I moved my parent here and am very pleased. Beautiful grounds with walking paths and a lovely duck pond, clean bright rooms, active daily activities, and attentive, kind staff - Cassie and Beatriz were especially helpful with the move and paperwork. Move-in support, regular housekeeping/linen service, good meals, and prompt follow-up have made it feel like a safe, welcoming home for our family; I'd recommend it.
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
Coordination with health care providers
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
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
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
3.87·(79)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.2
Meals
3.4
Amenities
3.3
Value
3.8
Pros
Compassionate and responsive caregiving staff
Strong admissions and move-in support
Proactive outreach and follow-up from sales staff
Weekly housekeeping and linen service
Robust activities and social programming
Restaurant-style dining with flexible menu options
Well-maintained grounds and walking paths
Accommodations for service animals
Clean and bright public spaces
Personalized care in a smaller-community setting
Convenient location near transit and local amenities
Good value for price
Outdoor amenities (pond, gardens, seating areas)
Cons
Inconsistent staffing levels and frequent turnover
Gaps in family communication and responsiveness
Limited clinical capacity for higher-acuity needs
Delays and inconsistencies in medication administration
Inconsistent dining quality and occasional meal shortages
Aging building with small apartments and limited storage
Bathroom design and ventilation limitations in some units
Odor concerns in some common areas
Accessibility constraints in building layout and elevators
High-pressure or disorganized touring and admissions processes
Smoking area located adjacent to building exterior
Ongoing construction limiting unit visibility and access
Inconsistent housekeeping and service follow-through
Summary of reviews
Avamere at Park Place receives frequent praise for its frontline staff and admissions team. Many commenters describe caregivers as warm, respectful and attentive; admissions and outreach staff are repeatedly highlighted for strong move-in support, proactive follow-up and assistance with logistics such as insurance and transfers. Weekly housekeeping, linen changes and generally clean, bright common areas are consistently noted as strengths. The community’s outdoor amenities — walking paths, pond and landscaping — and an active activities calendar (socials, game nights, outings) contribute to a social, home-like atmosphere.
Clinical and care-capacity patterns are mixed. The community appears well suited to mobile residents who need light assistance and who value social programming and independence. However, there are recurring concerns about staffing levels, medication-timing reliability, and limited nursing/clinical coverage; several comments indicate delays with PRN medications and a skeleton crew at times. Families seeking higher-acuity or 24-hour skilled nursing should carefully evaluate the facility’s clinical staffing and med-administration practices before committing.
Dining and services present a blend of positives and inconsistencies. The facility emphasizes restaurant-style dining with a flexible menu and has received praise for chefs and certain meal offerings; at the same time, families describe variation in food temperature, portioning and occasional product shortages. There are also notes about extra charges for in-room service and changes to dining operations that prospective residents should clarify during a visit.
Physical plant and amenities are similarly mixed. Public areas and landscaping are often described as well kept, and weekly apartment cleaning is a plus. At the unit level, apartments are described as compact with limited closet/storage space and older finishes in parts of the building. Specific operational issues cited include limited bathroom ventilation in some units, odor concerns in common areas, and accessibility constraints such as a single elevator for a multi-story building. Ongoing renovations can limit the ability to view units during a tour.
Management and operational consistency show both strengths and weaknesses. Certain staff members are singled out as assets and sources of stability; at the same time, reviewers cite inconsistent communication, occasional unresponsiveness to family calls, disorganized or high-pressure tours, and frequent staff turnover or leadership changes. Those patterns can affect continuity of care and family confidence.
Overall, Avamere at Park Place may be a good fit for prospective residents who want an active, social assisted-living environment with attentive caregiving, strong move-in support, and attractive outdoor amenities. Prospective residents and families should confirm clinical staffing levels, medication procedures, unit size and ventilation, dining policies, and how ongoing construction may affect availability before making a placement decision.
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Location
Avamere at Park Place is located at 8445 SW Hemlock St, Portland, OR, 97223.
About Avamere at Park Place
Avamere at Park Place sits over in Tigard, Oregon, and offers senior living with a caring feel. You'll notice right off that the place has an inviting entryway, lush landscaping, and a duck pond with outdoor walking paths. Residents can choose between studios and one-bedroom apartments-each with their own private bathroom, emergency call system, kitchenette options, and big windows with blinds, and some have views that look out over the pond. The community holds 112 rooms and lets residents bring pets too, though there's a one-time $500 pet fee, plus a $1,500 community fee to get settled and a service point cost of $99 per unit. If two folks share an apartment, there's an $864 monthly extra charge. Studios start at $4,618 per month and one-bedrooms at $5,039.
This community gives older adults quite a few care options. Folks can get help with things like bathing, dressing, managing medicines, and daily tasks while still having independence in assisted living apartments. For those needing extra care, there are skilled nursing, rehabilitation, transitional care, and respite care services, which help after surgery or if people need a break from home caregiving. For seniors living with Alzheimer's or other memory troubles, there's a separate memory care area with safety features to prevent wandering and staff trained to help reduce confusion. Independent living is available for those who don't need much help but enjoy having safety support and an active setting. Hospice care is available for those facing serious illness.
The staff is on duty day and night, always ready to help or respond to emergencies. Residents get wellness checks, medication management, and personalized support as needs change. The facility has won awards for its friendly environment, well-prepared meals, and activity programs. Three meals are served every day, and the food can be adjusted for different diets and taste preferences. There's a restaurant-style dining area, so people can socialize while they eat.
Housekeeping and maintenance come standard, making things easier for everyone. There are fitness classes, a vibrant calendar of activities, and plenty of group events and outings, including trips offsite. Residents have use of a game room with billiards, a cozy library nook, and comfortable lounges full of natural light. There's a beauty and barber shop on the grounds, with all the usual hair salon setup. For spiritual support, devotional services are available offsite.
Avamere at Park Place lets residents mingle in both indoor and outdoor spaces, with a strict no-smoking rule in the building and a designated area outside in the parking lot for folks who smoke. Wi-Fi is available throughout. Transportation is complimentary and helps residents get around town, while all units are made for easy movement, including wheelchair access. With friendly staff, daily check-ins, and a program full of engaging activities and life-enrichment options, the facility supports people socially, physically, and emotionally through their later years. Tours are available for anyone wanting a closer look at the daily life there. The community is managed by Areté Living, and more details can be found on the facility's website.
Founded in 1995 by Rick Miller in Oregon, Avamere is headquartered in Wilsonville and operates skilled nursing and rehabilitation facilities across the Pacific Northwest. Originally growing to 33 facilities, the company spun off its senior living division (Arete Living) in 2022, refocusing on skilled nursing care.
People often ask...
Avamere at Park Place offers competitive pricing, with rates starting at a cost of $5,161 per month.
Avamere at Park Place offers independent living and assisted living.
There are 41 photos of Avamere at Park Place on Mirador.
The full address for this community is 8445 SW Hemlock St, Portland, OR 97223.
No, Avamere at Park Place 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 violations related to inadequate kitchen cleanliness and sanitation, including unclean surfaces, damaged equipment, improper storage, and lack of sanitation testing.
Identified deficiencies in abuse reporting and investigation, and in medication/treatment management, including unexplained injuries not being investigated or reported, incomplete treatment orders, and incomplete MAR/PRN guidance.
Found insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs.
Regulatory Action—Failed to staff as indicated by ABST
18 Feb 2026License Condition
18 Feb 2026License Condition
Found failure to develop, maintain, and implement an acuity-based staffing tool as required.
Regulatory Action—Failed to use an ABST
12 Feb 2026Inspection
12 Feb 2026Inspection
Found that an acuity-based staffing tool did not accurately reflect residents' needs and all required ADLs, and staffing levels did not align with scheduled and unscheduled needs.
Licensing—Failed to use an ABST
23 Jan 2026Inspection
23 Jan 2026Inspection
Identified deficiencies in the ABST that did not reflect resident needs and staffing levels.
Licensing—Failed to use an ABST
01 Nov 2025Inspection
01 Nov 2025Inspection
Investigated and determined deficiencies in infection prevention and control and in providing a safe environment, including failure to designate a trained Infection Control Specialist.
Licensing—Failed to provide safe environment
22 Oct 2025Inspection
22 Oct 2025Inspection
Investigated a records issue and found an outdated ABST that did not reflect residents' needs.
Licensing—Failed to use an ABST
28 Sept 2025Inspection
28 Sept 2025Inspection
Investigated and found that the ABST was not updated to reflect resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
04 Jul 2025Inspection
04 Jul 2025Inspection
Concluded staffing did not meet ABST indications and violated Oregon Administrative Rules.
Licensing—Failed to staff as indicated by ABST
04 Jul 2025Inspection
04 Jul 2025Inspection
Found that the Acuity-Based Staffing Tool was not updated to reflect resident needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
01 Jul 2025Inspection
01 Jul 2025Inspection
Investigated found an outdated ABST that did not reflect resident care needs and identified inconsistencies between the roster, care plans, and ABST data, constituting a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
01 Jul 2025Inspection
01 Jul 2025Inspection
Investigated staffing allegation and found inconsistencies between the ABST data and the staffing schedule. Staffing did not meet the levels indicated by ABST to meet residents' scheduled and unscheduled needs.
Licensing—Failed to staff as indicated by ABST
14 Jun 2025Inspection
14 Jun 2025Inspection
Investigated staffing levels did not align with the Acuity-Based Staffing Tool indications and scheduling data. This indicated under-staffing relative to resident needs.
Licensing—Failed to staff as indicated by ABST
14 Jun 2025Inspection
14 Jun 2025Inspection
Found that the ABST was not updated to reflect resident needs, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
05 Jun 2025Kitchen
05 Jun 2025Kitchen
Identified multiple sanitation and cleanliness deficiencies in the kitchen, including dust and grease buildup and equipment maintenance issues.
Identified a deficiency where the Acuity-Based Staffing Tool did not reflect resident care needs accurately. Found inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
21 May 2025Inspection
21 May 2025Inspection
Found staffing deficiencies based on the Acuity-Based Staffing Tool, with inconsistencies between the staffing schedule and ABST data.
Licensing—Failed to staff as indicated by ABST
19 May 2025Inspection
19 May 2025Inspection
Investigated found deficiencies in quarterly Acuity-Based Staffing Tool updates that did not reflect the resident population and care needs, with data misalignment across rosters, care plans, and ABST entries.
Licensing—Failed to use an ABST
19 May 2025Inspection
19 May 2025Inspection
Investigated an allegation of insufficient awake direct care staff and an inaccurate ABST; found staffing did not align with the posted plan or residents' needs.
Licensing—Failed to use an ABST
13 May 2025Inspection
13 May 2025Inspection
Found a violation because the Acuity-Based Staffing Tool did not accurately reflect the resident population, needs, and ADLs. Staffing levels did not align with the residents' scheduled and unscheduled needs.
Licensing—Failed to use an ABST
27 Apr 2025Inspection
27 Apr 2025Inspection
Investigated and found that the Acuity-Based Staffing Tool was not updated to reflect the resident population and needs, with inconsistencies among the roster, care plans, and ABST.
Licensing—Failed to use an ABST
27 Apr 2025Inspection
27 Apr 2025Inspection
Investigated and found staffing did not meet ABST-indicated levels, with inconsistencies between the schedule and ABST data failing to meet resident needs.
Licensing—Failed to staff as indicated by ABST
26 Dec 2024Inspection
26 Dec 2024Inspection
Investigated a staffing allegation and found noncompliance with Acuity-Based Staffing Tool requirements to meet resident needs.
Licensing—Failed to staff as indicated by ABST
26 Dec 2024Abuse: Neglect
26 Dec 2024Abuse: Neglect
Investigated a resident care incident and found that failure to address a known fall risk led to a serious fall with injuries, constituting abuse and neglect. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
26 Dec 2024Inspection
26 Dec 2024Inspection
Investigated found that an acuity-based staffing tool did not accurately reflect residents’ needs or required ADLs, with inconsistencies among roster, care plans, and ABST data and staffing not aligned with ABST levels.
Licensing—Failed to use an ABST
16 Dec 2024Inspection
16 Dec 2024Inspection
Found inconsistencies between the resident roster, care plans, and the Acuity-Based Staffing Tool, and determined a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
01 Oct 2024Inspection
01 Oct 2024Inspection
Found that a staff member verbally abused a resident with profanity and derogatory comments in front of others, and that the provider failed to protect the resident from verbal/emotional abuse.
Licensing—Failed to provide safe environment
19 Mar 2024Inspection
19 Mar 2024Inspection
Investigated and identified a deficiency in safe medication administration. A violation was found.
Licensing—Failed to provide a safe medication administration system
01 Feb 2024Licensure
01 Feb 2024Licensure
Found deficiencies in kitchen food safety practices during the initial visit, including uncovered pans in the walk-in refrigerator, absence of pasteurized eggs, dust on vents and light fixtures, grease buildup on oven doors, and inconsistent glove use and handwashing; a follow-up visit found substantial compliance.
Deficiency—Inspect and Investigations: Posting Surveys
16 Aug 2023Inspection
16 Aug 2023Inspection
Identified a deficiency in care planning that did not reflect evaluation findings or trauma-related needs, and meals were refused.
Licensing—Failed to properly plan care
16 Aug 2023Inspection
16 Aug 2023Inspection
Investigated the complaint that staff yell at residents and are verbally aggressive, and found a failure to provide a safe and homelike environment.
Licensing—Failed to provide safe environment
26 Jul 2023Inspection
26 Jul 2023Inspection
Determined that a resident was prevented from self-administering medications despite being capable after the RN removed all medications from the resident's room. Medications were later returned and the resident's ability to self-administer was supported.
Licensing—Failed to provide a safe medication administration system
24 Apr 2023Validation
24 Apr 2023Validation
Concluded substantial compliance after identifying extensive deficiencies across postings, service plans, health services, medication administration, and facility maintenance.
Investigated found deficiencies in care planning and response to a resident's mood and behavior fluctuations, resulting in neglect and abuse; a fine was assessed.
Abuse—Failed to properly plan care
07 Apr 2023Inspection
07 Apr 2023Inspection
Investigated a complaint of verbal assault by a caregiver and retaliation against a resident after reporting it; found retaliation occurred and protections for residents were lacking.
Licensing—Retaliated against resident/complainant
07 Apr 2023Inspection
07 Apr 2023Inspection
Investigated an allegation that a resident's HCBS rights were not respected, including meals not delivered to the room as requested and limits on visitors.
Licensing—Failed to assure resident rights
07 Apr 2023Inspection
07 Apr 2023Inspection
Found a deficiency in the medication administration process due to inaccurate MAR and staff signing off on medications not administered.
Licensing—Failed to provide a safe medication administration system
07 Apr 2023Inspection
07 Apr 2023Inspection
Investigated the complaint and found a deficiency in medication administration, with orders not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
07 Apr 2023Inspection
07 Apr 2023Inspection
Investigated and found deficiencies in a safe medication and treatment administration system, with ongoing allergy medication shortages due to untimely reorders.
Licensing—Failed to provide a safe medication administration system
24 Mar 2023Inspection
24 Mar 2023Inspection
Found deficiencies in the medication administration process, including missed MAR check marks for prescribed doses and medications awaiting refill, indicating orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
21 Feb 2023Abuse: Neglect
21 Feb 2023Abuse: Neglect
Investigated and found the facility failed to provide a safe environment by not addressing known risky behaviors with proper planning and interventions, which led to an incident of inappropriate sexual contact.
Abuse—Failed to provide safe environment
26 Jan 2023Licensure
26 Jan 2023Licensure
Identified cleaning and sanitation deficiencies in the kitchen, including debris and damaged surfaces, and improper glove practices during food prep. A follow-up visit determined substantial compliance with the applicable food sanitation rules.
Investigated and found that medication was not administered as ordered, causing discomfort and ongoing pain, and that a safe medication administration system was not provided.
Licensing—Failed to provide a safe medication administration system
26 Nov 2022Inspection
26 Nov 2022Inspection
Investigated and found failure to fully implement and update an Acuity Based Staffing Tool.
Licensing—Failed to use an ABST
26 Nov 2022Inspection
26 Nov 2022Inspection
Found a violation for failing to administer ordered medication.
Licensing—Failed to administer ordered medication
26 Nov 2022Inspection
26 Nov 2022Inspection
Investigated and found ineffective methods for responding to and resolving resident complaints.
Licensing—Failed to provide service
01 Nov 2022Inspection
01 Nov 2022Inspection
Found failure to report abuse or suspected abuse to SPD and to investigate the incident.
Licensing—Failed to provide safe environment
07 Oct 2022License Condition
07 Oct 2022License Condition
Investigated and found that shower assistance was not provided as required by the care plan. Staff failed to provide shower assist twice weekly as reflected in the service plan.
Regulatory Action—Failed to provide or assist with hygiene
07 Oct 2022License Condition
07 Oct 2022License Condition
Found that the facility failed to provide appropriate housekeeping services, including no trash pickup for five days and a wheelchair-bound resident having to empty their own trash.
Regulatory Action—Failed to provide appropriate housekeeping services
07 Oct 2022License Condition
07 Oct 2022License Condition
Found deficiencies in providing a safe environment due to carpet needing replacement and a ceiling with water damage and mold from a previous leak.
Regulatory Action—Failed to provide safe environment
07 Oct 2022License Condition
07 Oct 2022License Condition
Identified a deficiency for failing to use an acuity-based staffing tool to determine appropriate staffing levels. The finding noted ABST was not used.
Regulatory Action—Failed to use an ABST
12 Sept 2022Complaint
12 Sept 2022Complaint
Identified deficiencies related to resident services, staffing tool, and building interior during the investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Acuity-Based Staffing Tool
Deficiency—General Building Interior
12 Sept 2022Complaint
12 Sept 2022Complaint
Identified a deficiency related to the general building: doors and walls must be cleanable.
Investigated and found a deficiency for failing to develop and implement a smoking policy, allowing residents to smoke in rooms and inside without staff action.
Licensing—Failed to provide safe environment
07 Sept 2022Inspection
07 Sept 2022Inspection
Identified a violation of the care plan for bathing assistance; the alleged victim was not assisted with bathing.
Licensing—Failed to follow care plan
07 Sept 2022Inspection
07 Sept 2022Inspection
Found a violation for failing to provide a clean environment; resident rooms were filthy.
Licensing—Failed to provide safe environment
02 Aug 2022Inspection
02 Aug 2022Inspection
Investigated the allegation and determined that a safe environment was not provided because interior odors were present and equipment was not kept in good repair.
Licensing—Failed to provide safe environment
20 Apr 2022Abuse: Neglect
20 Apr 2022Abuse: Neglect
Determined that a safe environment was not provided, resulting in a bruise on the hip and discomfort; found neglect and abuse.
Abuse—Failed to provide safe environment
28 Jan 2022Inspection
28 Jan 2022Inspection
Found that housekeeping services were not provided as required.
Licensing—Failed to provide appropriate housekeeping services
28 Jan 2022Inspection
28 Jan 2022Inspection
Found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
04 Oct 2021Inspection
04 Oct 2021Inspection
Investigated and found physical abuse by a caregiver and an unsafe environment for a resident.
Licensing—Failed to provide safe environment
24 Sept 2021Abuse: Neglect
24 Sept 2021Abuse: Neglect
Found a failure to provide safe medication administration that caused severe pain and hospital transfer.
Abuse—Failed to provide a safe medication administration system
14 Aug 2021Abuse: Neglect
14 Aug 2021Abuse: Neglect
Investigated found that a staff member engaged in inappropriate sexual behavior toward a resident and failed to provide a safe environment, constituting abuse and neglect.
Abuse—Failed to provide safe environment
20 Jun 2020Inspection
20 Jun 2020Inspection
Investigated a medication administration incident and found a violation: the wrong medication was given and a safe system for medication administration was lacking.
Licensing—Failed to administer medication as ordered
09 Jun 2020Abuse: Neglect
09 Jun 2020Abuse: Neglect
Investigated and found a failure to maintain a safe medication administration system. A medication change was not implemented, resulting in a second dose being given and risk of serious harm.
Abuse—Failed to provide a safe medication administration system
09 Mar 2020Inspection
09 Mar 2020Inspection
Investigated and found neglect of care and abuse, and a failure to provide a safe environment.
Licensing—Failed to provide safe environment
28 Jan 2020Inspection
28 Jan 2020Inspection
Investigated the allegation of three daily palatable meals not provided; the finding indicates the allegation could not be verified.
Licensing—Failed to provide proper food/nutrition
28 Jan 2020Inspection
28 Jan 2020Inspection
Investigated an allegation of unsafe medication administration and found that medical orders were not carried out as prescribed. A level 1 licensing violation was identified.
Licensing—Failed to provide a safe medication administration system
09 Oct 2019Inspection
09 Oct 2019Inspection
Found insufficient staff to meet resident needs.
Licensing—Failed to provide service
09 Oct 2019Inspection
09 Oct 2019Inspection
Investigated and found that residents were not treated with dignity and respect.
Licensing—Failed to assure resident rights
09 Oct 2019Inspection
09 Oct 2019Inspection
Investigated the allegation and found offensive odors indicating a lack of a homelike environment.
Licensing—Failed to provide a homelike environment
27 Apr 2019Abuse: Neglect
27 Apr 2019Abuse: Neglect
Investigated a neglect allegation and found the resident fell after attempting to transfer, resulting in a hip fracture and high fall risk.
Abuse—Failed to follow care plan
05 Apr 2019Inspection
05 Apr 2019Inspection
Found failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
04 Apr 2019Abuse: Neglect
04 Apr 2019Abuse: Neglect
Found neglect for failing to administer medication as ordered and for failing to provide a safe environment, creating a risk of serious harm.
Abuse—Failed to administer medication as ordered
04 Apr 2019Inspection
04 Apr 2019Inspection
Investigated a failure to report suspected abuse. Found a licensing violation.
Licensing—Failed to report potential or suspected abuse
21 Mar 2019Inspection
21 Mar 2019Inspection
Found a violation of safe medication administration practices due to two days without pain medications for a resident.
Licensing—Failed to provide a safe medication administration system
16 Jan 2019Inspection
16 Jan 2019Inspection
Investigated an allegation of an unsafe environment due to missing exit door alarms; a resident left through a door that should have been secured.
Licensing—Failed to provide safe environment
16 Jan 2019Inspection
16 Jan 2019Inspection
Investigated the complaint and found the call light system was not operating. This demonstrated non-compliance with the applicable rule.
Licensing—Failed to maintain functional door alarm or call system
15 Dec 2018Abuse: Neglect
15 Dec 2018Abuse: Neglect
Found neglect of care due to failing to maintain a safe environment; a $500 fine was assessed.
Abuse—Failed to maintain functional door alarm or call system
15 Dec 2018Inspection
15 Dec 2018Inspection
Found failure to report suspected abuse and assessed a $750 fine.
Licensing—Failed to report potential or suspected abuse
11 Dec 2018Inspection
11 Dec 2018Inspection
Investigated an allegation of an unsafe medication administration system and found a failure to implement an order change, resulting in the wrong type of release medication being given; no negative outcome occurred.
Licensing—Failed to provide a safe medication administration system
21 Nov 2018Inspection
21 Nov 2018Inspection
Investigated the allegation and found that a resident in distress was not assessed in accordance with the applicable rule. EMS was called for an unresponsive resident.
Licensing—Failed to intervene when resident's condition changed
20 Mar 2018Inspection
20 Mar 2018Inspection
Investigated the allegation and found failure to administer medication as ordered.
Licensing—Failed to administer medication as ordered
15 Feb 2018Inspection
15 Feb 2018Inspection
Found an inadequate medication system.
Licensing—Failed to provide a safe medication administration system
30 Nov 2017Inspection
30 Nov 2017Inspection
Determined that housekeeping services were not provided appropriately.
Licensing—Failed to provide appropriate housekeeping services
28 Nov 2017Abuse: Financial abuse
28 Nov 2017Abuse: Financial abuse
Determined that there was an unsafe environment that allowed theft of medication and financial exploitation involving residents.
Abuse—Failed to provide safe environment
13 Jun 2017Abuse: Financial abuse
13 Jun 2017Abuse: Financial abuse
Investigated a financial exploitation allegation and found protections did not prevent theft from a resident.
Abuse—Failed to protect resident from financial exploitation
08 Jun 2017Abuse: Financial abuse
08 Jun 2017Abuse: Financial abuse
Found a deficiency for failing to prevent theft or misuse of medications, indicating financial abuse; a $250 fine was assessed.
Abuse—Failure to provide a system that prevents theft or misuse of medication
05 Jun 2017Abuse: Financial abuse
05 Jun 2017Abuse: Financial abuse
Investigated an abuse allegation and found a failure to protect a resident from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
20 Jul 2016Inspection
20 Jul 2016Inspection
Found a licensing violation for failing to maintain a safe physical environment by not keeping interior and exterior materials and equipment clean and in good repair.
Licensing—Failed to maintain a safe physical environment
11 May 2016Inspection
11 May 2016Inspection
Identified a licensing violation for failing to answer a call light promptly. The finding indicated inadequate care for a resident.
Licensing—Failed to answer call light in a timely manner
09 May 2016Abuse: Financial abuse
09 May 2016Abuse: Financial abuse
Investigated the allegation and found a safe environment was not provided.
Abuse—Failed to provide safe environment
06 May 2016Abuse: Neglect
06 May 2016Abuse: Neglect
Found that appropriate skin care was not provided, and a $350 fine was assessed.
Abuse—Failed to provide appropriate skin care
28 Apr 2016Inspection
28 Apr 2016Inspection
Found deficiencies in the medication administration system that could pose harm to residents.
Licensing—Failed to provide a safe medication administration system
12 Apr 2016Inspection
12 Apr 2016Inspection
Determined that there was a failure to coordinate with outside services to bathe a resident per the service plan due to a misunderstanding of responsibility.
Licensing—Failed to communicate necessary information
12 Apr 2016Inspection
12 Apr 2016Inspection
Investigated a complaint and found a failure to provide bathing assistance for a resident between late March and early April 2016.
Licensing—Failed to provide or assist with hygiene
04 Apr 2016Abuse: Neglect
04 Apr 2016Abuse: Neglect
Investigated and concluded that care was not provided when a resident's condition changed.
Abuse—Failed to intervene when resident's condition changed
28 Mar 2016Inspection
28 Mar 2016Inspection
Investigated the allegation and substantiated a licensing violation for failing to answer a call light promptly.
Licensing—Failed to answer call light in a timely manner
13 Jan 2016Inspection
13 Jan 2016Inspection
Investigated a complaint and substantiated that required disclosure statements and residency agreements were not provided, and that payment provisions and related disclosures were missing or not signed.
Licensing—Failed to make facility or resident records accessible
08 Jan 2016Abuse: Neglect
08 Jan 2016Abuse: Neglect
Found failure to provide meal assistance per the care plan, resulting in health decline. A $400 fine was assessed.
Abuse—Failed to follow care plan
28 Dec 2015Abuse: Neglect
28 Dec 2015Abuse: Neglect
Investigated a neglect allegation and found deficiencies related to administering medications as ordered. A $400 fine was assessed.
Abuse—Failed to provide appropriate skin care
02 Dec 2015Inspection
02 Dec 2015Inspection
Investigated and found failure to provide appropriate care. Finding substantiated.
Licensing—Failed to properly plan care
18 Nov 2015Inspection
18 Nov 2015Inspection
Investigated the allegation of failing to properly plan care and found a deficiency related to care planning.
Licensing—Failed to properly plan care
18 Nov 2015Inspection
18 Nov 2015Inspection
Investigated the allegation that a safe environment was not provided and found a deficiency.
Licensing—Failed to provide safe environment
05 Nov 2015Inspection
05 Nov 2015Inspection
Found a licensing violation for failing to maintain a safe physical environment for residents.
Licensing—Failed to maintain a safe physical environment
05 Nov 2015Inspection
05 Nov 2015Inspection
Found housekeeping deficiencies, with interior and exterior surfaces and equipment not kept clean for residents' health and safety.
Licensing—Failed to provide appropriate housekeeping services
23 Oct 2015Inspection
23 Oct 2015Inspection
Identified failure to timely respond to emergency call buttons. Documented long response delays to emergencies, including a 45-minute wait and a 2.5-hour delay before medical staff responded.
Licensing—Failed to provide appropriate staffing
06 Oct 2015Inspection
06 Oct 2015Inspection
Found lack of care for residents due to staffing concerns and high resident acuity. Interviews and observations indicated overworked staff and potential overlooked needs.
Licensing—Failed to follow care plan
06 Oct 2015Inspection
06 Oct 2015Inspection
Identified failures in meal service, including running out of menu items, serving meals not listed on the planned menu, and not providing three daily nutritious meals with dietary accommodations.
Licensing—Failed to provide proper food/nutrition
06 Oct 2015Inspection
06 Oct 2015Inspection
Found deficiencies in maintaining resident care equipment, including a broken toilet seat, a loose and glued shower flap, and a locked drawer.
Licensing—Failed to provide or maintain resident care equipment
08 Sept 2015Inspection
08 Sept 2015Inspection
Investigated the allegation and found a failure to maintain a safe physical environment due to inadequate housekeeping.
Licensing—Failed to maintain a safe physical environment
14 Jul 2015Abuse: Neglect
14 Jul 2015Abuse: Neglect
Investigated a failure to provide a safe medication administration system, with a finding of potential failure to provide appropriate care and a $300 fine assessed.
Abuse—Failed to provide a safe medication administration system
06 Jul 2015Abuse: Neglect
06 Jul 2015Abuse: Neglect
Investigated the complaint and substantiated failure to respond to call lights promptly and provide a safe environment.
Abuse—Failed to answer call light in a timely manner
17 Jun 2015Inspection
17 Jun 2015Inspection
Investigated and found a deficient medication management system, including failure to administer medication as ordered.
Licensing—Failed to administer medication as ordered
01 Jun 2015Inspection
01 Jun 2015Inspection
Concluded that a safe environment was not provided. A sanction was assessed with no monetary penalty.
Licensing—Failed to provide safe environment
15 May 2015Abuse: Verbal/Mental abuse
15 May 2015Abuse: Verbal/Mental abuse
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
25 Mar 2015Inspection
25 Mar 2015Inspection
Identified a deficiency in the medication management system and assessed a $200 fine.
Licensing—Failed to provide a safe medication administration system
16 Mar 2015Abuse: Neglect
16 Mar 2015Abuse: Neglect
Found a failure to administer medication as ordered and to provide appropriate care. A $250 fine was assessed.
Abuse—Failed to administer medication as ordered
04 Mar 2015Inspection
04 Mar 2015Inspection
Investigated and found an inadequate medication management system.
Licensing—Failed to administer medication as ordered
02 Mar 2015Abuse: Neglect
02 Mar 2015Abuse: Neglect
Found a deficient medication management system and assessed a $250 fine.
Abuse—Failed to administer medication as ordered
05 Jan 2015Abuse: Neglect
05 Jan 2015Abuse: Neglect
Substantiated that timely medical treatment was not provided and that appropriate care and services were lacking. A $300 fine was assessed.
Abuse—Failed to assure timely medical treatment
24 Dec 2014Inspection
24 Dec 2014Inspection
Investigated a licensing allegation found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
23 Dec 2014Inspection
23 Dec 2014Inspection
Investigated the allegation of an unsafe medication administration system and identified an inadequate medication system.
Licensing—Failed to provide a safe medication administration system
23 Dec 2014Inspection
23 Dec 2014Inspection
Concluded that a resident was not protected from inappropriate verbal comments.
Licensing—Failed to protect resident from verbal abuse
23 Dec 2014Inspection
23 Dec 2014Inspection
Investigated an allegation of failing to administer medications as ordered and found a deficiency in care related to medication administration.
Licensing—Failed to administer medication as ordered
14 Nov 2014Inspection
14 Nov 2014Inspection
Investigated an allegation of medication administration issues and found an inadequate medication system.
Licensing—Failed to administer medication as ordered
31 Oct 2014Abuse: Neglect
31 Oct 2014Abuse: Neglect
Investigated an abuse/neglect allegation and found failures in medication safety and the overall environment, with a $300 fine assessed.
Abuse—Failed to provide a safe medication administration system
11 Sept 2014Abuse: Neglect
11 Sept 2014Abuse: Neglect
Investigated an allegation of neglect and identified a failure to intervene when a resident's condition changed, creating a potential safety issue and resulting in a fine.
Abuse—Failed to intervene when resident's condition changed
04 Sept 2014Inspection
04 Sept 2014Inspection
Found a deficient medication administration system that could cause harm.
Licensing—Failed to provide a safe medication administration system
22 Aug 2014Abuse: Neglect
22 Aug 2014Abuse: Neglect
Found failure to follow the care plan.
Abuse—Failed to follow care plan
20 Aug 2014Inspection
20 Aug 2014Inspection
Found that the care plan was not followed.
Licensing—Failed to follow care plan
29 May 2014Abuse: Neglect
29 May 2014Abuse: Neglect
Found substantiated neglect due to an inadequate medication administration system, with a $300 fine assessed.
Abuse—Failed to properly plan care
29 May 2014Abuse: Neglect
29 May 2014Abuse: Neglect
Investigated a neglect allegation and found that a safe environment was not provided.
Abuse—Failed to administer medication as ordered
17 May 2014Inspection
17 May 2014Inspection
Identified a deficiency in medication management and failure to administer medications as ordered.
Licensing—Failed to administer medication as ordered
15 May 2014Abuse: Financial abuse
15 May 2014Abuse: Financial abuse
Investigated the allegation of financial abuse and found a failure to protect a resident from theft.
Abuse—Failed to provide safe environment
20 Dec 2013Abuse: Financial abuse
20 Dec 2013Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to protect a resident from theft, resulting in a $300 fine.
Abuse—Failed to provide safe environment
21 Nov 2013Abuse: Neglect
21 Nov 2013Abuse: Neglect
Concluded that the allegation of failing to provide medical treatment as ordered was substantiated and found failure to follow the care plan.
Abuse—Failed to provide medical treatment as ordered
16 Oct 2013Inspection
16 Oct 2013Inspection
Found an inadequate medication management system.
Licensing—Failed to provide a safe medication administration system
23 Sept 2013Inspection
23 Sept 2013Inspection
Found a deficiency for failing to administer medication as ordered and not following RV1s care plan.
Licensing—Failed to administer medication as ordered
11 Sept 2013Abuse: Financial abuse
11 Sept 2013Abuse: Financial abuse
Investigated the financial abuse allegation and found a failure to protect the RV from theft.
Abuse—Failed to provide safe environment
14 Aug 2013Inspection
14 Aug 2013Inspection
Found an inadequate medication administration system and failure to administer medications as ordered.
Licensing—Failed to administer medication as ordered
03 Aug 2013Abuse: Financial abuse
03 Aug 2013Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
02 Aug 2013Abuse: Financial abuse
02 Aug 2013Abuse: Financial abuse
Determined there was a failure to provide a safe environment.
Abuse—Failed to provide safe environment
22 Jul 2013Inspection
22 Jul 2013Inspection
Found neglect of care that allowed a resident to fall from bed and injure their head, and failed to follow procedures for medical assessment and notifications.
Licensing—Failed to assure resident was safe
10 Jul 2013Abuse: Neglect
10 Jul 2013Abuse: Neglect
Investigated a neglect allegation and found a safety deficiency due to failing to provide a safe environment. A $350 fine was assessed.
Abuse—Failed to intervene when resident's condition changed
10 Jul 2013Inspection
10 Jul 2013Inspection
Investigated a complaint and found an inadequate medication management system.
Licensing—Failed to provide a safe medication administration system
07 Jul 2013Abuse: Financial abuse
07 Jul 2013Abuse: Financial abuse
Found a failure to provide a safe environment resulting in theft, with a $350 fine assessed.
Abuse—Failed to provide safe environment
19 Jun 2013Abuse: Financial abuse
19 Jun 2013Abuse: Financial abuse
Found a failure to protect a resident from theft. The deficiency was substantiated.
Abuse—Failed to provide safe environment
07 Jun 2013Abuse: Financial abuse
07 Jun 2013Abuse: Financial abuse
Investigated and concluded that a safe environment was not provided, and a financial abuse allegation was substantiated for failing to protect a resident from theft.
Abuse—Failed to provide safe environment
07 Jun 2013Abuse: Neglect
07 Jun 2013Abuse: Neglect
Investigated a complaint alleging neglect; found failure to provide appropriate care, resulting in a $300 fine.
Abuse—Failed to intervene when resident's condition changed
21 Jun 2011Inspection
21 Jun 2011Inspection
Investigated a medication system deficiency; found it inadequate and assessed a $300 fine.
Licensing—Failed to provide a safe medication administration system
20 Jun 2011Inspection
20 Jun 2011Inspection
Found a deficiency in providing a safe environment that was substantiated.
Licensing—Failed to provide safe environment
30 May 2011Abuse: Neglect
30 May 2011Abuse: Neglect
Found deficiencies in care tied to an unsafe medication administration system, indicating neglect. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
11 Apr 2011Abuse: Financial abuse
11 Apr 2011Abuse: Financial abuse
Investigated an allegation of financial abuse and failure to provide a safe environment; findings established that residents were not protected from theft.
Abuse—Failed to provide safe environment
23 Mar 2011Abuse: Neglect
23 Mar 2011Abuse: Neglect
Determined that there was a failure to provide a safe environment and a safe medication administration system.
Abuse—Failed to provide a safe medication administration system
27 Feb 2011Inspection
27 Feb 2011Inspection
Found that medications were not administered as ordered, creating potential harm.
Licensing—Failed to administer ordered medication
03 Mar 2010Inspection
03 Mar 2010Inspection
Found failure to provide appropriate care due to not following the care plan. This posed a risk of harm.
Licensing—Failed to follow care plan
03 Mar 2010Inspection
03 Mar 2010Inspection
Found that medications were not administered as ordered.
Licensing—Failed to provide a safe medication administration system
01 Feb 2010Inspection
01 Feb 2010Inspection
Investigated allegation found failure to provide medications as ordered. This was categorized as minor harm or potential for moderate harm.
Licensing—Failed to provide medical treatment as ordered
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Avamere at Park Place. The information above has not been verified or approved by the owner or operator. For exact information, please contact Avamere at Park Place directly. There is no cost for this service. We are compensated by the community you select.
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