Pricing ranges from
    $7,498 – 9,747/month

    The Iris Memory Care

    1615 Brush College Rd NW, Salem, OR 97304
    • Independent Living
    • Assisted Living
    • Memory Care

    Clean, caring, comfortable pet-friendly community

    I toured and placed my mom here and I'm very pleased - the staff are friendly, attentive and accommodating, the manager communicates well and the on-site RN is responsive. The community is clean, homey and well-maintained, with fresh, tasty three-meals-a-day, daily activities (bingo, therapy animals, gardening), and lovely grounds; cottages are roomy, affordable, pet-friendly with ample parking and close to church. Overall a caring, comfortable place I would recommend.

    Loved one of resident
    Jul 2026

    Pricing

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

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 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
    • 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 space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

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

    Reviews

    3.59·(75)

    Overall rating

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

      3.2
    • Staff

      3.5
    • Meals

      3.3
    • Amenities

      3.8
    • Value

      2.7

    Pros

    • compassionate and attentive caregiving staff
    • friendly, welcoming front-line employees
    • well-maintained, recently renovated interiors
    • engaging and varied activities program
    • specialized memory-care programming
    • pet-friendly community and pet program
    • on-site therapy and event offerings (entertainers, therapy animals)
    • independent-living cottage options
    • responsive nursing during acute events
    • convenient location with ample parking

    Cons

    • inconsistent meal quality and serving temperatures
    • sanitation and housekeeping process gaps
    • chronic understaffing and high employee turnover
    • delays in call-light response and toileting assistance
    • medication-administration inconsistencies and delays
    • unclear billing and insurance/Medicaid handling
    • management and communication gaps between leadership and families
    • inadequate staff training and supervision for newer employees
    • environmental safety and clutter hazards in some areas
    • inconsistent activity scheduling and documentation

    Summary of reviews

    Reviewers describe a facility with clear strengths at the caregiver and program level alongside persistent operational weaknesses. Strengths cited most often include direct-care staff who are described as caring, personable, and willing to go above and beyond; a welcoming reception and admissions process; a generally well-maintained and recently updated physical plant; and a robust activities program that includes specialized memory-care programming, visiting entertainers, and therapy-animal interactions. The community also offers independent-living cottage options and is noted as pet-friendly, with convenient parking and location advantages.

    Care quality observations are mixed. Many families praised hands-on caregivers and timely responses during acute medical events, highlighting compassionate treatment and competent emergency response in some cases. However, there are repeated concerns about chronic understaffing and high staff turnover, which reviewers link to delayed responses to call lights, toileting and repositioning delays, and inconsistent adherence to clinical care plans. Medication administration and follow-through were noted as uneven, with examples of delayed or inconsistent administration and requests for clearer written documentation of care plans.

    Dining and housekeeping earned divergent comments. Some reviewers reported fresh, house-made meals served promptly, while others cited inconsistent food quality, cold plates, and pre-processed meal presentations. Housekeeping and sanitation were described as generally acceptable by some families but as having process gaps by others; these sanitation concerns, when present, amplified family unease about routine care tasks and room readiness after transfers.

    The activities program is a relative strength but shows variability. Several accounts praise daily programming, social opportunities, and staff who encourage participation; other accounts describe schedule inconsistencies, staff turnover in activity leadership, and occasional lack of calendar clarity. Prospective residents who value structured engagement should confirm current programming cadence and leadership stability during a tour.

    Facility and safety issues are largely situational but warrant attention. The property is frequently described as clean, attractive, and recently renovated, but there are isolated observations about environmental safety risks (cluttered walkways, cords, or obstacles) and technology/communication limitations (internet speed, phone responsiveness at night). Families recommended confirming physical safety checks and the facility’s procedures for environmental hazard mitigation.

    Management, billing, and communication emerged as recurring concerns. Reviewers noted unclear or confusing billing statements, challenges with insurance/Medicaid handling, and a perceived emphasis on financial processes over individualized follow-through. Several comments describe uneven communication between leadership and families, inconsistent documentation practices, and variable responsiveness from managers. These operational gaps are frequently linked in reviewers’ narratives to staffing shortages and training shortfalls.

    Bottom line: The community demonstrates many elements families seek—compassionate direct-care staff, an engaging activities program, memory-care offerings, and an attractive environment—but sustained operational issues undermine consistency of care. Prospective families should prioritize on-site verification: ask for current staffing ratios, review written care plans and medication protocols, inspect housekeeping and safety procedures, request sample menus and meal-service timing, and obtain clear, itemized billing and insurance handling policies in writing. Those steps will help determine whether the facility’s strengths align with the level of oversight and reliability your loved one requires.

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    Location

    Map showing location of The Iris Memory Care

    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.

    About Bonaventure

    The Iris Memory Care is managed by Bonaventure.

    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 44 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.

    License number70M030
    StatusActive
    Facility typeAssisted Living Facility
    Capacity55 residents
    LicenseeTLC West, LLC
    EffectiveSeptember 30th, 1997
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    200

    Reports

    0

    Type A Citations

    0

    Type B Citations

    6

    Complaints

    16

    Years

    26 Feb 2026Inspection
    Found a records-access violation due to failure to provide records upon request.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Found failure to provide records to the department upon request. This constitutes a licensing violation.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated the allegation and found that records were not provided to the Department upon request, resulting in a cited deficiency.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Found that records were not provided to the Department when requested.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated the allegation and determined that records were not provided upon request.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Found that records were not provided to the Department upon request.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated the allegation and identified a failure to provide records to the Department upon request.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated and found that records were not accessible to the Department upon request.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated a records request issue and found failure to provide records to the department upon request.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Found failure to provide records to the Department upon request, constituting a licensing violation.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Found that records were not provided to the Department when requested, constituting a records access violation.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated and found that records requested by the Department were not provided.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Investigated the allegation that records were not provided on request. Found a records access deficiency.
    • LicensingFailed to make facility or resident records accessible
    26 Feb 2026Inspection
    Concluded that records were not provided to the Department upon request.
    • LicensingFailed to make facility or resident records accessible
    24 Feb 2026Inspection
    Found a records accessibility violation for failing to provide records upon request.
    • LicensingFailed to make facility or resident records accessible
    04 Nov 2025Inspection
    Found a failure to develop, maintain, and implement an Acuity-Based Staffing Tool.
    • LicensingFailed to provide service
    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.
    • LicensingFailed to provide service
    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.
    • AbuseFailed to provide service
    09 May 2025Kitchen
    Identified multiple sanitation and administration deficiencies, including dirty kitchen areas, improper food storage, and communication gaps with residents, across multiple visits.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    06 Apr 2025Inspection
    Found neglect of care and failure to provide services resulting in missed pain medications for a resident.
    • LicensingFailed to provide service
    02 Apr 2025Abuse: Neglect
    Investigated the incident and found that a safe environment was not provided, resulting in injuries from alleged abuse and neglect.
    • AbuseFailed to provide safe environment
    03 Mar 2025Inspection
    Investigated and found a failure to follow a care plan during transfers, resulting in skin discoloration and potential harm to a resident.
    • LicensingFailed to follow care plan
    20 Dec 2024Complaint
    Identified deficiencies related to abuse reporting and acuity-based staffing tools.
    • DeficiencyDefinitions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyAcuity Based Staffing Tool - Abst Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Plan
    20 Dec 2024Inspection
    Investigated a complaint alleging failure to assure resident rights and concluded that a violation occurred.
    • LicensingFailed to assure resident rights
    20 Dec 2024Inspection
    Investigated and identified a deficiency where the service plan did not reflect the resident's needs identified in the evaluation.
    • LicensingFailed to properly plan care
    20 Dec 2024Inspection
    Investigated and determined a safe medication and treatment administration system was not in place.
    • LicensingFailed to provide a safe medication administration system
    20 Dec 2024License Condition
    Found deficiencies in the safe medication administration system.
    • Regulatory ActionFailed to provide a safe medication administration system
    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.
    • AbuseFailed to protect resident from physical abuse
    05 Dec 2024Abuse: Neglect
    Investigated and found a failure to provide a safe environment that led to a resident altercation, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    23 Oct 2024Abuse: Neglect
    Investigated a reported abuse and neglect incident involving an unsafe environment; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    21 Oct 2024Inspection
    Investigated and found a deficiency for not keeping the interior free from unpleasant odors.
    • LicensingFailed to provide a homelike environment
    02 Oct 2024Abuse: Neglect
    Found failure to provide a safe medication administration system, including narcotics handling, leading to neglect and abuse.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    02 Oct 2024Abuse: Neglect
    Investigated and found a failure to provide a safe medication administration system, constituting abuse and neglect.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    16 Sept 2024Inspection
    Found failure to promptly investigate all reports of abuse and suspected abuse and to document injuries, violating state rules.
    • LicensingFailed to investigate injury of unknown origin to rule out abuse
    16 Sept 2024Abuse: Neglect
    Found a failure to provide a safe environment resulting in bruising and substantiated abuse/neglect. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    10 Sept 2024Inspection
    Found a deficiency in documenting observation and evaluation of an individual's ability to perform safe medication and treatment administration unsupervised.
    • LicensingFailed to provide inservice
    10 Sept 2024Inspection
    Determined staffing levels were insufficient to meet residents' scheduled and unscheduled needs, causing delays in meeting those needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    10 Sept 2024Inspection
    Determined insufficient staffing led to unmet or delayed resident needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to provide safe environment
    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.
    • LicensingFailed to provide safe environment
    21 Aug 2024Abuse: Neglect
    Investigated and found violations for failing to provide a safe environment that resulted in abuse; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    22 Jul 2024Inspection
    Found that an acuity-based staffing tool was not fully implemented or updated.
    • LicensingFailed to update staffing plan based on ABST
    12 Jul 2024Inspection
    Investigated and found a violation of abuse reporting rules. Falls with injury were not reported to Adult Protective Services.
    • LicensingFailed to provide safe environment
    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.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    20 Jun 2024Abuse: Neglect
    Determined that a safe environment was not provided, constituting neglect and abuse, and a fine was assessed.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to properly plan care
    19 Jun 2024Inspection
    Found a deficiency for failing to notify potential or suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    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.
    • DeficiencyComment
    • DeficiencyFacility Administration: Records
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Health Services
    • DeficiencySystems: Tracking Control Substances
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyAdministration Compliance
    • DeficiencyCompliance With Rules Health Care
    17 Apr 2024Inspection
    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.
    • LicensingFailed to report potential or suspected abuse
    02 Apr 2024Abuse: Neglect
    Investigated a complaint about safety and abuse; found a failure to provide a safe environment and assessed a $500 fine.
    • AbuseFailed to provide safe environment
    28 Mar 2024Abuse: Neglect
    Determined that a safe environment was not provided, resulting in neglect and abuse.
    • AbuseFailed to provide safe environment
    28 Mar 2024Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, resulting in a $375 fine.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to properly plan care
    15 Mar 2024Licensure
    Identified deficiencies in kitchen sanitation and administration compliance, including unsanitary kitchen conditions and failure to follow licensing rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    10 Mar 2024Abuse: Neglect
    Investigated a resident collision and found unsafe environment and neglect with abuse implications, resulting in a $500 fine.
    • AbuseFailed to provide safe environment
    10 Mar 2024Abuse: Neglect
    Investigated a resident safety complaint and found a failure to provide a safe environment, resulting in abuse and neglect.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to provide safe environment
    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).
    • LicensingFailed to update staffing plan based on ABST
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to provide safe environment
    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.
    • DeficiencyResident Rights and Protection - General
    • DeficiencyGeneral Building Exterior
    • DeficiencyDoors, Walls, Elevators, Odors
    14 Feb 2024Complaint
    Investigated a complaint regarding medication and treatment review; found no deficiencies.
    • DeficiencySystems: Medication and Treatment Review
    14 Feb 2024Inspection
    Investigated allegations found deficiencies in the preparation, completeness, accuracy, and preservation of resident records, and in making records accessible.
    • LicensingFailed to make facility or resident records accessible
    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.
    • DeficiencyFacility Administration: Records
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyBehavior
    • DeficiencyResident Rooms
    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.
    • AbuseFailed to provide safe environment
    14 Feb 2024Inspection
    Investigated and determined a violation for failing to immediately report potential or suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    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.
    • LicensingFailed to address resident's behavior
    14 Feb 2024Inspection
    Determined that qualified awake direct care staffing was insufficient to meet residents' 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    14 Feb 2024Inspection
    Found that residents could not easily identify their rooms because rooms weren't individually labeled.
    • LicensingFailed to assure resident rights
    14 Feb 2024Complaint
    Investigated the licensure complaint and found no deficiencies.
    • DeficiencyAcuity-Based Staffing Tool
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    04 Feb 2024Abuse: Neglect
    Identified abuse and neglect risk and assessed a $500 fine.
    • AbuseFailed to provide safe environment
    03 Feb 2024Abuse: Neglect
    Determined that a safe environment was not provided, resulting in neglect and abuse; a $250 fine was assessed.
    • AbuseFailed to provide safe environment
    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.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to properly plan care
    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.
    • LicensingFailed to administer medication as ordered
    10 May 2023Licensure
    Determined substantial compliance with applicable meal service and food sanitation rules.
    • DeficiencyComment
    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.
    • LicensingFailed to use an ABST
    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.
    • DeficiencyReasonable Precautions
    08 Oct 2022Inspection
    Found a deficient medication administration system that resulted in the resident experiencing unreasonable discomfort and constituted abuse.
    • LicensingFailed to administer medication as ordered
    28 Jun 2022Inspection
    Found a deficiency for failing to screen visitors, creating a potential safety risk for residents.
    • LicensingFailed to provide safe environment
    28 Jun 2022Inspection
    Identified a failure to provide a safe environment due to staff not wearing masks and lack of visitor screening.
    • LicensingFailed to provide safe environment
    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.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyResident Move-In and Eval: Res Evaluation
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencySystems: Tracking Control Substances
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencyAdministrator: Administrator Requirements
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyGeneral Building Exterior
    09 Jun 2022Abuse: Neglect
    Investigated and found a failure to provide adequate pain control, constituting abuse and neglect.
    • AbuseFailed to provide appropriate pain control
    31 May 2022Inspection
    Investigated the allegation and identified a privacy deficiency related to protecting a resident's privacy.
    • LicensingFailed to assure resident rights
    31 May 2022Inspection
    Investigated a complaint and found a deficiency for not updating the service plan quarterly for more than five months.
    • LicensingFailed to properly plan care
    22 Apr 2022Inspection
    Investigated and identified deficiencies in policies and procedures to prevent and respond to incidents, including reportable abuse or neglect going unreported.
    • LicensingFailed to provide safe environment
    12 Apr 2022Abuse: Neglect
    Investigated and found failures to plan and implement fall-prevention interventions, resulting in neglect and a fine.
    • AbuseFailed to properly plan care
    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.
    • LicensingFailed to provide appropriate staffing
    25 Mar 2022Inspection
    Found a deficiency for failing to provide toileting and catheter management assistance. The issue carried potential for minor harm.
    • LicensingFailed to provide service
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to provide safe environment
    20 Mar 2022Abuse: Neglect
    Found a failure to provide a safe environment that caused injuries and led to a $1500 fine.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide medical treatment as ordered
    15 Mar 2022Abuse: Neglect
    Investigated abuse and neglect due to failure to provide wound care/home health services; a $1,000 fine was assessed.
    • AbuseFailed to provide service
    10 Mar 2022Inspection
    Found a deficiency in training to determine direct care staff competency. Confirmed that a caregiver was left on the floor alone.
    • LicensingFailed to assure a qualified caregiver was present
    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.
    • LicensingFailed to provide safe environment
    17 Feb 2022Abuse: Neglect
    Found that staff did not follow the catheter care plan, resulting in neglect and abuse. A $500 fine was assessed.
    • AbuseFailed to follow care plan
    27 Jan 2022Abuse: Neglect
    Investigated medication mismanagement resulting in missed doses and harm; a $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    28 Jul 2021Inspection
    Investigated and found that direct care staffing levels were insufficient to meet residents' needs.
    • LicensingFailed to provide appropriate staffing
    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.
    • LicensingFailed to provide appropriate activities
    19 Jul 2021Inspection
    Investigated the allegation and found the interior had unpleasant odors and was not kept clean.
    • LicensingFailed to provide service
    19 Jul 2021Inspection
    Investigated an allegation of failing to provide housekeeping services and found a deficiency.
    • LicensingFailed to provide appropriate housekeeping services
    08 Jul 2021Inspection
    Investigated an allegation of inadequate housekeeping and found it substantiated.
    • LicensingFailed to provide appropriate housekeeping services
    08 Jul 2021Inspection
    Investigated and verified the allegation that quarterly service plans were not completed.
    • LicensingFailed to follow care plan
    28 Jun 2021Inspection
    Investigated and determined the allegation of insufficient staffing to meet residents' needs.
    • LicensingFailed to provide appropriate staffing
    24 Jun 2021Inspection
    Investigated a licensing violation alleging failure to address resident's physical health status in residents evaluation; findings verified.
    • LicensingFailed to perform adequate screening or assessment
    01 Jun 2021Inspection
    Investigated and found a staffing deficiency affecting timely response to call lights.
    • LicensingFailed to answer call light in a timely manner
    01 Jun 2021Inspection
    Investigated an allegation that appropriate housekeeping services were not provided. Findings verified the lack of housekeeping services.
    • LicensingFailed to provide appropriate housekeeping services
    25 Apr 2021Inspection
    Investigated a complaint about meals and found meals were small and lacked nutritional value.
    • LicensingFailed to provide proper food/nutrition
    25 Apr 2021Inspection
    Found hot water temperatures in resident units outside the required 110-120°F range.
    • LicensingFailed to provide or maintain resident care equipment
    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.
    • AbuseFailed to protect resident from financial exploitation
    02 Apr 2021Abuse: Neglect
    Investigated and found a resident was not protected from financial exploitation; a fine was assessed for the violations.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    02 Apr 2021Abuse: Neglect
    Determined that a resident was not protected from financial exploitation, resulting in neglect. A $188 fine was assessed.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    10 Mar 2021Inspection
    Found a deficiency indicating failure to provide reasonable precautions to protect residents' health, safety, or welfare.
    • LicensingFailed to assure resident was safe
    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.
    • AbuseFailed to provide a safe medication administration system
    23 Feb 2021Inspection
    Determined that medication and treatment orders were not carried out as prescribed.
    • LicensingFailed to administer medication as ordered
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to properly plan care
    25 Jun 2020Inspection
    Investigated and found a safety deficiency due to leaving a feces covered recliner outside the entrance.
    • LicensingFailed to provide safe environment
    09 Jun 2020Abuse: Neglect
    Found neglect and abuse due to failure to provide appropriate services, resulting in hospital transfer for severe skin injury.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to properly plan care
    11 Feb 2020Abuse: Neglect
    Found a safety deficiency involving neglect that led to an unwitnessed fall with skin injury.
    • AbuseFailed to assure resident was safe
    13 Dec 2019Inspection
    Found that money went missing from the activity room due to theft and the resident's property was not protected.
    • LicensingFailed to protect resident from financial exploitation
    04 Dec 2019Inspection
    Found failures to perform proper safety checks, leaving a resident unsafe and leading to injuries requiring hospitalization.
    • LicensingFailed to assure resident was safe
    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.
    • LicensingFailed to provide a safe medication administration system
    18 Sept 2019Abuse: Neglect
    Identified failures to plan care and implement fall-prevention interventions, resulting in abuse and neglect.
    • AbuseFailed to properly plan care
    18 Dec 2018Abuse: Neglect
    Concluded neglect related to medication administration caused significant pain. A $1,500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    18 Dec 2018Inspection
    Identified failure to report suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • LicensingFailed to assure resident was safe
    10 May 2018Abuse: Neglect
    Investigated a neglect allegation and found failures in care assessment and intervention that resulted in pressure sores.
    • AbuseFailed to follow care plan
    10 May 2018Inspection
    Investigated an allegation of failing to report potential or suspected abuse and assessed a fine.
    • LicensingFailed to report potential or suspected 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.
    • AbuseFailed to provide safe environment
    27 Mar 2017Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a failure to protect a resident from theft of money.
    • AbuseFailed to provide safe environment
    27 Mar 2017Abuse: Financial abuse
    Concluded that a financial abuse allegation was substantiated and found that property was not adequately protected from theft.
    • AbuseFailed to provide safe environment
    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.
    • LicensingFailed to care plan in accordance with assessment
    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.
    • AbuseFailed to intervene when resident's condition changed
    29 Oct 2015Inspection
    Found a failure to assist with toileting and bowel and bladder management.
    • LicensingFailed to assist with toileting
    10 Sept 2015Inspection
    Found that records were not accessible and the most recent relicensure survey posting was not posted.
    • LicensingFailed to make facility or resident records accessible
    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.
    • AbuseFailed to provide oversight and monitoring of change of condition
    18 Sept 2014Inspection
    Determined that timely medical treatment was not provided. The finding noted potential for moderate harm.
    • LicensingFailed to assure timely medical treatment
    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.
    • LicensingFailed to assist with toileting
    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.
    • AbuseFailed to intervene when resident's condition changed
    10 Jun 2014Inspection
    Found a deficiency in the medication administration system that could cause harm.
    • LicensingFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide safe environment
    14 Apr 2014Abuse: Neglect
    Determined neglect occurred due to failure to provide medical treatment as ordered, resulting in pain from TED hose binding.
    • AbuseFailed to provide medical treatment as ordered
    14 Apr 2014Abuse: Neglect
    Investigated an allegation of neglect and found medications were not administered as ordered.
    • AbuseFailed to administer medication as ordered
    14 Apr 2014Abuse: Financial abuse
    Investigated a financial abuse allegation and found a safety deficiency related to protecting the RV from theft.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to intervene when resident's condition changed
    09 Apr 2014Inspection
    Found a deficiency in the medication administration system that could cause harm to residents.
    • LicensingFailed to provide a safe medication administration system
    19 Mar 2014Abuse: Financial abuse
    Concluded that safeguards were insufficient to prevent the theft of a recreational vehicle.
    • AbuseFailed to provide safe environment
    15 Nov 2013Inspection
    Investigated a complaint and found inadequate care provided to a resident.
    • LicensingFailed to provide service
    04 Nov 2013Abuse: Financial abuse
    Investigated and found a failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    14 Oct 2013Abuse: Neglect
    Investigated an allegation of neglect and found a failure to respond to calls for assistance.
    • AbuseFailed to answer call light in a timely manner
    21 Jun 2013Inspection
    Investigated a resident-to-resident incident and found a failure to protect a resident from physical contact by another resident.
    • LicensingFailed to address resident's behavior
    21 Jun 2013Inspection
    Investigated and found that medication was not provided as ordered.
    • LicensingFailed to have medication available
    12 Jun 2013Inspection
    Found a licensing violation for failing to respond to calls for assistance.
    • LicensingFailed to answer call light in a timely manner
    17 May 2013Inspection
    Concluded there was a deficiency in emergency assistance for medication management.
    • LicensingFailed to provide safe environment
    04 Apr 2013Abuse: Neglect
    Investigated and found deficiencies including not providing medical treatment as ordered and not providing a safe environment.
    • AbuseFailed to provide medical treatment as ordered
    02 Apr 2013Inspection
    Found a deficiency in medication management due to an inadequate medication system.
    • LicensingFailed to administer ordered medication
    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.
    • AbuseFailed to assure timely medical treatment
    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.
    • LicensingFailed to provide a safe medication administration system
    28 Feb 2013Abuse: Neglect
    Investigated the neglect allegation and concluded there was inadequate oversight and monitoring of change of condition.
    • AbuseFailed to provide oversight and monitoring of change of condition
    26 Oct 2012Inspection
    Found that adequate care was not provided.
    • LicensingFailed to provide service
    05 Oct 2012Abuse: Neglect
    Investigated and found a failure to provide a safe environment.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to administer ordered medication
    18 Jun 2012Inspection
    Found failure to administer medication as ordered.
    • LicensingFailed to administer ordered medication
    25 Mar 2012Abuse: Financial abuse
    Concluded there was an abuse incident and a safety failure that allowed theft of a resident's property.
    • AbuseFailed to provide safe environment
    12 Sept 2011Abuse: Neglect
    Investigated an allegation of neglect and found a failure to prevent a resident from being hit by another resident.
    • AbuseFailed to address resident's behavior
    14 Jun 2011Inspection
    Concluded that a safe and secure environment was not provided.
    • LicensingFailed to provide safe environment
    08 May 2011Abuse: Neglect
    Investigated a neglect allegation and substantiated that a safe environment was not provided. A $300 fine was assessed.
    • AbuseFailed to provide safe environment
    26 Jul 2010Inspection
    Investigated the allegation that toileting assistance was not provided; found that care did not meet appropriate standards.
    • LicensingFailed to assist with toileting

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