I moved my mom into the memory-care neighborhood and I'm very pleased. The staff are attentive, kind, and knowledgeable about memory issues, communicate promptly, and welcome family visits. The facility is bright, clean, and safe with excellent activities and very good food - residents stay engaged and happy. I'd recommend this caring community; a few small improvements would make it perfect.
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
4.45·(42)
Overall rating
5
4
3
2
1
Care
4.5
Staff
4.4
Meals
3.8
Amenities
4.6
Value
1.3
Pros
Modern, thoughtfully designed neighborhood layout
Bright, well-maintained interior and exterior
Clean, updated facility and attractive courtyards
Engaging, diverse activity and events program
Memory-care–focused staff training
Compassionate, proactive caregiving staff
Responsive leadership and department-level engagement
Varied menu with diabetes-friendly options
Accommodation options that allow couples to remain together
Experienced end-of-life care supports
Cons
Inconsistent staffing levels and coverage
Gaps in front-desk and access-control coverage
Gaps in fall-prevention and incident-response protocols
Inconsistent assistance with activities of daily living
Housekeeping and personal-item management inconsistencies
Variable meal quality and dining satisfaction
Disorganized administrative paperwork and record-keeping
Perceived high cost relative to delivered value
Variable family communication responsiveness
Summary of reviews
Reviews portray The Rawlin at Riverbend Memory Care as a modern, well-appointed memory-care community with a number of clear strengths. The physical plant is repeatedly described as bright, attractive, and thoughtfully laid out with neighborhood-style wings and multiple courtyards. Housekeeping and general maintenance are often praised, and many families note an inviting atmosphere and a variety of scheduled activities — from puzzles and games to live entertainment and seasonal events — that support engagement for residents with cognitive impairment.
Care quality and staff performance are described in divergent terms. Many reviewers highlight compassionate, proactive caregivers who demonstrate familiarity with dementia care principles and who communicate changes in resident behavior to families. Specific staff-level praise and instances of responsive leadership are common, and reviewers credit the community with targeted clinical improvements (for example, adjustments to diet and sundowning management). At the same time, several reviews raise concerns about inconsistent assistance with activities of daily living and clinical tasks (including catheter-related care and hygiene support), which suggests variability in everyday personal-care delivery across shifts.
Operational themes that recur across feedback relate to staffing and safety processes. Multiple reviewers indicate periods of short staffing or gaps in front-desk coverage, which can affect supervision, access control, and the amount of individualized time staff can provide. Related concerns include inconsistencies in fall-prevention practices and incident response, as well as occasional lapses in housekeeping and personal-item management. Administrative issues such as disorganized paperwork and variable family communication responsiveness are also noted and may compound family frustration when paired with the other operational gaps.
Dining and value perceptions are mixed. Several families praise the menu variety, special-event meals, and accommodations for dietary needs, while others describe inconsistent meal quality and dissatisfaction with portion or preparation. Cost is another recurring theme: reviewers sometimes characterize pricing as high relative to the level of consistency they experienced, producing concerns about overall value.
In summary, The Rawlin at Riverbend Memory Care shows many attributes families seek in a memory-care setting: modern design, active programming, and staff members who demonstrate empathy and dementia-specific skills. However, prospective residents and families should weigh those strengths against documented operational weaknesses — particularly staffing consistency, safety protocol reliability, personal-care and housekeeping consistency, administrative organization, and cost relative to perceived service. Visiting the community during multiple times of day, asking about staffing ratios and fall-prevention procedures, and clarifying record-keeping and personal-item management policies would help families assess fit and mitigate the patterns noted in reviews.
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Location
The Rawlin at Riverbend Memory Care is located at 3491 Game Farm Rd, Springfield, OR, 97477.
About The Rawlin at Riverbend Memory Care
The Rawlin at Riverbend Memory Care is a premier residential community situated in Eugene-Springfield, Oregon, dedicated to serving individuals with Alzheimer's disease, dementia, and other types of memory loss. Its location provides convenient access to Interstate 5 and is just moments from the Sacred Heart Medical Center, making it accessible for families throughout the Willamette Valley. As specialists in memory care, The Rawlin at Riverbend focuses on providing exceptional and compassionate care designed to meet the unique needs of each resident. The community prides itself on being a trusted resource for memory care, offering a supportive environment where residents can thrive.
Residents at The Rawlin enjoy living in beautifully appointed “neighborhoods,” which create a comfortable, home-like atmosphere. Each neighborhood is fully equipped with both indoor and outdoor lounge areas, a dining room, a study, a kitchen, and more, ensuring that residents have plenty of spaces to relax and socialize. The community features on-site outdoor gardens and inviting walking paths that encourage residents and their families to enjoy time outdoors. Daily life at The Rawlin is enriched with a diverse calendar of activities, events, and classes, all thoughtfully designed to keep minds and bodies engaged. Creative and meaningful activities are constantly being developed, reflecting the community’s commitment to discovering what brings joy and purpose to each resident every day.
Family involvement is encouraged at The Rawlin at Riverbend, with open invitations for loved ones to participate in activities during their visits. For special occasions, the community offers private spaces to host events such as birthday and anniversary celebrations, movie nights, and live musical entertainment, ensuring that meaningful moments with family and friends can be shared in a festive and supportive setting. Every neighborhood is stocked with Life Enrichment Kits to help staff and visitors spend quality time with residents, making their experience both enjoyable and stimulating.
Dining at The Rawlin is a highlight, with chefs and cooks using from-scratch techniques, seasonal fruits and vegetables, and fresh herbs and spices to craft delicious, well-balanced meals. Resident and family feedback is valued, with menus often featuring favorite dishes and accommodating special dietary restrictions. There is a strong emphasis on foods that support brain health and overall wellness, underscoring the community’s holistic approach to care.
Care at The Rawlin is personalized, with each resident receiving a comprehensive nursing assessment to guide the creation of a unique care plan. Residents may choose from a variety of floor plans, including companion and private suites that suit diverse preferences and budgets. The flexible accommodation options make it easier for families to find a comfortable fit for their loved ones, while the absence of buy-in fees and long-term lease requirements offers greater peace of mind. The Rawlin is a private pay community and may consider Medicaid on a case-by-case basis, demonstrating an understanding of the complexities involved in senior care financing and offering guidance for families seeking resources for financial assistance.
The atmosphere at The Rawlin at Riverbend is one of warmth, safety, and familiarity. The caring, team-oriented staff is devoted to providing a nurturing environment where residents can live each day to the fullest, adapting continuously to their evolving needs. The community not only delivers specialized memory care but also strives to create moments of joy, engagement, and connection—truly enriching the lives of residents and their families.
People often ask...
The Rawlin at Riverbend Memory Care offers competitive pricing, with rates starting at a cost of $7,373 per month.
The Rawlin at Riverbend Memory Care offers assisted living and memory care.
There are 50 photos of The Rawlin at Riverbend Memory Care on Mirador.
The full address for this community is 3491 Game Farm Rd, Springfield, OR 97477.
No, The Rawlin at Riverbend Memory Care does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated a deficiency in oversight and monitoring of change of condition. There was no documented evidence of resident-specific actions or staff communication, or weekly progress until hospitalization.
Licensing—Failed to provide oversight and monitoring of change of condition
01 Jan 2026Inspection
01 Jan 2026Inspection
Investigated found a failure to coordinate with outside providers for a medication, with a bottle labeled for AV stored in the medication cart awaiting orders and lacking necessary documentation or follow-up.
Licensing—Failed to provide social services
26 Sept 2025Abuse: Neglect
26 Sept 2025Abuse: Neglect
Found violations involving neglect and abuse that led to a resident-to-resident altercation with injury, and a $375 fine was assessed.
Abuse—Failed to provide safe environment
26 Sept 2025Inspection
26 Sept 2025Inspection
Identified a deficiency in the Acuity-Based Staffing Tool (ABST) used to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
25 Sept 2025Abuse: Neglect
25 Sept 2025Abuse: Neglect
Identified neglect and abuse due to failure to provide a safe environment, which led to a resident-to-resident altercation.
Abuse—Failed to provide safe environment
23 Sept 2025Inspection
23 Sept 2025Inspection
Investigated and identified a failure to update and document ABST evaluations for residents at least quarterly. Found a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
11 Sept 2025Inspection
11 Sept 2025Inspection
Determined that a staff member violated residents' rights by taking photos and videos of residents with a personal phone, including a resident wearing only a brief. The actions constituted neglect and abuse.
Licensing—Failed to assure resident rights
06 Sept 2025Abuse: Neglect
06 Sept 2025Abuse: Neglect
Investigated an allegation of neglect and found that fall-risk interventions were not developed or implemented, leading to additional falls and injuries, and a fine was assessed.
Abuse—Failed to properly plan care
27 Aug 2025Inspection
27 Aug 2025Inspection
Investigated and found a violation of resident rights involving a staff member and abuse, with potential for moderate harm.
Licensing—Failed to assure resident rights
22 Aug 2025Inspection
22 Aug 2025Inspection
Investigated a complaint and found that a staff member distributed a resident's intimate image and disclosed it to others, harming the resident's privacy; also identified inadequate oversight to protect resident rights.
Licensing—Failed to assure resident rights
01 Aug 2025Abuse: Neglect
01 Aug 2025Abuse: Neglect
Concluded that a known clothing entanglement risk was not addressed, resulting in injuries, and a fine was assessed.
Abuse—Failed to provide safe environment
15 Jun 2025Inspection
15 Jun 2025Inspection
Investigated and found a resident with cognitive impairment near the dumpsters after lunch because the gate was not fully latched and alarms were turned off, creating a safety risk. This constituted a safety violation under Oregon Administrative Rules.
Licensing—Failed to provide safe environment
15 Jun 2025Inspection
15 Jun 2025Inspection
Investigated and found a failure to provide a safe environment due to gate and alarm issues that could threaten residents’ safety. A resident was found outside the east gates near dumpsters after elopement, confirming safety risks.
Licensing—Failed to provide safe environment
15 May 2025Abuse: Neglect
15 May 2025Abuse: Neglect
Found abuse by neglect due to failure to plan care, leading to an unwitnessed fall with injuries; a $500 fine was assessed.
Abuse—Failed to properly plan care
04 May 2025Abuse: Neglect
04 May 2025Abuse: Neglect
Found a failure to provide a safe environment by not following an intervention for an aggressive resident, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
17 Apr 2025FEOS
17 Apr 2025FEOS
Identified multiple deficiencies in abuse reporting, move-in evaluations, service plans, change-of-condition monitoring, ABST time accuracy, and health care compliance.
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Administration Compliance
Deficiency—Compliance with Rules Health Care
21 Nov 2024Abuse: Neglect
21 Nov 2024Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in a violation and a $500 fine.
Abuse—Failed to provide safe environment
19 Nov 2024Inspection
19 Nov 2024Inspection
Identified a failure to maintain locked storage for poisons and chemicals; observed an unsecured bottle under the sink and an unlocked kitchenette gate, with staff indicating doors did not lock.
Licensing—Failed to maintain a safe physical environment
09 Nov 2024Abuse: Neglect
09 Nov 2024Abuse: Neglect
Investigated and found neglect due to unsafe storage of cleaning products, leading a resident to drink cleaner.
Abuse—Failed to maintain a safe physical environment
08 Oct 2024Abuse: Neglect
08 Oct 2024Abuse: Neglect
Found violations for failing to administer prescribed medications as ordered, causing swelling and weight gain, with a fine assessed.
Abuse—Failed to administer medication as ordered
30 Sept 2024License Condition
30 Sept 2024License Condition
Investigated the allegation of an unsafe environment and cited multiple rule violations.
Regulatory Action—Failed to provide safe environment
12 Sept 2024Inspection
12 Sept 2024Inspection
Investigated and found that medication and treatment orders were not followed as prescribed, including missed doses of a prescribed antidepressant and an inhaler not administered.
Licensing—Failed to administer medication as ordered
13 Aug 2024Abuse: Neglect
13 Aug 2024Abuse: Neglect
Found violations for failure to properly plan care and protect residents when a resident wandered into others' rooms and acted aggressively, and staff didn't adjust the care plan.
Abuse—Failed to properly plan care
16 Jul 2024Licensure
16 Jul 2024Licensure
Determined substantial compliance with applicable meal service and food sanitation rules.
Deficiency—Comment
22 Jun 2024Abuse: Neglect
22 Jun 2024Abuse: Neglect
Found failure to provide a safe environment and adequate supervision, leading to resident injuries after an altercation.
Abuse—Failed to provide safe environment
24 May 2024Abuse: Neglect
24 May 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment, resulting in neglect and abuse, with a $500 fine assessed.
Abuse—Failed to provide safe environment
06 Apr 2024Abuse: Neglect
06 Apr 2024Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment, resulting in an unwitnessed altercation and risk of further harm.
Abuse—Failed to provide safe environment
01 Apr 2024Validation
01 Apr 2024Validation
Identified widespread deficiencies across resident care planning, monitoring of changes, medication management, staff training, call systems, and nutrition, activities, and behavioral planning.
Deficiency—Comment
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Psychotropic Medication
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Behavior
10 Jan 2024Complaint
10 Jan 2024Complaint
Found no deficiencies.
Deficiency—Systems: Medications and Treatments
Deficiency—Inspections and Investigations
05 Dec 2023Inspection
05 Dec 2023Inspection
Investigated an allegation of failure to cooperate with Department personnel and found a violation for lack of cooperation during inspections, investigations, planning for resident care, and related activities.
Licensing—Failed to cooperate with an investigation
01 Dec 2023Abuse: Neglect
01 Dec 2023Abuse: Neglect
Investigated an allegation of a resident safety failure and found abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
26 Nov 2023Abuse: Neglect
26 Nov 2023Abuse: Neglect
Investigated a resident incident and found a failure to ensure a safe environment, resulting in abuse and neglect.
Abuse—Failed to provide safe environment
08 Sept 2023Licensure
08 Sept 2023Licensure
Found significant kitchen sanitation and maintenance issues during the initial review; follow-up determined substantial compliance. Observed deficiencies included unclean equipment, damaged surfaces, and lack of temperature monitoring.
Identified a violation of weekly vaccination status reporting requirements, lasting about 30 days.
Licensing—Failed to report vaccination status
13 Jun 2023Abuse: Neglect
13 Jun 2023Abuse: Neglect
Found that the care plan for two-person transfers with toileting assistance was not followed, resulting in a resident fall and pain; a fine was assessed.
Abuse—Failed to follow care plan
13 Jun 2023Abuse: Neglect
13 Jun 2023Abuse: Neglect
Investigated and found a failure to provide a safe environment that caused injury; a fine was assessed.
Abuse—Failed to provide safe environment
23 May 2023Abuse: Neglect
23 May 2023Abuse: Neglect
Investigated and found that care plans were not followed, causing a resident to be found with soaked briefs and uncomfortable. A $250 fine was assessed.
Abuse—Failed to follow care plan
21 Apr 2023License Condition
21 Apr 2023License Condition
Found that resident rights were not assured due to insufficient staff for in-sight supervision and 1:1 support when behavioral symptoms occurred.
Regulatory Action—Failed to assure resident rights
21 Apr 2023License Condition
21 Apr 2023License Condition
Found insufficient direct care staffing to meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
21 Apr 2023License Condition
21 Apr 2023License Condition
Investigated a staffing allegation and found failure to staff as indicated by ABST.
Regulatory Action—Failed to staff as indicated by ABST
21 Apr 2023Inspection
21 Apr 2023Inspection
Found that weekly reporting requirements for vaccinated individuals, residents, and staff were not met for about 30 days, and assessed a $7,500 fine.
Licensing—Failed to submit timely or adequate staffing documentation
02 Apr 2023Inspection
02 Apr 2023Inspection
Found that abuse reporting and investigation requirements were not followed, including failing to notify authorities and promptly investigate abuse and suspected abuse, risking resident protection.
Licensing—Failed to provide service
01 Mar 2023Inspection
01 Mar 2023Inspection
Investigated an allegation of emotional abuse toward a resident and found that a staff member screamed at the resident, insulted them, and the organization failed to protect the resident from emotional abuse.
Licensing—Failed to protect resident from mental or emotional abuse
08 Feb 2023Complaint
08 Feb 2023Complaint
Found deficiencies in several areas of service delivery, health services and staffing during the investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
03 Feb 2023Inspection
03 Feb 2023Inspection
Identified failure to provide written policies and interventions for changes in condition and to maintain a 24-hour resident monitoring and reporting system, including staff communication on each shift.
Licensing—Failed to provide safe environment
03 Feb 2023Inspection
03 Feb 2023Inspection
Investigated the staffing allegation and identified a deficiency for not ensuring a licensed nurse was regularly scheduled onsite and available for phone consultation.
Licensing—Failed to provide appropriate staffing
28 Dec 2022Abuse: Neglect
28 Dec 2022Abuse: Neglect
Found abuse and neglect occurred and a fine was assessed.
Abuse—Failed to provide a homelike environment
28 Dec 2022Abuse: Neglect
28 Dec 2022Abuse: Neglect
Investigated an alleged failure to provide a safe environment that led to multiple falls and injuries. A violation was identified and a fine was assessed.
Abuse—Failed to provide safe environment
15 Dec 2022Abuse: Neglect
15 Dec 2022Abuse: Neglect
Investigated and found a failure to provide a safe environment for a resident with significant cognitive impairment, resulting in an injury and allegations of abuse and neglect. A fine was assessed.
Abuse—Failed to provide safe environment
01 Dec 2022Complaint
01 Dec 2022Complaint
Found deficiencies related to tracking controlled substances and administering medications as prescribed.
Deficiency—Licensing Complaint Investigation
Deficiency—Systems: Tracking Control Substances
Deficiency—Systems: Treatment Orders
14 Nov 2022Inspection
14 Nov 2022Inspection
Investigated a concern about medication administration and found failures to carry out medication and treatment orders as prescribed.
Licensing—Failed to provide a safe medication administration system
14 Nov 2022Inspection
14 Nov 2022Inspection
Identified a deficiency in medication management due to lack of a system to track controlled substances and dispose of unused or outdated medications.
Licensing—Failed to provide a safe medication administration system
10 Nov 2022License Condition
10 Nov 2022License Condition
Found failure to use an acuity-based staffing tool to determine appropriate staffing levels.
Regulatory Action—Failed to use an ABST
16 Oct 2022Inspection
16 Oct 2022Inspection
Determined that a staff member yelled at a resident, insulted the resident, and that the resident was not adequately protected from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
16 Oct 2022Abuse: Neglect
16 Oct 2022Abuse: Neglect
Investigated a failure to provide a safe medication administration system, resulting in a resident going without a prescribed Kepra for about 10 days in October 2022.
Abuse—Failed to provide a safe medication administration system
04 Oct 2022Complaint
04 Oct 2022Complaint
Found deficiencies related to the acuity-based staffing tool and related regulatory compliance, indicating potential for moderate harm.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
01 Oct 2022Inspection
01 Oct 2022Inspection
Found a violation for failing to submit timely weekly vaccination reporting for residents and staff over a 30-day period.
Licensing—Failed to submit timely or adequate staffing documentation
05 Sept 2022Abuse: Neglect
05 Sept 2022Abuse: Neglect
Investigated concluded that care planning failed to mitigate fall risk, resulting in multiple falls and injuries. Found neglect and abuse in the care planning process.
Abuse—Failed to properly plan care
01 Sept 2022Inspection
01 Sept 2022Inspection
Found a failure to submit timely weekly vaccination reporting data for vaccinated individuals, residents, and staff to the proper authority for 30 days (August 1–31, 2022). A $7,500 penalty was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
24 Aug 2022Abuse: Neglect
24 Aug 2022Abuse: Neglect
Determined a safe environment was not provided, resulting in an injury to a resident after being left briefly unsupervised. A fine was assessed.
Abuse—Failed to provide safe environment
18 Aug 2022Licensure
18 Aug 2022Licensure
Concluded substantial compliance with meal-related regulations and food sanitation rules.
Deficiency—Comment
04 Jul 2022Abuse: Neglect
04 Jul 2022Abuse: Neglect
Investigated and found that a staff member verbally abused a resident and that the facility failed to protect the resident from verbal abuse, with a $500 fine assessed.
Abuse—Failed to protect resident from verbal abuse
04 Jul 2022Abuse: Neglect
04 Jul 2022Abuse: Neglect
Investigated and found that a staff member's interactions over jam packets created an unsafe environment for a resident, and the provider failed to ensure safety, constituting neglect and abuse.
Abuse—Failed to provide safe environment
16 Jun 2022Abuse: Neglect
16 Jun 2022Abuse: Neglect
Found that care plan was not followed, resulting in neglect and abuse. A $375 fine was assessed.
Abuse—Failed to follow care plan
04 Jun 2022Abuse: Neglect
04 Jun 2022Abuse: Neglect
Investigated a complaint and found the care plan for a two-person assist was not followed, resulting in a fall and ongoing pain; a $500 fine was assessed.
Abuse—Failed to follow care plan
29 May 2022Abuse: Neglect
29 May 2022Abuse: Neglect
Found violations for failing to provide a safe environment that caused an elbow abrasion; a $500 fine was assessed.
Abuse—Failed to provide safe environment
16 May 2022Abuse: Neglect
16 May 2022Abuse: Neglect
Investigated an abuse/neglect allegation and found a resident harmed due to an unsafe environment.
Abuse—Failed to provide safe environment
10 May 2022Abuse: Neglect
10 May 2022Abuse: Neglect
Found a failure to provide a safe medication administration system, including a missing bottle of liquid lorazepam and insufficient shift checks. A $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
29 Mar 2022Abuse: Neglect
29 Mar 2022Abuse: Neglect
Investigated abuse and neglect allegations and concluded that care failures led to uncontrolled diabetes and hospital visits.
Abuse—Failed to provide service
16 Feb 2022Abuse: Neglect
16 Feb 2022Abuse: Neglect
Determined that there was a failure to provide a safe environment resulting in a resident fall and discomfort; a $250 fine was assessed.
Abuse—Failed to provide safe environment
14 Feb 2022Abuse: Neglect
14 Feb 2022Abuse: Neglect
Investigated and found that care planning for a resident's falls risk was not performed, resulting in a later fall and elbow fracture.
Abuse—Failed to properly plan care
15 Jan 2022Abuse: Neglect
15 Jan 2022Abuse: Neglect
Investigated found neglect and abuse due to failure to provide needed services, including not updating care plans and providing wound care, which contributed to infection after multiple falls.
Abuse—Failed to provide service
23 Oct 2021Abuse: Neglect
23 Oct 2021Abuse: Neglect
Found that the care plan was not followed, resulting in neglect and abuse.
Abuse—Failed to follow care plan
11 Oct 2021Abuse: Neglect
11 Oct 2021Abuse: Neglect
Found violations related to neglect of care and abuse due to failure to plan care and monitor known sexual behaviors; a $1,500 fine was assessed.
Abuse—Failed to properly plan care
11 Oct 2021Validation
11 Oct 2021Validation
Identified numerous deficiencies across infection control, abuse reporting, move-in evaluations, service planning, change of condition monitoring, health services, medications, fire safety, resident activities, and outdoor access. Follow-up concluded substantial compliance.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Fire and Life Safety: Safety
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
Deficiency—Activities
Deficiency—Behavior
Deficiency—Outside Area
30 Sept 2021Abuse: Neglect
30 Sept 2021Abuse: Neglect
Investigated found an unwitnessed fall, bruise, and failure to arrange medical evaluation for a resident; findings substantiated neglect and abuse with a $500 fine.
Abuse—Failed to provide safe environment
31 Aug 2021Abuse: Neglect
31 Aug 2021Abuse: Neglect
Investigated allegations of neglect and abuse related to unsafe conditions and inadequate care planning around known behaviors.
Abuse—Failed to properly plan care
28 Aug 2021Abuse: Neglect
28 Aug 2021Abuse: Neglect
Investigated and found abuse/neglect and failure to provide a homelike environment; a $500 fine was assessed.
Abuse—Failed to provide a homelike environment
27 Aug 2021Abuse: Neglect
27 Aug 2021Abuse: Neglect
Investigated allegations found that staff failed to provide a safe environment for a resident, constituting abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
01 Aug 2021Abuse: Neglect
01 Aug 2021Abuse: Neglect
Investigated a complaint about care planning for falls and found a failure that placed a known fall risk at risk for serious harm, with a $500 fine assessed.
Abuse—Failed to properly plan care
28 Jul 2021Abuse: Neglect
28 Jul 2021Abuse: Neglect
Investigated a complaint about falls and determined the care planning failed to prevent falls, resulting in a violation and a fine.
Abuse—Failed to properly plan care
19 Jul 2021Abuse: Neglect
19 Jul 2021Abuse: Neglect
Determined that staff failed to protect a resident from inappropriate sexual contact, resulting in abuse and neglect; a $500 fine was assessed.
Abuse—Failed to protect resident from inappropriate sexual contact
28 May 2021Inspection
28 May 2021Inspection
Investigated an allegation that a staff member administered ten times the prescribed pain medication to a resident, causing reduced wakefulness and dangerously low oxygen. Found neglect and abuse and a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
23 May 2021Abuse: Neglect
23 May 2021Abuse: Neglect
Investigated an allegation of neglect due to insufficient staffing and found staffing did not meet residents' needs, leading to an injury.
Abuse—Failed to provide appropriate staffing
23 May 2021Abuse: Neglect
23 May 2021Abuse: Neglect
Investigated and found neglect due to failure to properly plan care, which led to a fall and injury. A $1500.00 fine was assessed.
Abuse—Failed to properly plan care
16 May 2021Abuse: Neglect
16 May 2021Abuse: Neglect
Investigated and found that a care plan was not updated timely and staff failed to supervise adequately, leading to an unwitnessed altercation and injuries; this was identified as abuse and neglect.
Abuse—Failed to provide safe environment
06 May 2021Abuse: Neglect
06 May 2021Abuse: Neglect
Investigated findings showed failure to properly plan care, leading to three falls and risk of serious harm; a $1500 fine was assessed.
Abuse—Failed to properly plan care
24 Feb 2021Abuse: Neglect
24 Feb 2021Abuse: Neglect
Identified failures to follow a resident's care plan and dietary restrictions, placing residents at risk of harm and constituting neglect and abuse.
Abuse—Failed to follow care plan
24 Feb 2021Abuse: Neglect
24 Feb 2021Abuse: Neglect
Found that a staff member repeatedly blocked a resident from leaving the room and the licensee did not follow family instructions to restrict access, resulting in abuse, neglect, and wrongful restraint; a $500 fine was assessed.
Abuse—Failed to protect resident from mental or emotional abuse
24 Feb 2021Abuse: Neglect
24 Feb 2021Abuse: Neglect
Investigated a complaint and found that care plans were not followed and staffing was insufficient, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to provide appropriate staffing
20 Feb 2021Abuse: Neglect
20 Feb 2021Abuse: Neglect
Found neglect and abuse due to failure to update a care plan timely, placing a resident at risk when a person with a history of inappropriate behavior interacted with another resident.
Abuse—Failed to provide safe environment
18 Feb 2021Abuse: Neglect
18 Feb 2021Abuse: Neglect
Investigated an allegation of neglect and abuse related to failure to administer prescribed medications and inadequate pain assessment, resulting in resident discomfort and rights violations.
Abuse—Failed to administer medication as ordered
18 Feb 2021Abuse: Neglect
18 Feb 2021Abuse: Neglect
Identified a violation of resident rights due to failing to timely re-order medication, causing a resident to miss two days of medication and experience sleepiness; a $500 fine was assessed.
Abuse—Failed to administer medication as ordered
18 Feb 2021Abuse: Neglect
18 Feb 2021Abuse: Neglect
Identified neglect and abuse due to not following the care plan, poor mouth care and hygiene, and insufficient staffing to meet residents' needs.
Abuse—Failed to follow care plan
11 Feb 2021Abuse: Neglect
11 Feb 2021Abuse: Neglect
Found neglect and abuse due to failure to administer medication as ordered, causing unreasonable discomfort; a $1000 fine was assessed.
Abuse—Failed to administer medication as ordered
11 Feb 2021Abuse: Neglect
11 Feb 2021Abuse: Neglect
Found neglect and abuse due to undetected pressure sores and significant weight loss, and failure to update the care plan. A fine of $1,000 was assessed.
Abuse—Failed to provide service
05 Feb 2021Abuse: Neglect
05 Feb 2021Abuse: Neglect
Investigated found neglect due to insufficient supervision and staffing that worsened pressure sores from a delayed air bed and untimely turning.
Abuse—Failed to provide service
24 Jan 2021Abuse: Neglect
24 Jan 2021Abuse: Neglect
Investigated and found a failure to provide a safe environment, including an inappropriate touch incident and a fall risk; a $500 fine was assessed.
Abuse—Failed to provide safe environment
01 Jan 2021Abuse: Neglect
01 Jan 2021Abuse: Neglect
Investigated an allegation of abuse/neglect related to care planning and found the resident's care plan did not reflect accurate information or meet needs, placing the resident at risk for serious harm.
Abuse—Failed to properly plan care
23 Dec 2020Abuse: Neglect
23 Dec 2020Abuse: Neglect
Found violations for failing to provide a safe environment due to insufficient supervision and staff support for known behaviors, culminating in an altercation between residents.
Abuse—Failed to provide safe environment
20 Dec 2020Abuse: Neglect
20 Dec 2020Abuse: Neglect
Found insufficient staff to meet residents' needs, resulting in a resident missing breakfast and insulin not given on time.
Abuse—Failed to provide appropriate staffing
20 Dec 2020Abuse: Neglect
20 Dec 2020Abuse: Neglect
Investigated found neglect and abuse due to delayed breakfast, a resident being soaked with urine, and insufficient staff; a $500 fine was assessed.
Abuse—Failed to provide service
17 Dec 2020Abuse: Neglect
17 Dec 2020Abuse: Neglect
Investigated and found that medications and services were not provided promptly, causing pain and risk, and staffing shortages contributed to delays in transferring and turning residents.
Abuse—Failed to administer medication as ordered
16 Dec 2020Abuse: Neglect
16 Dec 2020Abuse: Neglect
Investigated a complaint of neglect and found failures to assess and monitor a resident's changing condition, contributing to sepsis and death.
Abuse—Failed to provide oversight and monitoring of change of condition
07 Dec 2020Abuse: Neglect
07 Dec 2020Abuse: Neglect
Investigated and identified violations of resident rights due to failing to follow a care plan and to conduct safety checks; a $250 fine was assessed.
Abuse—Failed to follow care plan
18 Sept 2020Abuse: Neglect
18 Sept 2020Abuse: Neglect
Identified neglect and abuse due to failure to follow the care plan and to obtain timely medical care after a fall. The resident sustained a brain bleed, a broken nose, and facial contusions.
Abuse—Failed to assure timely medical treatment
31 Aug 2020Abuse: Neglect
31 Aug 2020Abuse: Neglect
Investigated a complaint and found neglect and abuse due to insufficient staffing, putting residents at risk.
Abuse—Failed to provide appropriate staffing
19 Aug 2020Abuse: Neglect
19 Aug 2020Abuse: Neglect
Investigated the complaint and found care planning for a known fall risk was insufficient. The deficiency contributed to a hip fracture.
Abuse—Failed to properly plan care
04 Jul 2020Abuse: Neglect
04 Jul 2020Abuse: Neglect
Found a failure to provide a safe environment that resulted in abuse and neglect.
Abuse—Failed to provide safe environment
02 Jul 2020Abuse: Neglect
02 Jul 2020Abuse: Neglect
Found failure to properly plan care for a resident at risk of falls, leading to a fall with knee injuries and facial lacerations.
Abuse—Failed to properly plan care
20 Dec 2019Abuse: Neglect
20 Dec 2019Abuse: Neglect
Identified neglect and abuse for not following the care plan to float heels, causing pain to the resident. A $500 fine was assessed.
Abuse—Failed to follow care plan
15 Aug 2019Abuse: Neglect
15 Aug 2019Abuse: Neglect
Found that fall-risk care was not properly planned, resulting in five falls in ten days and an injury. This constitutes neglect and abuse.
Abuse—Failed to properly plan care
04 Jun 2019Inspection
04 Jun 2019Inspection
Determined a resident was not protected from financial exploitation and basic care was neglected, creating risk of serious harm.
Licensing—Failed to protect resident from financial exploitation
03 Jun 2019Inspection
03 Jun 2019Inspection
Investigated a hygiene-related complaint and found residents did not receive bathing assistance.
Licensing—Failed to provide or assist with hygiene
03 Jun 2019Inspection
03 Jun 2019Inspection
Found insufficient staffing to meet scheduled and unscheduled resident needs. Staff were working double shifts and needs were missed.
Licensing—Failed to provide appropriate staffing
10 May 2019Abuse: Neglect
10 May 2019Abuse: Neglect
Investigated a complaint and found a failure to administer medications as ordered, resulting in risk of serious harm.
Abuse—Failed to provide a safe medication administration system
19 Mar 2019Inspection
19 Mar 2019Inspection
Investigated a complaint and found failure to report suspected abuse; a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
15 Mar 2019Abuse: Neglect
15 Mar 2019Abuse: Neglect
Found neglect due to failure to provide basic care, resulting in serious loss of personal dignity. A $250 fine was assessed.
Abuse—Failed to assist with dressing or grooming
15 Aug 2018Inspection
15 Aug 2018Inspection
Identified a licensing violation and found neglect of basic care that risked serious harm to a resident.
Licensing—Failed to provide safe environment
10 Aug 2018Inspection
10 Aug 2018Inspection
Found that secure doors were left unlocked or failed to lock as designed, compromising safety.
Licensing—Failed to provide safe environment
26 Jul 2018Inspection
26 Jul 2018Inspection
Found a deficiency in safety due to a lack of a secure environment.
Licensing—Failed to assure resident was safe
25 Jun 2018Abuse: Financial abuse
25 Jun 2018Abuse: Financial abuse
Investigated an allegation of financial exploitation and found a resident was not protected from theft.
Abuse—Failed to protect resident from financial exploitation
23 Jun 2018Inspection
23 Jun 2018Inspection
Investigated an allegation and found that restrictions were placed on an adult's ability to associate, interact, or communicate with others.
Licensing—Failed to protect resident from involuntary seclusion
09 Jun 2018Inspection
09 Jun 2018Inspection
Determined that the allegation of failing to intervene when a resident's condition changed was substantiated, with findings that assessment and intervention were not performed.
Licensing—Failed to intervene when resident's condition changed
27 Mar 2018Abuse: Neglect
27 Mar 2018Abuse: Neglect
Identified inadequate supervision that led to a resident-to-resident altercation. A fine of $188 was assessed.
Abuse—Failed to provide safe environment
21 Feb 2018Inspection
21 Feb 2018Inspection
Identified a failure to follow a care plan that resulted in a fall with a broken right hip.
Licensing—Failed to follow care plan
13 Feb 2018Inspection
13 Feb 2018Inspection
Found a deficiency in the secure medication system that resulted in missing medication.
Licensing—Failure to provide a system that prevents theft or misuse of medication
23 Jan 2018Inspection
23 Jan 2018Inspection
Determined that there was a failure to provide infection control.
Licensing—Failed to provide infection control
23 Dec 2017Abuse: Neglect
23 Dec 2017Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
29 Sept 2017Inspection
29 Sept 2017Inspection
Determined that a resident was not protected from involuntary seclusion.
Licensing—Failed to protect resident from involuntary seclusion
29 Sept 2017Inspection
29 Sept 2017Inspection
Found involuntary seclusion of residents and failure to provide a safe environment.
Licensing—Failed to provide safe environment
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of The Rawlin at Riverbend Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Rawlin at Riverbend Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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