Brookdale Rose Valley Scappoose

    33800 Frederick St, Scappoose, OR 97056
    • Independent Living
    • Assisted Living

    Warm, safe community with activities

    I moved my mom in and we're pleased. The staff are kind, compassionate and helpful-Chelsea made the move-in seamless-and residents seem happy. The community is warm, safe and clean, with three meals a day, lots of activities (bingo, yoga, outings), reliable transportation and comfortable apartments. I'd recommend Brookdale Scappoose for its caring staff and active, homey atmosphere.

    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
    • 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
    • Special dietary restrictions

    Room

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

    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

    4.10·(40)

    Overall rating

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

      4.7
    • Staff

      4.2
    • Meals

      3.7
    • Amenities

      4.1
    • Value

      3.8

    Pros

    • clean, well-maintained interior
    • spacious, well-laid-out apartments and cottages
    • friendly, compassionate caregiving staff
    • on-site medical staff availability
    • high staff-to-resident ratio
    • engaging activity program (bingo, yoga, outings)
    • transportation and errand assistance
    • dining facilities with dietary accommodations
    • modern communal amenities (library, puzzle room, pool table)
    • well-kept grounds and gardens
    • independent-living cottages with generous storage and garages
    • convenient central location and family accessibility

    Cons

    • inconsistent meal quality and temperature control
    • staffing shortages and burnout
    • limited clinical capacity for higher-acuity residents
    • inconsistent maintenance responsiveness
    • high turnover in food-service positions
    • inconsistent frontline customer-service interactions
    • resident-to-resident social friction and visitor-unfriendliness
    • security and access-control weaknesses
    • policy enforcement inconsistencies (e.g., smoking near residents)
    • rising costs and price-increase pressure
    • cottage layout contributing to potential social isolation

    Summary of reviews

    Brookdale Rose Valley Scappoose presents as a generally well‑kept, amenity-rich senior living community with many attributes families commonly seek. The facility is frequently described as clean and inviting, with spacious, well-laid-out rooms and cottages, pleasant grounds, and a range of communal amenities such as a modern library, puzzle room, and recreational spaces. Accessibility and a central location are repeatedly noted, as are independent‑living cottages with plentiful storage and oversized garages.

    Staff and care are a consistent strength in reviewers' accounts. Caregivers are commonly characterized as compassionate, helpful, and engaged; many accounts highlight staff who go beyond standard tasks, an attentive activity director, and a generally high staff‑to‑resident presence. The community provides on‑site medical staff and supports assisted‑living needs, and families frequently cite reliable communication about dietary needs and routine care. At the same time, several families indicate that the community is not designed for higher‑acuity nursing needs: transitions to more skilled facilities have occurred when specialized clinical services became necessary.

    Dining and food service are mixed areas. The facility has updated kitchen equipment and clean dining rooms, and kitchen staff are described as accommodating with special diets. Reviewers praise improvements and occasional fine‑dining experiences, but the community also displays variability in meal quality, portion temperature, and menu variety. Turnover in food‑service staffing and occasional cold meals are cited as recurring operational issues that affect consistency.

    Activities and social life are a strong point: scheduled programs such as bingo, exercise classes, outings, and transportation to appointments support resident engagement. Transportation services and to‑go meal options add convenience. However, the social climate has pockets of friction — some visitors and new residents describe feeling unwelcome or encountering unfriendliness from other residents — and the detached nature of cottages can reduce spontaneous social interaction for those who do not drive to the central building.

    Operational and management patterns emerge from the feedback. Several reviewers reference staffing shortages, burnout, and budget pressures that manifest as slower maintenance response times, heavier workloads for existing employees, and turnover in key positions. There are also indications of uneven enforcement of facility policies (for example, staff smoking near entrances) and some gaps in security or access protocols that families should clarify. Price increases have been noted alongside perceptions of overall value relative to the local market.

    In summary, Brookdale Rose Valley Scappoose offers many of the conveniences and community features sought in independent and assisted living — clean accommodations, engaged staff, active programming, transportation, and a central location. Prospective residents and families should verify clinical capability for higher‑acuity care, ask detailed questions about dining consistency, maintenance response times, security procedures, and policy enforcement, and consider how cottage placement might affect social accessibility. For residents whose primary needs are social programming, a compassionate staff, and a well‑maintained campus, the community is a viable option; for those requiring more complex medical management, families should confirm the facility’s current clinical capacity and transfer pathways.

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    Location

    Map showing location of Brookdale Rose Valley Scappoose

    Brookdale Rose Valley Scappoose is located at 33800 Frederick St, Scappoose, OR, 97056.

    About Brookdale Rose Valley Scappoose

    Brookdale Rose Valley Scappoose is a senior living community that has been serving older adults and their families since 1978, and the place offers different care levels to fit seniors' changing needs, with options for independent living, assisted living, memory care for people with Alzheimer's or other dementias, skilled nursing, continuing care retirement communities, and at-home care services, so you'll see Rose Valley Cottages where active, independent seniors live their own way while Rose Valley Assisted Living apartments help those who need a little extra support with things like medication, bathing, dressing, or getting around, and there are also specialized programs and skilled nursing on site for more involved medical issues, plus adult day care for those who spend days at the community but live elsewhere. Residents find different sized studio apartments and cottages, some with kitchenettes, covered porches, attached garages, and nice landscaping, while common spaces are made for comfort, with plush sofas, big windows with natural light, a well-stocked library with cozy chairs, living rooms with TVs, a lounge and game room with board games and billiards, and dining areas that use wood cabinets and have raised bar counters-dining feels easygoing and home-style with meal planners and chefs making nutritious meals every day, and guests can join in too. The community welcomes pets, runs a lot of programs and daily activities like gardening, arts and crafts, music, literary groups, educational sessions, table games, and special events, so there are always chances to meet others, join in outings, participate in clubs, or even just sit quietly reading by a window or visiting with a friend. Health and safety features stand out, with an emergency alert system, 24-hour staff always on hand, nursing and rehab services, and home health help for people who need non-medical care or companionship while staying in their own home. Residents get personal care plans based on what they want and need, and they only pay for the services they use. Cable and satellite TV, Wi-Fi/high-speed internet, laundry and housekeeping (with private options, too), linen services, transportation, parking, and religious services including VA Aid Assistance are all part of daily routines, and there are friendly, cheerful staff who know the residents and help the place feel homelike and easygoing, with a real focus on letting individuals keep their independence and privacy while making sure help's always close by. The grounds have outdoor gardens, landscaped areas, plenty of sunlight inside, and open common spaces, making the environment feel peaceful and welcoming. Families and veterans have always found support here, and over the years, Brookdale Rose Valley Scappoose has kept its culture of friendliness with staff known for being helpful, joyful, and kind to everyone, whether people decide to live there full-time, attend during the day, or bring in home care to keep living in their own house. Residents use signature programs and Brookdale Blogs to stay engaged, and there's always a calendar full of events, outings, and activities for any level of ability, designed to engage the body, mind, and spirit, and you can see people connecting with each other, relaxing together, or enjoying quiet time in beautiful surroundings. The focus stays on comfort, independence, social opportunities, and making sure everyone has the safety, care, and community they want.

    About Brookdale

    Brookdale Rose Valley Scappoose is managed by Brookdale.

    Brookdale Senior Living Inc. (NYSE: BKD) is the largest senior living operator in the United States, managing over 640 communities with capacity for approximately 59,000 residents across 41 states and employing around 36,000 associates. Founded in 1978 and publicly traded since 2005, Brookdale solidified its market leadership through major acquisitions including American Retirement Corporation (2006) and Emeritus Senior Living (2014), making it the only national full-spectrum senior living company. Headquartered in Nashville, Tennessee, Brookdale has topped the American Seniors Housing Association's ASHA 50 list and Argentum's largest providers list for multiple consecutive years.

    The company's comprehensive care continuum includes independent living, assisted living, memory care, skilled nursing, and continuing care retirement communities (CCRCs). Brookdale's signature Clare Bridge program, developed over 30 years ago by dementia-care experts, provides specialized Alzheimer's and dementia care through two distinct levels: Clare Bridge communities for comprehensive memory support and the Clare Bridge Solace program for advanced-stage dementia residents. The program is recognized by the Alzheimer's Association® for incorporating evidence-based Dementia Care Practice Recommendations and features secure environments, enclosed courtyards, Daily Path programming with six structured activities daily, and the InTouch technology platform offering personalized brain-stimulating games and therapeutic content.

    Brookdale's holistic Optimum Life® wellness approach balances six dimensions—Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual—implemented through signature programs including B-Fit (eight exercise class options), Brain Fit (mental fitness workouts), My Life Story (resident storytelling), EngagementPlus (interest-based connections), Growing Together (collaborative learning), and The Ageless Spirit (kindness and gratitude practices). The Embrace Family Partnership provides caregiver education and support for families of memory care residents.

    The company's Brookdale HealthPlus® care coordination model, winner of the 2024 Argentum Best of the Best Award placing it among the top 1% of operators, is a technology-enabled healthcare service featuring dedicated RN Care Managers who proactively manage residents' health, coordinate care transitions, and help prevent avoidable hospitalizations. Communities using HealthPlus report 78% fewer urgent care visits, 36% fewer hospitalizations, and 63% more completed annual wellness visits. The Personal Solutions program delivers hygiene products, medications, and daily necessities directly to residents' doors with discreet packaging and monthly billing convenience.

    Following a strategic divestiture of its home health and hospice operations to HCA Healthcare (completed December 2023), Brookdale now focuses exclusively on senior living operations while maintaining its position as the industry's largest operator, committed to its mission of enriching lives with compassion, respect, excellence, and integrity.

    People often ask...

    Brookdale Rose Valley Scappoose offers competitive pricing, with rates starting at a cost of $4,919 per month.

    Brookdale Rose Valley Scappoose offers independent living and assisted living.

    There are 43 photos of Brookdale Rose Valley Scappoose on Mirador.

    The full address for this community is 33800 Frederick St, Scappoose, OR 97056.

    No, Brookdale Rose Valley Scappoose 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 number70M236
    StatusActive
    Facility typeAssisted Living Facility
    Capacity79 residents
    LicenseeEmeritus Corporation
    EffectiveMay 15th, 2000
    View the official license record

    Inspection Reports

    145

    Reports

    0

    Type A Citations

    0

    Type B Citations

    7

    Complaints

    16

    Years

    10 Jun 2026Licensure
    Identified deficiencies in infection prevention, medication administration, resident refusals, staff pre-service training, and fire safety.
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencySystems: Medication Administration
    • DeficiencyStaffing Requirements and Training – Pre-service
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training for Residents
    02 Nov 2025Inspection
    Investigated a failure to notify staff when a resident's call light activated and their oxygen was off. Found neglect of care and a violation of the care plan that placed the resident at risk of harm.
    • LicensingFailed to follow care plan
    09 Jul 2025Kitchen
    Identified sanitation and equipment maintenance deficiencies in the kitchen. The findings indicate non-compliance with food sanitation rules.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    24 Jun 2025Complaint
    Identified staffing deficiencies due to insufficient awake direct care staff to meet 24-hour needs per the mandated plan.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    24 Jun 2025Inspection
    Found a failure to provide a safe medication administration system, with a narcotic not given and documented as administered, risking unnecessary pain to a resident.
    • LicensingFailed to provide a safe medication administration system
    12 Feb 2025Abuse: Neglect
    Determined that a safe medication administration system was not provided, resulting in missed insulin doses and related harm; a $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    12 Feb 2025Inspection
    Found a deficiency in nursing delegation involving insulin administration and RN teaching/documentation.
    • LicensingFailed to comply with nursing delegation requirement
    28 Aug 2024Licensure
    Investigated multiple deficiencies identified in treatment orders, refusals notification, staffing tool implementation, and interior maintenance.
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Resident Right to Refuse
    • DeficiencyAcuity Based Staffing Tool: Care Elements
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyGeneral Building: Doors-Walls, Cleanable
    17 Aug 2024Abuse: Neglect
    Found a failure to provide a safe medication administration system due to MAR transcription error, which led to missed doses and risk of harm.
    • AbuseFailed to provide a safe medication administration system
    18 Jul 2024Inspection
    Found insufficient qualified awake direct care staff to meet 24-hour needs; there was often only one caregiver on shift when three were required.
    • LicensingFailed to provide safe environment
    13 Jun 2024Licensure
    Identified deficiencies in kitchen practices and food sanitation with potential for moderate harm. Found multiple cleaning, repair, and infection control concerns in the kitchen.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    24 May 2024License Condition
    Identified violations for failing to provide a safe environment.
    • Regulatory ActionFailed to provide safe environment
    23 May 2024Inspection
    Found that a physician's medication orders were not administered as prescribed. This was classified as a level 2 licensing violation with minor harm potential.
    • LicensingFailed to administer medication as ordered
    23 May 2024Inspection
    Investigated the allegation of not providing inservice and found a deficiency in training that lacks methods to determine direct care staff competency.
    • LicensingFailed to provide inservice
    23 May 2024Inspection
    Investigated and determined that a policy prohibiting falsification of records was not implemented, constituting a violation.
    • LicensingFalsified records
    23 May 2024Inspection
    Investigated and found failure to immediately notify authorities about abuse incidents.
    • LicensingFailed to report potential or suspected abuse
    23 May 2024Inspection
    Investigated allegation that medical treatment ordered was not provided; a violation was identified.
    • LicensingFailed to provide medical treatment as ordered
    23 May 2024Inspection
    Identified a fire-safety deficiency for failing to conduct required fire drills. The deficiency related to Oregon Fire Code requirements.
    • LicensingFailed to provide inservice
    23 May 2024Inspection
    Investigated a licensing allegation and found the service plan did not reflect the resident's needs.
    • LicensingFailed to provide service
    23 May 2024Inspection
    Identified a deficiency for failing to monitor a resident according to evaluated needs and to communicate changes in condition and required interventions to direct care staff on each shift.
    • LicensingFailed to properly plan care
    22 May 2024Inspection
    Investigated and found a violation for failing to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    22 May 2024Complaint
    Identified multiple deficiencies in administration, records, abuse reporting, care planning, medications, staffing, and fire safety.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Operation
    • DeficiencyFacility Administration: Records
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyRn Delegation and Teaching
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    • DeficiencyStaffing Rqmt and Training: Training Rqmts
    • DeficiencyFire and Life Safety: Safety
    22 May 2024Inspection
    Found a failure to immediately notify the local Department office or the local AAA about abuse or suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    20 May 2024Abuse: Neglect
    Found neglect of care and abuse due to failure to provide wound care as ordered, leading to infection and hospitalization; a $500 fine was assessed.
    • AbuseFailed to provide medical treatment as ordered
    16 May 2024Inspection
    Investigated findings indicated 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
    16 May 2024Inspection
    Found a deficiency involving failure to assure resident rights and to be responsible for operation and quality of services.
    • LicensingFailed to assure resident rights
    16 May 2024Inspection
    Investigated and found that RN delegation was not provided or documented.
    • LicensingFailed to comply with nursing delegation requirement
    16 May 2024Inspection
    Investigated and concluded that staffing did not meet residents' scheduled and unscheduled needs as indicated by the Acuity-Based Staffing Tool.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    20 Apr 2024Abuse: Neglect
    Investigated neglect for failing to create a care plan after a resident moved in. The failure led to the resident not receiving services or meals.
    • AbuseFailed to properly plan care
    08 Apr 2024Abuse: Neglect
    Found that medications were not available for a resident, leading to hospital transport for swelling and breathing issues; a fine was assessed.
    • AbuseFailed to have medication available
    23 Aug 2023Inspection
    Found a violation involving medication administration safety due to failure to carry out prescribed medication and treatment orders.
    • LicensingFailed to provide a safe medication administration system
    01 Aug 2023Abuse: Neglect
    Investigated the allegation of neglect and abuse related to medication administration and found a failure to ensure a safe medication system, leading to a patient receiving the wrong dose and experiencing discomfort.
    • AbuseFailed to provide a safe medication administration system
    22 Jun 2023Abuse: Neglect
    Identified a violation of safe medication administration that left a resident without pain and anxiety medications for about four days, resulting in neglect and abuse findings and a $250 fine.
    • AbuseFailed to provide a safe medication administration system
    21 May 2023Inspection
    Determined that an altercation during assistance with a resident caused marks and constituted physical abuse.
    • LicensingFailed to protect resident from physical abuse
    29 Mar 2023License Condition
    Found insufficient staffing to meet residents' scheduled and unscheduled needs, violating the cited rule.
    • Regulatory ActionFailed to meet the scheduled and unscheduled needs of residents
    29 Mar 2023License Condition
    Identified failure to adopt and use an acuity-based staffing tool to determine appropriate staffing levels. This violated the required staffing rule.
    • Regulatory ActionFailed to use an ABST
    13 Mar 2023Inspection
    Found a failure to fully implement an ABST, leaving time and frequency for all 22 required ADLs undetermined. This violated Oregon Administrative Rules.
    • LicensingFailed to use an ABST
    14 Feb 2023Complaint
    Identified deficiencies in resident rights, abuse reporting, medication management, and acuity-based staffing.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Rights and Protection - General
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencySystems: Medication and Treatment Review
    • DeficiencyAcuity-Based Staffing Tool
    10 Feb 2023Inspection
    Investigated and found that proper notification was not provided when a move-out was requested after hospital discharge.
    • LicensingFailed to provide safe environment
    10 Feb 2023Inspection
    Investigated the complaint and found a deficiency in medication administration safety, including running out of a resident's medication and administering another resident's medication.
    • LicensingFailed to provide a safe medication administration system
    10 Feb 2023Inspection
    Investigated an allegation of not providing a safe medication administration system and found a deficiency in safe medication and treatment administration systems.
    • LicensingFailed to provide a safe medication administration system
    10 Jan 2023Abuse: Neglect
    Found neglect and abuse due to failure to follow the care plan, including not providing cuing for self-care, resulting in a resident going two weeks without a shower and losing dignity.
    • AbuseFailed to follow care plan
    13 Dec 2022Inspection
    Determined that medication and treatment orders were not carried out as prescribed, causing residents to miss medications consistently.
    • LicensingFailed to provide a safe medication administration system
    05 Dec 2022Inspection
    Identified a failure to immediately notify the local Department office of any incident of abuse or suspected abuse.
    • LicensingFailed to report potential or suspected abuse
    05 Dec 2022Inspection
    Investigated and determined deficiencies in acuity-based staffing. Inconsistencies between the resident roster, care plans, and ABST data were found, and staffing was not aligned with ABST indicators.
    • LicensingFailed to use an ABST
    30 Nov 2022Inspection
    Investigated the allegation and found ABST inaccuracies, including inconsistencies between the resident roster, care plans, and ABST data, with staffing not aligned to ABST indications. Concluded that this violated Oregon Administrative Rules.
    • LicensingFailed to use an ABST
    28 Nov 2022Abuse: Neglect
    Found a violation for failing to provide a safe medication administration system, resulting in a resident going several days without prescribed medication and experiencing pain. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    16 Nov 2022Inspection
    Found deficiencies in the safe medication administration system, including using old medications not on the current provider's list and delays in refilling prescriptions.
    • LicensingFailed to provide a safe medication administration system
    14 Nov 2022Abuse: Neglect
    Found that a resident did not receive pain medication as ordered, causing pain and discomfort. A $500 fine was assessed.
    • AbuseFailed to administer medication as ordered
    12 Nov 2022Inspection
    Determined that an acuity-based staffing tool did not accurately reflect resident needs, with inconsistencies between the roster, care plans, and ABST data, and staffing levels not aligned with ABST indicators.
    • LicensingFailed to use an ABST
    01 Nov 2022Complaint
    Found staffing shortages and failure to adopt an acuity-based staffing tool, leading to delays in care and other operational issues.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    01 Nov 2022Complaint
    Investigated a complaint and identified deficiencies in care planning, service delivery, and staffing, including lack of care conferences, laundry not performed per plan, and inadequate staffing.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyResident Services: Laundry
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    01 Nov 2022Complaint
    Investigated complaint; Found staffing insufficient and ABST not implemented, causing delayed medications and care tasks.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    01 Nov 2022Complaint
    Found deficiencies in medication administration, staffing levels, and use of an acuity-based staffing tool. These findings indicated risks related to timely medications and care due to staffing and planning gaps.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencySystems: Treatment Orders
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    04 Oct 2022Inspection
    Investigated the allegation of failing to provide medical treatment as ordered and found a deficiency in safe medication and treatment administration systems.
    • LicensingFailed to provide medical treatment as ordered
    04 Oct 2022Inspection
    Investigated the allegation and found a failure to fully implement and update an Acuity Based Staffing Tool.
    • LicensingFailed to use an ABST
    03 Oct 2022Abuse: Neglect
    Found violations for failing to administer insulin as ordered, risking serious harm; a $250 fine was assessed.
    • AbuseFailed to administer medication as ordered
    02 Oct 2022Inspection
    Investigated the allegation that direct care staffing was insufficient to meet residents' scheduled and unscheduled needs. Found insufficient direct care staffing to meet those needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    02 Oct 2022Inspection
    Found that the provider did not fully implement and update the ABST corrective action related to the allegation.
    • LicensingFailed to use an ABST
    26 Aug 2022Inspection
    Investigated the ABST-related allegation and found the Acuity Based Staffing Tool was not fully implemented or updated. This presented a moderate risk of harm.
    • LicensingFailed to use an ABST
    26 Aug 2022Inspection
    Investigated and substantiated a staffing deficiency due to insufficient qualified awake direct care staff to meet 24-hour needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    26 Aug 2022Inspection
    Found that the service planning team did not include family invited by the resident. This relates to care planning requirements.
    • LicensingFailed to properly plan care
    26 Aug 2022Inspection
    Investigated allegation and found a failure to provide laundry services.
    • LicensingFailed to provide service
    01 Aug 2022Inspection
    Found noncompliance with weekly vaccination reporting requirements for residents, staff, and vaccinated individuals; assessed a $7,500 fine.
    • LicensingFailed to submit timely or adequate staffing documentation
    01 Jul 2022Inspection
    Cited a failure to submit timely weekly vaccination reporting for residents and staff for 30 days.
    • LicensingFailed to submit timely or adequate staffing documentation
    27 Jun 2022Inspection
    Found a deficiency in hand hygiene that could threaten resident health. Staff reportedly did not wash hands after handling trash before serving food.
    • LicensingFailed to provide safe environment
    01 Jun 2022Inspection
    Found a violation for failing to submit timely weekly reporting of vaccinated individuals, residents, and staff for May 2022, and assessed a $7,500 fine.
    • LicensingFailed to submit timely or adequate staffing documentation
    02 May 2022Inspection
    Found failure to submit timely weekly vaccination reporting for residents and staff for a 30-day period, resulting in a $7,500 fine.
    • LicensingFailed to submit timely or adequate staffing documentation
    30 Apr 2022Abuse: Neglect
    Found a failure to provide a safe medication administration system that left a resident without prescribed pain medication for four doses, causing withdrawal and discomfort.
    • AbuseFailed to provide a safe medication administration system
    16 Mar 2022Abuse: Neglect
    Investigated and identified neglect due to failure to properly plan care for a resident with a skin impairment, resulting in worsening condition and discomfort.
    • AbuseFailed to properly plan care
    01 Mar 2022Inspection
    Investigated a failure to submit timely weekly vaccination reporting and concluded the allegation occurred Feb 1–28, 2022.
    • LicensingFailed to submit timely or adequate staffing documentation
    24 Feb 2021Abuse: Neglect
    Found neglect due to failure to provide appropriate services after a resident's fall, leading to delayed medical treatment and a wrist fracture. A fine of $1125 was assessed.
    • AbuseFailed to provide service
    12 Feb 2021Abuse: Neglect
    Investigated a complaint of financial exploitation of a resident and found a failure to protect the resident, resulting in clothing theft from the resident's room.
    • AbuseFailed to protect resident from financial exploitation
    08 Dec 2020Abuse: Neglect
    Identified neglect and abuse due to failure to provide timely medical treatment, resulting in worsening condition and discomfort; a $250 fine was assessed.
    • AbuseFailed to assure timely medical treatment
    01 Dec 2020Inspection
    Investigated an allegation of failing to provide a safe environment and found a safety concern.
    • LicensingFailed to provide safe environment
    21 Feb 2020Inspection
    Investigated the allegation and found a deficiency for not providing nutritious palatable meals and snacks.
    • LicensingFailed to provide proper food/nutrition
    01 Feb 2020Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe medication administration system and to complete ordered medical treatments, resulting in ongoing medical deterioration. A $500 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    18 Jan 2020Inspection
    Investigated the allegation of failing to follow the care plan, which led to an unwitnessed fall, a four-hour neglect period, and a head injury; violations of resident rights and neglect/abuse were identified.
    • LicensingFailed to follow care plan
    18 Nov 2019Abuse: Financial Exploitation
    Investigated a financial exploitation allegation and found a safety lapse led to missing items, constituting abuse.
    • AbuseFailed to protect resident from financial exploitation
    28 Aug 2019Abuse: Neglect
    Investigated a complaint found neglect due to a delayed response to a resident's call light after a fall, with about 25 minutes before staff responded.
    • AbuseFailed to answer call light in a timely manner
    21 Nov 2018Inspection
    Identified failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    21 Nov 2018Abuse: Neglect
    Investigated an abuse/neglect allegation of failure to administer medications/treatment as ordered, resulting in risk of serious harm. A $500 fine was assessed.
    • AbuseFailed to provide medical treatment as ordered
    03 Nov 2018Inspection
    Identified a failure to report suspected abuse and assessed a $1000 fine.
    • LicensingFailed to report potential or suspected abuse
    03 Nov 2018Abuse: Neglect
    Found that a resident did not receive basic care and services and medications were not administered as ordered, creating risk of serious harm.
    • AbuseFailed to assure resident was safe
    01 Jun 2018Inspection
    Investigated a failure to report potential or suspected abuse. A $1,000 fine was assessed for the identified licensing violation.
    • LicensingFailed to report potential or suspected abuse
    01 Jun 2018Abuse: Neglect
    Found failure to respond to a resident's call light in a timely manner, with a fine assessed.
    • AbuseFailed to answer call light in a timely manner
    19 May 2018Abuse: Neglect
    Investigated an allegation of neglect and found failure to provide a safe environment; a $500 fine was assessed.
    • AbuseFailed to assure resident was safe
    19 May 2018Inspection
    Found failure to self-report potential or suspected abuse, with a $1000 fine assessed.
    • LicensingFailed to report potential or suspected abuse
    12 May 2018Inspection
    Found failure to report suspected abuse and assessed a $1,000 fine.
    • LicensingFailed to report potential or suspected abuse
    12 May 2018Abuse: Neglect
    Identified a failure to assess and intervene when a resident's condition changed, with a $500 fine assessed.
    • AbuseFailed to intervene when resident's condition changed
    02 May 2018Inspection
    Investigated a complaint and found the medication records were not kept current or accurate. A $375 fine was assessed for the deficiency.
    • LicensingFailed to keep medication record current or accurate
    06 Apr 2018Abuse: Neglect
    Investigated the allegation of neglect and concluded a safe environment was not provided.
    • AbuseFailed to provide safe environment
    23 Mar 2018Abuse: Financial abuse
    Concluded that a resident was not protected from financial exploitation.
    • AbuseFailed to protect resident from financial exploitation
    20 Mar 2018Inspection
    Investigated and found a deficiency related to the safety of the medication administration system.
    • LicensingFailed to provide a safe medication administration system
    02 Mar 2018Abuse: Neglect
    Investigated the complaint and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    02 Mar 2018Abuse: Neglect
    Concluded that residents were not protected from harm and a $1,000 fine was assessed.
    • AbuseFailed to assure resident was safe
    02 Mar 2018Inspection
    Found failure to report potential or suspected abuse. A civil penalty of $750 was assessed.
    • LicensingFailed to report potential or suspected abuse
    28 Feb 2018Inspection
    Found a deficiency in keeping medication records current and accurate and in maintaining an adequate medication administration system; a $500 fine was assessed.
    • LicensingFailed to keep medication record current or accurate
    12 Feb 2018Inspection
    Investigated and found a deficiency in the medication disposal system.
    • LicensingFailed to provide a safe medication administration system
    12 Feb 2018Inspection
    Found a deficiency in the medication disposal system.
    • LicensingFailed to provide a safe medication administration system
    12 Feb 2018Inspection
    Found a deficiency in the medication disposal system that could cause harm.
    • LicensingFailed to provide a safe medication administration system
    04 Feb 2018Abuse: Verbal/Mental abuse
    Investigated a verbal/mental abuse allegation and safety failures; found harm protection and intervention lacking, with a $1,000 fine assessed.
    • AbuseFailed to provide safe environment
    04 Feb 2018Inspection
    Investigated the complaint and identified failure to report potential or suspected abuse, with a civil penalty of $750 assessed.
    • LicensingFailed to report potential or suspected abuse
    28 Nov 2017Abuse: Financial abuse
    Found a violation for failing to protect a resident from financial exploitation.
    • AbuseFailed to protect resident from financial exploitation
    18 May 2017Abuse: Financial abuse
    Investigated a financial abuse allegation and found a resident was not protected from loss of property.
    • AbuseFailed to protect resident from financial exploitation
    26 Sept 2016Inspection
    Identified a deficiency in safe medication administration.
    • LicensingFailed to provide a safe medication administration system
    25 Jul 2016Inspection
    Found a deficiency in safe medication administration. It was categorized as a level 2 licensing violation.
    • LicensingFailure to provide a system that prevents theft or misuse of medication
    01 Jul 2015Abuse: Neglect
    Investigated a neglect allegation and found a failure to protect a resident from harm.
    • AbuseFailed to follow care plan
    08 Jun 2015Abuse: Neglect
    Investigated the allegation of neglect related to dressing and grooming and found failure to provide appropriate care to the resident.
    • AbuseFailed to assist with dressing or grooming
    19 Nov 2014Abuse: Neglect
    Determined there was a failure to provide a safe medication administration system, and assessed a $300 fine.
    • AbuseFailed to administer medication as ordered
    18 Sept 2014Inspection
    Investigated and found a failure to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    11 May 2014Abuse: Neglect
    Investigated an allegation of neglect and found a failure to keep residents safe, with elopements observed.
    • AbuseFailed to properly plan care
    11 May 2014Abuse: Neglect
    Investigated an abuse/neglect allegation and found a failure to properly plan care. The deficiency involved inadequate assessment and intervention.
    • AbuseFailed to properly plan care
    24 Mar 2014Abuse: Neglect
    Investigated a care-planning allegation and identified a deficiency that left a resident at risk of harm, with a $300 fine assessed.
    • AbuseFailed to properly plan care
    02 Oct 2013Abuse: Financial abuse
    Found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    29 Jun 2013Abuse: Neglect
    Found that a safe medication administration system was not provided; a $200 fine was assessed.
    • AbuseFailed to provide a safe medication administration system
    18 May 2013Abuse: Financial abuse
    Found that a resident was not protected against loss of money, resulting in a $400 fine.
    • AbuseFailed to provide safe environment
    07 May 2013Abuse: Financial abuse
    Found an allegation of financial abuse and a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    04 Apr 2013Abuse: Neglect
    Found deficiencies in safety and in the medication administration system, with a $300 fine assessed.
    • AbuseFailed to provide a safe medication administration system
    10 Mar 2013Abuse: Financial abuse
    Found that a resident's property wasn't adequately protected, indicating financial abuse with potential for moderate harm.
    • AbuseFailed to provide safe environment
    10 Mar 2013Inspection
    Investigated and found a failure to protect a resident from emotional harm.
    • LicensingFailed to assure resident rights
    22 Jan 2013Abuse: Financial abuse
    Investigated an allegation of financial abuse and concluded there was a failure to protect property.
    • AbuseFailed to provide safe environment
    17 Dec 2012Abuse: Financial abuse
    Determined that financial abuse occurred and property was lost from a resident's room.
    • AbuseFailed to provide safe environment
    28 Sept 2012Inspection
    Investigated a medication administration allegation and found a deficiency in medication administration safety.
    • LicensingFailed to administer medication as ordered
    23 Sept 2012Abuse: Financial abuse
    Determined that financial abuse occurred and residents were not protected from theft.
    • AbuseFailed to provide safe environment
    28 May 2012Abuse: Financial abuse
    Found substantiated financial abuse due to failure to protect a resident from theft.
    • AbuseFailed to provide safe environment
    21 Dec 2011Abuse: Financial abuse
    Concluded that a financial abuse allegation was substantiated and residents were not protected from theft.
    • AbuseFailed to provide safe environment
    10 Oct 2011Abuse: Financial abuse
    Investigated a financial exploitation allegation and found a failure to protect a resident from theft.
    • AbuseFailed to protect resident from financial exploitation
    30 Sept 2011Abuse: Financial abuse
    Investigated the allegation and found residents were not adequately protected from theft.
    • AbuseFailed to provide safe environment
    19 Sept 2011Abuse: Neglect
    Investigated the allegation and found a failure to follow the care plan.
    • AbuseFailed to follow care plan
    13 Sept 2011Inspection
    Found a deficiency in the safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    11 Sept 2011Abuse: Neglect
    Investigated the allegation and found a failure to follow the care plan and to provide a safe environment.
    • AbuseFailed to follow care plan
    09 Aug 2011Abuse: Neglect
    Investigated and identified safety deficiencies related to falls.
    • AbuseFailed to adequately care plan related to falls
    20 Jul 2011Abuse: Neglect
    Found failure to provide medical treatment as ordered.
    • AbuseFailed to provide medical treatment as ordered
    11 Sept 2010Abuse: Neglect
    Investigated the allegation and found a deficiency in the medication administration system.
    • AbuseFailed to provide a safe medication administration system
    08 Sept 2010Abuse: Physical Abuse
    Found safety deficiencies after investigating an allegation of physical abuse, indicating the environment was not safe.
    • AbuseFailed to provide safe environment
    05 Aug 2010Abuse: Financial abuse
    Investigated an allegation of financial abuse and found a resident's property was not protected.
    • AbuseFailed to provide safe environment
    01 Aug 2010Inspection
    Concluded that a resident's rights were not protected, resulting in loss of dignity.
    • LicensingFailed to assure resident rights
    28 Jul 2010Inspection
    Investigated and found a failure to provide a safe medication administration system.
    • LicensingFailed to provide a safe medication administration system
    11 Jul 2010Abuse: Verbal/Mental abuse
    Investigated and found a verbal/mental abuse incident where a resident's rights were not protected due to an inappropriate comment or gesture.
    • AbuseFailed to assure resident rights
    11 Jul 2010Inspection
    Found a licensing violation for failing to protect a resident from loss of money.
    • LicensingFailed to provide safe environment
    24 Jun 2010Abuse: Financial abuse
    Investigated and found that a resident's funds were not protected from loss.
    • AbuseFailed to provide safe environment
    06 May 2010Abuse: Financial abuse
    Determined residents were not protected from loss of money, indicating a financial abuse finding.
    • AbuseFailed to provide safe environment
    13 Apr 2010Abuse: Financial abuse
    Found financial abuse involving failure to protect residents from loss of money.
    • AbuseFailed to provide safe environment
    07 Mar 2010Abuse: Financial abuse
    Investigated and found a financial abuse violation involving residents' property protection. A $350 fine was assessed.
    • AbuseFailed to provide safe environment

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