I moved my mother into River Park (Mosaic) and have been very pleased. The staff are professional, caring and hardworking - they made the move seamless, loaned needed equipment, and genuinely improved her mood and well-being; the community is clean, friendly, offers great food, roomy apartments, and excellent support for Sheridan-area seniors. I trust the team and would recommend this community for those needing assisted living.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
Schedule a Tour
Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Housekeeping and linen services
Community services
Move-in coordination
Activities
Community-sponsored activities
Scheduled daily activities
Reviews
3.37·(19)
Overall rating
5
4
3
2
1
Care
4.4
Staff
3.5
Meals
2.3
Amenities
3.4
Value
3.4
Pros
Compassionate and attentive caregiving staff
Helpful and responsive support team
Clean, well-maintained private apartments
Spacious units accommodating large furniture
Smooth and efficient move-in and transition processes
Individualized, reassuring resident care
Positive impact on residents' emotional well-being
Welcoming community atmosphere
Friendly resident interactions
Executive leadership and administrative support
Staff who go above-and-beyond for residents
Noted high-quality meal offerings
Cons
Chronic understaffing and low staff-to-resident ratios
Delayed staff response times and limited on-site coverage
Inconsistent clinical leadership and staff training
Poor family communication and updates
Variable meal quality and kitchen management
Limited or inconsistent activity programming
Deferred maintenance and electrical safety concerns
Pest-control and fixture sanitation gaps
Inadequate allergen and food-safety controls
Recent ownership and management transitions with inconsistent operational outcomes
Gaps in incident response and external-oversight processes
Summary of reviews
The reviews present a mixed picture of River Park Senior Living. Many families and residents praise the day-to-day caregiving: staff are frequently described as compassionate, helpful, and willing to go beyond basic duties to support residents, and several accounts highlight positive effects on emotional well-being after placement. Private apartments are often characterized as clean and spacious, the move-in and transition processes can be smooth, and some families report strong executive- and administrative-level support.
At the same time, recurring operational weaknesses emerge. Understaffing and high workload are consistent themes, with consequences that include delayed responses to call needs, limited front-desk or 24-hour coverage, and a sense that staff are overextended. Related concerns include uneven clinical oversight and training, which some families perceive as leading to inconsistent care decisions or inexperienced supervisory staff.
Dining and activity offerings appear inconsistent across accounts. Several families compliment the food and certain meal experiences, while others describe poor meal quality and kitchen-management problems. Activity programming is likewise variable: some residents experience a welcoming, engaged community, whereas others report a lack of structured activities and limited engagement options.
Facility operations show both strengths and gaps. Private units and common areas receive positive comments for cleanliness and livability, but there are also noted maintenance and safety issues, including electrical and fixture concerns and pest-control gaps. A number of comments raise specific allergen and food-safety risks that suggest the need for clearer protocols in communal areas and during meal service.
Management and organizational stability are important patterns to watch. Reviews reference recent ownership and leadership changes that appear to have produced inconsistent outcomes—some families describe noticeable improvements, while others cite worsening management, communication breakdowns, and even incidents that required external attention. These mixed signals point to variability in how policies are enforced and incidents are handled.
For prospective residents and families, the facility's clear strengths lie in the dedication of many front-line caregivers and the quality of individual apartments and transitions. However, the operational weaknesses—particularly staffing levels, communication practices, dining consistency, maintenance, and incident-response systems—are meaningful considerations. Families who value strong, consistent communication and robust activity programming should ask specific, current questions about staffing ratios, front-desk coverage, clinical oversight, meal plans, pest-control measures, and how recent management changes have been implemented and audited.
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Location
River Park Senior Living is located at 1350 W Main St, Sheridan, OR, 97378.
About River Park Senior Living
River Park Senior Living offers assisted living in a unique, home-like environment with a focus on providing both independence and quality care for its residents. The community is dedicated to being resident-centered, making the well-being and satisfaction of its residents and their families a top priority. At River Park, the atmosphere is designed to feel welcoming and familiar, blending the comforts of home with attentive support. Residents find reassurance in knowing that personal assistance is available when needed, all while maintaining the freedom and autonomy that is so important to a fulfilling lifestyle.
Assisted living at River Park includes support with activities of daily living and medication management, allowing seniors to enjoy a safe and supportive environment without sacrificing their independence. The staff at River Park strive to make a positive difference with each interaction, guided by values of kindness, compassion, and community togetherness. The team is committed to continuous improvement and aspires to live by principles such as the Optimist Creed, infusing optimism and positivity into the daily experience of residents.
Respite care services are also offered at River Park Senior Living, providing a reliable solution for primary caregivers who need to take a break, attend to personal matters, or simply rest, knowing their loved one is in caring hands. The respite care program is available for stays of a week or longer and includes all the comforts and services available to full-time residents, ensuring safety, engagement, and compassionate attention throughout the stay. Should hospice services become necessary, River Park’s nursing team and caregivers work closely with hospice providers to ensure that comfort, dignity, and quality of life remain the central focus during this sensitive period.
The community at River Park is an extension of the local towns it serves, aiming to foster a sense of togetherness and belonging. Pets are welcome, recognizing the important role that animal companions play in the lives of many seniors. The environment encourages connection and companionship among residents. River Park’s location in Sheridan offers convenient access to a variety of attractions and scenic destinations, including the Oregon Coast, downtown Portland, the State Capitol, and the heart of Oregon Wine Country, allowing residents and families to enjoy the rich cultural and natural beauty of the area.
Every detail at River Park is designed to provide value and a boutique-style experience for seniors. The staff, including team members such as Lela Waggoner and Rojelio Garcia, are dedicated to making the transition to senior living as smooth as possible, supporting both individuals and couples in their journey. Whether someone is seeking long-term assisted living or a temporary respite stay, River Park Senior Living stands out as a compassionate, vibrant, and supportive community where kindness matters most.
People often ask...
River Park Senior Living offers competitive pricing, with rates starting at a cost of $5,138 per month.
River Park Senior Living offers assisted living.
There are 1 photos of River Park Senior Living on Mirador.
The full address for this community is 1350 W Main St, Sheridan, OR 97378.
No, River Park Senior Living does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated an allegation that resident rights were not assured; found deficiencies in operation and quality of services.
Licensing—Failed to assure resident rights
12 Jan 2026Inspection
12 Jan 2026Inspection
Identified insufficient awake direct care staffing and incomplete ABST evaluations for SNC residents. Violations of Oregon Administrative Rules were noted.
Licensing—Failed to use an ABST
21 Nov 2025Inspection
21 Nov 2025Inspection
Identified insufficient awake direct care staffing to meet residents' 24-hour needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
21 Nov 2025Inspection
21 Nov 2025Inspection
Found residents' individual choice for services and supports was not assured.
Licensing—Failed to assure resident rights
20 Nov 2025Inspection
20 Nov 2025Inspection
Found failures to communicate required actions for short-term changes in condition after hospital visits and to relay return information, resulting in unmanaged risk.
Licensing—Failed to intervene when resident's condition changed
19 Nov 2025Inspection
19 Nov 2025Inspection
Found deficiencies in kitchen cleanliness and repair, infection control practices, and proper food handling.
Licensing—Failed to assure food safety
19 Nov 2025Inspection
19 Nov 2025Inspection
Found that medication and treatment orders were not carried out as prescribed, posing minor harm or potential for moderate harm.
Licensing—Failed to administer medication as ordered
19 Nov 2025License Condition
19 Nov 2025License Condition
Found a failure to provide a safe environment.
Regulatory Action—Failed to provide safe environment
18 Nov 2025Inspection
18 Nov 2025Inspection
Found a violation for unsafe environment due to smoking around oxygen and improper meal positioning that led to choking, posing an immediate health and safety risk.
Licensing—Failed to provide safe environment
18 Nov 2025Inspection
18 Nov 2025Inspection
Found that service plans were not readily available to staff and did not provide clear directions for delivering services.
Licensing—Failed to communicate necessary information
18 Nov 2025Inspection
18 Nov 2025Inspection
Found that ABST evaluations were not completed, updated, reviewed, or documented. This reflected a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
18 Nov 2025Inspection
18 Nov 2025Inspection
Investigated and found a violation for failing to provide a safe environment and quality of services.
Licensing—Failed to provide safe environment
18 Nov 2025Inspection
18 Nov 2025Inspection
Determined that medication and treatment orders, including modified diet textures, were not carried out as prescribed, placing residents at risk of aspiration.
Licensing—Failed to provide medical treatment as ordered
17 Nov 2025Abuse: Neglect
17 Nov 2025Abuse: Neglect
Identified neglect and abuse for failing to secure a resident's lighter and cigarettes, creating an unsafe environment. The resident lit a cigarette while wearing oxygen and sustained burns; a fine was assessed.
Abuse—Failed to provide safe environment
24 Oct 2025Inspection
24 Oct 2025Inspection
Found insufficient qualified awake direct care staff to meet the 24-hour needs of residents.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
15 Oct 2025Inspection
15 Oct 2025Inspection
Found that a smoking policy and procedure was not implemented. This is a violation of Oregon Administrative Rules.
Licensing—Failed to assure resident rights
15 Jul 2025Kitchen
15 Jul 2025Kitchen
Found sanitation deficiencies in kitchen practices that did not meet food sanitation requirements. Multiple areas and equipment needed cleaning or repair.
Investigated and found ABST quarterly evaluations were not updated for residents, resulting in a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
31 Mar 2025Inspection
31 Mar 2025Inspection
Found failure to update ABST evaluations quarterly for each resident, violating Oregon Administrative Rules.
Licensing—Failed to use an ABST
09 Mar 2025Inspection
09 Mar 2025Inspection
Investigated allegation that resident rights were not assured and found a violation of rules regarding service implementation.
Licensing—Failed to assure resident rights
06 Mar 2025Licensure
06 Mar 2025Licensure
Identified extensive deficiencies across administration, resident rights, service planning, health services, medication management, staffing, training, safety, and building maintenance.
Deficiency—Facility Administration: Operation
Deficiency—Resident Rights and Protection - General
Identified a deficiency for failing to update ABST evaluations quarterly.
Licensing—Failed to use an ABST
04 Feb 2025Inspection
04 Feb 2025Inspection
Found a failure to develop, maintain, and implement an acuity-based staffing tool, violating Oregon rules.
Licensing—Failed to use an ABST
29 Jan 2025Inspection
29 Jan 2025Inspection
Investigated the complaint and identified a failure to maintain infection prevention and control protocols. The lack of wipes was cited as a violation.
Licensing—Failed to provide infection control
28 Jan 2025License Condition
28 Jan 2025License Condition
Concluded that the provider's acts/omissions created a situation requiring issuance of a license condition for failing to provide a safe environment.
Regulatory Action—Failed to provide safe environment
28 Jan 2025Inspection
28 Jan 2025Inspection
Identified violations involving recordkeeping, competency documentation for staff, adherence to staffing contracts, and retention of resident records, along with a resident smoking in a room while administration was aware.
Licensing—Failed to provide service
28 Jan 2025Inspection
28 Jan 2025Inspection
Found residents were not treated with dignity and respect. Meals were served in residents' rooms on paper plates, which violated rules.
Licensing—Failed to assure resident rights
28 Jan 2025Complaint
28 Jan 2025Complaint
Investigated and identified multiple deficiencies in policy enforcement, reporting of abuse, service plan implementation, medication management, staffing, acuity-based staffing, pre-service training, and odor control.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Doors, Walls, Elevators, Odors
28 Jan 2025Inspection
28 Jan 2025Inspection
Identified a fire-safety deficiency for failing to conduct and record fire drills every other month, including no drill in more than six months.
Licensing—Failed to provide safe environment
08 Jan 2025Inspection
08 Jan 2025Inspection
Investigated and concluded a violation for failing to provide a safe environment due to the lack of a smoking policy, with residents reportedly smoking methamphetamines in rooms.
Licensing—Failed to provide safe environment
08 Jan 2025Inspection
08 Jan 2025Inspection
Found that there was no competency training program for direct care staff and no documentation of competencies for newly hired staff.
Licensing—Failed to provide appropriate staffing
08 Jan 2025Inspection
08 Jan 2025Inspection
Found a deficiency in RN delegation and teaching for safe medication administration due to inadequate documentation.
Licensing—Failed to provide a safe medication administration system
01 Jan 2025Inspection
01 Jan 2025Inspection
Found that the Acuity-Based Staffing Tool was not updated to reflect residents' needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
29 Dec 2024Abuse: Neglect
29 Dec 2024Abuse: Neglect
Investigated and found a resident did not receive the prescribed therapeutic diet, leading to choking and constituting abuse and neglect; a fine was assessed.
Abuse—Failed to provide a therapeutic diet
17 Dec 2024Inspection
17 Dec 2024Inspection
Investigated found insufficient staff to meet scheduled and unscheduled resident needs, leading to unmet needs or delays in meeting them.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
17 Dec 2024Inspection
17 Dec 2024Inspection
Investigated and determined that staffing levels were insufficient to meet residents' scheduled and unscheduled needs. This was found to violate Oregon Administrative Rules.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
17 Dec 2024Inspection
17 Dec 2024Inspection
Found deficiencies in using an acuity-based staffing tool, with inconsistencies between roster, care plans, and ABST data. Staffing levels were not aligned with resident needs.
Licensing—Failed to use an ABST
17 Dec 2024Inspection
17 Dec 2024Inspection
Found deficiencies in the Acuity-Based Staffing Tool accuracy and data consistency with resident rosters and care plans.
Licensing—Failed to use an ABST
17 Dec 2024Inspection
17 Dec 2024Inspection
Investigated and found deficiencies in the ABST that did not reflect resident care needs, causing inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
16 Dec 2024Inspection
16 Dec 2024Inspection
Identified deficiencies in ABST accuracy reflecting resident needs and ADLs. Inconsistencies between roster, care plans, and ABST data showed staffing not aligned with scheduled and unscheduled resident needs.
Licensing—Failed to use an ABST
11 Dec 2024Abuse: Neglect
11 Dec 2024Abuse: Neglect
Investigated a hygiene neglect allegation and found insufficient bathing assistance causing discomfort. A $250 fine was assessed.
Abuse—Failed to provide or assist with hygiene
01 Dec 2024Inspection
01 Dec 2024Inspection
Investigated the ABST-related allegation and found inconsistencies between the resident roster, care plans, and ABST data, with staffing levels not aligned to residents' needs.
Licensing—Failed to use an ABST
27 Nov 2024Inspection
27 Nov 2024Inspection
Found deficiencies in using an Acuity-Based Staffing Tool that did not reflect resident needs or ADLs, with inconsistencies between the roster, care plans, and ABST data, and insufficient staffing to meet scheduled and unscheduled resident needs.
Licensing—Failed to use an ABST
27 Nov 2024Inspection
27 Nov 2024Inspection
Found a deficiency in the medication administration system, with medications given 2-3 hours late.
Licensing—Failed to provide a safe medication administration system
19 Nov 2024Abuse: Neglect
19 Nov 2024Abuse: Neglect
Investigated and found abuse and neglect occurred due to staff not assisting with transfers per the service plan, leading to incontinence and loss of dignity; a $500 fine was assessed.
Abuse—Failed to assure resident rights
19 Nov 2024Inspection
19 Nov 2024Inspection
Found deficiencies in the Acuity-Based Staffing Tool and staffing levels, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
04 Nov 2024Inspection
04 Nov 2024Inspection
Identified deficiencies in ABST accuracy and staffing levels, with inconsistencies between roster, care plans, and ABST data, and insufficient staffing to meet resident needs.
Licensing—Failed to use an ABST
01 Nov 2024Inspection
01 Nov 2024Inspection
Found that an acuity-based staffing tool did not accurately reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
14 Oct 2024Inspection
14 Oct 2024Inspection
Found deficiencies in ABST usage and staffing levels not aligned with resident needs and required ADLs.
Licensing—Failed to use an ABST
11 Oct 2024Inspection
11 Oct 2024Inspection
Investigated a records request complaint and found failure to cooperate with complaint investigations and provide access to records and video/audio systems.
Licensing—Failed to provide safe environment
10 Oct 2024Inspection
10 Oct 2024Inspection
Identified deficiencies in the acuity-based staffing tool, with inconsistencies between the resident roster, care plans, and ABST data; staffing did not align with resident needs.
Licensing—Failed to use an ABST
26 Sept 2024Inspection
26 Sept 2024Inspection
Investigated the allegation and determined that nursing delegation requirements were not met, with delegation and teaching not provided or documented by an RN.
Licensing—Failed to comply with nursing delegation requirement
23 Sept 2024Inspection
23 Sept 2024Inspection
Investigated and determined a deficiency in ABST accuracy with inconsistencies among the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
17 Sept 2024Inspection
17 Sept 2024Inspection
Found that delegation and teaching by a RN was not provided or documented.
Licensing—Failed to comply with nursing delegation requirement
25 Jul 2024Inspection
25 Jul 2024Inspection
Found that employees did not receive pre-service fire safety and emergency procedure training.
Licensing—Failed to provide inservice
25 Jul 2024Inspection
25 Jul 2024Inspection
Identified a direct care staffing deficiency that failed to meet residents' scheduled and unscheduled care needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
17 Jul 2024Inspection
17 Jul 2024Inspection
Found a violation for failing to immediately notify the local Department office or the local AAA of any incident of abuse or suspected abuse.
Licensing—Failed to report potential or suspected abuse
29 May 2024Licensure
29 May 2024Licensure
Identified deficiencies in kitchen sanitation during the initial visit; a subsequent follow-up found substantial compliance with the food sanitation rules.
Found that an acuity-based staffing tool was not fully implemented or updated.
Licensing—Failed to update staffing plan based on ABST
09 Feb 2024Abuse: Neglect
09 Feb 2024Abuse: Neglect
Investigated a complaint about a known fall risk and found neglect and abuse due to inadequate care planning and interventions after unwitnessed falls, with injuries and a financial penalty assessed.
Abuse—Failed to properly plan care
23 Nov 2023Abuse: Neglect
23 Nov 2023Abuse: Neglect
Found neglect and abuse due to failure to provide service and delaying medical care, leading to hospitalization.
Abuse—Failed to provide service
04 Sept 2023Abuse: Neglect
04 Sept 2023Abuse: Neglect
Found that a resident did not receive medical care or bandages after requesting them, constituting neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide service
15 Jul 2023Abuse: Neglect
15 Jul 2023Abuse: Neglect
Found a violation for failing to provide a safe environment, resulting in abuse and neglect, with a $500 fine assessed.
Abuse—Failed to provide safe environment
15 Jun 2023Abuse: Neglect
15 Jun 2023Abuse: Neglect
Investigated found that a resident was left in a bathroom unattended for over an hour due to a non-working call light and no pendant; call lights were inconsistently checked, violating resident rights. A $188 fine was assessed.
Abuse—Failed to maintain functional door alarm or call system
21 Apr 2023Abuse: Neglect
21 Apr 2023Abuse: Neglect
Investigated a failure to protect a resident from financial exploitation; cash collected from the resident's room disappeared after being placed in a labeled envelope.
Abuse—Failed to protect resident from financial exploitation
22 Mar 2023License Condition
22 Mar 2023License Condition
Found a failure to maintain a safe physical environment due to wiring exposed near a resident's bed.
Regulatory Action—Failed to maintain a safe physical environment
22 Mar 2023License Condition
22 Mar 2023License Condition
Identified noncompliance with the acuity-based staffing tool requirement. The finding noted that the Acuity Based Staffing Tool was not fully implemented as required by the rule.
Regulatory Action—Failed to use an ABST
22 Mar 2023License Condition
22 Mar 2023License Condition
Investigated the allegation of a failed safe environment and found a deficiency related to safety conditions affecting residents.
Regulatory Action—Failed to provide safe environment
22 Mar 2023License Condition
22 Mar 2023License Condition
Found that unpleasant odors in resident rooms indicated inadequate housekeeping services.
Regulatory Action—Failed to provide appropriate housekeeping services
22 Mar 2023License Condition
22 Mar 2023License Condition
Investigated the complaint and found a failure to comply with nursing delegation requirements, including absence of RN oversight and noncompliant diabetic delegation.
Regulatory Action—Failed to comply with nursing delegation requirement
15 Feb 2023Inspection
15 Feb 2023Inspection
Found failure to submit timely weekly reporting of vaccination status for residents, staff, and vaccinated individuals for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
31 Jan 2023Complaint
31 Jan 2023Complaint
Identified deficiencies across several operational areas, indicating lapses in policy procedures, staffing, building maintenance, and electrical systems.
Investigated and found that a high-fall-risk resident was left unattended after being assisted to the toilet, resulting in a fall and potential harm. Violations related to a safe environment and resident rights were identified, with a fine assessed.
Abuse—Failed to provide safe environment
20 Jan 2023License Condition
20 Jan 2023License Condition
Found failure to provide a safe and clean environment and inadequate oversight, and failure to adhere to the terms of a signed Letter of Agreement.
Regulatory Action—Failed to provide safe environment
17 Jan 2023Abuse: Neglect
17 Jan 2023Abuse: Neglect
Found that a resident was left outside unsupervised in a smoking area and developed hypothermia; a $500 fine was assessed.
Abuse—Failed to provide safe environment
06 Jan 2023Abuse: Neglect
06 Jan 2023Abuse: Neglect
Investigated the allegation of improper care planning and found failure to plan and mitigate fall risk, with eight falls and related injuries in 2022; a $500 fine was assessed.
Abuse—Failed to properly plan care
03 Jan 2023Inspection
03 Jan 2023Inspection
Determined that the licensee failed to employ a full-time on-site administrator for at least 40 hours per week, violating administrative rules.
Licensing—Failed to hire according to administrative rules
27 Dec 2022Inspection
27 Dec 2022Inspection
Found failure to exercise reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
Licensing—Failed to provide safe environment
24 Nov 2022Inspection
24 Nov 2022Inspection
Investigated the allegation that the ABST wasn't updated. Found inconsistencies between the resident roster, care plans, and ABST data, and determined this violated Oregon Administrative Rules.
Licensing—Failed to use an ABST
31 Oct 2022Validation
31 Oct 2022Validation
Identified extensive deficiencies across administration, resident rights, health services, medication management, safety, and staff training. A later revisit concluded substantial compliance with applicable standards.
Deficiency—Comment
Deficiency—Facility Administration: Operation
Deficiency—Facility Administration: Criminal History
Investigated a complaint and identified deficiencies in definitions and records administration under state rules.
Deficiency—Definitions
Deficiency—Facility Administration: Records
18 Aug 2022Complaint
18 Aug 2022Complaint
Identified deficiencies related to activities of daily living and staffing. The deficiencies included concerns about the acuity-based staffing approach.
Deficiency—Definitions
Deficiency—Resident Services: Adls
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
18 Aug 2022Complaint
18 Aug 2022Complaint
Investigated the complaint and identified deficiencies related to the acuity-based staffing tool.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
12 Aug 2022Inspection
12 Aug 2022Inspection
Found inadequate use of an acuity-based staffing tool to determine staffing levels, with only 30 of 51 residents' records updated.
Licensing—Failed to use an ABST
11 Aug 2022Inspection
11 Aug 2022Inspection
Investigated and determined the alleged failure to provide service occurred.
Licensing—Failed to provide service
11 Aug 2022Inspection
11 Aug 2022Inspection
Found that resident care equipment was not kept in good repair.
Licensing—Failed to provide or maintain resident care equipment
19 Jul 2022Inspection
19 Jul 2022Inspection
Determined the facility failed to adopt and fully populate the ABST staffing tool; only 30 of 51 residents were entered.
Licensing—Failed to use an ABST
19 Jul 2022Inspection
19 Jul 2022Inspection
Investigated found that bathing assistance was not provided as required, with discrepancies in service plans and schedules and reports of showers being skipped due to staffing shortages.
Licensing—Failed to provide or assist with hygiene
19 Jul 2022Inspection
19 Jul 2022Inspection
Found insufficient staff to meet residents' needs; on-site observations showed fewer caregivers and support staff than indicated, with residents and staff reporting unmet assistance and difficulties with showers and toileting.
Licensing—Failed to use an ABST
30 Jun 2022Inspection
30 Jun 2022Inspection
Determined that a smoking policy was not developed or implemented, violating Oregon Administrative Rules.
Licensing—Failed to provide safe environment
26 Jun 2022Abuse: Neglect
26 Jun 2022Abuse: Neglect
Determined that a resident did not receive prescribed medication because it was unavailable, indicating neglect and abuse. This failure was linked to medication shortages and identified as a violation.
Abuse—Failed to have medication available
01 Jun 2022Abuse: Neglect
01 Jun 2022Abuse: Neglect
Investigated a complaint and found failures to address resident behaviors, leading to multiple altercations and neglect/abuse.
Abuse—Failed to address resident's behavior
13 May 2022Inspection
13 May 2022Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
13 May 2022Abuse: Neglect
13 May 2022Abuse: Neglect
Found violations related to care planning and wound monitoring that caused pain to a resident.
Abuse—Failed to properly plan care
13 May 2022Inspection
13 May 2022Inspection
Found a housekeeping deficiency because interior materials and surfaces were not kept clean.
Licensing—Failed to provide appropriate housekeeping services
13 May 2022Inspection
13 May 2022Inspection
Determined that staffing was not based on an Acuity-Based Staffing Tool and that required staffing time data could not be produced.
Licensing—Failed to staff as indicated by ABST
09 May 2022Abuse: Neglect
09 May 2022Abuse: Neglect
Found a failure to provide a safe medication administration system, resulting in neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
12 Apr 2022Abuse: Neglect
12 Apr 2022Abuse: Neglect
Found a failure to provide a safe medication administration system, risking discomfort and potential serious harm to a resident. The deficiency involved medications not being available to be administered as ordered.
Abuse—Failed to provide a safe medication administration system
11 Mar 2022Abuse: Neglect
11 Mar 2022Abuse: Neglect
Investigated a complaint and found neglect related to medication administration, including withholding medication without a signed doctor’s order and an unsafe medication system that caused emotional distress.
Abuse—Failed to provide a safe medication administration system
02 Feb 2022Abuse: Neglect
02 Feb 2022Abuse: Neglect
Determined neglect and abuse due to failure to properly plan care during transfers, resulting in skin injury and discomfort for a resident; a fine was assessed.
Abuse—Failed to properly plan care
22 Dec 2021Inspection
22 Dec 2021Inspection
Investigated found a failure to provide a safe medication administration system, resulting in severe pain and emergency care after narcotics were withheld without a doctor’s order.
Licensing—Failed to provide a safe medication administration system
02 Aug 2021Validation
02 Aug 2021Validation
Identified deficiencies in monitoring changes of condition and in documenting PRN medication instructions. A follow-up determination found substantial compliance on the change-of-condition domain.
Deficiency—Comment
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Medication Administration
02 Apr 2021Inspection
02 Apr 2021Inspection
Investigated and found that policies were lacking to ensure outside service providers leave written information on-site about the services provided and any clinical information needed for staff to provide supplemental care.
Licensing—Failed to provide safe environment
02 Mar 2021Inspection
02 Mar 2021Inspection
Investigated and found a failure to provide a safe medication administration system, resulting in neglect and abuse.
Licensing—Failed to provide a safe medication administration system
20 Feb 2021Inspection
20 Feb 2021Inspection
Found a deficiency in nursing delegation and documentation, categorized as Level 1 with no harm or potential for minor harm.
Licensing—Failed to comply with nursing delegation requirement
11 Feb 2021Abuse: Neglect
11 Feb 2021Abuse: Neglect
Investigated an abuse and neglect allegation found a resident went without a power chair for about two weeks, became bed-bound, and developed ulcers due to insufficient care while the call system was down and regular checks were not performed.
Abuse—Failed to provide service
28 Jan 2021Abuse: Neglect
28 Jan 2021Abuse: Neglect
Identified neglect and abuse due to failure to provide a safe environment and necessary mobility assistance, leading to a resident fall with skin injury.
Abuse—Failed to provide safe environment
11 Dec 2020Inspection
11 Dec 2020Inspection
Investigated a financial exploitation incident in which a resident's wallet containing $100 and personal ID disappeared from the room after being stolen by an unknown perpetrator; protection from financial exploitation was not provided.
Licensing—Failed to protect resident from financial exploitation
06 Oct 2020Inspection
06 Oct 2020Inspection
Identified a deficiency for failing to provide a safe environment. Confirmed the harassment prevention concern related to resident interactions.
Licensing—Failed to provide safe environment
26 May 2020Inspection
26 May 2020Inspection
Found residents did not have reasonable access to private use of a telephone.
Licensing—Failed to assure resident rights
11 Oct 2019Abuse: Neglect
11 Oct 2019Abuse: Neglect
Investigated a neglect allegation and found a failure to provide basic care, supervision, and timely response, resulting in a resident falling, injuring themselves, and lying on the floor in pain for 45 minutes.
Abuse—Failed to assure resident was safe
11 Oct 2019Inspection
11 Oct 2019Inspection
Concluded that there was a failure to report suspected abuse. A $1,000 fine was assessed.
Licensing—Failed to report potential or suspected abuse
01 Oct 2019Inspection
01 Oct 2019Inspection
Found failure to report suspected abuse and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
01 Oct 2019Abuse: Neglect
01 Oct 2019Abuse: Neglect
Investigated an allegation of neglect and found failure to provide timely basic care, risking harm and loss of dignity.
Abuse—Failed to provide service
17 May 2019Abuse: Neglect
17 May 2019Abuse: Neglect
Investigated the allegation of neglect and found deficiencies in care that led to emergency medical transport for a resident.
Abuse—Failed to intervene when resident's condition changed
03 May 2019Inspection
03 May 2019Inspection
Investigated a complaint and found a building requirements violation due to a strong fecal odor in a resident's room.
Licensing—Failed to assure resident rights
03 May 2019Inspection
03 May 2019Inspection
Investigated and found deficiencies in building compliance due to ants in food served to residents.
Licensing—Failed to assure resident rights
12 Feb 2019Abuse: Neglect
12 Feb 2019Abuse: Neglect
Investigated a neglect allegation related to medication administration and found a deficiency due to failure to provide essential medication, creating risk of serious harm.
Abuse—Failed to provide a safe medication administration system
17 Jan 2019Inspection
17 Jan 2019Inspection
Investigated and found prescribed medications were not provided according to doctor's orders. The deficiency was categorized as a level 1 licensing violation.
Licensing—Failed to have medication available
08 Jan 2019Abuse: Neglect
08 Jan 2019Abuse: Neglect
Found neglect of a safe medication administration system that put a resident at serious risk. A $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
08 Jan 2019Inspection
08 Jan 2019Inspection
Fined $1000 after determining failure to report suspected abuse.
Licensing—Failed to report potential or suspected abuse
01 Nov 2018Inspection
01 Nov 2018Inspection
Determined a failure to report suspected abuse and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
01 Nov 2018Abuse: Neglect
01 Nov 2018Abuse: Neglect
Found neglect of a resident and assessed a $375 fine.
Abuse—Failed to intervene when resident's condition changed
31 Jul 2018Inspection
31 Jul 2018Inspection
Investigated and found a deficiency in safety precautions due to a resident's severe bee allergy and bees near the main entrance.
Licensing—Failed to provide safe environment
08 Jul 2018Abuse: Neglect
08 Jul 2018Abuse: Neglect
Investigated a neglect allegation and found a failure to administer medications as ordered, causing pain to the resident.
Abuse—Failed to provide a safe medication administration system
17 Jun 2018Abuse: Neglect
17 Jun 2018Abuse: Neglect
Found failure to intervene when a resident's condition changed, creating risk of serious harm. Violations cited against multiple regulations.
Abuse—Failed to intervene when resident's condition changed
17 Jun 2018Inspection
17 Jun 2018Inspection
Investigated the allegation of failure to report suspected abuse and documented non-reporting, resulting in a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
09 May 2018Abuse: Neglect
09 May 2018Abuse: Neglect
Found an inadequate medication management program that led to a fentanyl overdose. A $1500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
09 May 2018Inspection
09 May 2018Inspection
Investigated an allegation of medication not administered as ordered and found noncompliance with medication administration as prescribed.
Licensing—Failed to administer medication as ordered
09 May 2018Inspection
09 May 2018Inspection
Investigated and found failure to report suspected abuse; a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
27 Apr 2018Inspection
27 Apr 2018Inspection
Concluded that suspected abuse was not reported, and assessed a $1,000 fine.
Licensing—Failed to report potential or suspected abuse
27 Apr 2018Abuse: Neglect
27 Apr 2018Abuse: Neglect
Investigated and found deficiencies in the timely administration of an ordered antibiotic, posing a serious risk of harm to a resident. A $500 fine was assessed.
Abuse—Failed to administer ordered medication
21 Apr 2018Abuse: Verbal/Mental abuse
21 Apr 2018Abuse: Verbal/Mental abuse
Investigated the verbal abuse allegation and determined the resident was yelled at, resulting in loss of dignity.
Abuse—Failed to protect resident from verbal abuse
08 Nov 2017Condition
08 Nov 2017Condition
Found a failure to assure an adequate food supply.
Regulatory Action—Failed to assure adequate food supply
03 Nov 2017Inspection
03 Nov 2017Inspection
Investigated the allegation and found a deficiency in transportation for medical and social purposes.
Licensing—Failed to provide transportation for medical or social purposes
13 Sept 2017Inspection
13 Sept 2017Inspection
Determined that the allegation involving physician services was substantiated.
Licensing—Failed to assure physician services
23 Aug 2017Inspection
23 Aug 2017Inspection
Investigated an allegation of failing to provide a safe environment and found actions that caused unnecessary fear for a resident.
Licensing—Failed to provide safe environment
21 Aug 2017Inspection
21 Aug 2017Inspection
Found that ordered medications were not administered, causing two residents to miss doses.
Licensing—Failed to administer ordered medication
15 Aug 2017Inspection
15 Aug 2017Inspection
Investigated an allegation that care was not provided promptly when a resident's call light went unanswered; found a deficiency due to delayed response by staff.
Licensing—Failed to provide service
07 Aug 2017Inspection
07 Aug 2017Inspection
Found that the medication administration system was inadequate, placing a resident at risk of harm.
Licensing—Failed to provide a safe medication administration system
31 Jul 2017Inspection
31 Jul 2017Inspection
Found a deficiency in safeguarding narcotic medication from theft.
Licensing—Failure to provide a system that prevents theft or misuse of medication
31 Jul 2017Abuse: Financial abuse
31 Jul 2017Abuse: Financial abuse
Investigated a financial abuse allegation and found that an inadequate medication system led to a resident's narcotic medication being logged out and lost or stolen.
Abuse—Failure to provide a system that prevents theft or misuse of medication
29 Jul 2017Inspection
29 Jul 2017Inspection
Identified a licensing violation related to medication administration safety, which resulted in missed doses.
Licensing—Failed to provide a safe medication administration system
21 Jul 2017Abuse: Financial abuse
21 Jul 2017Abuse: Financial abuse
Found a deficiency in protecting narcotics from theft.
Abuse—Failure to provide a system that prevents theft or misuse of medication
16 Jul 2017Abuse: Financial abuse
16 Jul 2017Abuse: Financial abuse
Investigated a complaint about medication safety and found an inadequate medication system that led to narcotics running out and theft.
Abuse—Failed to provide a safe medication administration system
07 Feb 2017Inspection
07 Feb 2017Inspection
Found a deficiency in the medication management system that could lead to unsafe medication administration and potential harm from decreased potassium levels.
Licensing—Failed to provide a safe medication administration system
23 Jan 2017Inspection
23 Jan 2017Inspection
Investigated and found failure to take measures to prevent the entry of rodents, flies, mosquitoes, and other insects.
Licensing—Failed to control pests
10 Jan 2017Inspection
10 Jan 2017Inspection
Investigated and found a failure to provide a safe environment that allowed threats between residents, resulting in headaches and isolation.
Licensing—Failed to provide safe environment
06 Jan 2017Abuse: Financial abuse
06 Jan 2017Abuse: Financial abuse
Investigated an allegation of financial exploitation and substantiated that a secure environment was not provided, leading to theft. This constitutes substantiated financial abuse.
Abuse—Failed to protect resident from financial exploitation
25 Nov 2016Inspection
25 Nov 2016Inspection
Found deficiencies in medication control that led to a resident receiving another resident's medication.
Licensing—Failed to provide a safe medication administration system
20 Oct 2016Inspection
20 Oct 2016Inspection
Investigated a complaint alleging inadequate care and found failure to provide appropriate care to a resident.
Licensing—Failed to provide service
01 Aug 2016Abuse: Financial abuse
01 Aug 2016Abuse: Financial abuse
Concluded that the allegation of financial abuse involving a failure to provide a system that prevents theft or misuse of medication was substantiated.
Abuse—Failure to provide a system that prevents theft or misuse of medication
15 Jun 2016Inspection
15 Jun 2016Inspection
Investigated the allegation of failure to provide service and found that appropriate care was not provided.
Licensing—Failed to provide service
26 Apr 2016Inspection
26 Apr 2016Inspection
Investigated the allegation of failure to provide service and concluded that it was confirmed.
Licensing—Failed to provide service
26 Apr 2016Inspection
26 Apr 2016Inspection
Investigated a licensing violation alleging failure to maintain a safe physical environment.
Licensing—Failed to maintain a safe physical environment
26 Apr 2016Inspection
26 Apr 2016Inspection
Determined there was insufficient staffing.
Licensing—Failed to provide appropriate staffing
26 Apr 2016Inspection
26 Apr 2016Inspection
Investigated and found failure to administer medication as ordered.
Licensing—Failed to administer medication as ordered
14 Jan 2016Inspection
14 Jan 2016Inspection
Found failures to keep surfaces clean and in good repair, indicating a lack of a homelike environment.
Licensing—Failed to provide a homelike environment
06 Jan 2016Abuse: Financial abuse
06 Jan 2016Abuse: Financial abuse
Found that resident funds were not adequately protected from theft and a safe environment was not maintained.
Abuse—Failed to provide safe environment
19 Nov 2015Inspection
19 Nov 2015Inspection
Found that household services, including housekeeping, were not provided, affecting health and safety.
Licensing—Failed to provide appropriate housekeeping services
01 Jan 2015Abuse: Neglect
01 Jan 2015Abuse: Neglect
Found failures to meet resident care needs, resulting in a resident's death.
Abuse—Failed to follow care plan
09 Oct 2014Abuse: Neglect
09 Oct 2014Abuse: Neglect
Investigated and found a failure to provide a safe environment for residents.
Abuse—Failed to provide safe environment
28 Aug 2014Abuse: Neglect
28 Aug 2014Abuse: Neglect
Found failure to maintain an adequate medication management system.
Abuse—Failed to provide a safe medication administration system
21 May 2014Abuse: Neglect
21 May 2014Abuse: Neglect
Found a safety-related neglect deficiency indicating residents were not provided a safe and secure environment.
Abuse—Failed to address resident's behavior
09 May 2014Abuse: Verbal/Mental abuse
09 May 2014Abuse: Verbal/Mental abuse
Investigated an allegation of verbal/mental abuse and found a failure to protect a resident from inappropriate verbal comments.
Abuse—Failed to address resident's behavior
21 Mar 2014Inspection
21 Mar 2014Inspection
Investigated the complaint and found a failure to respond to a call light in a timely manner.
Licensing—Failed to answer call light in a timely manner
19 Mar 2013Inspection
19 Mar 2013Inspection
Investigated an allegation that staff did not intervene when a resident's condition changed and found inadequate care.
Licensing—Failed to intervene when resident's condition changed
14 Feb 2013Inspection
14 Feb 2013Inspection
Determined that staff failed to answer call lights in a timely manner, substantiating the allegation of inadequate care.
Licensing—Failed to answer call light in a timely manner
23 Oct 2012Inspection
23 Oct 2012Inspection
Investigated the care plan allegation and identified deficiencies in providing appropriate care.
Licensing—Failed to follow care plan
19 Jun 2012Abuse: Neglect
19 Jun 2012Abuse: Neglect
Investigated and found a failure to provide appropriate care, with a $300 fine assessed.
Abuse—Failed to follow care plan
18 Jun 2012Abuse: Neglect
18 Jun 2012Abuse: Neglect
Identified an inadequate medication system. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
24 May 2012Abuse: Neglect
24 May 2012Abuse: Neglect
Found deficiencies related to safe medication administration and assessed a $300 fine.
Abuse—Failed to provide a safe medication administration system
12 Apr 2012Abuse: Neglect
12 Apr 2012Abuse: Neglect
Investigated a neglect allegation and found that a resident's treatments were not provided as ordered; a $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
24 Jan 2012Abuse: Physical Abuse
24 Jan 2012Abuse: Physical Abuse
Investigated a complaint of physical abuse and found a failure to protect a resident from mistreatment.
Abuse—Failed to protect resident from rough treatment
12 Jul 2011Abuse: Neglect
12 Jul 2011Abuse: Neglect
Investigated a neglect allegation and found a failure to maintain a safe medication administration system, resulting in a $300 fine.
Abuse—Failed to provide a safe medication administration system
01 Dec 2010Abuse: Neglect
01 Dec 2010Abuse: Neglect
Investigated the allegation of unsafe medication administration and concluded there was an inadequate medication system.
Abuse—Failed to provide a safe medication administration system
25 Oct 2010Abuse: Neglect
25 Oct 2010Abuse: Neglect
Found failure to provide appropriate care related to falls; a $300.00 fine was assessed.
Abuse—Failed to adequately care plan related to falls
10 Sept 2010Inspection
10 Sept 2010Inspection
Found a deficiency for failing to intervene when a resident's condition changed, resulting in an unsafe environment.
Licensing—Failed to intervene when resident's condition changed
07 Sept 2010Inspection
07 Sept 2010Inspection
Identified deficiencies in the medication administration system that could pose risks to residents.
Licensing—Failed to provide a safe medication administration system
22 Jul 2010Inspection
22 Jul 2010Inspection
Found that a resident's rights were not protected due to inappropriate verbal comments.
Licensing—Failed to assure resident rights
18 Jul 2010Abuse: Neglect
18 Jul 2010Abuse: Neglect
Investigated an allegation of an unsafe medication administration system and found deficiencies in maintaining an adequate medication system.
Abuse—Failed to provide a safe medication administration system
10 Jul 2010Inspection
10 Jul 2010Inspection
Investigated the allegation and found a deficiency in the medication system that affected resident safety.
Licensing—Failed to keep resident record current or accurate
30 Jun 2010Abuse: Neglect
30 Jun 2010Abuse: Neglect
Found a deficiency for failing to provide a safe environment.
Abuse—Failed to address resident's behavior
30 May 2010Abuse: Neglect
30 May 2010Abuse: Neglect
Identified a failure to provide a safe environment.
Abuse—Failed to maintain a safe physical environment
30 May 2010Abuse: Financial abuse
30 May 2010Abuse: Financial abuse
Investigated the allegation of financial abuse and found a secure environment was not provided.
Abuse—Failed to provide safe environment
18 May 2010Abuse: Neglect
18 May 2010Abuse: Neglect
Found neglect due to failure to provide a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
18 May 2010Abuse: Neglect
18 May 2010Abuse: Neglect
Found failure to provide appropriate care to a resident, with potential for moderate harm.
Abuse—Failed to provide service
15 May 2010Inspection
15 May 2010Inspection
Found a violation for failing to protect a resident from inappropriate verbal comments.
Licensing—Failed to assure resident rights
01 May 2010Abuse: Neglect
01 May 2010Abuse: Neglect
Found failure to provide adequate staff resulting in a resident fall. A $300 fine was assessed.
Abuse—Failed to follow care plan
01 Apr 2010Abuse: Neglect
01 Apr 2010Abuse: Neglect
Investigated an allegation of neglect related to medication safety and found a failure to maintain an adequate medication system.
Abuse—Failed to provide a safe medication administration system
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of River Park Senior Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact River Park Senior Living directly. There is no cost for this service. We are compensated by the community you select.
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