ElderHealth & Living Memory Village

    382 B S 58th St, Springfield, OR 97478
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Trusted caring small-house memory care

    I placed my dad in their small-house memory care and have been very pleased. The staff are kind, consistent, and professional - they give personalized, dignified care, communicate well with family, and often go above and beyond. The homes feel like home: clean, well-maintained, scratch-made meals (zucchini bread!), pets, and plenty of daily activities (music, bingo, walks, outings) to keep residents engaged and safe. I trust the team and recommend this community.

    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
    • 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

    4.40·(40)

    Overall rating

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

      4.8
    • Staff

      4.9
    • Meals

      4.8
    • Amenities

      4.7
    • Value

      3.0

    Pros

    • Consistent caregiving teams
    • Small-house residential model
    • Personalized memory-care programming
    • Compassionate and attentive staff
    • Proactive family communication and virtual visit facilitation
    • Onsite clinical and administrative leadership
    • Meals cooked from scratch with locally sourced options
    • Varied recreational programming and community outings
    • Pet-friendly, homelike atmosphere
    • Clean, well-maintained interior and grounds
    • Large private rooms with display space
    • Secure campus layout with separate homes by care level
    • Cognitive-stimulation offerings (Day Club, respite)
    • Staff willingness to go above and beyond

    Cons

    • Higher-than-average pricing
    • Limited transparency around daily activity schedules
    • Variable experience quality across different homes
    • Staffing tensions linked to wage and management decisions
    • Complex or delayed Medicaid admission processes
    • Inconsistencies in personal-care and toileting assistance
    • Noise management challenges in shared areas
    • Leadership responsiveness and conduct

    Summary of reviews

    ElderHealth & Living Memory Village presents as a small-house, memory-care–focused community with many families praising consistent caregiver teams and a homelike living model. Reviewers commonly highlight personalized care plans, proactive communication with families (including facilitated virtual and window visits), and an onsite clinical presence. The staffing profile is a frequent strength: many accounts emphasize compassionate, warm interactions, long-tenured caregivers, and instances where staff exceeded expectations to support residents and families.

    Clinical care and staff performance are recurring positives. Families describe responsiveness to questions, competent medication management, and effective infection-control practices during COVID. Several reviewers credited the setting with stabilization or improvement in memory and behavior for residents. At the same time, there are operational stressors: a few accounts point to staffing tensions related to wages and management decisions, and there is variability in experience from house to house, which suggests that standards and resident experience may be uneven across the campus.

    Dining and activities are frequently cited as strengths. Meals are prepared on-site, with references to scratch cooking and locally sourced items; the dining experience is described as homey and well liked by many residents. Recreational programming appears broad, including music, song circles, bingo, field trips, and Day Club cognitive programming; reviewers also note opportunities for residents to engage in household tasks, which supports independence and daily engagement. However, some families requested clearer, more detailed schedules of daily activities and programming options.

    The facilities are described as clean, organized, and well maintained, with attractive landscaping, secure access, and separate homes organized by level of need. Private rooms with ample wall space and outdoor grassy areas receive positive mention. Maintenance staff and campus upkeep are repeatedly praised. Counterbalancing these strengths are occasional sanitation and personal-care inconsistencies noted by a minority of families and intermittent noise-control challenges in shared living areas.

    Management and financial considerations warrant careful review by prospective families. The community tends to be positioned at a higher price point; reviewers recommend clarifying cost structures, inclusion of medications or services, and the timeline for Medicaid qualification. There are also isolated but serious concerns about leadership behavior and responsiveness; while not characteristic of the majority of accounts, these comments suggest that prospective families should ask direct questions about leadership, grievance processes, and staff-wage policies during a tour.

    Overall, the community's primary strengths are its small-house model, engaged caregiving teams, onsite clinical leadership, homemade dining, and active programming. Notable patterns to probe during a visit include variability between individual homes, transparency about daily activities and costs, policies around Medicaid admissions, and steps management takes to address staffing morale and any personal-care inconsistencies. A walk-through of multiple homes, meetings with care staff, and conversations about staffing ratios, infection control, and financial timelines will help families assess fit for their loved one.

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    Location

    Map showing location of ElderHealth & Living Memory Village

    ElderHealth & Living Memory Village is located at 382 B S 58th St, Springfield, OR, 97478.

    About ElderHealth & Living Memory Village

    ElderHealth & Living Memory Village is a community dedicated exclusively to supporting individuals living with memory loss, Alzheimer’s disease, and dementia. Established in 2006, this Oregon-based care home was created as a place where older adults with memory challenges can gather, whether for short visits or as residents who make the village their permanent home. The foundation of ElderHealth & Living Memory Village rests on fostering an environment where residents experience comfort, freedom, and the ability to truly be themselves, regardless of the progression of their memory loss.

    The layout and practices at ElderHealth & Living Memory Village are intentionally designed to meet the unique needs of those with memory-related conditions. The concept of a “village” permeates daily life here, where individuals can enjoy the security of a close-knit community alongside the freedom to participate in various activities and programs tailored to their interests and abilities. The staff is dedicated to providing compassionate care, understanding that every resident’s journey is different. The environment is shaped by a philosophy that emphasizes creating spaces where individuals do not just reside, but truly thrive.

    Sustainability and wellness are also core aspects of the ElderHealth & Living Memory Village ethos. This commitment is seen in the emphasis on healthy meals and sustainable practices that benefit both residents and the broader community. The care team is passionate about ensuring that every person receives individualized attention, fostering connections between residents, their families, and staff. This sense of partnership extends to the wider community through regular updates about campus life and outreach events, which help keep loved ones informed and engaged in the ongoing story of the village.

    Vital to the village’s daily operation is the involvement of a dedicated and compassionate team. The staff bring warmth, knowledge, and expertise to their roles, helping to create an atmosphere where both residents and visitors find not just care, but a sense of belonging. The community is strengthened by contributions from residents, their families, and each member of the team, forming a supportive circle that honors and cherishes the unique experiences and personalities of every individual at ElderHealth & Living Memory Village.

    People often ask...

    ElderHealth & Living Memory Village offers competitive pricing, with rates starting at a cost of $6,404 per month.

    ElderHealth & Living Memory Village offers assisted living, memory care, and skilled nursing.

    There are 8 photos of ElderHealth & Living Memory Village on Mirador.

    The full address for this community is 382 B S 58th St, Springfield, OR 97478.

    No, ElderHealth & Living Memory Village 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 number5ME119
    StatusActive
    Facility typeResidential Care Facility
    Capacity95 residents
    LicenseeTSL Springfield Operating, LLC.
    EffectiveAugust 1st, 1991
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    119

    Reports

    0

    Type A Citations

    0

    Type B Citations

    1

    Complaints

    16

    Years

    08 Jan 2026Kitchen
    Investigated widespread food sanitation and administration compliance deficiencies, finding multiple improper storage, dating, and sanitation practices across multiple cottages.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    10 Aug 2025Inspection
    Investigated the allegation that service was not provided to the alleged victim and found a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    27 Jul 2025Inspection
    Investigated the allegation that service was not provided to the Alleged Victim and found a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    29 Jun 2025Inspection
    Investigated the allegation of failing to provide service and found a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    21 Jun 2025Inspection
    Investigated a complaint and found that an ordered pain medication was not administered to a resident, causing pain; multiple rule violations were cited.
    • LicensingFailed to administer ordered medication
    21 Jun 2025Inspection
    Determined that service was not provided to the alleged victim, resulting in a substantiated licensing violation.
    • LicensingFailed to provide service
    21 May 2025Inspection
    Investigated an allegation that service was not provided and substantiated a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    11 May 2025Inspection
    Determined that service was not provided to the Alleged Victim. This constitutes a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    08 May 2025Inspection
    Investigated the allegation that service was not provided to the Alleged Victim and found a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    18 Apr 2025Inspection
    Found that the licensee failed to provide service to the alleged victim, violating state regulations.
    • LicensingFailed to provide service
    23 Mar 2025Inspection
    Investigated the allegation of failing to provide service to the Alleged Victim and found a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    10 Jan 2025Kitchen
    Identified multiple deficiencies in meals and kitchen sanitation, including poor cleanliness, improper food storage, and weak administrative controls.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    20 Dec 2024Inspection
    Found failure to provide service to the Alleged Victim, violating Oregon Administrative Rules.
    • LicensingFailed to provide service
    20 Dec 2024Inspection
    Found that staff failed to monitor an agitated resident and keep other residents safe, resulting in harm and an unsafe environment.
    • LicensingFailed to provide safe environment
    12 Nov 2024Inspection
    Investigated the allegation that service was not provided to the alleged victim, and identified a violation of Oregon Administrative Rules.
    • LicensingFailed to provide service
    31 Oct 2024Complaint
    Determined deficiencies in staff training and updating the acuity-based staffing tool, and found staffing not aligned with the posted plan.
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - Abst Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Plan
    22 Oct 2024Inspection
    Determined that service was not provided as required, violating Oregon administrative rules. The issue involved an alleged victim and potential harm.
    • LicensingFailed to provide service
    16 Oct 2024Inspection
    Investigated a complaint about inadequate supervision and found that an individual left the premises without staff knowledge after a gate wasn’t locked; no harm occurred.
    • LicensingFailed to provide safe environment
    09 Oct 2024Inspection
    Identified deficiencies in the ABST accuracy reflecting resident needs and ADLs, with staffing not aligned to ABST indicators.
    • LicensingFailed to staff as indicated by ABST
    09 Oct 2024Inspection
    Determined that staffing was insufficient to meet residents' scheduled and unscheduled needs, resulting in unmet or delayed care.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    05 Oct 2024Inspection
    Determined that service was not provided to an alleged victim, violating Oregon Administrative Rules.
    • LicensingFailed to provide service
    05 Oct 2024Inspection
    Determined that there was insufficient staff to meet residents' scheduled and unscheduled needs.
    • LicensingFailed to meet the scheduled and unscheduled needs of residents
    05 Oct 2024Inspection
    Identified a staffing deficiency due to inaccuracies in the Acuity-Based Staffing Tool and misalignment among the resident roster, care plans, and ABST data, preventing meeting scheduled and unscheduled resident needs.
    • LicensingFailed to staff as indicated by ABST
    21 Sept 2024Inspection
    Determined that the Acuity-Based Staffing Tool did not accurately reflect resident needs and ADLs, with inconsistencies between roster, care plans, and ABST data, and staffing levels not meeting scheduled and unscheduled needs.
    • LicensingFailed to use an ABST
    21 Sept 2024Inspection
    Determined that the acuity-based staffing tool was not fully implemented or updated.
    • LicensingFailed to update staffing plan based on ABST
    07 Sept 2024Inspection
    Investigated and found that the ABST was not updated to reflect resident needs, with inconsistencies among the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    06 Sept 2024Inspection
    Found deficiencies in the acuity-based staffing tool and related staffing levels, with inconsistencies between roster, care plans, and ABST data, and staffing not meeting resident needs.
    • LicensingFailed to use an ABST
    30 Aug 2024Inspection
    Found that the Acuity-Based Staffing Tool was not updated to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    26 Aug 2024Inspection
    Investigated the allegation and found that an acuity-based staffing tool did not accurately reflect resident needs and ADLs, creating data inconsistencies and insufficient staffing.
    • LicensingFailed to use an ABST
    02 Aug 2024Abuse: Neglect
    Found violations related to supervision and gate training, leading to a resident exiting the secured area; care planning did not address exit-seeking behavior.
    • AbuseFailed to provide safe environment
    26 Jul 2024Inspection
    Investigated and substantiated a licensing violation related to staffing accuracy and ABST data. Inconsistencies between the resident roster, care plans, and ABST entries corresponded with staffing levels not meeting residents’ needs.
    • LicensingFailed to staff as indicated by ABST
    03 Jun 2024Inspection
    Found a deficiency in staffing practices because new hires were working on the floor without dementia training or any other training.
    • LicensingFailed to provide appropriate staffing
    08 Dec 2023Inspection
    Found a failure to provide a safe environment after a resident eloped over the gate and was found unharmed about 30 minutes later.
    • LicensingFailed to provide safe environment
    27 Sept 2023Licensure
    Identified deficiencies in kitchen sanitation, food labeling and handling, and staff food-handling certification; a follow-up visit later found substantial compliance for meals and sanitation rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyStaffing Requirements and Training – Pre-Serv
    • DeficiencyAdministration Compliance
    17 Jul 2023Abuse: Neglect
    Found abuse and neglect due to failure to provide timely medical treatment after a fall. A $500 fine was assessed.
    • AbuseFailed to provide service
    18 Feb 2023Abuse: Neglect
    Investigated and found that a safe environment was not maintained, leading to a resident-to-resident altercation that involved abuse and neglect.
    • AbuseFailed to provide safe environment
    09 Feb 2023Inspection
    Identified lack of a safe environment and adequate supervision that led to a resident fall and hip fracture.
    • LicensingFailed to provide safe environment
    20 Jan 2023Inspection
    Found that the Acuity-Based Staffing Tool was not updated to reflect the resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    04 Nov 2022Abuse: Neglect
    Found a failure to provide a safe environment that led to a physical altercation and abuse; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    22 Oct 2022Abuse: Neglect
    Investigated and found neglect and abuse due to failure to provide safe supervision, which led to multiple elopements and risk to the resident.
    • AbuseFailed to provide safe environment
    09 Oct 2022Abuse: Neglect
    Found neglect and abuse due to failure to implement interventions and monitor known behaviors, leading to a yelling incident and a physical altercation that caused discomfort for the Alleged Victim and a witness.
    • AbuseFailed to provide safe environment
    03 Oct 2022Validation
    Identified multiple deficiencies across food sanitation, resident service plans, changes of condition monitoring, health services delegation, environmental maintenance, staff training, and administration compliance.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyService Plan: General
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRn Delegation and Teaching
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyDoors, Walls, Elevators, Odors
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    31 Jul 2022Abuse: Neglect
    Concluded that neglect and abuse occurred due to failure to provide a safe environment and monitor a resident, resulting in a physical altercation and unreasonable discomfort to the victim.
    • AbuseFailed to provide safe environment
    05 Jul 2022Inspection
    Concluded that physical abuse occurred and that a safe environment was not provided.
    • LicensingFailed to provide safe environment
    28 Apr 2022Abuse: Neglect
    Investigated an abuse/neglect case and found staff failed to provide a safe environment, leading to a physical altercation and unreasonable discomfort to a resident.
    • AbuseFailed to provide safe environment
    09 Dec 2021Inspection
    Investigated and determined that staff engaged in wrongful restraint and physical abuse, and that the environment was unsafe.
    • LicensingFailed to provide safe environment
    07 Jul 2021Inspection
    Investigated a fall incident and identified neglect of care and an unsafe environment due to improper fall reporting and minimal assistance after the fall.
    • LicensingFailed to provide safe environment
    29 May 2021Abuse: Neglect
    Found failure to provide ambulation assistance due to lack of staff, resulting in a resident-to-resident incident; a $500 fine was assessed.
    • AbuseFailed to provide safe environment
    27 May 2021Abuse: Neglect
    Found inadequate supervision led to a resident-to-resident altercation causing injury, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    04 Apr 2021Inspection
    Identified a staffing-related deficiency and a failure to provide a safe environment.
    • LicensingFailed to provide safe environment
    22 Mar 2021Inspection
    Found a violation for failing to protect a resident from verbal abuse.
    • LicensingFailed to protect resident from verbal abuse
    22 Mar 2021Inspection
    Found that a staff member directed a resident in a derogatory manner and protection against verbal abuse was inadequate.
    • LicensingFailed to protect resident from verbal abuse
    15 Dec 2020Abuse: Neglect
    Investigated found the provider failed to follow the care plan, resulting in neglect and abuse; a fine was assessed.
    • AbuseFailed to follow care plan
    27 Nov 2020Abuse: Neglect
    Identified a safety violation resulting in abuse and neglect. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    06 Nov 2020Abuse: Neglect
    Found that the care plan for an aggressive resident was not followed, resulting in abuse/neglect.
    • AbuseFailed to provide safe environment
    24 Sept 2020Abuse: Neglect
    Investigated and found that a staff member touched a resident sexually and safety for residents was not provided, constituting abuse and neglect.
    • AbuseFailed to provide safe environment
    07 Sept 2020Abuse: Neglect
    Found a failure to provide a safe medication administration system, resulting in delayed treatment for an infection.
    • AbuseFailed to provide a safe medication administration system
    01 Sept 2020Abuse: Neglect
    Investigated a death following a medical emergency and found neglect of care and abuse for CPR given despite a Do Not Resuscitate order and improper emergency response.
    • AbuseFailed to provide safe environment
    13 Aug 2020Abuse: Neglect
    Investigated an allegation of abuse and neglect; found failure to provide a safe environment for a resident, resulting in abuse.
    • AbuseFailed to provide safe environment
    11 Aug 2020Abuse: Neglect
    Investigated a safety-related complaint and found violations involving neglect and abuse due to failing to follow a care plan and provide a safe environment; a fine was assessed.
    • AbuseFailed to provide safe environment
    09 Aug 2020Abuse: Neglect
    Determined that staff did not follow the resident's care plan, resulting in a fall and constituting neglect and abuse.
    • AbuseFailed to follow care plan
    19 Jun 2020Inspection
    Investigated a complaint and found neglect of care and an unsafe environment that posed risk of harm to a resident.
    • LicensingFailed to provide safe environment
    25 Mar 2020Abuse: Neglect
    Investigated a complaint alleging an unsafe environment and neglect; found that an aggressive resident entered another resident’s room, causing a facial injury, and care planning and safety measures were not updated.
    • AbuseFailed to provide safe environment
    25 Feb 2020Abuse: Neglect
    Found neglect and abuse involving continuing incontinence care after refusals, causing emotional harm and violation of resident rights; a $250 fine was assessed.
    • AbuseFailed to assure resident rights
    25 Feb 2020Abuse: Neglect
    Determined that insufficient supervision led to a resident being harmed; a $375 fine was assessed.
    • AbuseFailed to provide safe environment
    25 Dec 2019Abuse: Neglect
    Investigated and found violations of the care plan and resident rights. The actions created a risk of harm to a resident.
    • AbuseFailed to follow care plan
    25 Dec 2019Abuse: Neglect
    Found neglect and abuse due to lack of supervision, placing an Alleged Victim at risk after they sprayed disinfectant into their mouth.
    • AbuseFailed to provide safe environment
    25 Dec 2019Abuse: Neglect
    Found inadequate supervision that did not follow the resident's care plan, leading to neglect and abuse.
    • AbuseFailed to provide safe environment
    15 Dec 2019Abuse: Neglect
    Found that there was failure to provide a safe environment resulting in abuse and neglect. A $500 fine was assessed.
    • AbuseFailed to provide safe environment
    05 Dec 2019Abuse: Neglect
    Investigated medication administration errors; one medication was given at the wrong dosage and another was not administered for about eight days, worsening the resident's condition. Found violations of medication safety and resident rights.
    • AbuseFailed to administer medication as ordered
    26 Nov 2019Abuse: Neglect
    Found fall-risk care planning and oversight were not followed, leading to four falls, two of which caused injuries; a $500 fine was assessed.
    • AbuseFailed to follow care plan
    23 Oct 2019Abuse: Neglect
    Investigated a report of abuse and neglect found that staff failed to provide adequate supervision, resulting in a resident harming another and sustaining a minor injury.
    • AbuseFailed to provide safe environment
    15 Sept 2019Abuse: Neglect
    Found violations for failing to provide a safe environment and for abuse/neglect, with a $375 fine assessed.
    • AbuseFailed to provide safe environment
    03 Aug 2019Abuse: Financial abuse
    Found a financial abuse violation involving deceitful taking of money, resulting in asset loss.
    • AbuseFailed to protect resident from financial exploitation
    13 Jul 2019Abuse: Neglect
    Investigated the allegation of neglect. Found that inadequate supervision caused actual physical harm.
    • AbuseFailed to follow care plan
    29 Jun 2019Abuse: Neglect
    Investigated a neglect allegation and found that basic care was not provided, leading to unnecessary discomfort. A $188 fine was assessed.
    • AbuseFailed to provide safe environment
    05 May 2019Abuse: Neglect
    Investigated a neglect allegation and found the provider failed to give basic care, causing discomfort; a fine was assessed.
    • AbuseFailed to care plan in accordance with assessment
    17 Mar 2019Abuse: Verbal/Mental abuse
    Found verbal/mental abuse occurred and the provider failed to protect the resident from it, resulting in significant emotional harm.
    • AbuseFailed to protect resident from verbal abuse
    12 Jan 2019Abuse: Neglect
    Found neglect due to inadequate supervision, resulting in serious physical harm. A fine of $1,500 was assessed.
    • AbuseFailed to provide oversight and monitoring of change of condition
    24 Nov 2018Abuse: Physical Abuse
    Investigated an allegation of physical abuse and substantiated that a resident was injured by non-accidental means.
    • AbuseFailed to protect resident from rough treatment
    22 Jun 2018Inspection
    Found an inadequate medication system that failed to ensure safe medication administration. A $375 fine was assessed.
    • LicensingFailed to provide a safe medication administration system
    14 Jun 2018Abuse: Neglect
    Identified neglect due to inadequate supervision that caused unreasonable discomfort and assessed a $250 fine.
    • AbuseFailed to properly plan care
    09 Jun 2018Inspection
    Investigated and found a failure to provide a safe environment and improper care planning, with a $375 fine assessed.
    • LicensingFailed to properly plan care
    22 May 2018Abuse: Neglect
    Investigated an allegation of neglect and found a failure to provide a safe environment, with a fine assessed.
    • AbuseFailed to care plan in accordance with assessment
    22 Apr 2018Inspection
    Investigated a complaint and found a deficiency for failing to provide a secure environment, with a $500 fine assessed.
    • LicensingFailed to provide safe environment
    12 Apr 2018Abuse: Neglect
    Investigated a complaint and found a failure to provide a safe environment, resulting in a $375 fine.
    • AbuseFailed to provide safe environment
    25 Jan 2018Inspection
    Found failure to administer medications as directed, resulting in a $500 fine.
    • LicensingFailed to administer medication as ordered
    20 Dec 2017Abuse: Neglect
    Investigated a complaint and found inadequate supervision that posed a risk to a resident; a fine was assessed.
    • AbuseFailed to provide safe environment
    17 Dec 2017Inspection
    Found that money was not adequately protected from theft.
    • LicensingFailed to provide safe environment
    16 Dec 2017Abuse: Neglect
    Investigated and found a failure to provide a safe environment.
    • AbuseFailed to provide safe environment
    15 Dec 2017Inspection
    Found a licensing violation for failing to administer ordered medication, creating a risk of serious harm.
    • LicensingFailed to administer ordered medication
    05 Dec 2017Inspection
    Found that medications were not administered as directed.
    • LicensingFailed to administer medication as ordered
    05 Dec 2017Inspection
    Found that care plan was not followed.
    • LicensingFailed to follow care plan
    24 Nov 2017Inspection
    Investigated an allegation that medication was not administered as ordered. Found a licensing violation involving medication administration and assessed a $300 fine.
    • LicensingFailed to administer medication as ordered
    13 Nov 2017Abuse: Neglect
    Found that care was not provided as required, resulting in a resident fall with injury.
    • AbuseFailed to follow care plan
    07 Nov 2017Inspection
    Found that medications were not secured from residents, indicating a safety deficiency in medication administration. This represented a risk of harm to residents.
    • LicensingFailed to provide a safe medication administration system
    07 Nov 2017Inspection
    Found a violation for failing to administer ordered medication and to follow the care plan.
    • LicensingFailed to administer ordered medication
    06 Nov 2017Inspection
    Investigated an allegation of not administering medication as ordered and found inadequate care; a $300 fine was assessed.
    • LicensingFailed to administer medication as ordered
    31 Oct 2017Inspection
    Found failure to maintain an accurate medication system.
    • LicensingFailed to administer ordered medication
    30 Oct 2017Inspection
    Found a medication administration deficiency where medications were not provided as prescribed to a resident.
    • LicensingFailed to administer medication as ordered
    02 Oct 2017Inspection
    Found deficiencies in medication administration and the medication system, with a fine assessed.
    • LicensingFailed to administer medication as ordered
    27 Sept 2017Inspection
    Investigated the allegation of failing to administer medication as ordered and identified a deficiency.
    • LicensingFailed to administer medication as ordered
    08 Aug 2017Inspection
    Investigated the allegation that medication was not administered as ordered and found a deficiency in basic care.
    • LicensingFailed to administer medication as ordered
    27 Jun 2017Abuse: Neglect
    Investigated an allegation of neglect for failing to follow a care plan. Found a failure to assess and intervene.
    • AbuseFailed to follow care plan
    21 May 2017Abuse: Neglect
    Investigated the neglect allegation and found the care plan was not followed, resulting in a fall.
    • AbuseFailed to follow care plan
    10 May 2017Inspection
    Investigated the allegation that residents were not safe and found a deficiency in providing a secure environment.
    • LicensingFailed to assure resident was safe
    22 Apr 2017Inspection
    Investigated the allegation of failing to properly plan care and found a failure to provide a safe environment.
    • LicensingFailed to properly plan care
    02 Nov 2016Abuse: Neglect
    Investigated an alleged failure to follow care plan that resulted in a resident's fatal fall.
    • AbuseFailed to follow care plan
    21 Jul 2015Inspection
    Investigated an allegation of an unsafe environment and identified a safety deficiency.
    • LicensingFailed to provide safe environment
    01 Jun 2015Inspection
    Determined that deficiencies existed, including failure to provide a safe medication administration system. This created a risk of serious harm.
    • LicensingFailed to provide a safe medication administration system
    15 Dec 2014Abuse: Verbal/Mental abuse
    Investigated an allegation of verbal/mental abuse and found a failure to protect a resident from threats of physical harm.
    • AbuseFailed to protect resident from verbal abuse
    03 Feb 2014Inspection
    Investigated the allegation of an unsafe medication administration system. Found the medication administration system was not adequate.
    • LicensingFailed to provide a safe medication administration system
    02 Dec 2013Abuse: Physical Abuse
    Investigated a report of physical abuse and found that a resident was subjected to rough treatment.
    • AbuseFailed to protect resident from rough treatment
    23 Sept 2013Abuse: Involuntary Seclusion
    Identified a violation involving involuntary seclusion by confining a resident to their room for caregivers' convenience.
    • AbuseFailed to protect resident from involuntary seclusion
    24 Apr 2013Inspection
    Investigated a resident rights allegation and found a deficiency that could cause serious loss of dignity for a resident.
    • LicensingFailed to assure resident rights
    10 Nov 2011Inspection
    Found a failure to provide a secure environment, with potential for harm.
    • LicensingFailed to provide safe environment
    20 Jun 2011Inspection
    Found that a resident was not protected from rough treatment. This reflected a failure to follow the care plan.
    • LicensingFailed to follow care plan
    17 Mar 2010Abuse: Neglect
    Found failure to follow the care plan. Neglect with potential for minor harm.
    • AbuseFailed to follow care plan
    01 Mar 2010Abuse: Neglect
    Found a failure to provide a safe environment and assessed a $250 fine.
    • AbuseFailed to provide safe environment

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