Inadequate training and competency among some front-line staff
Inconsistent activities scheduling and staff continuity
Room-assignment and payer-coordination process weaknesses
Insufficient supervision for higher-acuity or end-of-life care
Summary of reviews
Reviews paint a mixed picture of The Iris Memory Care: many families praise the facility’s front-line caregivers, the welcoming atmosphere, and the physical environment, while others describe recurring operational shortcomings that affect care consistency.
Care and clinical oversight: Front-line caregivers are frequently described as kind, attentive, and relationship-oriented; several accounts highlight quick and compassionate responses in acute events. However, consistent themes include understaffing, high turnover, and limits in clinical supervision (including intermittent nursing coverage). Those operational gaps have been associated with delayed assistance for toileting and mobility needs, occasional lapses in following care plans, and longer-than-expected timelines for medical follow-up and wound-care attention. Families expressed a need for closer supervision when residents have higher-acuity needs or are in hospice/end-of-life stages.
Staff and management: Staff-level rapport and empathy are noted as strengths, but reviewers also reported variability in staff training, inconsistent conduct enforcement, and instances that families felt required stronger managerial oversight. Leadership visibility appears uneven—some families commend an active on-floor executive director and responsive RNs, while others cite poor communication, unresolved documentation issues, and perceptions of corporate-level responsiveness problems. These management inconsistencies contribute to unpredictability in day-to-day operations and continuity of care.
Dining and housekeeping: The facility’s dining program elicits divergent feedback. Several reviewers describe fresh, house-made meals served promptly and a pleasant dining environment; others report inconsistent meal quality, temperature issues at service, small portions, and concerns about food handling standards. Housekeeping and laundry practices are similarly mixed: many comment on a clean, recently renovated environment, while others note inconsistent cleaning, misplaced laundry, and broader sanitation concerns tied to incontinence-care procedures and room turnover.
Activities and amenities: Activity programming is frequently highlighted as a positive feature—organized crafts, games, entertainers, and therapy-animal visits contribute to an engaging social environment. That said, families reported inconsistency in scheduling and staff continuity for activities after personnel changes. Facility amenities such as outdoor gardens, comfortable common areas, and independent-living cottages receive consistent praise.
Safety, billing, and administrative processes: Reviewers raised operational safety concerns such as cluttered walkways, misplaced emergency call cords, and hurried room transitions that can affect privacy and mobility. Administrative issues include unclear or unexpected charges, confusing billing statements, payer-coordination problems, and requests for written confirmation of care agreements. Several families recommended documenting care plans and billing arrangements in writing and verifying room-assignment and insurance eligibility before move-in.
Notable patterns and guidance for families: The dominant pattern across reviews is a split between strong, compassionate front-line caregiving and systemic operational weaknesses—particularly staffing, training, communication, and documentation—that reduce reliability. Prospective residents and families should observe staffing levels during different shifts, ask about nurse coverage and clinical oversight, request written policies on billing and room assignment, sample a meal service, and confirm housekeeping and laundering workflows. Where higher-acuity needs exist, seek clear assurances about supervision and escalation procedures. These steps can help set expectations and identify whether the facility’s current operating state matches the resident’s care needs.
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Location
The Iris Memory Care is located at 1615 Brush College Rd NW, Salem, OR, 97304.
About The Iris Memory Care
The Iris Memory Care sits in West Salem, close to quiet parks like Brush College Park, and has a pleasant, park-like setting with big two-bedroom cottages that come with their own garages, patios, and plenty of green space for walking and enjoying the outdoors if that's what someone likes to do. The community offers different kinds of apartments, including cozy studios, one-bedroom, and spacious two-bedroom suites with handy things like private bathrooms, kitchenettes or full kitchens, microwaves, dishwashers, garbage disposals, and individually controlled thermostats, plus all the utilities are included, so folks don't have to worry about extra bills piling up. People can choose to bring small dogs, but no big dogs or cats are allowed here.
Residents get regular help with housekeeping, laundry, linen service, and full home maintenance, and there are laundry rooms to use anytime, while each place has a wireless emergency call system just in case. There's a gated entrance, safety rails and wide hallways, plus buildings have sprinkler systems and handicap-accessible bathrooms, all meant to help keep everyone safe. The staff stays on duty around the clock, and there's a nurse call system and pharmacy services available, so folks can get help with things like medication reminders or wound care, and there are individualized care plans for people with dementia or Alzheimer's. Some extras here include a full-service salon with a barber, a whirlpool room, a library, a cozy lounge with a fireplace, a theatre room, and a billiards table for games and social times. There's a courtyard for relaxing, walking paths for strolling, and garden spots for those who like to dig in the dirt or join outdoor parties-plus, parking for guests is available.
Dining happens restaurant-style in a bright room with cheerful décor, and there are also private dining spaces for special times, meals three times a day with snacks, and dietary options for special health needs. Folks can also use room service or the "anytime" dining option. On top of that, there's help with getting dressed, bathing, walking, or using a wheelchair. Transportation gets folks out for shopping, field trips, or medical visits, and there are plenty of planned social activities like yoga, stretching, arts and crafts, music, and educational programs, with things happening every day of the week, so folks can usually find something to do. The Iris Memory Care also has a dedicated memory care staff and offers support and programs designed for people with conditions like Alzheimer's, Parkinson's, and other memory problems. Residents can make their spaces their own and enjoy a warm, supportive place that tries to feel like home, with friendly faces and places to gather, all while focusing on safety, comfort, and the needs of older adults who need some extra help as time goes by.
Founded in 1999 and headquartered in Salem, Oregon, Bonaventure Senior Living is a family-owned company operating 28 communities across Washington, Oregon, and Colorado. They offer independent living, assisted living, and memory care services with their "Retirement Perfected™" philosophy.
People often ask...
The Iris Memory Care offers competitive pricing, with rates starting at a cost of $7,498 per month.
The Iris Memory Care offers independent living, assisted living, and memory care.
There are 56 photos of The Iris Memory Care on Mirador.
Yes, The Iris Memory Care allows residents to age in place and adjust their level of care as needed.
The full address for this community is 1615 Brush College Rd NW, Salem, OR 97304.
No, The Iris Memory Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated an allegation and found that records were not provided when requested.
Licensing—Failed to make facility or resident records accessible
04 Aug 2026Inspection
04 Aug 2026Inspection
Found failure to notify Central Office immediately of any change of the administrator of record by submitting the ARS, violating administrative rules.
Licensing—Failed to hire according to administrative rules
03 Aug 2026Inspection
03 Aug 2026Inspection
Identified failure to provide records to the Department upon request.
Licensing—Failed to make facility or resident records accessible
03 Aug 2026Inspection
03 Aug 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
03 Aug 2026Inspection
03 Aug 2026Inspection
Found failure to provide records upon request, violating Oregon administrative rules.
Licensing—Failed to make facility or resident records accessible
03 Aug 2026Inspection
03 Aug 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
19 Jun 2026Inspection
19 Jun 2026Inspection
Investigated the records request allegation and found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
19 Jun 2026Inspection
19 Jun 2026Inspection
Found that records were not provided to the Department upon request, indicating a records accessibility violation.
Licensing—Failed to make facility or resident records accessible
02 Jun 2026Inspection
02 Jun 2026Inspection
Determined a deficiency for failing to have policies and procedures to prevent and appropriately respond to incidents.
Licensing—Failed to report potential or suspected abuse
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated and found that records requested by the Department were not provided.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Found that records were not provided to the Department when requested, constituting a records access violation.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Found failure to provide records to the department upon request. This constitutes a licensing violation.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated the allegation and found that records were not provided to the Department upon request, resulting in a cited deficiency.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Found failure to provide records to the Department upon request, constituting a licensing violation.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Found a records-access violation due to failure to provide records upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated the allegation and identified a failure to provide records to the Department upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated the allegation and determined that records were not provided upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Found that records were not provided to the Department when requested.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated a records request issue and found failure to provide records to the department upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated and found that records were not accessible to the Department upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Concluded that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
26 Feb 2026Inspection
26 Feb 2026Inspection
Investigated the allegation that records were not provided on request. Found a records access deficiency.
Licensing—Failed to make facility or resident records accessible
24 Feb 2026Inspection
24 Feb 2026Inspection
Found a records accessibility violation for failing to provide records upon request.
Licensing—Failed to make facility or resident records accessible
04 Nov 2025Inspection
04 Nov 2025Inspection
Found a failure to develop, maintain, and implement an Acuity-Based Staffing Tool.
Licensing—Failed to provide service
25 Oct 2025Inspection
25 Oct 2025Inspection
Identified a deficiency for failing to develop, maintain, and implement an Acuity-Based Staffing Tool. This related to potential for minor to moderate harm.
Licensing—Failed to provide service
15 Jun 2025Abuse: Neglect
15 Jun 2025Abuse: Neglect
Investigated abuse by neglect; found that a resident did not receive necessary care and supervision, leaving a wet brief, and a fine was assessed.
Abuse—Failed to provide service
09 May 2025Kitchen
09 May 2025Kitchen
Identified multiple sanitation and administration deficiencies, including dirty kitchen areas, improper food storage, and communication gaps with residents, across multiple visits.
Deficiency—Acuity Based Staffing Tool - Updates & Plan
20 Dec 2024License Condition
20 Dec 2024License Condition
Found deficiencies in the safe medication administration system.
Regulatory Action—Failed to provide a safe medication administration system
20 Dec 2024Inspection
20 Dec 2024Inspection
Investigated and determined a safe medication and treatment administration system was not in place.
Licensing—Failed to provide a safe medication administration system
20 Dec 2024Inspection
20 Dec 2024Inspection
Investigated and identified a deficiency where the service plan did not reflect the resident's needs identified in the evaluation.
Licensing—Failed to properly plan care
06 Dec 2024Abuse: Neglect
06 Dec 2024Abuse: Neglect
Investigated an allegation of neglect for failing to protect a resident from physical abuse; found that a dark bruise on the resident's arm indicated abuse and a protection failure, with a $250 fine assessed.
Abuse—Failed to protect resident from physical abuse
05 Dec 2024Abuse: Neglect
05 Dec 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment that led to a resident altercation, constituting abuse and neglect.
Abuse—Failed to provide safe environment
23 Oct 2024Abuse: Neglect
23 Oct 2024Abuse: Neglect
Investigated a reported abuse and neglect incident involving an unsafe environment; a $500 fine was assessed.
Abuse—Failed to provide safe environment
23 Oct 2024Abuse: Neglect
23 Oct 2024Abuse: Neglect
Investigated and found that a licensed residential care setting failed to provide a safe environment, resulting in an abuse and neglect finding and a $500 fine.
Abuse—Failed to provide safe environment
21 Oct 2024Inspection
21 Oct 2024Inspection
Investigated and found a deficiency for not keeping the interior free from unpleasant odors.
Licensing—Failed to provide a homelike environment
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated found a failure to provide a safe medication administration system, with a staff member signing out PRN narcotics for multiple residents and later testing positive for narcotics; findings substantiated and a fine assessed.
Abuse—Failed to provide a safe medication administration system
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Found failure to provide a safe medication administration system, including narcotics handling, leading to neglect and abuse.
Abuse—Failed to provide a safe medication administration system
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated and found a failure to provide a safe medication administration system, constituting abuse and neglect.
Abuse—Failed to provide a safe medication administration system
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated allegations of unsafe medication handling and narcotics use. Found neglect and abuse due to a failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated a narcotics handling incident and found a failure to maintain a safe medication administration system, resulting in abuse/neglect findings and a fine assessed.
Abuse—Failed to provide a safe medication administration system
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Found that the provider failed to provide a safe medication administration system, constituting neglect and abuse, and assessed a $500 fine.
Abuse—Failed to provide a safe medication administration system
02 Oct 2024Abuse: Neglect
02 Oct 2024Abuse: Neglect
Investigated and concluded that there was a failure to provide a safe medication administration system, involving narcotics handling and a positive narcotics test. A $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
24 Sept 2024Abuse: Neglect
24 Sept 2024Abuse: Neglect
Investigated and determined a failure to provide a safe medication administration system, leading to a missed insulin dose and a severely elevated blood sugar event.
Abuse—Failed to provide a safe medication administration system
16 Sept 2024Abuse: Neglect
16 Sept 2024Abuse: Neglect
Found a failure to provide a safe environment resulting in bruising and substantiated abuse/neglect. A $500 fine was assessed.
Abuse—Failed to provide safe environment
16 Sept 2024Inspection
16 Sept 2024Inspection
Found failure to promptly investigate all reports of abuse and suspected abuse and to document injuries, violating state rules.
Licensing—Failed to investigate injury of unknown origin to rule out abuse
10 Sept 2024Inspection
10 Sept 2024Inspection
Determined staffing levels were insufficient to meet residents' scheduled and unscheduled needs, causing delays in meeting those needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
10 Sept 2024Inspection
10 Sept 2024Inspection
Found a deficiency in documenting observation and evaluation of an individual's ability to perform safe medication and treatment administration unsupervised.
Licensing—Failed to provide inservice
10 Sept 2024Inspection
10 Sept 2024Inspection
Determined insufficient staffing led to unmet or delayed resident needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
06 Sept 2024Abuse: Neglect
06 Sept 2024Abuse: Neglect
Determined that eye-level supervision required by the care plan was not provided, leading to a resident-to-resident assault and neglect/abuse.
Abuse—Failed to follow care plan
02 Sept 2024Abuse: Neglect
02 Sept 2024Abuse: Neglect
Investigated the alleged unsafe environment and found a failure to provide a safe environment for a resident, constituting abuse and neglect.
Abuse—Failed to provide safe environment
01 Sept 2024Inspection
01 Sept 2024Inspection
Found lack of written policies to ensure a 24-hour resident monitoring and reporting system and failure to document a fall with injury.
Licensing—Failed to provide safe environment
21 Aug 2024Abuse: Neglect
21 Aug 2024Abuse: Neglect
Investigated and found violations for failing to provide a safe environment that resulted in abuse; a $500 fine was assessed.
Abuse—Failed to provide safe environment
22 Jul 2024Inspection
22 Jul 2024Inspection
Found that an acuity-based staffing tool was not fully implemented or updated.
Licensing—Failed to update staffing plan based on ABST
12 Jul 2024Inspection
12 Jul 2024Inspection
Investigated and found a violation of abuse reporting rules. Falls with injury were not reported to Adult Protective Services.
Licensing—Failed to provide safe environment
12 Jul 2024Abuse: Neglect
12 Jul 2024Abuse: Neglect
Identified a failure to plan for and mitigate fall risk for a resident, resulting in multiple falls and head injuries. The finding notes neglect of care and abuse.
Abuse—Failed to properly plan care
11 Jul 2024Abuse: Neglect
11 Jul 2024Abuse: Neglect
Investigated a resident-to-resident incident and found a failure to provide a safe environment, resulting in abuse and neglect with potential for harm.
Abuse—Failed to provide safe environment
11 Jul 2024Abuse: Neglect
11 Jul 2024Abuse: Neglect
Investigated an allegation of abuse/neglect and found failure to provide a safe environment, resulting in substantiated findings and a fine.
Abuse—Failed to provide safe environment
20 Jun 2024Abuse: Neglect
20 Jun 2024Abuse: Neglect
Investigated and found failure to properly plan care for an aggressive resident, leading to abuse and neglect findings and a $500 fine.
Abuse—Failed to properly plan care
20 Jun 2024Abuse: Neglect
20 Jun 2024Abuse: Neglect
Determined that a safe environment was not provided, constituting neglect and abuse, and a fine was assessed.
Abuse—Failed to provide safe environment
19 Jun 2024Inspection
19 Jun 2024Inspection
Found a deficiency for failing to notify potential or suspected abuse.
Licensing—Failed to report potential or suspected abuse
21 May 2024Validation
21 May 2024Validation
Found deficiencies in resident records, abuse reporting, health services, tracking of controlled substances, fire safety, and administration; a follow-up visit determined substantial compliance.
Investigated the allegation of failing to report potential or suspected abuse and found a failure to immediately notify the local Department office or local AAA.
Licensing—Failed to report potential or suspected abuse
02 Apr 2024Abuse: Neglect
02 Apr 2024Abuse: Neglect
Investigated a complaint about safety and abuse; found a failure to provide a safe environment and assessed a $500 fine.
Abuse—Failed to provide safe environment
28 Mar 2024Abuse: Neglect
28 Mar 2024Abuse: Neglect
Determined that a safe environment was not provided, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
28 Mar 2024Abuse: Neglect
28 Mar 2024Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in a $375 fine.
Abuse—Failed to provide safe environment
24 Mar 2024Abuse: Neglect
24 Mar 2024Abuse: Neglect
Investigated an elopement incident involving an exit-seeking resident and found failures to plan care around exit-seeking behaviors, constituting abuse and neglect with a fine imposed.
Abuse—Failed to properly plan care
15 Mar 2024Licensure
15 Mar 2024Licensure
Identified deficiencies in kitchen sanitation and administration compliance, including unsanitary kitchen conditions and failure to follow licensing rules.
Investigated a resident collision and found unsafe environment and neglect with abuse implications, resulting in a $500 fine.
Abuse—Failed to provide safe environment
10 Mar 2024Abuse: Neglect
10 Mar 2024Abuse: Neglect
Investigated a resident safety complaint and found a failure to provide a safe environment, resulting in abuse and neglect.
Abuse—Failed to provide safe environment
10 Mar 2024Abuse: Neglect
10 Mar 2024Abuse: Neglect
Found neglect and abuse due to failure to follow the care plan, leading to injuries. A fine of $375 was assessed.
Abuse—Failed to follow care plan
07 Mar 2024Abuse: Neglect
07 Mar 2024Abuse: Neglect
Found failure to provide a safe environment due to insufficient supervision, which allowed a resident to elope and be placed at risk of harm.
Abuse—Failed to provide safe environment
04 Mar 2024Inspection
04 Mar 2024Inspection
Found failure to fully implement and update an acuity-based staffing tool. The finding is a Level 2 licensing violation (minor harm or potential for moderate harm).
Licensing—Failed to update staffing plan based on ABST
22 Feb 2024Abuse: Neglect
22 Feb 2024Abuse: Neglect
Found abuse and neglect due to failure to follow the care plan for room-level supervision after a staff member struck a resident.
Abuse—Failed to follow care plan
17 Feb 2024Abuse: Neglect
17 Feb 2024Abuse: Neglect
Identified deficiencies in following the resident's care plan and maintaining a safe environment. The findings indicate abuse/neglect related to resident safety and rights.
Abuse—Failed to provide safe environment
14 Feb 2024Complaint
14 Feb 2024Complaint
Found deficiencies related to resident rights and protection, exterior/general building exterior, and doors, walls, elevators, and odors, with isolated/minimal harm potential.
Deficiency—Resident Rights and Protection - General
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
14 Feb 2024Complaint
14 Feb 2024Complaint
Investigated the licensure complaint and found no deficiencies.
Deficiency—Acuity-Based Staffing Tool
14 Feb 2024Abuse: Neglect
14 Feb 2024Abuse: Neglect
Investigated and identified neglect and abuse due to an unsafe environment that led to injuries for a high fall risk resident.
Abuse—Failed to provide safe environment
14 Feb 2024Inspection
14 Feb 2024Inspection
Investigated allegations found deficiencies in the preparation, completeness, accuracy, and preservation of resident records, and in making records accessible.
Licensing—Failed to make facility or resident records accessible
14 Feb 2024Inspection
14 Feb 2024Inspection
Investigated and determined a violation for failing to immediately report potential or suspected abuse.
Licensing—Failed to report potential or suspected abuse
14 Feb 2024Inspection
14 Feb 2024Inspection
Investigated and found a deficiency related to failing to evaluate behavioral symptoms and to initiate and coordinate outside consultation or acute care when indicated.
Licensing—Failed to address resident's behavior
14 Feb 2024Inspection
14 Feb 2024Inspection
Found that residents could not easily identify their rooms because rooms weren't individually labeled.
Licensing—Failed to assure resident rights
14 Feb 2024Inspection
14 Feb 2024Inspection
Determined that qualified awake direct care staffing was insufficient to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
14 Feb 2024Complaint
14 Feb 2024Complaint
Investigated a complaint regarding medication and treatment review; found no deficiencies.
Deficiency—Systems: Medication and Treatment Review
14 Feb 2024Complaint
14 Feb 2024Complaint
Investigated and identified multiple deficiencies including inaccurate or incomplete resident records, failure to notify abuse promptly, insufficient awake direct care staffing, inadequate evaluation of behavioral symptoms, and missing room identifiers.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Behavior
Deficiency—Resident Rooms
10 Feb 2024Abuse: Neglect
10 Feb 2024Abuse: Neglect
Investigated a complaint of abuse and neglect and found a failure to provide a safe environment, putting a resident at risk of harm.
Abuse—Failed to provide safe environment
09 Feb 2024Abuse: Neglect
09 Feb 2024Abuse: Neglect
Found that the care plan was not followed, creating risk of harm and constituting abuse and neglect. An incident around February 10, 2024 involved a resident entering another room and being harmed.
Abuse—Failed to follow care plan
09 Feb 2024Abuse: Neglect
09 Feb 2024Abuse: Neglect
Found failure to plan around a resident's known aggressive behavior, leading to an assault on another resident; a fine was assessed.
Abuse—Failed to properly plan care
09 Feb 2024Abuse: Neglect
09 Feb 2024Abuse: Neglect
Identified a failure to provide a safe environment that led to a resident injury. Violations related to resident rights and safety were cited.
Abuse—Failed to provide safe environment
05 Feb 2024Abuse: Neglect
05 Feb 2024Abuse: Neglect
Investigated a safety allegation and found that a safe environment was not provided, resulting in a resident-to-resident altercation and injuries.
Abuse—Failed to provide safe environment
05 Feb 2024Abuse: Neglect
05 Feb 2024Abuse: Neglect
Investigated for failure to follow the care plan on room-level supervision, which led to a fall during an altercation and indicated abuse/neglect. A $500 fine was assessed.
Abuse—Failed to follow care plan
05 Feb 2024Abuse: Neglect
05 Feb 2024Abuse: Neglect
Found a failure to provide a safe environment that put a resident at risk of harm and involved abuse and neglect findings.
Abuse—Failed to provide safe environment
04 Feb 2024Abuse: Neglect
04 Feb 2024Abuse: Neglect
Identified abuse and neglect risk and assessed a $500 fine.
Abuse—Failed to provide safe environment
03 Feb 2024Abuse: Neglect
03 Feb 2024Abuse: Neglect
Determined that a safe environment was not provided, resulting in neglect and abuse; a $250 fine was assessed.
Abuse—Failed to provide safe environment
29 Jan 2024Inspection
29 Jan 2024Inspection
Determined that there was a failure to immediately notify the local Department office or the local AAA of any incident of abuse or suspected abuse.
Licensing—Failed to report potential or suspected abuse
21 Jan 2024Abuse: Neglect
21 Jan 2024Abuse: Neglect
Determined a safety deficiency that led to bruising when a resident with a history of touching others attempted to seize another resident's walker.
Abuse—Failed to provide safe environment
20 Dec 2023Abuse: Neglect
20 Dec 2023Abuse: Neglect
Investigated found staff failed to review fall-prevention care plans and disregarded a therapist’s safety instructions, resulting in multiple falls and injuries.
Abuse—Failed to provide safe environment
13 Dec 2023Abuse: Neglect
13 Dec 2023Abuse: Neglect
Investigated a complaint alleging failure to provide a safe environment and found a safety deficiency that put a resident at risk, with a corresponding fine assessed.
Abuse—Failed to provide safe environment
30 Nov 2023Abuse: Neglect
30 Nov 2023Abuse: Neglect
Investigated a complaint alleging neglect and an unsafe environment; found a violation that created risk of harm to a resident and assessed a $250 fine.
Abuse—Failed to provide safe environment
28 Nov 2023Abuse: Neglect
28 Nov 2023Abuse: Neglect
Determined abuse and neglect due to failure to implement interventions and monitor aggression, resulting in a physical altercation; a $250 fine was assessed.
Abuse—Failed to provide safe environment
28 Nov 2023Abuse: Neglect
28 Nov 2023Abuse: Neglect
Identified abuse and neglect due to failing to provide a safe environment, resulting in a resident being punched and experiencing discomfort; a $500 fine was assessed.
Abuse—Failed to provide safe environment
27 Oct 2023Abuse: Neglect
27 Oct 2023Abuse: Neglect
Investigated and found a failure to follow the care plan resulted in a fall with injury, and a fine was assessed.
Abuse—Failed to follow care plan
28 Aug 2023Abuse: Neglect
28 Aug 2023Abuse: Neglect
Found neglect and abuse due to failure to properly plan care following a resident's fall history, resulting in injury and discomfort. A $250 fine was assessed.
Abuse—Failed to properly plan care
01 Aug 2023Inspection
01 Aug 2023Inspection
Investigated allegation of failing to administer medication as ordered and found failure to carry out medication and treatment orders, with no licensing violation or abuse occurred.
Licensing—Failed to administer medication as ordered
10 May 2023Licensure
10 May 2023Licensure
Determined substantial compliance with applicable meal service and food sanitation rules.
Deficiency—Comment
14 Feb 2023Inspection
14 Feb 2023Inspection
Identified a deficiency in staffing data accuracy where the acuity-based staffing tool did not reflect residents' care needs, with inconsistencies among the roster, care plans, and ABST.
Licensing—Failed to use an ABST
13 Dec 2022Complaint
13 Dec 2022Complaint
Found that staff failed to exercise reasonable precautions against conditions that threaten residents' health and safety. Staff did not consistently wear masks and did not follow outbreak masking requirements for N95s.
Deficiency—Reasonable Precautions
08 Oct 2022Inspection
08 Oct 2022Inspection
Found a deficient medication administration system that resulted in the resident experiencing unreasonable discomfort and constituted abuse.
Licensing—Failed to administer medication as ordered
28 Jun 2022Inspection
28 Jun 2022Inspection
Identified a failure to provide a safe environment due to staff not wearing masks and lack of visitor screening.
Licensing—Failed to provide safe environment
28 Jun 2022Inspection
28 Jun 2022Inspection
Found a deficiency for failing to screen visitors, creating a potential safety risk for residents.
Licensing—Failed to provide safe environment
21 Jun 2022Validation
21 Jun 2022Validation
Identified multiple deficiencies across care planning, medication management, staffing, and safety, including poor kitchen sanitation, incomplete move-in evaluations, and gaps in service plans and training.
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—General Building Exterior
09 Jun 2022Abuse: Neglect
09 Jun 2022Abuse: Neglect
Investigated and found a failure to provide adequate pain control, constituting abuse and neglect.
Abuse—Failed to provide appropriate pain control
31 May 2022Inspection
31 May 2022Inspection
Investigated a complaint and found a deficiency for not updating the service plan quarterly for more than five months.
Licensing—Failed to properly plan care
31 May 2022Inspection
31 May 2022Inspection
Investigated the allegation and identified a privacy deficiency related to protecting a resident's privacy.
Licensing—Failed to assure resident rights
22 Apr 2022Inspection
22 Apr 2022Inspection
Investigated and identified deficiencies in policies and procedures to prevent and respond to incidents, including reportable abuse or neglect going unreported.
Licensing—Failed to provide safe environment
12 Apr 2022Abuse: Neglect
12 Apr 2022Abuse: Neglect
Investigated and found failures to plan and implement fall-prevention interventions, resulting in neglect and a fine.
Abuse—Failed to properly plan care
25 Mar 2022Inspection
25 Mar 2022Inspection
Found a deficiency for failing to provide toileting and catheter management assistance. The issue carried potential for minor harm.
Licensing—Failed to provide service
25 Mar 2022Inspection
25 Mar 2022Inspection
Found insufficient awake direct care staffing to meet 24-hour needs, causing a resident's call light to go unanswered for over two hours.
Licensing—Failed to provide appropriate staffing
21 Mar 2022Abuse: Neglect
21 Mar 2022Abuse: Neglect
Found failure to provide a safe environment, constituting neglect and abuse. Observed multiple bruises and improper handling during turning, with staff not adequately trained.
Abuse—Failed to provide safe environment
21 Mar 2022Abuse: Neglect
21 Mar 2022Abuse: Neglect
Found that staff did not apply barrier cream per orders, causing sores to worsen and constituting neglect and abuse; a $1,000 fine was assessed.
Abuse—Failed to follow care plan
20 Mar 2022Abuse: Neglect
20 Mar 2022Abuse: Neglect
Found a failure to provide a safe environment that caused injuries and led to a $1500 fine.
Abuse—Failed to provide safe environment
15 Mar 2022Abuse: Neglect
15 Mar 2022Abuse: Neglect
Investigated abuse and neglect due to failure to provide wound care/home health services; a $1,000 fine was assessed.
Abuse—Failed to provide service
15 Mar 2022Abuse: Neglect
15 Mar 2022Abuse: Neglect
Investigated a complaint and found a violation for failing to provide medical treatment as ordered, resulting in a $1,000 fine.
Abuse—Failed to provide medical treatment as ordered
10 Mar 2022Inspection
10 Mar 2022Inspection
Investigated the complaint and found a deficiency related to failing to provide a safe environment due to staff assisting COVID-positive residents without appropriate PPE.
Licensing—Failed to provide safe environment
10 Mar 2022Inspection
10 Mar 2022Inspection
Found a deficiency in training to determine direct care staff competency. Confirmed that a caregiver was left on the floor alone.
Licensing—Failed to assure a qualified caregiver was present
17 Feb 2022Abuse: Neglect
17 Feb 2022Abuse: Neglect
Found that staff did not follow the catheter care plan, resulting in neglect and abuse. A $500 fine was assessed.
Abuse—Failed to follow care plan
27 Jan 2022Abuse: Neglect
27 Jan 2022Abuse: Neglect
Investigated medication mismanagement resulting in missed doses and harm; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
28 Jul 2021Inspection
28 Jul 2021Inspection
Concluded that the provider failed to provide a daily program of social and recreational activities based on individual and group interests and abilities.
Licensing—Failed to provide appropriate activities
28 Jul 2021Inspection
28 Jul 2021Inspection
Investigated and found that direct care staffing levels were insufficient to meet residents' needs.
Licensing—Failed to provide appropriate staffing
19 Jul 2021Inspection
19 Jul 2021Inspection
Investigated an allegation of failing to provide housekeeping services and found a deficiency.
Licensing—Failed to provide appropriate housekeeping services
19 Jul 2021Inspection
19 Jul 2021Inspection
Investigated the allegation and found the interior had unpleasant odors and was not kept clean.
Licensing—Failed to provide service
08 Jul 2021Inspection
08 Jul 2021Inspection
Investigated and verified the allegation that quarterly service plans were not completed.
Licensing—Failed to follow care plan
08 Jul 2021Inspection
08 Jul 2021Inspection
Investigated an allegation of inadequate housekeeping and found it substantiated.
Licensing—Failed to provide appropriate housekeeping services
28 Jun 2021Inspection
28 Jun 2021Inspection
Investigated and determined the allegation of insufficient staffing to meet residents' needs.
Licensing—Failed to provide appropriate staffing
24 Jun 2021Inspection
24 Jun 2021Inspection
Investigated a licensing violation alleging failure to address resident's physical health status in residents evaluation; findings verified.
Licensing—Failed to perform adequate screening or assessment
01 Jun 2021Inspection
01 Jun 2021Inspection
Investigated an allegation that appropriate housekeeping services were not provided. Findings verified the lack of housekeeping services.
Licensing—Failed to provide appropriate housekeeping services
01 Jun 2021Inspection
01 Jun 2021Inspection
Investigated and found a staffing deficiency affecting timely response to call lights.
Licensing—Failed to answer call light in a timely manner
25 Apr 2021Inspection
25 Apr 2021Inspection
Investigated a complaint about meals and found meals were small and lacked nutritional value.
Licensing—Failed to provide proper food/nutrition
25 Apr 2021Inspection
25 Apr 2021Inspection
Found hot water temperatures in resident units outside the required 110-120°F range.
Licensing—Failed to provide or maintain resident care equipment
02 Apr 2021Abuse: Neglect
02 Apr 2021Abuse: Neglect
Investigated and found a resident was not protected from financial exploitation; a fine was assessed for the violations.
Abuse—Failed to protect resident from financial exploitation
02 Apr 2021Abuse: Neglect
02 Apr 2021Abuse: Neglect
Determined that a resident was not protected from financial exploitation, resulting in neglect. A $188 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
02 Apr 2021Abuse: Neglect
02 Apr 2021Abuse: Neglect
Found that a resident's trust account was not protected from financial exploitation due to lack of audits, resulting in neglect and a fine.
Abuse—Failed to protect resident from financial exploitation
02 Apr 2021Abuse: Neglect
02 Apr 2021Abuse: Neglect
Investigated an allegation of financial exploitation; found missing funds from a resident's trust account and failure to conduct audits, resulting in substantiated neglect and exploitation.
Abuse—Failed to protect resident from financial exploitation
02 Apr 2021Abuse: Neglect
02 Apr 2021Abuse: Neglect
Investigated a financial exploitation incident where funds from a resident's trust account went missing and audits were not conducted as required.
Abuse—Failed to protect resident from financial exploitation
10 Mar 2021Inspection
10 Mar 2021Inspection
Found a deficiency indicating failure to provide reasonable precautions to protect residents' health, safety, or welfare.
Licensing—Failed to assure resident was safe
08 Mar 2021Abuse: Neglect
08 Mar 2021Abuse: Neglect
Cited a deficiency for unsafe medication administration practices and assessed a $500 fine. The finding noted delayed entry of prescribed pain medication onto the MAR due to MAR-entry issues.
Abuse—Failed to provide a safe medication administration system
23 Feb 2021Inspection
23 Feb 2021Inspection
Determined that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
02 Oct 2020Abuse: Neglect
02 Oct 2020Abuse: Neglect
Found that a safe medication administration system was not provided, causing resident discomfort and constituting abuse/neglect; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
02 Jul 2020Abuse: Neglect
02 Jul 2020Abuse: Neglect
Investigated a complaint alleging neglect from improper care planning for a resident's fall history, which led to multiple falls and discomfort; a fine was assessed.
Abuse—Failed to properly plan care
02 Jul 2020Abuse: Neglect
02 Jul 2020Abuse: Neglect
Investigated and found a safe medication administration system was not provided, risking harm to a resident by not administering oxygen and medications as ordered. Violations cited and a $1000 fine assessed.
Abuse—Failed to provide a safe medication administration system
25 Jun 2020Inspection
25 Jun 2020Inspection
Investigated and found a safety deficiency due to leaving a feces covered recliner outside the entrance.
Licensing—Failed to provide safe environment
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Found neglect and abuse due to failure to provide appropriate services, resulting in hospital transfer for severe skin injury.
Abuse—Failed to provide service
12 Feb 2020Abuse: Neglect
12 Feb 2020Abuse: Neglect
Found neglect due to failure to appropriately care plan and provide needed services, leaving the resident without essential care for about two months.
Abuse—Failed to properly plan care
11 Feb 2020Abuse: Neglect
11 Feb 2020Abuse: Neglect
Found a safety deficiency involving neglect that led to an unwitnessed fall with skin injury.
Abuse—Failed to assure resident was safe
13 Dec 2019Inspection
13 Dec 2019Inspection
Found that money went missing from the activity room due to theft and the resident's property was not protected.
Licensing—Failed to protect resident from financial exploitation
04 Dec 2019Inspection
04 Dec 2019Inspection
Found failures to perform proper safety checks, leaving a resident unsafe and leading to injuries requiring hospitalization.
Licensing—Failed to assure resident was safe
19 Oct 2019Inspection
19 Oct 2019Inspection
Investigated a medication administration safety allegation and found a failure to provide a safe system that caused unreasonable discomfort. This constitutes neglect and abuse and violated applicable rules.
Licensing—Failed to provide a safe medication administration system
18 Sept 2019Abuse: Neglect
18 Sept 2019Abuse: Neglect
Identified failures to plan care and implement fall-prevention interventions, resulting in abuse and neglect.
Abuse—Failed to properly plan care
18 Dec 2018Inspection
18 Dec 2018Inspection
Identified failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
18 Dec 2018Abuse: Neglect
18 Dec 2018Abuse: Neglect
Concluded neglect related to medication administration caused significant pain. A $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
21 Nov 2018Abuse: Neglect
21 Nov 2018Abuse: Neglect
Investigated the allegation that medication was not administered as ordered, resulting in neglect and risk to health; a fine was assessed.
Abuse—Failed to administer medication as ordered
04 Jun 2018Inspection
04 Jun 2018Inspection
Investigated a complaint and found a safety deficiency tied to improper restraints during a bus outing that led to a resident's fall.
Licensing—Failed to assure resident was safe
10 May 2018Inspection
10 May 2018Inspection
Investigated an allegation of failing to report potential or suspected abuse and assessed a fine.
Licensing—Failed to report potential or suspected abuse
10 May 2018Abuse: Neglect
10 May 2018Abuse: Neglect
Investigated a neglect allegation and found failures in care assessment and intervention that resulted in pressure sores.
Abuse—Failed to follow care plan
27 Mar 2017Abuse: Financial abuse
27 Mar 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found a deficiency related to safeguarding personal property. The finding showed failure to protect a resident's personal property from theft.
Abuse—Failed to provide safe environment
27 Mar 2017Abuse: Financial abuse
27 Mar 2017Abuse: Financial abuse
Concluded that a financial abuse allegation was substantiated and found that property was not adequately protected from theft.
Abuse—Failed to provide safe environment
27 Mar 2017Abuse: Financial abuse
27 Mar 2017Abuse: Financial abuse
Investigated an allegation of financial abuse and found a failure to protect a resident from theft of money.
Abuse—Failed to provide safe environment
16 Jun 2016Inspection
16 Jun 2016Inspection
Investigated a complaint about care planning for dietary needs and found deficiencies in aligning meals with assessments. Findings referenced concerns about wait times, menu items, and communication of special diets.
Licensing—Failed to care plan in accordance with assessment
03 Nov 2015Abuse: Neglect
03 Nov 2015Abuse: Neglect
Determined that a neglect-related failure to assess and intervene occurred when the resident's condition changed. The finding noted violations of required care standards.
Abuse—Failed to intervene when resident's condition changed
29 Oct 2015Inspection
29 Oct 2015Inspection
Found a failure to assist with toileting and bowel and bladder management.
Licensing—Failed to assist with toileting
10 Sept 2015Inspection
10 Sept 2015Inspection
Found that records were not accessible and the most recent relicensure survey posting was not posted.
Licensing—Failed to make facility or resident records accessible
06 Aug 2015Abuse: Neglect
06 Aug 2015Abuse: Neglect
Found neglect and abuse due to failure to monitor a change in condition and ensure RN assessment; a $300 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
18 Sept 2014Inspection
18 Sept 2014Inspection
Determined that timely medical treatment was not provided. The finding noted potential for moderate harm.
Licensing—Failed to assure timely medical treatment
29 Aug 2014Inspection
29 Aug 2014Inspection
Investigated the allegation of failing to assist with toileting and found a care lapse that caused a resident's colostomy bag to fill and leak.
Licensing—Failed to assist with toileting
09 Jul 2014Abuse: Neglect
09 Jul 2014Abuse: Neglect
Investigated neglect allegation and determined a failure to intervene when a resident's condition changed, leading to death. A fine was assessed.
Abuse—Failed to intervene when resident's condition changed
10 Jun 2014Inspection
10 Jun 2014Inspection
Found a deficiency in the medication administration system that could cause harm.
Licensing—Failed to provide a safe medication administration system
29 Apr 2014Abuse: Financial abuse
29 Apr 2014Abuse: Financial abuse
Investigated allegations of financial abuse and failure to provide a safe environment; substantiated that a resident was not protected from theft.
Abuse—Failed to provide safe environment
14 Apr 2014Abuse: Neglect
14 Apr 2014Abuse: Neglect
Determined neglect occurred due to failure to provide medical treatment as ordered, resulting in pain from TED hose binding.
Abuse—Failed to provide medical treatment as ordered
14 Apr 2014Abuse: Financial abuse
14 Apr 2014Abuse: Financial abuse
Investigated a financial abuse allegation and found a safety deficiency related to protecting the RV from theft.
Abuse—Failed to provide safe environment
14 Apr 2014Abuse: Neglect
14 Apr 2014Abuse: Neglect
Investigated an allegation of neglect and found medications were not administered as ordered.
Abuse—Failed to administer medication as ordered
10 Apr 2014Abuse: Neglect
10 Apr 2014Abuse: Neglect
Found substantiated neglect due to failure to assess and intervene after a resident's condition changed, leading to significant weight loss and failing to thrive.
Abuse—Failed to intervene when resident's condition changed
09 Apr 2014Inspection
09 Apr 2014Inspection
Found a deficiency in the medication administration system that could cause harm to residents.
Licensing—Failed to provide a safe medication administration system
19 Mar 2014Abuse: Financial abuse
19 Mar 2014Abuse: Financial abuse
Concluded that safeguards were insufficient to prevent the theft of a recreational vehicle.
Abuse—Failed to provide safe environment
15 Nov 2013Inspection
15 Nov 2013Inspection
Investigated a complaint and found inadequate care provided to a resident.
Licensing—Failed to provide service
04 Nov 2013Abuse: Financial abuse
04 Nov 2013Abuse: Financial abuse
Investigated and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
14 Oct 2013Abuse: Neglect
14 Oct 2013Abuse: Neglect
Investigated an allegation of neglect and found a failure to respond to calls for assistance.
Abuse—Failed to answer call light in a timely manner
21 Jun 2013Inspection
21 Jun 2013Inspection
Investigated and found that medication was not provided as ordered.
Licensing—Failed to have medication available
21 Jun 2013Inspection
21 Jun 2013Inspection
Investigated a resident-to-resident incident and found a failure to protect a resident from physical contact by another resident.
Licensing—Failed to address resident's behavior
12 Jun 2013Inspection
12 Jun 2013Inspection
Found a licensing violation for failing to respond to calls for assistance.
Licensing—Failed to answer call light in a timely manner
17 May 2013Inspection
17 May 2013Inspection
Concluded there was a deficiency in emergency assistance for medication management.
Licensing—Failed to provide safe environment
04 Apr 2013Abuse: Neglect
04 Apr 2013Abuse: Neglect
Investigated and found deficiencies including not providing medical treatment as ordered and not providing a safe environment.
Abuse—Failed to provide medical treatment as ordered
02 Apr 2013Inspection
02 Apr 2013Inspection
Found a deficiency in medication management due to an inadequate medication system.
Licensing—Failed to administer ordered medication
27 Mar 2013Abuse: Neglect
27 Mar 2013Abuse: Neglect
Investigated a substantiated neglect allegation involving failure to assure timely medical treatment and timely response to a records request. A $400 fine was assessed.
Abuse—Failed to assure timely medical treatment
05 Mar 2013Inspection
05 Mar 2013Inspection
Found a deficiency in medication management indicating a lack of a safe medication administration system. The finding involved medications as ordered by a physician.
Licensing—Failed to provide a safe medication administration system
28 Feb 2013Abuse: Neglect
28 Feb 2013Abuse: Neglect
Investigated the neglect allegation and concluded there was inadequate oversight and monitoring of change of condition.
Abuse—Failed to provide oversight and monitoring of change of condition
26 Oct 2012Inspection
26 Oct 2012Inspection
Found that adequate care was not provided.
Licensing—Failed to provide service
05 Oct 2012Abuse: Neglect
05 Oct 2012Abuse: Neglect
Investigated and found a failure to provide a safe environment.
Abuse—Failed to provide service
08 Jul 2012Abuse: Neglect
08 Jul 2012Abuse: Neglect
Investigated an allegation of neglect related to not administering ordered pain medication; found that pain medication was not administered as requested.
Abuse—Failed to administer ordered medication
18 Jun 2012Inspection
18 Jun 2012Inspection
Found failure to administer medication as ordered.
Licensing—Failed to administer ordered medication
25 Mar 2012Abuse: Financial abuse
25 Mar 2012Abuse: Financial abuse
Concluded there was an abuse incident and a safety failure that allowed theft of a resident's property.
Abuse—Failed to provide safe environment
12 Sept 2011Abuse: Neglect
12 Sept 2011Abuse: Neglect
Investigated an allegation of neglect and found a failure to prevent a resident from being hit by another resident.
Abuse—Failed to address resident's behavior
14 Jun 2011Inspection
14 Jun 2011Inspection
Concluded that a safe and secure environment was not provided.
Licensing—Failed to provide safe environment
08 May 2011Abuse: Neglect
08 May 2011Abuse: Neglect
Investigated a neglect allegation and substantiated that a safe environment was not provided. A $300 fine was assessed.
Abuse—Failed to provide safe environment
26 Jul 2010Inspection
26 Jul 2010Inspection
Investigated the allegation that toileting assistance was not provided; found that care did not meet appropriate standards.
Licensing—Failed to assist with toileting
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Mirador Living is not affiliated with the owner or operator(s) of The Iris Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Iris Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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