My mother has lived here nearly a year and I'm very satisfied with her care. The staff-especially Executive Director Brandy Harris and caregivers like Broc, Destiny and Kevin-are warm, attentive and responsive; they made the transition smooth and keep our family updated. The facility is clean and homey, with good meals, engaging activities and lovely gardens. I would happily recommend this caring, professional 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
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
4.67·(64)
Overall rating
5
4
3
2
1
Care
4.8
Staff
4.7
Meals
4.1
Amenities
4.0
Value
2.0
Pros
Compassionate, attentive caregiving staff
Hands-on, accessible management
Personalized staff–resident relationships
Clean, well-maintained interior and grounds
Nutritious, well-presented dining options
Diverse activities and regular outings
Frequent family communication and updates
Small, home-like community scale
Strong nursing and clinical oversight
Transportation and appointment support
Engaging social and communal spaces
Pet-friendly accommodations
Cons
Inconsistent staffing levels and employee turnover
For-profit resource constraints and cost-containment priorities
Limited in-room bathing facilities and shared shower policy
Insufficiently sized or secured memory-care spaces
Billing, refund, and administrative responsiveness issues
Inconsistent transparency about placement availability and admissions
Restricted visitation flexibility during infection-control periods
Allegations of staff theft and belongings mishandling
Limited private-room availability and privacy accommodations
Summary of reviews
Overall impression: Reviews portray Sweetbriar Villa as a small, home-like community with consistently strong praise for front-line caregivers and hands-on management. Families commonly describe warm, individualized attention, frequent communication, and a comforting atmosphere; staff and managers are repeatedly characterized as caring, accessible, and personally involved in residents’ daily lives. The facility’s size and gardening/outdoor areas are viewed as strengths that support an intimate, residential feel.
Care quality and staff: Across reviews the caregiving team and nursing staff are the facility’s primary strength. Commenters emphasize attentive bedside care, personalized relationships (staff knowing residents by name), prompt updates to families, and supportive end-of-life care. Several reviewers highlighted individual managers and nurses who take an active role in resident well-being. At the same time, reviewers also raise operational concerns: staffing levels and employee turnover were frequently noted as pressures on the care team, and some families described inconsistent responsiveness on specific administrative or placement issues. There are also a small number of serious personnel-related concerns, including allegations of belongings mishandling and theft; those claims suggest families should ask direct questions about staff screening, supervision, and property policies during tours.
Dining and activities: Dining is consistently rated positively — meals are described as plentiful, appealing, and accommodating of requests, with a clean kitchen and visible menu planning. Recreational programming is broad and active for a facility of this size: games, arts and crafts, beauty days, regular shopping and county trips, musical activities, and transportation to appointments all appear as routine offerings. Reviewers describe an engaged social environment with opportunities for residents to participate and suggest activities.
Facilities and accessibility: The building and grounds receive praise for cleanliness, fresh flowers, and well-kept gardens and courtyard spaces. However, structural limitations are repeatedly noted: bedrooms and some common areas are described as small or cramped, which can pose accessibility challenges for larger wheelchairs and equipment. Several reviews identify limited in-room bathing (shared showers or no private showers in some rooms) and ongoing remodeling as operational realities. Memory-care accommodations were specifically flagged as undersized and not fully secured or enclosed in some areas, and reviewers called out limited outdoor options for memory-care residents.
Management, operations, and financial practices: Management is generally viewed as personable and attentive, with leadership described as involved in day-to-day resident needs. Contrastingly, reviewers also point to higher-level operational issues tied to the facility’s business model: mentions of corporate cost-containment and for-profit resource constraints appear alongside concerns about billing practices, nonrefundable community fees, delayed refunds, and difficulty getting administrative questions answered. Placement transparency (for example, being informed that memory-care is full) and administrative responsiveness are other recurring themes families may want to clarify prior to move-in. Additionally, infection-control decisions (notably visitation restrictions during COVID periods) were a point of friction for some families.
Notable patterns and takeaways: Prospective residents and families will likely value Sweetbriar Villa for its caring staff, individualized attention, active programming, and maintained gardens — attributes that create a strong sense of home. Key operational trade-offs to evaluate in person include staffing stability and ratios, bathing and private-room configurations, memory-care layout and secure outdoor access, physical accessibility for mobility equipment, and the facility’s billing and refund policies. Asking direct questions about staff turnover, staff screening and supervision, availability of private bathrooms, the memory-care unit’s footprint and security, and written administrative/billing policies will help families weigh the strong day-to-day caregiving culture against these operational limitations.
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Location
Sweetbriar Villa is located at 6135 E St, Springfield, OR, 97478.
About Sweetbriar Villa
Sweetbriar Villa is nestled in a cozy residential area in Springfield, Oregon, providing a warm and welcoming environment that immediately feels like home. The community is thoughtfully designed to foster comfort and togetherness, ensuring that each resident enjoys both privacy and a sense of belonging. From beautifully appointed living rooms to the presence of an extra attentive staff, every detail at Sweetbriar Villa reflects an underlying mission to create and sustain comfortable, caring environments for individuals who rely on their support.
Residents at Sweetbriar Villa benefit from a community-style setting where trained staff members are always nearby, ready to assist whenever needed. This around-the-clock availability gives both residents and their loved ones peace of mind, knowing help is always close at hand. At the heart of Sweetbriar Villa’s approach is the goal to supply excellent social, physical, and emotional support while empowering residents to achieve maximum independence. Personalized care and support services are carefully tailored to meet each individual’s unique needs, further enhancing their sense of dignity and self-worth.
One of the distinctive features of Sweetbriar Villa is the Healthy Living life enrichment programs. These programs offer a rich variety of activities and events designed to stimulate the mind, spirit, and body. Residents can enjoy a lifestyle of choice, engaging in experiences that nurture both their interests and well-being. The Assisted Care program at Sweetbriar Villa allows individuals to maintain their accustomed lifestyle, all while feeling safe and secure in the knowledge that supportive assistance is always available.
For residents facing the challenges of memory loss, Sweetbriar Villa offers its specialized Transitions™ and Memory Care programming. These programs are thoughtfully developed to address the evolving needs of individuals displaying the initial and developing signs of Alzheimer’s or other related dementias. Recognizing that the right environment can help reduce agitation and confusion, Sweetbriar Villa’s Memory Care program is designed with individualized needs in mind, ensuring each resident receives the compassionate attention they deserve.
Every aspect of life at Sweetbriar Villa is crafted with the resident’s comfort and well-being as the foremost priority. The highly dedicated team works tirelessly to provide a sense of community, focusing on maximizing each person’s independence while fostering genuine connections and personal growth. Sweetbriar Villa stands as a place where comfort truly meets community, offering residents a vibrant, supportive, and caring home for their senior years.
A family-owned and operated group of residential communities dedicated to exceptional senior care, offering independent living, assisted living, memory care, respite stays, hospice care, and life enrichment programs across Oregon, Idaho, Nevada, and Montana.
People often ask...
Sweetbriar Villa offers competitive pricing, with rates starting at a cost of $4,500 per month.
Sweetbriar Villa offers assisted living, memory care, and board and care.
There are 24 photos of Sweetbriar Villa on Mirador.
The full address for this community is 6135 E St, Springfield, OR 97478.
No, Sweetbriar Villa 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.
Found that ABST evaluations for each resident were not updated or documented quarterly.
Licensing—Failed to use an ABST
17 Sept 2025Inspection
17 Sept 2025Inspection
Found a staffing planning deficiency due to failure to develop, maintain, and implement an Acuity Based Staffing Tool.
Licensing—Failed to update staffing plan based on ABST
15 Sept 2025Inspection
15 Sept 2025Inspection
Investigated the allegation and found failure to update the staffing plan based on ABST and to develop, maintain, and implement an acuity-based staffing tool.
Licensing—Failed to update staffing plan based on ABST
05 Jun 2025Kitchen
05 Jun 2025Kitchen
Observed multiple sanitation and food safety deficiencies across visits, including improper temperatures, poor kitchen cleanliness, and failure to implement corrective actions.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
24 May 2025Inspection
24 May 2025Inspection
Investigated and found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
22 Apr 2025Inspection
22 Apr 2025Inspection
Found a failure to provide requested documentation and to cooperate with an investigation.
Licensing—Failed to cooperate with an investigation
18 Apr 2025License Condition
18 Apr 2025License Condition
Found failure to provide a safe environment that put residents at immediate jeopardy.
Regulatory Action—Failed to provide safe environment
06 Apr 2025Inspection
06 Apr 2025Inspection
Investigated allegation of failing to update staffing plan and identified a deficiency in acuity-based staffing tool.
Licensing—Failed to update staffing plan based on ABST
25 Mar 2025Complaint
25 Mar 2025Complaint
Investigated found violations of medication and treatment orders and acuity-based staffing practices, including incomplete ABST data and inadequate night-shift coverage.
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - Abst Time
Deficiency—Acuity Based Staffing Tool - Updates & Plan
07 Feb 2025Inspection
07 Feb 2025Inspection
Investigated and determined that documentation was not provided when requested, constituting a violation.
Licensing—Failed to cooperate with an investigation
18 Nov 2024Inspection
18 Nov 2024Inspection
Determined that records were not provided as requested, resulting in a rule violation.
Licensing—Failed to cooperate with an investigation
15 Nov 2024Inspection
15 Nov 2024Inspection
Found that records were not provided upon request, violating state rules.
Licensing—Failed to make facility or resident records accessible
09 Nov 2024Abuse: Neglect
09 Nov 2024Abuse: Neglect
Found that a safe environment was not provided, placing a resident at risk of harm. The finding identifies neglect and abuse.
Abuse—Failed to provide safe environment
07 Nov 2024Abuse: Neglect
07 Nov 2024Abuse: Neglect
Investigated an incident where a caregiver reached across a resident's chair to engage the wheelchair brake, causing a nose bleed; found a failure to provide a safe environment and that this constitutes abuse and neglect, with a fine assessed.
Abuse—Failed to provide safe environment
14 Aug 2024Inspection
14 Aug 2024Inspection
Found a deficiency for failing to carry out medication and treatment orders as prescribed. This constitutes a violation of Oregon Administrative Rules.
Licensing—Failed to administer ordered medication
04 May 2024Inspection
04 May 2024Inspection
Investigated a failure to follow a care plan that left a resident alone in the shower, resulting in a fall and head injury. Violations identified.
Licensing—Failed to follow care plan
11 Apr 2024Licensure
11 Apr 2024Licensure
Identified sanitation and administration deficiencies in the kitchen; subsequent follow-up showed substantial compliance.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
21 Mar 2024Inspection
21 Mar 2024Inspection
Found staffing levels inconsistent with ABST indicators. The mismatch between schedules and ABST data left resident needs unmet.
Licensing—Failed to staff as indicated by ABST
09 Nov 2023Inspection
09 Nov 2023Inspection
Found a violation for failing to administer ordered medication as prescribed.
Licensing—Failed to administer ordered medication
02 Nov 2023Inspection
02 Nov 2023Inspection
Found a violation for failing to provide a safe medication administration system and to administer medication as ordered. The alleged victim did not experience a negative outcome.
Licensing—Failed to administer medication as ordered
22 Sept 2023Complaint
22 Sept 2023Complaint
Investigated found deficiencies in providing a safe environment, adherence to medication and treatment orders, and access to records.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection - General
Deficiency—Systems: Treatment Orders
Deficiency—Inspections and Investigations
03 Aug 2023Inspection
03 Aug 2023Inspection
Investigated the allegation and found a deficiency in administering medication as prescribed.
Licensing—Failed to administer medication as ordered
01 Jul 2023Inspection
01 Jul 2023Inspection
Investigated a medication administration allegation and found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
28 Jun 2023Inspection
28 Jun 2023Inspection
Concluded that a staff member financially exploited a resident by giving medication to another resident. Protections against financial exploitation were not maintained.
Licensing—Failed to protect resident from financial exploitation
17 May 2023Inspection
17 May 2023Inspection
Investigated and found that the care plan was not followed during a transfer, causing bruising and violating resident rights.
Licensing—Failed to follow care plan
06 Mar 2023Validation
06 Mar 2023Validation
Identified multiple deficiencies across abuse investigations, service planning, staff training, environmental maintenance, and outdoor security. A follow-up review found substantial compliance.
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Secure Outdoor Recreation Area
08 Feb 2023Inspection
08 Feb 2023Inspection
Investigated the allegation and concluded that a safe and home-like environment was not provided.
Licensing—Failed to provide safe environment
08 Feb 2023Inspection
08 Feb 2023Inspection
Investigated an allegation of records access; found that records were not made available upon request.
Licensing—Failed to make facility or resident records accessible
01 Feb 2023Inspection
01 Feb 2023Inspection
Found a deficiency for failing to report vaccination status weekly for vaccinated individuals, residents, and staff for 30 days.
Licensing—Failed to report vaccination status
12 Jan 2023Complaint
12 Jan 2023Complaint
Identified deficiencies related to resident rights, service planning, and treatment orders under state regulations.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection: Personal Rela
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
11 Jan 2023License Condition
11 Jan 2023License Condition
Investigated an allegation of not reporting potential or suspected abuse and found deficiencies related to abuse reporting and safety.
Regulatory Action—Failed to report potential or suspected abuse
11 Jan 2023Inspection
11 Jan 2023Inspection
Investigated an allegation of failing to report potential or suspected abuse and identified a violation related to notifying local authorities.
Licensing—Failed to report potential or suspected abuse
11 Jan 2023License Condition
11 Jan 2023License Condition
Cited failure to use an ABST.
Regulatory Action—Failed to use an ABST
11 Jan 2023License Condition
11 Jan 2023License Condition
Investigated the allegation and found deficiencies in the medication administration records, including multiple MARs without initials indicating medications were given.
Regulatory Action—Failed to provide a safe medication administration system
11 Jan 2023License Condition
11 Jan 2023License Condition
Investigated a complaint about abuse handling and found failure to promptly investigate all abuse and suspected abuse and lack of documentation, resulting in an unsafe environment.
Regulatory Action—Failed to investigate injury of unknown origin to rule out abuse
11 Jan 2023License Condition
11 Jan 2023License Condition
Investigated the complaint and found the quarterly service plan was not updated after admission, indicating inadequate screening or assessment.
Regulatory Action—Failed to perform adequate screening or assessment
11 Jan 2023License Condition
11 Jan 2023License Condition
Investigated the allegation and found insufficient direct care staff to meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
05 Jan 2023Inspection
05 Jan 2023Inspection
Found that quarterly service plans were not completed since 1/11/22, placing residents at risk.
Licensing—Failed to properly plan care
03 Jan 2023Licensure
03 Jan 2023Licensure
Identified significant sanitation and food handling deficiencies in the kitchen, including an initial immediate jeopardy, with ongoing issues noted on follow-up visits.
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
27 Dec 2022Abuse: Neglect
27 Dec 2022Abuse: Neglect
Investigated a complaint about care planning for a resident's known sexual behaviors and found neglect and abuse resulting in harm to another resident. A fine was assessed.
Abuse—Failed to properly plan care
26 Dec 2022Inspection
26 Dec 2022Inspection
Found a failure in medication administration safety, where a resident was administered another resident's medications.
Licensing—Failed to provide a safe medication administration system
20 Dec 2022Abuse: Neglect
20 Dec 2022Abuse: Neglect
Found deficiencies in care planning that failed to mitigate repeated falls, leading to three falls and a head injury requiring monitoring.
Abuse—Failed to properly plan care
28 Oct 2022Abuse: Neglect
28 Oct 2022Abuse: Neglect
Found safety planning and timing failures that increased fall risk; a $375 fine was assessed.
Abuse—Failed to properly plan care
27 Oct 2022Inspection
27 Oct 2022Inspection
Determined that care planning failed to prevent a resident from slipping from a wheelchair, resulting in injuries.
Licensing—Failed to properly plan care
26 Oct 2022Abuse: Neglect
26 Oct 2022Abuse: Neglect
Investigated an allegation of neglect related to failing to plan care to ensure resident safety, with findings of multiple falls and inadequate safety planning.
Abuse—Failed to properly plan care
20 Oct 2022Complaint
20 Oct 2022Complaint
Investigated a complaint and identified deficiencies in abuse reporting and investigation, service plan updates, medication record accuracy, staffing levels, and use of an acuity-based staffing tool.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
10 Oct 2022Abuse: Neglect
10 Oct 2022Abuse: Neglect
Investigated a complaint and found neglect due to failure to properly care plan after prior falls, resulting in a bruise of unknown origin on the resident's head.
Abuse—Failed to properly plan care
05 Oct 2022Abuse: Neglect
05 Oct 2022Abuse: Neglect
Found supervision and staff support failures for known behaviors, resulting in an incident where a resident slapped another; a fine was assessed.
Abuse—Failed to properly plan care
01 Oct 2022Abuse: Neglect
01 Oct 2022Abuse: Neglect
Found that a resident did not receive required services, leading to weight loss and multiple unwitnessed falls with injuries.
Abuse—Failed to provide service
30 Aug 2022Abuse: Neglect
30 Aug 2022Abuse: Neglect
Identified a failure to provide a safe medication administration system, resulting in continued administration of a discontinued medication and causing unnecessary discomfort. Violations were cited and a fine was assessed.
Abuse—Failed to provide a safe medication administration system
30 Aug 2022Abuse: Neglect
30 Aug 2022Abuse: Neglect
Found failures to care plan to protect a resident from targeted behaviors, resulting in injuries.
Abuse—Failed to properly plan care
14 Jun 2022Inspection
14 Jun 2022Inspection
Determined that the facility failed to administer the resident's medication as ordered by their physician.
Licensing—Failed to provide a safe medication administration system
13 Jun 2022Abuse: Neglect
13 Jun 2022Abuse: Neglect
Found violations of resident rights constituting abuse and neglect due to insufficient staff supervision for a known aggressor, resulting in harm.
Abuse—Failed to properly plan care
08 Jun 2022Abuse: Neglect
08 Jun 2022Abuse: Neglect
Investigated a resident-to-resident incident and determined abuse and neglect due to improper care planning. A $500 fine was assessed.
Abuse—Failed to properly plan care
01 Jun 2022Inspection
01 Jun 2022Inspection
Investigated an allegation of failing to provide a safe environment and identified a deficiency.
Licensing—Failed to provide safe environment
05 May 2022Abuse: Neglect
05 May 2022Abuse: Neglect
Found a substantiated violation of resident rights due to unsafe medication administration, caused by a delayed change in medication that led to discomfort.
Abuse—Failed to provide a safe medication administration system
15 Apr 2022Abuse: Neglect
15 Apr 2022Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in neglect and abuse, with a $375 fine assessed.
Abuse—Failed to provide safe environment
13 Nov 2021Abuse: Neglect
13 Nov 2021Abuse: Neglect
Found violations of resident rights, neglect of care, and abuse; assessed a $500 fine.
Abuse—Failed to properly plan care
13 Nov 2021Abuse: Neglect
13 Nov 2021Abuse: Neglect
Investigated abuse and neglect due to failure to properly plan care for an agitated resident, which led to a risk of harm during an altercation. A $250 fine was assessed.
Abuse—Failed to properly plan care
09 Aug 2021Abuse: Neglect
09 Aug 2021Abuse: Neglect
Found a failure to provide a safe environment that constitutes abuse and neglect. The incident involved an unwitnessed altercation between residents.
Abuse—Failed to provide safe environment
11 Jun 2021Abuse: Neglect
11 Jun 2021Abuse: Neglect
Found neglect for failing to provide a safe environment, resulting in multiple falls and a hospital transfer, with a fine assessed.
Abuse—Failed to provide safe environment
03 Apr 2021Abuse: Neglect
03 Apr 2021Abuse: Neglect
Identified failure to provide a safe environment and to ensure the alarm was active, resulting in an unwitnessed fall and head injury.
Abuse—Failed to provide safe environment
13 Dec 2020Abuse: Neglect
13 Dec 2020Abuse: Neglect
Investigated a transfer without the required two-person assistance per the care plan. Found neglect of care and abuse, with a fine assessed.
Abuse—Failed to follow care plan
08 Dec 2020Abuse: Neglect
08 Dec 2020Abuse: Neglect
Investigated a wandering-related incident and found that a care plan for wandering was not documented and no medical assessment or vital signs were performed after the event; a fine was assessed.
Abuse—Failed to properly plan care
28 Oct 2020Abuse: Neglect
28 Oct 2020Abuse: Neglect
Investigated a complaint and found a failure to provide a safe medication administration system, resulting in about 21 missed doses across 10 medications, including nine pain doses.
Abuse—Failed to provide a safe medication administration system
16 Oct 2020Abuse: Neglect
16 Oct 2020Abuse: Neglect
Identified a failure to answer a call light promptly, leading to resident discomfort after delays in toileting assistance.
Abuse—Failed to answer call light in a timely manner
03 Jun 2020Abuse: Neglect
03 Jun 2020Abuse: Neglect
Found that staff failed to follow a resident's care plan, leading to an injury and constituting abuse and neglect. The incident occurred around 5:00am on June 3, 2020, when alarm pads were present but not turned on.
Abuse—Failed to follow care plan
19 May 2020Inspection
19 May 2020Inspection
Investigated the allegation of unsanitary food service conditions and found sanitation violations, including a dirty kitchen and cross-contaminated food.
Licensing—Failed to provide sanitary food service conditions
21 Jan 2020Abuse: Neglect
21 Jan 2020Abuse: Neglect
Found neglect and abuse for failing to administer prescribed PRN pain medication to a resident in January 2020. Medications were not given on several days despite reports of pain.
Abuse—Failed to administer medication as ordered
06 Jan 2020Inspection
06 Jan 2020Inspection
Investigated a report that money was stolen from a resident's wallet and found financial exploitation and a failure to provide a safe environment.
Licensing—Failed to provide safe environment
01 Jan 2020Abuse: Neglect
01 Jan 2020Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment that put a resident at risk; a fine was assessed.
Abuse—Failed to provide safe environment
30 Dec 2019Inspection
30 Dec 2019Inspection
Found that money went missing from a resident's room, attributed to an unknown person, which constitutes financial exploitation and abuse. Found that a safe environment was not provided.
Licensing—Failed to provide safe environment
26 Dec 2019Inspection
26 Dec 2019Inspection
Investigated a financial exploitation allegation and found the resident was not protected from someone taking money.
Licensing—Failed to protect resident from financial exploitation
10 Oct 2019Inspection
10 Oct 2019Inspection
Identified failure to report suspected abuse. A $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
10 Oct 2019Abuse: Neglect
10 Oct 2019Abuse: Neglect
Identified a failure to administer medications as ordered, which caused physical and significant emotional harm. A $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
02 Oct 2019Abuse: Neglect
02 Oct 2019Abuse: Neglect
Investigated and found neglect and abuse due to failing to provide needed incontinence care, resulting in discomfort and loss of dignity for the resident.
Abuse—Failed to assist with toileting
18 Sept 2019Abuse: Neglect
18 Sept 2019Abuse: Neglect
Found abuse/neglect related to failure to follow the care plan for incontinence care, resulting in the resident sitting in soiled protection and experiencing discomfort and loss of dignity.
Abuse—Failed to follow care plan
17 Sept 2019Abuse: Neglect
17 Sept 2019Abuse: Neglect
Investigated the allegation of not administering medication as ordered; missed doses possibly contributed to a stroke and death, with a fine assessed.
Abuse—Failed to administer medication as ordered
15 Aug 2019Abuse: Neglect
15 Aug 2019Abuse: Neglect
Investigated a complaint alleging neglect and abuse related to incontinence care. The resident woke up in soiled products and suffered a painful itchy rash due to delayed care.
Abuse—Failed to assist with toileting
04 Jul 2019Inspection
04 Jul 2019Inspection
Investigated the allegation and found failure to provide a safe environment due to inadequate supervision, creating risk of serious harm.
Licensing—Failed to provide safe environment
04 Jul 2019Abuse: Neglect
04 Jul 2019Abuse: Neglect
Found neglect and abuse due to insufficient staff and failure to care plan for residents, resulting in unreasonable discomfort.
Abuse—Failed to provide safe environment
28 May 2019Inspection
28 May 2019Inspection
Investigated the allegation and found a deficiency related to maintaining a safe physical environment.
Licensing—Failed to maintain a safe physical environment
24 May 2019Inspection
24 May 2019Inspection
Investigated a complaint and found a deficiency in providing a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
01 Mar 2019Inspection
01 Mar 2019Inspection
Found a medication administration violation where a resident's antibiotic was not given as prescribed between 02/24/2019 and 02/27/2019.
Licensing—Failed to administer medication as ordered
20 Dec 2018Abuse: Neglect
20 Dec 2018Abuse: Neglect
Found inadequate supervision that created a risk of serious harm due to failure to provide a safe environment.
Abuse—Failed to provide safe environment
10 Dec 2018Inspection
10 Dec 2018Inspection
Identified a deficiency in the medication administration system that created a risk of serious harm.
Licensing—Failed to provide a safe medication administration system
04 Dec 2018Abuse: Neglect
04 Dec 2018Abuse: Neglect
Found neglect for failing to administer medications as ordered, risking serious harm. A $375 fine was assessed.
Abuse—Failed to provide a safe medication administration system
17 Sept 2018Abuse: Neglect
17 Sept 2018Abuse: Neglect
Found neglect due to failing to provide basic care, which resulted in actual physical harm. A $1500 fine was assessed.
Abuse—Failed to adequately care plan related to falls
17 Sept 2018Inspection
17 Sept 2018Inspection
Found a failure to report potential or suspected abuse and assessed a civil penalty of $1,000.
Licensing—Failed to report potential or suspected abuse
27 Jul 2018Inspection
27 Jul 2018Inspection
Investigated and found insufficient staffing that left residents' needs unmet.
Licensing—Failed to provide appropriate staffing
14 Apr 2018Abuse: Neglect
14 Apr 2018Abuse: Neglect
Investigated a complaint and found the facility failed to administer medications as directed, a level 3 neglect allegation.
Abuse—Failed to provide a safe medication administration system
14 Apr 2018Inspection
14 Apr 2018Inspection
Found failure to report potential or suspected abuse and assessed a civil penalty of 750 dollars.
Licensing—Failed to report potential or suspected abuse
30 Mar 2018Abuse: Neglect
30 Mar 2018Abuse: Neglect
Found failure to provide PRN medications as requested in relation to a neglect allegation. Assessed a $375.00 fine.
Abuse—Failed to provide appropriate pain control
28 Mar 2018Abuse: Neglect
28 Mar 2018Abuse: Neglect
Investigated an allegation of neglect; found failure to provide basic care and assessed a $750 fine.
Abuse—Failed to intervene when resident's condition changed
20 Mar 2018Inspection
20 Mar 2018Inspection
Investigated and found a failure to provide a safe environment that led to an injury of unknown origin.
Licensing—Failed to provide safe environment
03 Mar 2018Inspection
03 Mar 2018Inspection
Investigated and found a deficiency in safe medication administration, resulting in a $375 fine.
Licensing—Failed to provide a safe medication administration system
21 Feb 2018Inspection
21 Feb 2018Inspection
Found a violation for failing to administer medications as ordered. A $375 fine was assessed.
Licensing—Failed to administer medication as ordered
15 Feb 2018Abuse: Financial abuse
15 Feb 2018Abuse: Financial abuse
Identified a failure to protect a resident's belongings from theft.
Abuse—Failed to provide safe environment
14 Feb 2018Inspection
14 Feb 2018Inspection
Found failure to report suspected abuse; a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
14 Feb 2018Abuse: Neglect
14 Feb 2018Abuse: Neglect
Found neglect due to failure to provide basic care, resulting in unreasonable discomfort for residents.
Abuse—Failed to provide service
14 Feb 2018Abuse: Neglect
14 Feb 2018Abuse: Neglect
Investigated a neglect allegation and identified failure to provide basic incontinence care, resulting in loss of personal dignity. A $1000 fine was assessed.
Abuse—Failed to provide service
01 Dec 2017Inspection
01 Dec 2017Inspection
Investigated an allegation of inadequate falls-related care planning and found a deficiency.
Licensing—Failed to adequately care plan related to falls
04 Nov 2017Abuse: Neglect
04 Nov 2017Abuse: Neglect
Found a failure to assess and intervene when a resident's condition changed, resulting in a $15,000 fine.
Abuse—Failed to intervene when resident's condition changed
20 Sept 2017Abuse: Neglect
20 Sept 2017Abuse: Neglect
Investigated the neglect allegation and identified a safety deficiency.
Abuse—Failed to follow care plan
14 Sept 2017Inspection
14 Sept 2017Inspection
Found a deficiency in medication administration and an inadequate medication system.
Licensing—Failed to administer medication as ordered
25 Mar 2017Inspection
25 Mar 2017Inspection
Investigated a licensing matter and found a failure to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
12 Jan 2017Inspection
12 Jan 2017Inspection
Determined that there was a failure to provide a safe environment and basic care necessary to maintain the health and safety of an adult.
Licensing—Failed to provide safe environment
05 Dec 2016Inspection
05 Dec 2016Inspection
Investigated a care plan violation that led to a resident falling from the toilet.
Licensing—Failed to follow care plan
02 Oct 2016Inspection
02 Oct 2016Inspection
Found that staff failed to assist a resident with toileting.
Licensing—Failed to assist with toileting
02 Sept 2016Abuse: Neglect
02 Sept 2016Abuse: Neglect
Found deficiencies for neglect due to failure to assess and intervene when a resident's condition changed. A $300 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
02 Aug 2016Abuse: Neglect
02 Aug 2016Abuse: Neglect
Identified a deficiency for failing to provide a safe environment.
Abuse—Failed to provide safe environment
17 Jul 2015Inspection
17 Jul 2015Inspection
Found failure to protect a resident from rough handling.
Licensing—Failed to protect resident from rough treatment
08 Jul 2015Abuse: Neglect
08 Jul 2015Abuse: Neglect
Found that a resident was not protected from rough handling by staff.
Abuse—Failed to protect resident from rough treatment
08 Mar 2015Abuse: Neglect
08 Mar 2015Abuse: Neglect
Investigated the allegation and found a failure to assess and intervene related to care planning.
Abuse—Failed to follow care plan
11 Feb 2015Abuse: Neglect
11 Feb 2015Abuse: Neglect
Investigated the allegation of failing to address a resident's behavior and found deficiencies in assessing and intervening.
Abuse—Failed to address resident's behavior
23 Nov 2014Abuse: Neglect
23 Nov 2014Abuse: Neglect
Found lack of a safe environment for residents.
Abuse—Failed to provide safe environment
30 Aug 2014Abuse: Neglect
30 Aug 2014Abuse: Neglect
Investigated the allegation of not providing a homelike environment and found a bathroom adjoining RV's room malodorous, affecting dignity and comfort.
Abuse—Failed to provide a homelike environment
30 Aug 2014Inspection
30 Aug 2014Inspection
Identified a deficiency in protecting a resident's property from wrongful taking.
Licensing—Failed to provide safe environment
30 Jun 2014Inspection
30 Jun 2014Inspection
Found that care following the plan was not provided to a resident, potentially causing harm.
Licensing—Failed to follow care plan
25 Jun 2014Abuse: Financial abuse
25 Jun 2014Abuse: Financial abuse
Investigated a financial abuse allegation and found a deficiency for failing to protect a resident from loss of funds.
Abuse—Failed to provide safe environment
25 Jun 2014Inspection
25 Jun 2014Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
06 Jun 2014Inspection
06 Jun 2014Inspection
Investigated and substantiated a safety violation, concluding that a resident's property could be wrongfully taken due to inadequate protection.
Licensing—Failed to provide safe environment
23 May 2014Abuse: Neglect
23 May 2014Abuse: Neglect
Investigated a neglect allegation and found failures in care planning and intervention.
Abuse—Failed to properly plan care
02 Mar 2014Inspection
02 Mar 2014Inspection
Found that the care plan was not followed and a resident's resources were misappropriated.
Licensing—Failed to follow care plan
25 Dec 2013Abuse: Financial abuse
25 Dec 2013Abuse: Financial abuse
Found that funds were not protected from loss after an allegation of financial abuse and unsafe environment; a $300 fine was assessed.
Abuse—Failed to provide safe environment
07 May 2013Inspection
07 May 2013Inspection
Investigated and found a failure to assess and intervene when a resident's condition changed.
Licensing—Failed to intervene when resident's condition changed
19 Apr 2011Abuse: Neglect
19 Apr 2011Abuse: Neglect
Investigated an allegation of neglect related to a safe medication administration system; a $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
22 Oct 2010Inspection
22 Oct 2010Inspection
Investigated a safety allegation and found a resident was not protected from theft.
Licensing—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Sweetbriar Villa. The information above has not been verified or approved by the owner or operator. For exact information, please contact Sweetbriar Villa directly. There is no cost for this service. We are compensated by the community you select.
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