    Investigated a complaint alleging failure to provide a safe environment; found violations relating to protecting a resident from inappropriate sexual contact.
    • Licensing—Failed to provide safe environment
    20 Sept 2011Inspection
    Found a failure to provide a safe and secure environment.
    • Licensing—Failed to provide safe environment
    18 Jul 2011Abuse: Financial abuse
    Investigated the allegation and found a resident was not provided with a secure environment.
    • Abuse—Failed to provide safe environment
    22 May 2011Abuse: Neglect
    Found failure to provide a safe environment for a resident. A $300 fine was assessed.
    • Abuse—Failed to provide safe environment
    28 Apr 2011Abuse: Neglect
    Found deficiencies related to failing to administer ordered medication and providing appropriate care to a resident.
    • Abuse—Failed to administer ordered medication
    08 Nov 2010Abuse: Financial abuse
    Investigated and found a failure to provide a safe and secure environment.
    • Abuse—Failed to provide safe environment
    11 May 2010Abuse: Financial abuse
    Investigated the allegation of financial abuse and determined there was a failure to provide a safe and secure medication administration system.
    • Abuse—Failed to provide a safe medication administration system
    20 Apr 2010Abuse: Neglect
    Concluded that the neglect allegation involving oversight and monitoring of change of condition was supported.
    • Abuse—Failed to provide oversight and monitoring of change of condition
    14 Feb 2010Inspection
    Determined that medications were not managed properly, creating a safety risk for residents.
    • Licensing—Failed to provide safe environment

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