Pricing ranges from
    $6,591 – 8,568/month

    Avamere at Sherwood

    16500 SW Century Dr, Sherwood, OR 97140
    • Independent Living
    • Assisted Living
    • Memory Care

    Pricing

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

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

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

    Meals and dining

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

    Room

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

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    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

    4.06·(48)

    Overall rating

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

      4.2
    • Staff

      4.2
    • Meals

      3.6
    • Amenities

      4.4
    • Value

      3.3

    Pros

    • Caring, attentive staff
    • Dedicated memory-care program with staff continuity
    • Clean, odor-free, well-maintained facility
    • Comfortable, spacious rooms and pleasant views
    • Abundant common spaces and recreational areas
    • Engaging activities and social programming (music, bingo, outings)
    • On-site dining with private dining options and special-event meals
    • Supportive, family-focused end-of-life care
    • Convenient location and accessible neighborhood
    • Positive resident–staff relationships and community atmosphere

    Cons

    • Inconsistent administrative communication with families
    • High staff turnover and variable frontline staffing levels
    • Gaps in clinical-incident response and family notification
    • Inconsistent meal preparation and dining-service quality
    • Safety-protocol weaknesses for mobility and transfers
    • Mixed infection-control adherence and documentation
    • Review authenticity and incentivized feedback
    • Perceived high cost relative to affordability
    • Variable social atmosphere and managerial transparency

    Summary of reviews

    Overall assessment Reviews of Avamere at Sherwood present a mixed but instructive picture. Many families and residents emphasize strengths in daily caregiving, cleanliness, and the homelike environment; others raise operational concerns that affect trust and perceived safety. Prospective residents should weigh consistently noted strengths—compassionate staff, a focused memory-care program, and well‑maintained facilities—against recurring operational issues around communication, meal consistency, staffing stability, and certain safety protocols.

    Care and staff A dominant theme is praise for frontline caregivers: reviewers describe staff as caring, attentive, and willing to go beyond routine duties. Memory-care programming receives positive note for continuity of caregivers and staff familiarity with Alzheimer’s or dementia needs. Several families also described dignified, family‑centered support at end of life. Counterbalancing this, there are repeated references to high staff turnover, variable responsiveness to family calls, and specific instances where families felt clinical responses or notifications were insufficient. These patterns suggest that direct care quality can be strong but may be uneven when staffing or communication systems are strained.

    Dining and activities The community offers an on‑site restaurant, private dining options, and visible efforts at special-event meals (one reviewer recalled a notable holiday dinner). Activities and social programming—daily music, bingo, board games, and local outings—are commonly cited as positive contributors to resident quality of life. At the same time, meal quality appears inconsistent: some reviewers praised the food while others noted undercooked or missing items. Dining-service continuity and kitchen consistency are areas to check during a visit.

    Facilities and environment Physical impressions are largely favorable: reviewers describe clean, odor‑free spaces, comfortable recreation areas, bright rooms with good views, and abundant common areas. Some visitors noted a darker or less open atmosphere in certain areas or shifts in friendliness, indicating variability in unit culture. Overall, the building and furnishings are portrayed as modern and well kept.

    Management, safety, and notable patterns Several operational concerns recur across reviews. Families reported inconsistent communication from administration, gaps in clinical-incident response and family notification, and what they perceive as safety‑protocol weaknesses related to resident mobility and transfers. There are also mixed accounts of infection-control practice—some praise for virus handling and other notes of regulatory or procedural lapses. Additionally, concerns about the authenticity of online reviews (employee‑generated or incentivized feedback) were raised and merit consideration when using posted testimonials. A small number of serious allegations, including a police report and concerns following a resident’s death, were mentioned; these reports suggest families should request documentation and ask direct questions about incident investigations and corrective actions.

    Practical guidance for families If considering this community, request specifics: staffing ratios by shift, turnover statistics, fall‑prevention and transfer protocols, incident‑reporting examples, recent infection‑control audits, and sample menus. Tour common areas and memory‑care neighborhoods during active meal and activity times to observe staffing patterns and resident engagement. Speak with current family references and ask management for written policies on incident notification and family communication. Balancing the facility’s noted strengths in compassionate caregiving and environment against the operational gaps described will help determine whether it fits your needs and risk tolerance.

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    Location

    Avamere at Sherwood is located at 16500 SW Century Dr, Sherwood, OR, 97140.

    About Avamere at Sherwood

    Avamere at Sherwood sits right in the center of Sherwood, Oregon, where things stay quiet and the setting feels beautiful with trees, flowers, and plenty of places to walk, and you can just cross the street to get to shops or restaurants, or go out for a country ride since the activity staff take everyone out in the 15-passenger van now and then. This community has 79 rooms, including 55 total beds, and offers several types of living spaces, like studio, alcove, one-bedroom, or two-bedroom assisted living apartments, as well as Arbor semi-private and Arbor private rooms in memory care, and people can bring a pet for a one-time $600 fee after paying the $3,000 community fee. Folks get three meals a day served in an elegant dining room, where the menu changes, and there are plenty of chances to meet others since the staff arrange ice cream socials every month and fill the calendar with activities, games, educational talks, and visits out in town.

    Avamere at Sherwood supports both independent living and assisted living, with staff on-site 24 hours a day to help with daily needs or provide support, giving as much or as little help as each person wants without taking away independence, and there's also respite care for short-term stays if a caregiver needs a rest. Memory care services are available for people with Alzheimer's or dementia, with high-impact Dementia Live training for staff, and care plans meant to help with cognitive health as well as regular activities. The facility's transitional care and skilled nursing services help after an injury or hospital stay, and there are also rehabilitation options for different needs. Transportation services make getting to appointments or going on outings manageable, and there are plenty of standard amenities you find in assisted living, all aimed at keeping residents active and engaged. Avamere at Sherwood is part of the Oregon Health Care Association and the Avamere Family of Companies, and it's earned the bronze quality award from the American Health Care Association, which shows a commitment to quality and care, and residents often mention how friendly and loving the environment feels.

    About Avamere

    Avamere at Sherwood is managed by Avamere.

    Founded in 1995 by Rick Miller in Oregon, Avamere is headquartered in Wilsonville and operates skilled nursing and rehabilitation facilities across the Pacific Northwest. Originally growing to 33 facilities, the company spun off its senior living division (Arete Living) in 2022, refocusing on skilled nursing care.

    People often ask...

    Avamere at Sherwood offers competitive pricing, with rates starting at a cost of $6,591 per month.

    Avamere at Sherwood offers independent living, assisted living, and memory care.

    There are 37 photos of Avamere at Sherwood on Mirador.

    Yes, Avamere at Sherwood allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 16500 SW Century Dr, Sherwood, OR 97140.

    No, Avamere at Sherwood 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 number5MA245
    StatusActive
    Facility typeResidential Care Facility
    Capacity24 residents
    EffectiveApril 25th, 2000
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    110

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    15

    Years

    22 May 2026Inspection
    Found that the department's requested documents were not provided by the due date. The issue concerned records related to the Acuity-Based Staffing Tool.
    • Licensing—Failed to provide safe environment
    03 Mar 2026Inspection
    Found that the provider failed to assist the resident with coordinating health appointments necessary for health needs.
    • Licensing—Failed to provide service
    03 Feb 2026Kitchen
    Identified sanitation deficiencies in the kitchen, including debris buildup and equipment cleanliness issues.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    03 Feb 2026Kitchen
    Identified deficiencies in kitchen sanitation practices and administration compliance.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    01 Feb 2026Inspection
    Investigated findings showed a staff member removed dead skin from a resident's foot and cut away tissue during bathing, causing pain; actions outside duties violated rules.
    • Licensing—Failed to provide service
    30 Oct 2025Licensure
    Identified deficiencies across service planning, medication orders, resident refusals, staff pre-service orientation, 30-day competency, and resident fire safety training.
    • Deficiency—Service Plan: General
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Staffing Requirements and Training ? Pre-service
    • Deficiency—Training Within 30 Days of Hire ? Direct Care Staff
    • Deficiency—Fire and Life Safety: Training for Residents
    24 Sept 2025Complaint
    Investigated the complaint and found no deficiencies.
    • Deficiency—Licensing Complaint Investigation
    22 Aug 2025Inspection
    Found deficiencies in the ABST reflecting resident needs and care plans, with inconsistencies between roster data and ABST entries.
    • Licensing—Failed to use an ABST
    21 Aug 2025Licensure
    Identified multiple deficiencies across staffing, life safety, privacy, administration, and staff training, including failures to update staffing assessments and account for meals, fire drills not meeting code, shared bathrooms lacking locks, and insufficient preservice training for new staff.
    • Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Individual Privacy: Own Unit
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    31 Jul 2025Inspection
    Investigated and found that the Acuity-Based Staffing Tool was not updated to reflect residents' care needs, with inconsistencies between the roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    10 Jul 2025Inspection
    Identified an outdated ABST that did not reflect residents' needs, with inconsistencies between the roster, care plans, and ABST data. Findings indicate a violation of Oregon Administrative Rules.
    • Licensing—Failed to use an ABST
    07 Jul 2025Inspection
    Identified failures to maintain an updated ABST that reflects resident needs, with inconsistencies among the roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    25 Jun 2025Inspection
    Identified a deficiency where the ABST was not updated to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
    • Licensing—Failed to use an ABST
    24 Jun 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
    24 Jun 2025Inspection
    Investigated an allegation of physical abuse and determined that the alleged perpetrator used force against the resident and that the resident was not adequately protected.
    • Licensing—Failed to provide safe environment
    18 Apr 2025Inspection
    Investigated an incident in which a staff member grabbed a resident's groin area to force walking, causing unreasonable discomfort, and identified a licensing violation for failing to provide a safe environment.
    • Licensing—Failed to provide safe environment
    30 Jan 2025Kitchen
    Identified sanitation deficiencies in the kitchen with multiple areas requiring cleaning and improper storage observed. Noted extensive surface, equipment, and storage issues indicating noncompliance with food sanitation rules.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    30 Jan 2025Kitchen
    Found deficiencies in food sanitation practices and administration compliance.
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    23 Oct 2024Inspection
    Found a violation for failing to follow a resident's care plan, creating elopement risk when the resident left the facility unassisted.
    • Licensing—Failed to provide safe environment
    18 Dec 2023Inspection
    Found a failure to provide a safe environment after a resident opened a window and eloped; the individual was outside briefly with no injuries.
    • Licensing—Failed to provide safe environment
    27 Sept 2023Licensure
    Identified kitchen sanitation deficiencies on 09/27/23; subsequent follow-up on 01/29/2024 found substantial compliance with meal service and food sanitation rules.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    27 Sept 2023Licensure
    Identified multiple sanitation deficiencies in the kitchen during the initial inspection, and a follow-up determined substantial compliance with meal and sanitation rules.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Administration Compliance
    12 Sept 2023Inspection
    Investigated a medication error that left a resident drowsy and needing hospital monitoring; determined there was a failure to provide a safe medication administration system and resulting neglect.
    • Licensing—Failed to provide a safe medication administration system
    25 Oct 2022Abuse: Neglect
    Identified a failure to provide a safe environment due to inadequate interventions and monitoring. This failure led to a physical altercation and discomfort for the resident.
    • Abuse—Failed to provide safe environment
    25 Oct 2022Abuse: Neglect
    Found a failure to provide a safe environment resulting in serious harm; a $500 fine was assessed.
    • Abuse—Failed to provide safe environment
    20 Sept 2022Abuse: Neglect
    Found that a failure to provide a safe environment and monitor known behavior led to an altercation and resident discomfort, constituting abuse and neglect.
    • Abuse—Failed to provide safe environment
    29 Aug 2022Abuse: Neglect
    Found neglect due to inadequate supervision that allowed an elopement and risk of harm; a $375 fine was assessed.
    • Abuse—Failed to provide safe environment
    24 Aug 2022Validation
    Determined multiple deficiencies were identified in sanitation, safety, resident safety, staff training, and environmental maintenance; substantial compliance was later achieved.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—Doors, Walls, Elevators, Odors
    • Deficiency—Administration Compliance
    • Deficiency—Staff Training Requirements
    • Deficiency—Secure Outdoor Recreation Area
    22 Aug 2022Validation
    Identified multiple deficiencies across food sanitation, medication management, staff training, and building safety; substantial compliance was achieved on follow-up.
    • Deficiency—Comment
    • Deficiency—Resident Services Meals, Food Sanitation Rule
    • Deficiency—Change of Condition and Monitoring
    • Deficiency—Systems: Treatment Orders
    • Deficiency—Systems: Resident Right to Refuse
    • Deficiency—Training Within 30 Days: Direct Care Staff
    • Deficiency—Annual and Biennial Inservice For All Staff
    • Deficiency—Fire and Life Safety: Safety
    • Deficiency—Fire and Life Safety: Training For Residents
    • Deficiency—Inspections and Investigation: Insp Interval
    • Deficiency—General Building Exterior
    • Deficiency—General Building: Doors-Walls, Cleanable
    • Deficiency—Resident Units
    • Deficiency—Heating and Ventilation
    07 Aug 2022Abuse: Neglect
    Investigated allegations of neglect related to supervision and found a failure to supervise a resident with a known history of falls, resulting in an unwitnessed fall and discomfort.
    • Abuse—Failed to provide safe environment
    25 May 2022Abuse: Neglect
    Investigated a complaint and found that inadequate supervision allowed a resident to elope twice from a secured area, placing them at risk; a fine was assessed.
    • Abuse—Failed to provide safe environment
    12 Apr 2022Inspection
    Determined that a safe environment was not provided and records were forged, showing neglect and abuse; the finding was substantiated.
    • Licensing—Failed to provide safe environment
    14 Mar 2022Inspection
    Investigated the allegation and found inadequate oversight of the medication and treatment administration system.
    • Licensing—Failed to provide a safe medication administration system
    01 Dec 2021Abuse: Neglect
    Found that a safe medication administration system was not provided, resulting in a resident not receiving medications as ordered. This constitutes neglect and abuse.
    • Abuse—Failed to provide a safe medication administration system
    08 Nov 2021Abuse: Neglect
    Found a failure to properly plan care that resulted in neglect and abuse related to an unconsented sexual incident and inadequate response to increased behaviors.
    • Abuse—Failed to properly plan care
    10 Oct 2021Abuse: Neglect
    Found that care planning failed to address a resident's hygiene and resistance to care, constituting abuse and neglect.
    • Abuse—Failed to properly plan care
    09 Oct 2021Abuse: Neglect
    Investigated an allegation of neglect and abuse for failing to follow a resident's care plan, resulting in the resident being in bed without regular clothes, without oxygen, and with an overflowing brief.
    • Abuse—Failed to follow care plan
    17 Sept 2021Inspection
    Verified the allegation that a resident's medication was not administered as ordered.
    • Licensing—Failed to administer medication as ordered
    25 Feb 2021Inspection
    Investigated and found a violation involving verbal/emotional abuse and an unsafe environment.
    • Licensing—Failed to use restraint properly
    17 Dec 2020Inspection
    Investigated the allegation and identified a deficiency in medication administration safety.
    • Licensing—Failed to provide a safe medication administration system
    29 Sept 2020Inspection
    Investigated a complaint and found that a staff member financially exploited a resident by improperly documenting narcotic administration before 11:00 am, and protection from exploitation failed.
    • Licensing—Failed to protect resident from financial exploitation
    23 Sept 2020Inspection
    Investigated and identified financial exploitation and unsafe medication administration practices. Forged signatures on a narcotics log and absence of a safe medication administration system were noted.
    • Licensing—Failed to protect resident from financial exploitation
    23 Sept 2020Inspection
    Found that a staff member did not follow the resident's care plan, resulting in neglect and abuse when the resident remained in an ambulatory device overnight and could not reach the restroom.
    • Licensing—Failed to follow care plan
    22 Sept 2020Inspection
    Investigated a financial exploitation allegation and found that a staff member signed for narcotics not received by a resident, with insufficient protection against exploitation.
    • Licensing—Failed to protect resident from financial exploitation
    11 Sept 2020Inspection
    Investigated and found a resident was financially exploited and not protected from exploitation.
    • Licensing—Failed to protect resident from financial exploitation
    10 Sept 2020Inspection
    Investigated and identified that staff failed to protect a resident from verbal/emotional abuse.
    • Licensing—Failed to protect resident from verbal abuse
    14 Aug 2020Inspection
    Investigated and found a deficiency for failing to provide reasonable precautions against conditions that may threaten residents' health, safety, or welfare.
    • Licensing—Failed to provide safe environment
    14 Aug 2020Inspection
    Investigated and found a deficiency in ensuring adequate professional oversight of the medication and treatment administration system.
    • Licensing—Failed to provide a safe medication administration system
    14 Aug 2020Inspection
    Investigated a complaint and found staff failed to visually observe a resident taking medication as ordered.
    • Licensing—Failed to administer medication as ordered
    14 Aug 2020Inspection
    Investigated and determined that medication orders were not followed.
    • Licensing—Failed to administer medication as ordered
    21 Jul 2020Inspection
    Found that delegations for medication administration were not provided or documented.
    • Licensing—Failed to provide a safe medication administration system
    19 Jul 2020Abuse: Neglect
    Found that a resident's medication was not administered because it was not at the site, with insufficient attempts documented to obtain it, risking significant harm. This constitutes abuse and neglect.
    • Abuse—Failed to have medication available
    17 Jul 2020Inspection
    Found insufficient direct care staffing and inadequate toileting and housekeeping.
    • Licensing—Failed to provide appropriate staffing
    17 Jul 2020Inspection
    Investigated a PPE-related safety issue and found improper mask use could put residents and staff at risk.
    • Licensing—Failed to assure resident was safe
    13 Mar 2020Inspection
    Found a deficiency in professional oversight of the medication administration system.
    • Licensing—Failed to provide a safe medication administration system
    16 Feb 2020Abuse: Neglect
    Found violations for failure to ensure timely availability of a resident's blood thinner medication, risking serious harm; a $375 fine was assessed.
    • Abuse—Failed to have medication available
    06 Feb 2020Inspection
    Confirmed the failure to prevent the entry of rodents, flies, mosquitoes, and other insects.
    • Licensing—Failed to control pests
    18 Jan 2020Abuse: Neglect
    Found a medication administration violation that put a resident at risk for serious harm due to a stock shortage. A $375 fine was assessed.
    • Abuse—Failed to administer medication as ordered
    03 Dec 2019Abuse: Neglect
    Investigated an allegation of neglect and abuse and found a failure to provide a safe environment that put a resident at risk, with a fine assessed.
    • Abuse—Failed to provide safe environment
    18 Nov 2019Abuse: Neglect
    Investigated a complaint and found a gate was left unsecured, allowing a resident to leave and creating risk of serious harm; this constitutes abuse and neglect.
    • Abuse—Failed to provide safe environment
    02 Oct 2019Inspection
    Investigated the allegation and concluded that appropriate housekeeping services were not provided.
    • Licensing—Failed to provide appropriate housekeeping services
    02 Oct 2019Inspection
    Investigated an allegation of inadequate housekeeping services and substantiated the finding.
    • Licensing—Failed to provide appropriate housekeeping services
    02 Oct 2019Inspection
    Investigated an allegation of inadequate housekeeping services and found deficiencies.
    • Licensing—Failed to provide appropriate housekeeping services
    30 Jun 2019Abuse: Neglect
    Found a staff member administered the wrong medication, putting a resident at risk for serious harm; violations were substantiated and a fine was assessed.
    • Abuse—Failed to provide a safe medication administration system
    30 Jun 2019Abuse: Neglect
    Investigated a complaint about a safe medication administration system and found neglect that led a resident to get a glass of water to take medication, left bed, and sustained fractures in the hip, elbow, and knee.
    • Abuse—Failed to provide a safe medication administration system
    25 Jun 2019Abuse: Neglect
    Investigated and substantiated neglect due to failure to provide a safe environment and appropriate level of care, with a fine assessed.
    • Abuse—Failed to provide a safe medication administration system
    02 May 2019Abuse: Neglect
    Found neglect for failing to provide a safe environment, risking serious harm to a resident. Assessed a $1125 fine.
    • Abuse—Failed to answer call light in a timely manner
    27 Apr 2019Abuse: Neglect
    Found neglect due to an unsafe environment and unsafe medication administration, risking serious harm.
    • Abuse—Failed to provide a safe medication administration system
    22 Mar 2019Inspection
    Identified a deficiency in safe medication administration due to an untimely refill that caused a resident to miss medication.
    • Licensing—Failed to provide a safe medication administration system
    15 Dec 2018Abuse: Neglect
    Investigated a neglect allegation and found a failure to provide a safe environment, including not answering call lights in a timely manner. A $375 fine was assessed.
    • Abuse—Failed to answer call light in a timely manner
    12 Dec 2018Abuse: Neglect
    Identified a failure to provide appropriate care in response to an abuse/neglect allegation; a fine was assessed.
    • Abuse—Failed to provide service
    03 May 2018Abuse: Neglect
    Investigated an abuse/neglect allegation of failing to administer medication as ordered; identified deficiencies and assessed a $250 fine.
    • Abuse—Failed to administer medication as ordered
    03 May 2018Inspection
    Investigated the allegation of failing to provide service and substantiated deficiencies in care.
    • Licensing—Failed to provide service
    03 May 2018Inspection
    Cited for failing to report potential or suspected abuse and assessed a $750 fine.
    • Licensing—Failed to report potential or suspected abuse
    25 Apr 2018Inspection
    Investigated and substantiated the allegation of improper care planning, finding inadequate care provided.
    • Licensing—Failed to properly plan care
    11 Apr 2018Abuse: Financial abuse
    Found a deficiency involving failure to protect residents from missing medication, indicating financial exploitation.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    22 Jan 2018Inspection
    Found a failure to report suspected abuse. A $750 fine was assessed.
    • Licensing—Failed to report potential or suspected abuse
    22 Jan 2018Abuse: Financial abuse
    Determined that a safe environment was not provided and assessed a $500 fine.
    • Abuse—Failed to provide safe environment
    23 Sept 2017Inspection
    Identified a safety deficiency due to failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    07 Jul 2017Inspection
    Identified an unsafe environment for RVs.
    • Licensing—Failed to provide safe environment
    31 May 2017Abuse: Neglect
    Investigated and found failure to provide a safe environment.
    • Abuse—Failed to provide safe environment
    30 May 2017Inspection
    Determined failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    08 May 2017Inspection
    Investigated an allegation of failing to provide a safe environment; findings supported.
    • Licensing—Failed to provide safe environment
    25 Apr 2017Inspection
    Investigated the allegation of an unsafe environment and found a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment
    19 Feb 2017Abuse: Neglect
    Investigated and found medication orders were not followed.
    • Abuse—Failed to administer medication as ordered
    03 Jan 2017Inspection
    Investigated the allegation and identified a deficiency due to failure to have an appropriate staff person reevaluate a resident's condition before determining that their needs could not be met.
    • Licensing—Failed to perform adequate screening or assessment
    01 Sept 2016Inspection
    Investigated the allegation of failing to provide hygiene assistance and found it substantiated.
    • Licensing—Failed to provide or assist with hygiene
    30 Aug 2016Abuse: Financial abuse
    Investigated a complaint of financial abuse related to medication handling and found a deficiency in the medication management system that did not prevent theft or misuse of medications.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    26 Aug 2016Inspection
    Investigated an allegation of not following the care plan and found a failure to follow it.
    • Licensing—Failed to follow care plan
    28 Jun 2016Inspection
    Found a deficiency for failing to provide a safe environment.
    • Licensing—Failed to provide safe environment
    28 Apr 2016Inspection
    Determined that a qualified caregiver was not present as required and that medication was not administered per physician's instructions.
    • Licensing—Failed to assure that a qualified caregiver was present
    28 Apr 2016Inspection
    Investigated a medication administration allegation and found staff were not properly trained in medication administration.
    • Licensing—Failed to administer medication as ordered
    18 Apr 2016Inspection
    Found deficiencies in the medication system that could cause harm.
    • Licensing—Failed to provide a safe medication administration system
    17 Mar 2016Abuse: Neglect
    Found that a safe environment was not provided and a $300 fine was assessed.
    • Abuse—Failed to provide safe environment
    25 Feb 2015Abuse: Financial abuse
    Identified a deficiency in the medication system that could allow theft or misuse.
    • Abuse—Failure to provide a system that prevents theft or misuse of medication
    12 Feb 2015Abuse: Neglect
    Determined that neglect of care occurred due to failure to maintain a functional door alarm or call system.
    • Abuse—Failed to maintain functional door alarm or call system
    08 Aug 2014Abuse: Neglect
    Concluded that a secure environment was not provided, following an allegation of neglect, and a $300 fine was assessed.
    • Abuse—Failed to provide safe environment
    28 Jun 2014Abuse: Financial abuse
    Found an inadequate medication administration system.
    • Abuse—Failed to provide a safe medication administration system
    17 Jun 2014Abuse: Neglect
    Found failure to provide appropriate care due to not following the care plan.
    • Abuse—Failed to follow care plan
    30 Apr 2014Abuse: Financial abuse
    Found a safety deficiency involving failure to protect an RV from theft during a financial abuse investigation.
    • Abuse—Failed to provide safe environment
    23 Apr 2014Abuse: Physical Abuse
    Investigated an allegation of physical abuse and found a failure to protect a resident from corporal punishment.
    • Abuse—Failed to protect resident from corporal punishment
    19 Feb 2014Abuse: Neglect
    Found failure to provide adequate care and services.
    • Abuse—Failed to follow care plan
    12 Sept 2013Inspection
    Investigated the allegation of failing to assist with toileting and found inadequate care and services.
    • Licensing—Failed to assist with toileting
    03 Sept 2013Abuse: Neglect
    Found unsafe environment conditions due to neglect that could harm residents.
    • Abuse—Failed to address resident's behavior
    23 Jul 2013Abuse: Financial abuse
    Found a failure to provide a safe environment.
    • Abuse—Failed to provide safe environment
    18 Jul 2013Abuse: Neglect
    Determined that a safe environment for residents was not provided.
    • Abuse—Failed to provide safe environment
    11 Jun 2013Abuse: Financial abuse
    Investigated an unsafe environment allegation and found a failure to provide a safe environment.
    • Abuse—Failed to provide safe environment
    04 Apr 2011Inspection
    Found failure to administer medications as ordered.
    • Licensing—Failed to administer medication as ordered
    22 Mar 2011Inspection
    Found a licensing violation for failing to follow the service plan.
    • Licensing—Failed to follow care plan
    14 Feb 2011Inspection
    Found a failure to provide a safe environment.
    • Licensing—Failed to provide safe environment

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