I placed my mother-in-law here and have been very pleased - the grounds and rooms are lovely and spotless, staff are compassionate, competent, and incredibly helpful, and residents genuinely seem happy. There are abundant activities, outings, great meals and amenities, and overall it feels welcoming and well cared-for; I'd highly 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
Hospice waiver
Medication management
Mental wellness program
Respite 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
Located close to restaurants
Located close to shopping centers
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 patio
Outdoor space
Pet friendly
Religious/meditation center
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
4.03·(31)
Overall rating
5
4
3
2
1
Care
3.7
Staff
4.0
Meals
2.8
Amenities
3.6
Value
2.0
Pros
Compassionate and competent nursing and caregiving staff
Stable nurses and direct-care aides
Individualized care planning
Friendly, welcoming admissions and front-line staff
Clean, newer, and well-appointed interior design
Well-maintained grounds and pastoral setting
Range of apartment sizes (studio, one-bedroom, two-bedroom)
Robust social and recreational programming
Regular live music and themed events
Scheduled transportation for outings and shopping
On-site salon and accessible laundry facilities
Large dining room and comfortable common areas
Hospice-friendly coordination and flexible visitation
Veteran-focused and community-inclusive programming
Scratch-made meals and improvements under a new chef
Cons
Leadership instability due to high administrative turnover
Irregular personal-care routines, including bathing schedules
Incontinence-care delays and hygiene-management gaps
Cleanliness and housekeeping inconsistencies in some units and common areas
Deferred maintenance and exterior repair needs
Variability in meal quality, temperature, and dietary accommodations
Limited menu variety and inconsistent hydration management
Weak family communication and defensive grievance handling
Not optimized for moderate-to-advanced dementia care
Value-for-cost concerns
Allegations of regulatory and leadership conduct issues
Summary of reviews
Prestige Senior Living Five Rivers presents a mixed picture: reviewers commonly praise the facility's physical environment, social programming, and many direct-care staff, but raise operational and leadership concerns that merit attention.
Care and staff: Families and residents consistently describe the nursing and caregiving staff as compassionate, competent, and stable, and many note individualized care plans and attentive bedside care. At the same time, reviewers cite inconsistent staffing levels and occasional delays in staff responsiveness. Several descriptions point to irregular personal-care routines (including bathing schedules) and challenges managing incontinence care; these indicate an operational gap in daily personal-care consistency rather than a universal failure across the community. Administrative turnover is high, and that instability appears to correlate with uneven front-office performance and occasional lapses in oversight.
Dining and nutrition: The dining experience is a notable strength for many—scratch-made meals, improvements under a new chef, and meal preparation tailored for ease of eating were praised. The large dining room and active meal-time environment are positives. However, reviewers also report variability in meal quality and temperature, limited menu variety in some cases, gaps in dietary accommodations, and inconsistent hydration management. Prospective residents should observe a mealtime and ask about current kitchen leadership, menu cycles, and protocols for special diets.
Activities and social life: The community offers a broad activity portfolio—monthly calendars, bus tours, live music, themed events, crafts, Bible studies, games, and salon services—contributing to an active social environment. Multiple reviewers described engaging programming and frequent outings. That said, turnover among activity coordinators and occasional complaints about limited activity variety suggest programming can vary over time; continuity of the schedule may depend on staffing stability.
Facilities and maintenance: The building and grounds are often described as modern, attractive, and well-kept, with comfortable apartments in several sizes and separate wings for independent and assisted living. Common areas such as reading niches, large dining rooms, and patios are appreciated. Conversely, some reviewers noted housekeeping inconsistencies, odor concerns in parts of the facility, worn carpeting, exterior mold/repair needs, and unresolved maintenance items. These observations point to variability in housekeeping and facilities maintenance rather than uniformly poor physical conditions.
Management, communication, and governance: A recurrent theme is administrative instability and uneven communication with families. Reviewers describe defensive responses when concerns are raised and frustration with grievance handling and transparency. A small set of reviews includes serious allegations about leadership conduct and regulatory issues; those claims warrant careful follow-up during a tour and through state regulatory records. Several reviewers also expressed value-for-cost concerns, citing price levels that may not align with perceived consistency of services.
Notable patterns and recommendations: Strengths center on caring direct-care staff, active programming, a pleasant facility, and improved dining in some periods. Risks to evaluate in person include staffing consistency, personal-care routines, housekeeping standards, maintenance responsiveness, and management stability. Prospective residents and families should schedule multiple visits (including a mealtime), meet nursing leadership, ask for recent inspection records, inquire about staff turnover rates and dementia-care capabilities, and request written policies on family communication and grievance resolution. These steps will help determine whether the current operational profile aligns with the prospective resident's care needs and expectations.
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Location
Prestige Senior Living Five Rivers is located at 3500 12th St, Tillamook, OR, 97141.
About Prestige Senior Living Five Rivers
Prestige Senior Living Five Rivers is a community located just a short, scenic drive from the northern Oregon coast, offering both independent and assisted living options in the city of Tillamook. The community is designed for those who wish to maintain as much independence as possible while also enjoying the comfort, amenities, and specialized programming of a supportive environment. Residents at Five Rivers are invited to engage in an active and fulfilling lifestyle, surrounded by the natural beauty of the Oregon Coast and a friendly, family-oriented atmosphere.
The community features industry-leading wellness programming that encourages residents to lead healthy, meaningful lives. Prestige Senior Living Five Rivers offers the Celebrations lifestyle program, a unique approach focused on nurturing the mind, body, and spirit. This program is centered around six wellness categories and is carefully crafted to foster happiness, longevity, and personal fulfillment. Residents have access to a full calendar of dynamic events, activities, and educational opportunities, all designed to enrich daily life and provide choices and freedom to celebrate every moment.
For those interested in independent living, Prestige Senior Living Five Rivers provides monthly rentals starting with studio apartments and extending to one-bedroom options. The monthly rent includes utilities, cable, property taxes, maintenance, landscaping, and more, with additional à la carte options available for meals and housekeeping. This arrangement allows residents to enjoy a worry-free lifestyle where day-to-day details are expertly managed, freeing up time for residents to pursue their passions and interests.
Assisted Living at Prestige Senior Living Five Rivers is complemented by compassionate staff who take the time to know each resident as an individual. The team works closely with families, friends, and neighbors to ensure that all residents receive personalized care that meets both their scheduled and unscheduled needs. The supportive environment means that residents and their loved ones can rest assured that quality care is always a priority.
Amenities at Prestige Senior Living Five Rivers are designed to create a first-class experience, promoting both health and longevity. Residents enjoy beautifully appointed gathering spaces such as a bistro, dining room, living room, lobby, bedrooms, and sitting areas, as well as landscaped outdoor spaces. Every day brings new opportunities for engagement, whether through wellness classes, community events, or simply enjoying the relaxed and inviting atmosphere.
Prestige Senior Living Five Rivers stands out for its commitment to providing an enriching lifestyle for seniors, blending independence with supportive care and exceptional amenities. With a vibrant community, industry-leading wellness offerings, and a strong focus on personal fulfillment, Five Rivers provides an ideal setting for seniors looking to make the most of their golden years.
About Prestige Care
Prestige Senior Living Five Rivers is managed by Prestige Care.
Founded in 1985 but tracing its roots to 1946, Prestige Care began with Sarah Delamarter, a nursing pioneer who started caring for seniors in her Troutdale, Oregon home. What began as a compassionate effort to support her family evolved into a multi-generational legacy when her grandsons Harold and Dr. Rick Delamarter, along with business partner Greg Vislocky, expanded the business throughout the western United States. Today, this family-owned company remains headquartered in Vancouver, Washington, maintaining Sarah's original spirit of personalized, compassionate care. Prestige Care operates over 75 communities across seven western states including Oregon, Washington, California, Arizona, Nevada, Idaho, and Montana.
People often ask...
Prestige Senior Living Five Rivers offers competitive pricing, with rates starting at a cost of $5,656 per month.
Prestige Senior Living Five Rivers offers independent living and assisted living.
There are 20 photos of Prestige Senior Living Five Rivers on Mirador.
The full address for this community is 3500 12th St, Tillamook, OR 97141.
No, Prestige Senior Living Five Rivers 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.
Identified kitchen sanitation and maintenance deficiencies, including buildup of debris, structural/lighting issues, and exposed food-contact surfaces.
Found deficiencies in providing appropriate services to a resident during decline. Meals had to be cut into bite-size pieces and placed in front of the resident, and care plans were not updated.
Abuse—Failed to provide service
29 Aug 2024Abuse: Neglect
29 Aug 2024Abuse: Neglect
Investigated found a failure to follow the care plan for incontinence, causing discomfort and loss of personal dignity and constituting abuse and neglect.
Abuse—Failed to follow care plan
29 Aug 2024Abuse: Neglect
29 Aug 2024Abuse: Neglect
Investigated the case and found neglect of care due to failure to properly plan care and update the care plan after a change in condition, causing wound-related discomfort.
Abuse—Failed to properly plan care
01 Mar 2024Inspection
01 Mar 2024Inspection
Found a violation for failing to submit monthly reporting of vaccinated individuals, residents, and staff. A $250 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
22 Jan 2024Licensure
22 Jan 2024Licensure
Found deficiencies in food sanitation and kitchen maintenance; follow-up visit later showed substantial compliance.
Investigated and determined that a safe medication administration system was not provided, resulting in a resident going without prescribed pain medication for about six days and requiring hospital treatment.
Abuse—Failed to provide a safe medication administration system
16 Aug 2023Complaint
16 Aug 2023Complaint
Identified deficiencies in administrative policies, meals sanitation, and doors/walls/odors.
Found that three daily nutritious, palatable meals were not provided seven days a week.
Licensing—Failed to provide proper food/nutrition
03 Apr 2023Validation
03 Apr 2023Validation
Identified multiple deficiencies across resident rights, health services, and safety, including failures to maintain a respectful environment, assess significant condition changes, follow physician orders, report refusals, provide required training, and document fire safety activities.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Inspections and Investigation: Insp Interval
Investigated a resident complaints issue and found deficiencies in responding to and resolving resident complaints, indicating noncompliance with rules.
Licensing—Failed to assure resident rights
10 Mar 2022Inspection
10 Mar 2022Inspection
Investigated a medication administration allegation and verified that orders were not carried out as prescribed, with medications administered up to 2 hours late.
Licensing—Failed to administer medication as ordered
10 Mar 2022Inspection
10 Mar 2022Inspection
Investigated the complaint about delayed call light responses and found staffing insufficient to meet residents' needs, with responses up to 30 minutes.
Licensing—Failed to answer call light in a timely manner
10 Mar 2022Inspection
10 Mar 2022Inspection
Determined that residents were not treated with dignity and respect.
Licensing—Failed to assure resident rights
10 Mar 2022Inspection
10 Mar 2022Inspection
Found a deficiency where staff did not wear masks, failing to provide a safe environment for residents.
Licensing—Failed to provide safe environment
01 Dec 2021Inspection
01 Dec 2021Inspection
Found that a resident was financially exploited and not adequately protected from exploitation.
Licensing—Failed to protect resident from financial exploitation
12 Nov 2021Inspection
12 Nov 2021Inspection
Investigated and found financial exploitation of a resident by an unknown perpetrator; the provider did not protect the resident from financial exploitation.
Licensing—Failed to assure resident rights
30 Sept 2021Abuse: Neglect
30 Sept 2021Abuse: Neglect
Identified violations for failing to provide a safe environment after an aggressive incident between residents, with a fine assessed.
Abuse—Failed to provide safe environment
28 Dec 2020Inspection
28 Dec 2020Inspection
Found that medication orders were not carried out as prescribed.
Licensing—Failed to administer ordered medication
14 Feb 2020Abuse: Neglect
14 Feb 2020Abuse: Neglect
Investigated and found neglect and abuse due to failing to provide a safe environment and proper care planning after a resident-to-resident altercation.
Abuse—Failed to provide safe environment
10 Dec 2019Condition
10 Dec 2019Condition
Identified a licensing violation for failing to provide a safe environment that could cause harm.
Regulatory Action—Failed to provide safe environment
07 Oct 2019Abuse: Neglect
07 Oct 2019Abuse: Neglect
Investigated a medication administration failure; found neglect and abuse due to delay in starting a prescribed blood thinner, with a $188 fine assessed.
Abuse—Failed to administer medication as ordered
05 Jul 2019Inspection
05 Jul 2019Inspection
Found insufficient staffing. Noted the allegation of failing to provide adequate staffing.
Licensing—Failed to provide appropriate staffing
26 Jun 2019Abuse: Neglect
26 Jun 2019Abuse: Neglect
Investigated and found a failure to provide a safe environment, constituting abuse and neglect. It involved emotional distress and inadequate care planning for a resident.
Abuse—Failed to provide safe environment
20 Jun 2019Inspection
20 Jun 2019Inspection
Investigated the allegation of failing to administer medication as ordered and confirmed it.
Licensing—Failed to administer medication as ordered
07 Jun 2019Inspection
07 Jun 2019Inspection
Investigated allegation of failing to provide transportation for medical or social purposes and found the violation substantiated.
Licensing—Failed to provide transportation for medical or social purposes
05 Jun 2019Inspection
05 Jun 2019Inspection
Found snacks were not made available to all residents, and some residents were unaware snacks are offered.
Licensing—Failed to provide proper food/nutrition
08 Dec 2018Inspection
08 Dec 2018Inspection
Determined the allegation of failing to report suspected abuse is substantiated and a fine was assessed.
Licensing—Failed to report potential or suspected abuse
08 Dec 2018Abuse: Neglect
08 Dec 2018Abuse: Neglect
Found neglect of a resident resulting in physical harm due to failure to provide basic care. A $2,500 fine was assessed.
Abuse—Failed to follow care plan
22 Sept 2018Abuse: Neglect
22 Sept 2018Abuse: Neglect
Determined neglect and abuse occurred due to failure to plan care according to a resident's history and to provide a safe environment for residents.
Abuse—Failed to properly plan care
22 Sept 2018Abuse: Neglect
22 Sept 2018Abuse: Neglect
Investigated a complaint and found that a resident with a known aggressive history was not properly care planned, resulting in abuse and neglect.
Abuse—Failed to properly plan care
02 Aug 2018Abuse: Neglect
02 Aug 2018Abuse: Neglect
Identified failure to address resident behaviors through care plans, leading to abuse and neglect findings and a fine.
Abuse—Failed to provide safe environment
02 Aug 2018Abuse: Neglect
02 Aug 2018Abuse: Neglect
Investigated a complaint and found a violation of resident rights due to failure to care plan for resident-to-resident aggression; a $375 fine assessed.
Abuse—Failed to provide safe environment
12 Jul 2018Abuse: Neglect
12 Jul 2018Abuse: Neglect
Investigated an abuse allegation of neglect and found failure to provide a safe environment, including oversight, resulting in significant emotional harm; a $169 fine was assessed.
Abuse—Failed to provide safe environment
28 Jun 2018Inspection
28 Jun 2018Inspection
Investigated and found a violation of resident rights and protections.
Licensing—Failed to assure resident rights
14 Jun 2018Abuse: Financial abuse
14 Jun 2018Abuse: Financial abuse
Investigated the financial abuse allegation and found that money went missing due to a failure to protect from wrongful taking.
Abuse—Failed to provide safe environment
07 Jun 2018Abuse: Financial abuse
07 Jun 2018Abuse: Financial abuse
Investigated a financial abuse allegation and found a resident was not protected from wrongful taking of money.
Abuse—Failed to protect resident from financial exploitation
27 Mar 2018Inspection
27 Mar 2018Inspection
Determined that the care plan wasn't followed when a resident exhibited aggressive physical behaviors. A $375 fine was assessed.
Licensing—Failed to follow care plan
05 Feb 2018Abuse: Neglect
05 Feb 2018Abuse: Neglect
Found deficiencies for failure to monitor and intervene in change of condition, evidenced by recent multiple falls and unsafe behavior; a $1500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
05 Feb 2018Inspection
05 Feb 2018Inspection
Concluded the allegation of failure to report potential or suspected abuse; a civil penalty was assessed.
Licensing—Failed to report potential or suspected abuse
10 Jan 2018Abuse: Neglect
10 Jan 2018Abuse: Neglect
Investigated and found that medications were not administered as prescribed, resulting in emotional distress, and a $375 fine was assessed.
Abuse—Failed to follow care plan
10 Jan 2018Inspection
10 Jan 2018Inspection
Identified a failure to report potential or suspected abuse and assessed a civil penalty.
Licensing—Failed to report potential or suspected abuse
19 Dec 2017Abuse: Neglect
19 Dec 2017Abuse: Neglect
Found safety deficiencies after an incident in which an RV slipped on a flooded bathroom floor, resulting in a broken kneecap. A fine was assessed.
Abuse—Failed to follow care plan
08 Nov 2017Inspection
08 Nov 2017Inspection
Investigated an allegation of failing to provide a safe environment and found non-compliance, with a $200 fine assessed.
Licensing—Failed to provide safe environment
28 Oct 2017Abuse: Neglect
28 Oct 2017Abuse: Neglect
Investigated a complaint and determined that care was not provided properly, resulting in a resident fall with injury.
Abuse—Failed to properly plan care
07 Sept 2017Inspection
07 Sept 2017Inspection
Found out of compliance after investigating an allegation of failing to provide service; a $200 fine was assessed.
Licensing—Failed to provide service
26 Aug 2017Abuse: Neglect
26 Aug 2017Abuse: Neglect
Investigated a failure to follow the care plan for shower care, resulting in a resident fall with a bruise and pain.
Abuse—Failed to follow care plan
15 Jun 2017Inspection
15 Jun 2017Inspection
Found that the care plan was not followed, leading to a resident striking another resident with a cane.
Licensing—Failed to follow care plan
09 Jun 2017Inspection
09 Jun 2017Inspection
Found a safety deficiency after a resident pushed another away from a table game, causing emotional distress.
Licensing—Failed to follow care plan
12 Apr 2017Abuse: Neglect
12 Apr 2017Abuse: Neglect
Found that fall-related care was not adequately planned, leading to injuries; a $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
26 Mar 2017Inspection
26 Mar 2017Inspection
Found a violation for failing to provide a safe environment after a resident threw an object and waved a cane at another, causing brief emotional distress.
Licensing—Failed to provide safe environment
01 Dec 2016Inspection
01 Dec 2016Inspection
Found a deficiency in providing palatable food.
Licensing—Failed to provide proper food/nutrition
21 Aug 2016Abuse: Neglect
21 Aug 2016Abuse: Neglect
Determined that oversight and monitoring of changes in condition were not provided. Found that assessments and interventions were not appropriate.
Abuse—Failed to provide oversight and monitoring of change of condition
25 Jul 2016Inspection
25 Jul 2016Inspection
Found a deficiency in planning care.
Licensing—Failed to properly plan care
13 Jul 2016Inspection
13 Jul 2016Inspection
Found that residents were not protected from inappropriate verbal comments.
Licensing—Failed to properly plan care
02 Jun 2016Abuse: Neglect
02 Jun 2016Abuse: Neglect
Investigated an allegation of neglect and found that the care plan was not followed, creating potential for harm.
Abuse—Failed to follow care plan
06 Apr 2016Abuse: Neglect
06 Apr 2016Abuse: Neglect
Identified inadequate care planning related to falls. A $300 fine was assessed.
Abuse—Failed to adequately care plan related to falls
24 Oct 2015Abuse: Neglect
24 Oct 2015Abuse: Neglect
Found that staff did not follow the resident's care plan during a two-person transfer, resulting in an assisted fall and a sprained ankle.
Abuse—Failed to follow care plan
19 Oct 2015Inspection
19 Oct 2015Inspection
Found failure to self-report potential or suspected abuse, a licensing violation.
Licensing—Failed to report potential or suspected abuse
01 Oct 2015Abuse: Financial abuse
01 Oct 2015Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to prevent theft of $40.
Abuse—Failed to provide safe environment
29 Apr 2015Abuse: Financial abuse
29 Apr 2015Abuse: Financial abuse
Investigated a financial abuse allegation and found a failure to prevent theft of cash. A $300 fine was assessed.
Abuse—Failed to provide safe environment
21 Apr 2015Abuse: Financial abuse
21 Apr 2015Abuse: Financial abuse
Determined that a safe environment was not provided and theft of cash from an RV occurred.
Abuse—Failed to provide safe environment
21 Apr 2015Abuse: Neglect
21 Apr 2015Abuse: Neglect
Investigated the allegation and found a failure to provide medication as ordered.
Abuse—Failed to provide a safe medication administration system
15 Feb 2015Abuse: Neglect
15 Feb 2015Abuse: Neglect
Investigated and found a failure to adequately assess and intervene after a resident fall.
Abuse—Failed to perform adequate screening or assessment
12 Feb 2015Abuse: Financial abuse
12 Feb 2015Abuse: Financial abuse
Investigated the allegation of failing to provide a safe environment and found that a resident's pain medication was not adequately protected from theft.
Abuse—Failed to provide safe environment
06 Feb 2015Abuse: Financial abuse
06 Feb 2015Abuse: Financial abuse
Found a failure to prevent theft of a resident's personal property, indicating financial abuse with minor harm potential.
Abuse—Failed to provide safe environment
25 Nov 2014Abuse: Financial abuse
25 Nov 2014Abuse: Financial abuse
Investigated an allegation of financial abuse and a failure to provide a safe environment. Found that a resident was not protected from theft.
Abuse—Failed to provide safe environment
14 Oct 2014Abuse: Financial abuse
14 Oct 2014Abuse: Financial abuse
Investigated and found a failure to prevent misappropriation of residents' PRN pain meds.
Abuse—Failure to provide a system that prevents theft or misuse of medication
11 Jun 2014Inspection
11 Jun 2014Inspection
Found a safety and security deficiency. Theft of residents' funds occurred.
Licensing—Failed to provide safe environment
24 Apr 2014Abuse: Neglect
24 Apr 2014Abuse: Neglect
Investigated a neglect allegation and found inadequate screening or assessment that contributed to skin breakdown.
Abuse—Failed to perform adequate screening or assessment
19 Mar 2013Abuse: Physical Abuse
19 Mar 2013Abuse: Physical Abuse
Investigated an allegation of physical abuse and found a failure to prevent rough handling of a resident.
Abuse—Failed to protect resident from rough treatment
21 Feb 2013Abuse: Neglect
21 Feb 2013Abuse: Neglect
Investigated an allegation of neglect due to failure to oversee and monitor change of condition; identified violations and assessed a $300 fine.
Abuse—Failed to provide oversight and monitoring of change of condition
05 Feb 2013Abuse: Financial abuse
05 Feb 2013Abuse: Financial abuse
Investigated and found a failure to protect residents from financial exploitation, specifically misappropriation of funds.
Abuse—Failed to protect resident from financial exploitation
06 Jul 2012Inspection
06 Jul 2012Inspection
Determined there was a failure to provide a safe medication administration system and that medications were diverted.
Licensing—Failed to provide a safe medication administration system
10 Jan 2012Abuse: Neglect
10 Jan 2012Abuse: Neglect
Investigated the allegation of neglect and found failure to follow the care plan, resulting in inadequate care.
Abuse—Failed to follow care plan
28 Nov 2011Abuse: Neglect
28 Nov 2011Abuse: Neglect
Found failure to provide appropriate care due to inadequate oversight and monitoring of change of condition.
Abuse—Failed to provide oversight and monitoring of change of condition
04 Nov 2010Inspection
04 Nov 2010Inspection
Found failure to provide appropriate care. Violations cited under multiple rules.
Licensing—Failed to provide service
10 Sept 2010Abuse: Neglect
10 Sept 2010Abuse: Neglect
Investigated and found improper administration of medication to a resident, indicating neglect.
Abuse—Failed to have medication available
26 Aug 2010Abuse: Neglect
26 Aug 2010Abuse: Neglect
Investigated a neglect allegation and found neglect due to failure to follow the care plan, with minor harm or potential for moderate harm.
Abuse—Failed to follow care plan
18 Jul 2010Inspection
18 Jul 2010Inspection
Investigated the allegation and found that medication was not provided as ordered.
Licensing—Failed to have medication available
17 May 2010Inspection
17 May 2010Inspection
Found that appropriate care was not provided.
Licensing—Failed to follow care plan
13 May 2010Inspection
13 May 2010Inspection
Investigated the allegation of unsafe medication administration and found a safe system was not provided.
Licensing—Failed to provide a safe medication administration system
04 May 2010Inspection
04 May 2010Inspection
Found a licensing deficiency for failing to properly plan care and provide a safe environment.
Licensing—Failed to properly plan care
04 May 2010Inspection
04 May 2010Inspection
Investigated a care plan violation and found that appropriate care was not provided when someone was sent outside in a bad condition.
Licensing—Failed to follow care plan
22 Mar 2010Inspection
22 Mar 2010Inspection
Identified a deficiency for failing to properly plan and provide care to a resident.
Licensing—Failed to properly plan care
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