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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
3.96·(67)
Overall rating
5
4
3
2
1
Care
3.9
Staff
4.0
Meals
3.1
Amenities
2.9
Value
2.8
Pros
Compassionate, attentive caregiving staff
Engaged, experienced activities program
Friendly and professional admissions/front-desk team
Clean and recently remodeled common areas
Pleasant residential setting and ample parking
Private bathrooms and in-room refrigerators/microwaves
Regular social events (music, ice cream socials, family events)
Good food quality for many residents
Efficient admissions and move-in coordination
Medicaid spend-down acceptance
Long-tenured activities leadership
Staff familiarity with residents by name
Spacious lobby and attractive grounds
On-site memory care option
Positive family communication in many cases
Cons
Variable staffing levels, particularly in memory care
Inconsistent staff training and experience across units
Inconsistent meal-service continuity and timeliness
Gaps in medication administration and clinical follow-through
Sanitation and odor concerns in some memory-care areas
Small private rooms with limited in-room furnishings
Uneven activity engagement between assisted living and memory care
Perceived poor value for some memory-care fee structures
Inconsistent leadership responsiveness and follow-through
Contract and service-point billing transparency issues
Inadequate guardianship, mail, and legal-document handling processes
Slower-than-expected safety-response and call-button responsiveness
Low staff compensation contributing to retention risk
Incomplete outdoor connectivity during remodeling
Insufficient oversight of third-party financial interactions
Summary of reviews
Tanner Spring presents as a community with notable strengths alongside recurrent operational concerns. Many families praise the caregiving staff for compassion and attentiveness, and admissions/tour experiences are frequently described as professional and well managed. The activities program is a consistent positive — reviewers highlight an active calendar, long-tenured leadership, and regular social events such as music and ice cream socials. The property itself receives favorable comments for its pleasant, residential setting, recently remodeled common areas, spacious lobby, and practical in-room features (private bathrooms, fridge/microwave), and the community accepts Medicaid spend-down, which adds financial flexibility for some families.
Care quality descriptions are mixed. Assisted living is often characterized as well staffed, attentive, and responsive; memory care elicits more variability. Several families described experienced, compassionate caregivers in memory care, but others noted lower staffing levels, less experienced staff, and sanitation/odor concerns in parts of the memory-care unit. Clinical-process issues appear in multiple areas: reviewers cited missed or inconsistent medication administration, delays in responding to call buttons, and inconsistent follow-through on clinical orders. These items suggest gaps in clinical oversight and in operational reliability that prospective families should evaluate directly.
Dining impressions vary. Many residents and families described good, enjoyable meals and a wide variety, while other accounts note long waits, occasionally forgotten meals, and blandness related to dietary restrictions. Meal continuity and timeliness appear to be inconsistent between shifts or units, indicating that meal service reliability may depend on staffing and operational coordination on a given day.
Activities and social engagement are frequently cited as a strength in assisted living: staff often invite and involve residents, and activities leadership is described as energetic and experienced. However, activity engagement in memory care is uneven according to reviews; some families emphasize inclusive programming, while others describe limited engagement for memory-care residents. Prospective residents should ask about current activity schedules, staffing for activities in memory care, and how programming is adapted for cognitive needs.
Facility-level observations include generally clean, updated common areas and attractive grounds, but reviewers also report small private rooms with limited furnishings in some units and temporary disruptions from remodeling (equipment removal, incomplete walking-path connectivity). Memory care spaces were sometimes described as less updated and, in certain reports, having sanitation and odor concerns. These mixed descriptions suggest that condition and upkeep can vary by unit and that an in-person inspection of memory care areas is recommended.
Management and administrative issues are a notable pattern. While some families praise the admissions team and specific staff members for smooth move-ins and excellent communication, others describe inconsistent leadership responsiveness, broken promises about services, lack of transparency around contracts and service-point billing, and problematic handling of guardianship or legal-document processes (mail handling, notifications, and verification). There are also concerns about low staff pay contributing to turnover risk, and about oversight of third-party financial interactions related to residents’ estates or guardianship arrangements.
Overall pattern: experiences at Tanner Spring are polarized. Assisted living frequently receives strong, positive feedback for staff, activities, food, and setting. Memory care shows wider variability, with recurrent operational themes around staffing levels, staff experience, sanitation/odor control, medication and response reliability, and administrative transparency. Prospective residents and families should prioritize an in-person inspection of the memory-care unit, request current staffing ratios and turnover metrics, obtain written agreements for billed service points, review medication-administration protocols, and clarify guardianship/mail-handling procedures before contracting. Direct observation and clear, written commitments from management will help determine whether the community’s strengths align with a particular resident’s needs.
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Location
Tanner Spring Assisted Living & Memory Care is located at 23000 Horizon Dr, West Linn, OR, 97068.
About Tanner Spring Assisted Living & Memory Care
Tanner Spring Assisted Living offers a warm and welcoming environment where residents truly thrive by embracing life each day. The tranquil atmosphere of the community is thoughtfully designed to promote holistic well-being, supporting not just physical health, but also emotional fulfillment and social engagement. Residents at Tanner Spring are encouraged to participate actively in day-to-day activities, surrounded by a team of compassionate caregivers who take pride in fostering a loving and supportive environment.
One of the distinguishing features of Tanner Spring Assisted Living is its innovative use of advanced technology to personalize each resident’s care plan. Cutting-edge AI supports the team in anticipating health concerns, providing proactive interventions, and helping residents maintain their healthiest and fullest lives. With a focus on safety and responsiveness, the community employs smart connected devices to monitor vital health indicators such as sleep patterns, heart rates, posture changes, and more. This system enables instant detection of falls, prompt alerting of the care team for quick response, and analysis to better understand risk trends, including potential urinary tract infections, bone density declines, and increasing frailty. By identifying possible health issues before they become problems, the community ensures a safer and more responsive environment for all who live there.
Families are kept closely connected and reassured through proactive notifications about their loved one's health and well-being. This high level of communication not only fosters stronger family bonds but also provides valuable peace of mind. Residents benefit from these innovations through personalized care, early interventions, and an overall sense of security, allowing them to enjoy life confidently and comfortably.
Tanner Spring Assisted Living also offers a variety of thoughtfully designed floor plans to meet the diverse needs and preferences of its residents—options range from cozy, intimate spaces ideal for private relaxation to layouts that foster opportunities for connection and socialization with friends and family. Emergency assistance is available around the clock, ensuring peace of mind at all times. The vibrant activity calendar is robust with engaging social, physical, and creative programs to keep residents active and fulfilled. Dining at Tanner Spring is not only about quality nutrition but also about the pleasure of sharing delicious meals in comfortable, welcoming spaces.
Personalized care is at the heart of the Tanner Spring experience, with every resident receiving support uniquely tailored to their daily living requirements and individual personalities. The community is committed to setting the standard of excellence in senior living by combining top-tier amenities, attentive service, and innovative health technologies. Whether for assisted living or memory care, Tanner Spring provides an opportunity to craft an ideal living experience shaped by comfort, dignity, and a strong sense of belonging. Here, seniors find far more than a place to live—they discover a thriving, supportive community that feels like home.
People often ask...
Tanner Spring Assisted Living & Memory Care offers competitive pricing, with rates starting at a cost of $6,080 per month.
Tanner Spring Assisted Living & Memory Care offers independent living, assisted living, and memory care.
There are 21 photos of Tanner Spring Assisted Living & Memory Care on Mirador.
Yes, Tanner Spring Assisted Living & Memory Care allows residents to age in place and adjust their level of care as needed.
The full address for this community is 23000 Horizon Dr, West Linn, OR 97068.
No, Tanner Spring Assisted Living & 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 found failure to reassess a resident's care needs after rehabilitation and to complete a fall-risk evaluation, leading to a fall with serious injuries. A $1,500 fine was assessed.
Abuse—Failed to properly plan care
04 Feb 2026Kitchen
04 Feb 2026Kitchen
Identified deficiencies in kitchen sanitation and food storage, and in administration compliance.
Deficiency—Inspections and Investigation: Insp Interval
12 Dec 2025License Condition
12 Dec 2025License Condition
Found failure to develop, maintain, and implement an acuity-based staffing tool.
Regulatory Action—Failed to staff as indicated by ABST
21 Oct 2025Complaint
21 Oct 2025Complaint
Investigated a licensing complaint and reviewed compliance with state regulations for residential care and assisted living. The investigation covered staffing requirements and service planning.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Staffing Requirements and Training: Staffing
22 Jun 2025Inspection
22 Jun 2025Inspection
Determined that a caregiver failed to follow the resident's toileting care plan, causing an unwitnessed fall and injury, and found that a safe environment was not provided.
Licensing—Failed to provide safe environment
22 Jan 2025Kitchen
22 Jan 2025Kitchen
Identified sanitation deficiencies in kitchen practices, including dirty equipment and unlabeled foods, with improper beard restraints observed.
Investigated staffing and identified deficiencies in meeting ABST-indicated levels, with inconsistencies between the staffing schedule and ABST data that left resident needs unmet.
Licensing—Failed to staff as indicated by ABST
16 Dec 2024Inspection
16 Dec 2024Inspection
Investigated and found that an employee stole two checks from the alleged victim and cashed them for personal gain totaling $600, and that there was a failure to provide a safe environment.
Licensing—Failed to provide safe environment
23 Nov 2024Inspection
23 Nov 2024Inspection
Found staffing levels inconsistent with the ABST and not sufficient to meet resident needs. The ABST data did not align with the staffing schedule, indicating a rule violation.
Licensing—Failed to staff as indicated by ABST
25 Oct 2024Inspection
25 Oct 2024Inspection
Investigated the staffing allegation and found inconsistent staffing levels compared to the ABST guidance, indicating insufficient staffing to meet resident needs.
Licensing—Failed to staff as indicated by ABST
18 Oct 2024Inspection
18 Oct 2024Inspection
Investigated a financial exploitation allegation; found that an employee stole and cashed two checks totaling $1,500 and did not provide a safe environment for the resident.
Licensing—Failed to provide safe environment
09 Oct 2024Inspection
09 Oct 2024Inspection
Found that two checks totaling $700 were cashed without authorization by an employee, constituting financial exploitation and a failure to provide a safe environment.
Licensing—Failed to provide safe environment
29 Sept 2024Inspection
29 Sept 2024Inspection
Investigated a violation alleging failure to protect a resident's property, resulting in theft and financial exploitation.
Licensing—Failed to provide safe environment
23 Sept 2024License Condition
23 Sept 2024License Condition
Identified deficiencies in estimating ADL time and using an acuity-based staffing tool to plan for 24-hour resident needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
22 Jul 2024Licensure
22 Jul 2024Licensure
Identified multiple deficiencies across resident rights, care planning, condition monitoring, staffing, health services, and safety, later resulting in substantial compliance after follow-up.
Deficiency—Comment
Deficiency—Resident Rights and Protection - General
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Acuity-Based Staffing Tool
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Individual Rights Settings: Privacy, Dignity
Deficiency—Individual Privacy: Own Unit
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
22 Jul 2024Licensure
22 Jul 2024Licensure
The review found multiple deficiencies across clinical care, medication management, staffing, fire safety, and facility operations, with substantial compliance achieved after follow-up. Key issues included failure to monitor changes in condition, gaps in medication orders and self-administration, staffing planning inaccuracies, incomplete staff training, and fire safety documentation shortcomings.
Deficiency—Comment
Deficiency—Change of Condition and Monitoring
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Self-Administration of Meds
Deficiency—Acuity-Based Staffing Tool
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—General Building Exterior
Deficiency—House Keeping and Sanitation
Deficiency—Integrated Settings: Community Life
Deficiency—Integrated Settings: Services
12 Jul 2024Abuse: Neglect
12 Jul 2024Abuse: Neglect
Investigated an elopement incident and found inadequate supervision that allowed a resident to leave the secured area, placing them at risk of harm.
Abuse—Failed to provide safe environment
18 Jun 2024Abuse: Neglect
18 Jun 2024Abuse: Neglect
Investigated the allegation and found a failure to provide a safe environment by not monitoring a new roommate, which led to a physical altercation and unreasonable discomfort; a fine was assessed.
Abuse—Failed to provide safe environment
20 Mar 2024Inspection
20 Mar 2024Inspection
Identified a deficiency in supervision that allowed an individual to elope from the secured area and be at risk of harm; the person was later found safe nearby with no injuries.
Licensing—Failed to provide safe environment
15 Feb 2024Abuse: Neglect
15 Feb 2024Abuse: Neglect
Investigated and found staff forcibly transferred a resident, leading to a physical altercation and emotional harm; resident rights were violated and safety concerns identified.
Abuse—Failed to provide safe environment
15 Feb 2024Abuse: Neglect
15 Feb 2024Abuse: Neglect
Investigated a complaint and found failures to plan care and provide appropriate supervision for falls, resulting in multiple unwitnessed falls and resident discomfort. This constitutes neglect and abuse.
Abuse—Failed to properly plan care
11 Feb 2024Abuse: Neglect
11 Feb 2024Abuse: Neglect
Found neglect and abuse due to failure to supervise a resident who eloped twice, resulting in a fine.
Abuse—Failed to provide safe environment
28 Jan 2024Inspection
28 Jan 2024Inspection
Investigated the allegation of an unsafe environment leading to elopement; the unit's magnetized locks were inoperable due to fire-system issues after a pipe burst, with no injuries reported.
Licensing—Failed to provide safe environment
26 Jan 2024Abuse: Neglect
26 Jan 2024Abuse: Neglect
Found failures to supervise a resident and secure exits, resulting in the resident being found outside the secured area unsupervised.
Abuse—Failed to provide safe environment
16 Jan 2024Abuse: Neglect
16 Jan 2024Abuse: Neglect
Concluded that inadequate supervision allowed an elopement and exposure to freezing temperatures; a fine was assessed.
Abuse—Failed to provide safe environment
12 Dec 2023Licensure
12 Dec 2023Licensure
Identified deficiencies in kitchen sanitation practices, including grease and dust buildup and inadequate hair restraints; a follow-up found substantial compliance.
Identified deficiencies in kitchen sanitation practices, including grease buildup on hoods, dust on vents and ceilings, and improper hair/beard restraints. A follow-up visit determined substantial compliance with applicable rules.
Found deficiencies in care planning and interventions that led to multiple falls and injuries, with a fine assessed.
Abuse—Failed to properly plan care
13 Nov 2023Complaint
13 Nov 2023Complaint
Identified privacy rights violations, emergency-response policy gaps, and staffing shortages based on the investigation.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Rights and Protection - General
Deficiency—Resident Health Services
Deficiency—Acuity-Based Staffing Tool
11 Aug 2023Abuse: Neglect
11 Aug 2023Abuse: Neglect
Investigated an allegation of unsafe environment. Found insufficient supervision that allowed a resident to elope, risking harm.
Abuse—Failed to provide safe environment
24 Mar 2023License Condition
24 Mar 2023License Condition
Identified failure to fully implement and update the Acuity Based Staffing Tool as required by the rule.
Regulatory Action—Failed to staff as indicated by ABST
24 Mar 2023License Condition
24 Mar 2023License Condition
Investigated and identified a failure to provide service.
Regulatory Action—Failed to provide service
24 Mar 2023License Condition
24 Mar 2023License Condition
Investigated the complaint that medications were administered 2-3 hours late and found that medication and treatment orders were not carried out as prescribed.
Regulatory Action—Failed to administer medication as ordered
24 Mar 2023License Condition
24 Mar 2023License Condition
Investigated an allegation that licensing was not obtained. Found a failure to obtain a facility license and to maintain licensure as a separate and distinct operation.
Regulatory Action—Failed to obtain a facility license
24 Mar 2023License Condition
24 Mar 2023License Condition
Found that an ABST was not used as required by the rule.
Regulatory Action—Failed to use an ABST
24 Mar 2023License Condition
24 Mar 2023License Condition
Determined that direct care staffing was not sufficient to meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
24 Mar 2023License Condition
24 Mar 2023License Condition
Found that direct care staff were not sufficient to meet residents' scheduled and unscheduled needs.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
21 Mar 2023Inspection
21 Mar 2023Inspection
Identified a violation of residents' privacy and dignity protections.
Licensing—Failed to provide safe environment
26 Feb 2023Abuse: Neglect
26 Feb 2023Abuse: Neglect
Investigated an abuse allegation and found a failure to provide appropriate supervision, which allowed a resident to elope from a secured area and risk harm.
Abuse—Failed to provide safe environment
10 Feb 2023Abuse: Neglect
10 Feb 2023Abuse: Neglect
Found violations of safety and resident rights, including physical abuse and financial exploitation, and assessed a $250 fine.
Abuse—Failed to provide safe environment
08 Feb 2023Inspection
08 Feb 2023Inspection
Found failure to fully implement an acuity-based staffing tool, constituting a licensing violation.
Licensing—Failed to staff as indicated by ABST
01 Feb 2023Abuse: Neglect
01 Feb 2023Abuse: Neglect
Found neglect due to failure to follow the care plan, causing a resident to sit in feces and urine for several hours and endure significant discomfort and loss of dignity.
Abuse—Failed to follow care plan
30 Jan 2023Complaint
30 Jan 2023Complaint
Investigated and found multiple deficiencies. The operation did not maintain separate facilities, lacked a full-time licensed administrator on-site, and had staffing and acuity-based planning problems.
Deficiency—Licensing Complaint Investigation
Deficiency—Licensing Standard
Deficiency—Infection Prevention & Control
Deficiency—Administrator Qualification and Requirements
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
30 Jan 2023Complaint
30 Jan 2023Complaint
Identified deficiencies in providing daily living assistance, service planning, medication administration, and staffing to meet resident needs.
Deficiency—Licensing Complaint Investigation
Deficiency—Resident Services: Adls
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
23 Jan 2023Inspection
23 Jan 2023Inspection
Found that a full-time on-site administrator was not scheduled to be present for at least 40 hours per week.
Licensing—Failed to provide appropriate staffing
17 Jan 2023Inspection
17 Jan 2023Inspection
Found insufficient awake direct care staff to meet residents' 24-hour needs, creating a safety hazard.
Licensing—Failed to provide safe environment
17 Jan 2023Inspection
17 Jan 2023Inspection
Investigated a complaint and found failure to provide personal hygiene assistance. This violated Oregon Administrative Rules.
Licensing—Failed to provide service
12 Jan 2023Inspection
12 Jan 2023Inspection
Identified insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled resident needs, creating a safety risk.
Licensing—Failed to provide appropriate staffing
12 Jan 2023Inspection
12 Jan 2023Inspection
Investigated the allegation that daily living assistance was not provided; found failure to assist with bathing, washing hair, toileting, and bowel/bladder management.
Licensing—Failed to provide service
09 Jan 2023Inspection
09 Jan 2023Inspection
Investigated a licensing allegation and found a failure to implement written policies and procedures on medical emergency response for all shifts.
Licensing—Failed to provide safe environment
08 Dec 2022Complaint
08 Dec 2022Complaint
Investigated a complaint and found multiple deficiencies related to grievances, records, room cleanliness and safety, service plans, medication administration, and ABST updates.
Deficiency—Resident Rights and Protection - General
Deficiency—Resident Services: Adls
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
13 Nov 2022Abuse: Neglect
13 Nov 2022Abuse: Neglect
Investigated the allegation of neglect and found staff were not properly trained by a medical professional for a two-person transfer using a hoyer lift, leading to a resident injury.
Abuse—Failed to provide safe environment
09 Nov 2022Licensure
09 Nov 2022Licensure
Determined substantial compliance with the applicable meal service and food sanitation rules. Found no deficiencies.
Deficiency—Comment
09 Nov 2022Licensure
09 Nov 2022Licensure
Determined substantial compliance with meals and food sanitation requirements. No deficiencies cited.
Deficiency—Comment
03 Sept 2022Inspection
03 Sept 2022Inspection
Found failure to update ABST quarterly, creating a potential safety risk.
Licensing—Failed to update staffing plan based on ABST
03 Sept 2022Abuse: Neglect
03 Sept 2022Abuse: Neglect
Identified failures to implement interventions and care planning for a resident's fall history, leading to a fall and injury requiring hospital care.
Abuse—Failed to properly plan care
03 Sept 2022Abuse: Neglect
03 Sept 2022Abuse: Neglect
Concluded neglect and abuse occurred due to failure to plan care and provide supervision for a resident with a history of falls, leading to several falls with injuries.
Abuse—Failed to properly plan care
03 Sept 2022Inspection
03 Sept 2022Inspection
Identified failure to provide a safe environment and essential household services, resulting in a licensing violation.
Licensing—Failed to provide safe environment
03 Sept 2022Abuse: Neglect
03 Sept 2022Abuse: Neglect
Investigated the complaint and found failure to provide or assist with hygiene, causing discomfort and loss of dignity for the resident. A fine of 3500 dollars was assessed.
Abuse—Failed to provide or assist with hygiene
03 Sept 2022Abuse: Neglect
03 Sept 2022Abuse: Neglect
Investigated a complaint and found failure to assist with eating, resulting in risk of harm to a resident.
Abuse—Failed to assist with eating
30 Aug 2022Abuse: Neglect
30 Aug 2022Abuse: Neglect
Found a failure to implement interventions and monitor a resident, leading to a physical altercation and neglect/abuse; a fine was assessed.
Abuse—Failed to provide safe environment
02 Aug 2022Abuse: Neglect
02 Aug 2022Abuse: Neglect
Identified neglect of care due to failing to administer medication as ordered and unsafe medication storage that left discontinued medications in the cart.
Abuse—Failed to provide a safe medication administration system
06 Jun 2022Abuse: Neglect
06 Jun 2022Abuse: Neglect
Investigated abuse and neglect where failure to monitor a resident led to a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
05 Jun 2022Abuse: Neglect
05 Jun 2022Abuse: Neglect
Found that the licensee failed to implement interventions and monitor residents according to known behaviors, resulting in a physical altercation and harm to a resident.
Abuse—Failed to provide safe environment
24 May 2022Abuse: Neglect
24 May 2022Abuse: Neglect
Found neglect due to insufficient supervision that allowed a person to elope from a secured building, risking harm.
Abuse—Failed to provide safe environment
18 May 2022Inspection
18 May 2022Inspection
Identified a failure to establish and maintain infection prevention and control protocols, resulting in an unsafe environment.
Licensing—Failed to provide infection control
22 Apr 2022Inspection
22 Apr 2022Inspection
Investigated the allegation of failing to properly plan care and found that quarterly service plans were not performed.
Licensing—Failed to properly plan care
22 Apr 2022Inspection
22 Apr 2022Inspection
Found resident records were not prepared, complete, accurate, or preserved. The finding involved a licensing violation.
Licensing—Failed to make facility or resident records accessible
20 Apr 2022Inspection
20 Apr 2022Inspection
Investigated an allegation of a safe medication administration system and found that medication orders were not carried out as prescribed, indicating a deficient system.
Licensing—Failed to provide a safe medication administration system
10 Apr 2022Abuse: Neglect
10 Apr 2022Abuse: Neglect
Investigated an allegation of unsafe medication administration and found a deficient system that caused unnecessary discomfort, indicating neglect and abuse.
Abuse—Failed to provide a safe medication administration system
01 Apr 2022Abuse: Neglect
01 Apr 2022Abuse: Neglect
Investigated and found that care planning and supervision for a resident with known fall risk were inadequate, leading to an unwitnessed fall and injuries.
Abuse—Failed to properly plan care
01 Apr 2022Abuse: Neglect
01 Apr 2022Abuse: Neglect
Found violations related to care planning that led to an unwitnessed fall and hospice care; a $3,000 fine was assessed.
Abuse—Failed to properly plan care
24 Mar 2022Abuse: Neglect
24 Mar 2022Abuse: Neglect
Found neglect of care due to failure to provide timely peri-care, leaving incontinence briefs unchanged and causing discomfort; a fine was assessed.
Abuse—Failed to provide peri care
23 Mar 2022Inspection
23 Mar 2022Inspection
Found failure to provide a safe environment that could threaten residents' health, safety, or welfare.
Licensing—Failed to provide safe environment
23 Mar 2022Inspection
23 Mar 2022Inspection
Found failure to develop and implement a written policy prohibiting falsification of records.
Licensing—Falsified records
23 Mar 2022Inspection
23 Mar 2022Inspection
Found that a resident was not treated with respect and dignity and that a homelike environment was not provided.
Licensing—Failed to provide a homelike environment
23 Mar 2022Inspection
23 Mar 2022Inspection
Investigated the allegation of an unsafe environment and found deficiencies in how resident complaints were addressed and resolved.
Licensing—Failed to provide safe environment
17 Mar 2022Abuse: Neglect
17 Mar 2022Abuse: Neglect
Identified a failure to provide a safe medication administration system that caused resident discomfort; a $500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
15 Mar 2022Abuse: Neglect
15 Mar 2022Abuse: Neglect
Determined that care planning and fall-risk interventions were not adequately addressed, resulting in a fall and a broken femur. A fine was assessed.
Abuse—Failed to properly plan care
03 Mar 2022Abuse: Neglect
03 Mar 2022Abuse: Neglect
Found a deficient medication administration system due to inadequate staff training, resulting in the wrong medication being given to a resident.
Abuse—Failed to provide a safe medication administration system
06 Jan 2022Inspection
06 Jan 2022Inspection
Found a deficiency for failing to protect a resident's property from theft, allowing jewelry to go missing. The finding involved an unknown individual and financial exploitation.
Licensing—Failed to provide safe environment
25 Dec 2021Abuse: Neglect
25 Dec 2021Abuse: Neglect
Investigated a neglect allegation and found failure to provide a safe environment resulting in risk of serious injury; a $375 fine was assessed.
Abuse—Failed to provide safe environment
15 Nov 2021Abuse: Neglect
15 Nov 2021Abuse: Neglect
Determined that supervision was inadequate, leaving a resident unsafely without assistance and at risk of harm.
Abuse—Failed to provide safe environment
12 Nov 2021Abuse: Neglect
12 Nov 2021Abuse: Neglect
Investigated and found substantiated neglect and abuse due to failure to implement interventions and care planning for a resident's fall history, resulting in an unwitnessed fall with pain.
Abuse—Failed to provide safe environment
12 Nov 2021Abuse: Neglect
12 Nov 2021Abuse: Neglect
Concluded that fall-risk care planning was inadequate, leading to an unwitnessed fall and three prior falls. A fine of $375 was assessed.
Abuse—Failed to properly plan care
02 Nov 2021Abuse: Neglect
02 Nov 2021Abuse: Neglect
Found neglect and abuse due to failure to assess cognitive status and wandering risk, with a fine assessed. The care-planning failure left a resident at risk of harm.
Abuse—Failed to properly plan care
11 Oct 2021Abuse: Neglect
11 Oct 2021Abuse: Neglect
Investigated the alleged failure to oversee and monitor a resident's change in condition; found neglect and abuse due to insufficient supervision, resulting in an unwitnessed fall and injuries.
Abuse—Failed to provide oversight and monitoring of change of condition
27 Sept 2021Abuse: Neglect
27 Sept 2021Abuse: Neglect
Found a failure to provide a safe environment, resulting in neglect and abuse.
Abuse—Failed to provide safe environment
26 Sept 2021Abuse: Neglect
26 Sept 2021Abuse: Neglect
Determined neglect and abuse occurred due to failure to implement care planning and interventions for aggressive behavior toward a resident; a fine was assessed.
Abuse—Failed to properly plan care
23 Sept 2021Abuse: Neglect
23 Sept 2021Abuse: Neglect
Identified a failure to provide a safe environment that harmed a resident, constituting abuse and neglect. A $500 fine was assessed.
Abuse—Failed to provide safe environment
23 Sept 2021Abuse: Neglect
23 Sept 2021Abuse: Neglect
Found a violation for failing to provide a safe environment, resulting in a $500 fine.
Abuse—Failed to provide safe environment
23 Sept 2021Abuse: Neglect
23 Sept 2021Abuse: Neglect
Found a failure to provide a safe environment that resulted in a resident bruise; a $500 fine was assessed.
Abuse—Failed to provide safe environment
19 Sept 2021Abuse: Neglect
19 Sept 2021Abuse: Neglect
Found neglect of care due to failure to plan for fall history, leading to an unwitnessed fall and hospital transfer; a $500 fine assessed.
Abuse—Failed to properly plan care
18 Sept 2021Abuse: Neglect
18 Sept 2021Abuse: Neglect
Investigated and concluded there was neglect due to failure to assess and monitor a change in condition, leading to increased refusals of care and discomfort. A timely urine sample was not obtained and a urinary tract infection was diagnosed later; a $500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
08 Sept 2021Abuse: Neglect
08 Sept 2021Abuse: Neglect
Investigated an allegation of neglect and abuse. Found that the resident was left in soiled briefs for about sixteen hours and care planning did not address toileting needs, causing unreasonable discomfort.
Abuse—Failed to properly plan care
24 Aug 2021Abuse: Neglect
24 Aug 2021Abuse: Neglect
Identified a resident safety violation due to failure to prevent elopement by a wandering resident; a fine was assessed.
Abuse—Failed to provide safe environment
15 Aug 2021Abuse: Neglect
15 Aug 2021Abuse: Neglect
Investigated and found failures to implement interventions and an appropriate care plan for aggressive behaviors, resulting in a resident-to-resident altercation and constituting neglect and abuse.
Abuse—Failed to provide safe environment
10 Aug 2021Abuse: Neglect
10 Aug 2021Abuse: Neglect
Determined that the care plan for close monitoring was not followed, resulting in abuse and neglect.
Abuse—Failed to follow care plan
25 Jul 2021Abuse: Neglect
25 Jul 2021Abuse: Neglect
Found neglect of a resident by staff due to long nails causing a skin tear, constituting abuse; a $500 fine was assessed.
Abuse—Failed to provide safe environment
25 Jul 2021Abuse: Neglect
25 Jul 2021Abuse: Neglect
Investigated the complaint and found abuse and neglect; a $500 fine was assessed.
Abuse—Failed to provide safe environment
24 Jul 2021Abuse: Neglect
24 Jul 2021Abuse: Neglect
Investigated and determined that the care plan was not followed, leading to an unwitnessed fall with minor harm or potential for moderate harm; a $500 fine was assessed.
Abuse—Failed to follow care plan
15 Jul 2021Abuse: Neglect
15 Jul 2021Abuse: Neglect
Investigated an incident involving a resident found in another resident's room with yogurt on themselves, the other resident, and the walls, and determined the care provided was not adequate to address the resident's behavior; a separate abuse allegation against a staff member was investigated and found not to involve abuse.
Abuse—Failed to properly plan care
12 Jul 2021Abuse: Neglect
12 Jul 2021Abuse: Neglect
Identified a failure to protect a resident from a resident-to-resident altercation that resulted in neglect and abuse.
Abuse—Failed to provide safe environment
12 Jul 2021Abuse: Neglect
12 Jul 2021Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in a bruise of unknown origin. Violations cited and a $250 fine assessed.
Abuse—Failed to provide safe environment
06 Jul 2021Abuse: Neglect
06 Jul 2021Abuse: Neglect
Investigated found neglect and abuse due to failure to properly plan care and address fall interventions after an unwitnessed fall, resulting in hospitalization.
Abuse—Failed to properly plan care
26 Jun 2021Abuse: Neglect
26 Jun 2021Abuse: Neglect
Found neglect and abuse due to failure to plan care and provide fall interventions and supervision, resulting in multiple falls and a head injury.
Abuse—Failed to properly plan care
25 Jun 2021Abuse: Neglect
25 Jun 2021Abuse: Neglect
Investigated allegations of abuse and neglect and found an unsafe environment due to a door not being closed, leading to a $250 fine.
Abuse—Failed to provide safe environment
24 Jun 2021Abuse: Neglect
24 Jun 2021Abuse: Neglect
Investigated the allegation of neglect and found failure to toilet the resident per the care plan during a shift, causing discomfort from a skin injury. A $375 fine was assessed.
Abuse—Failed to follow care plan
22 Jun 2021License Condition
22 Jun 2021License Condition
Found that needed/necessary services were not provided.
Regulatory Action—Failed to provide service
19 Jun 2021Abuse: Neglect
19 Jun 2021Abuse: Neglect
Investigated allegations of abuse and neglect; found failure to implement interventions and monitor a resident according to known behavior, leading to a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
19 Jun 2021Abuse: Neglect
19 Jun 2021Abuse: Neglect
Investigated a complaint and found neglect related to failure to plan and implement interventions for a resident's falls.
Abuse—Failed to properly plan care
16 Jun 2021Abuse: Neglect
16 Jun 2021Abuse: Neglect
Investigated and found an unwitnessed fall occurred and a safe environment was not provided, resulting in injury requiring hospital care.
Abuse—Failed to provide safe environment
08 Jun 2021Abuse: Neglect
08 Jun 2021Abuse: Neglect
Found neglect and abuse due to failure to follow the care plan, leaving a resident in soiled briefs and unclean.
Abuse—Failed to follow care plan
04 Jun 2021Abuse: Neglect
04 Jun 2021Abuse: Neglect
Identified a failure to provide a safe environment that caused discomfort, constituting abuse and neglect.
Abuse—Failed to provide safe environment
02 Jun 2021Abuse: Neglect
02 Jun 2021Abuse: Neglect
Found neglect due to failure to provide a safe environment, resulting in pain and markings during a resident-to-resident altercation.
Abuse—Failed to provide safe environment
28 May 2021Inspection
28 May 2021Inspection
Investigated a complaint about infection control and identified a failure to provide a safe environment.
Licensing—Failed to provide infection control
19 May 2021Inspection
19 May 2021Inspection
Found a deficiency in the medication administration system that placed a resident at risk. This involved neglect and abuse.
Licensing—Failed to provide a safe medication administration system
09 May 2021Abuse: Neglect
09 May 2021Abuse: Neglect
Found that a safe environment was not provided, resulting in abuse and neglect.
Abuse—Failed to provide safe environment
27 Apr 2021Inspection
27 Apr 2021Inspection
Identified insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs. The finding reflects staffing requirements under Oregon rules.
Licensing—Failed to provide appropriate staffing
16 Mar 2021Inspection
16 Mar 2021Inspection
Determined that a resident’s personal property went missing due to failure to protect it from theft, resulting in financial exploitation.
Licensing—Failed to protect resident from financial exploitation
15 Mar 2021Abuse: Neglect
15 Mar 2021Abuse: Neglect
Found violations for failing to plan care around a resident's history of aggression, contributing to abuse and neglect.
Abuse—Failed to properly plan care
04 Mar 2021Abuse: Neglect
04 Mar 2021Abuse: Neglect
Found neglect related to medication management and oxygen supply, with a fine assessed.
Abuse—Failed to administer medication as ordered
01 Feb 2021Abuse: Neglect
01 Feb 2021Abuse: Neglect
Investigated allegations found failure to plan care and implement fall-prevention interventions, leading to an unwitnessed fall and rib fractures.
Abuse—Failed to properly plan care
07 Dec 2020Inspection
07 Dec 2020Inspection
Determined that 24-hour assistance with daily living activities was not provided to a resident.
Licensing—Failed to provide service
07 Dec 2020Inspection
07 Dec 2020Inspection
Investigated the staffing allegation and found a deficiency in verifying direct care staff performance in assigned duties.
Licensing—Failed to provide appropriate staffing
23 Nov 2020Inspection
23 Nov 2020Inspection
Identified deficiencies in infection control practices risking COVID-19 spread, based on multiple visits; a $1500 fine was assessed.
Licensing—Failed to provide infection control
23 Nov 2020Inspection
23 Nov 2020Inspection
Investigated a licensing allegation and identified a deficiency for failing to provide resident services to assist with activities of daily living.
Licensing—Failed to provide service
23 Nov 2020Inspection
23 Nov 2020Inspection
Investigated and determined a failure to verify direct care staff performance occurred, constituting a violation.
Licensing—Failed to provide appropriate staffing
21 Nov 2020Abuse: Neglect
21 Nov 2020Abuse: Neglect
Found a failure to provide a safe environment resulting in abuse and neglect; a $500 fine assessed.
Abuse—Failed to provide safe environment
16 Nov 2020Inspection
16 Nov 2020Inspection
Investigated an allegation that services to assist residents were not provided. Found a failure to implement services in violation of state rules.
Licensing—Failed to provide service
16 Nov 2020Inspection
16 Nov 2020Inspection
Found insufficient staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
04 Nov 2020Inspection
04 Nov 2020Inspection
Identified a staffing deficiency due to insufficient qualified awake direct care staff to meet 24-hour scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
02 Nov 2020Inspection
02 Nov 2020Inspection
Found insufficient qualified awake direct care staff to meet 24-hour needs of residents.
Licensing—Failed to provide appropriate staffing
02 Nov 2020Inspection
02 Nov 2020Inspection
Found a failure to maintain required direct care staffing levels, with two direct care staff not scheduled and available at all times when two staff were needed.
Licensing—Failed to provide appropriate staffing
02 Nov 2020Inspection
02 Nov 2020Inspection
Found that residents were not assisted with all activities of daily living on a 24-hour basis, including toileting and bowel and bladder management.
Licensing—Failed to provide service
27 Oct 2020Inspection
27 Oct 2020Inspection
Found that the service planning team was not involved in developing a resident's service plan.
Licensing—Failed to properly plan care
27 Oct 2020Inspection
27 Oct 2020Inspection
Found failure to provide services to assist with activities of daily living.
Licensing—Failed to provide service
27 Oct 2020Inspection
27 Oct 2020Inspection
Investigated a staffing allegation and found insufficient direct care staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to provide appropriate staffing
24 Oct 2020Inspection
24 Oct 2020Inspection
Found insufficient direct care staffing to meet residents' needs, violating staffing requirements.
Licensing—Failed to provide appropriate staffing
16 Oct 2020Inspection
16 Oct 2020Inspection
Determined that staffing levels were insufficient to meet scheduled and unscheduled resident needs.
Licensing—Failed to provide appropriate staffing
16 Oct 2020Inspection
16 Oct 2020Inspection
Found a failure to provide toileting assistance by staff. The finding reflected a violation of Oregon rules.
Licensing—Failed to assist with toileting
15 Oct 2020Abuse: Neglect
15 Oct 2020Abuse: Neglect
Investigated a resident-to-resident altercation and found a failure to provide a safe environment. This resulted in a neglect and abuse finding with an assessed fine.
Abuse—Failed to provide safe environment
08 Oct 2020Inspection
08 Oct 2020Inspection
Investigated a care plan violation where a caregiver did not use a gait belt during transfers, causing a resident to fall and suffer hip and wrist fractures; the care plan was not followed.
Licensing—Failed to follow care plan
28 Sept 2020Abuse: Neglect
28 Sept 2020Abuse: Neglect
Investigated and found failures to follow the resident's care plan and monitor known behaviors, resulting in a physical altercation causing injury and constituting abuse and neglect.
Abuse—Failed to provide safe environment
29 Jul 2020Abuse: Neglect
29 Jul 2020Abuse: Neglect
Identified violations for failing to monitor residents according to their history, resulting in a physical altercation and neglect/abuse; a fine was assessed.
Abuse—Failed to provide safe environment
14 Apr 2020Abuse: Neglect
14 Apr 2020Abuse: Neglect
Found that a safe environment wasn't provided when a resident could leave the secured unit without staff knowledge, risking harm.
Abuse—Failed to provide safe environment
14 Apr 2020Abuse: Neglect
14 Apr 2020Abuse: Neglect
Investigated a neglect allegation and found a safe-environment deficiency that allowed a resident to leave a secured unit without staff knowledge, risking harm.
Abuse—Failed to provide safe environment
02 Dec 2019Abuse: Neglect
02 Dec 2019Abuse: Neglect
Found a safety violation when a resident gained access to a cleaning closet and was injured. A $188 fine was assessed.
Abuse—Failed to provide safe environment
16 Aug 2019Abuse: Neglect
16 Aug 2019Abuse: Neglect
Found neglect by failing to prevent falls, which led to physical injury. The findings were substantiated.
Abuse—Failed to adequately care plan related to falls
20 Jun 2019Abuse: Financial abuse
20 Jun 2019Abuse: Financial abuse
Concluded that there was a failure to protect a resident from financial exploitation and neglect related to preventing theft of medication, creating risk of serious harm.
Abuse—Failed to protect resident from financial exploitation
20 Jun 2019Abuse: Financial abuse
20 Jun 2019Abuse: Financial abuse
Investigated a financial exploitation allegation and found failures to protect residents from exploitation and to prevent theft of medication, creating risk of serious harm.
Abuse—Failed to protect resident from financial exploitation
29 Apr 2019Abuse: Neglect
29 Apr 2019Abuse: Neglect
Found a failure to follow the care plan that harmed health and safety. A fine was assessed.
Abuse—Failed to follow care plan
19 Apr 2019Abuse: Neglect
19 Apr 2019Abuse: Neglect
Found a failure to provide a safe environment that resulted in physical harm to an adult.
Abuse—Failed to provide safe environment
31 Mar 2019Abuse: Neglect
31 Mar 2019Abuse: Neglect
Determined a neglect violation that failed to keep a person safe from wandering, resulting in injury. A fine was assessed.
Abuse—Failed to provide safe environment
07 Mar 2019Abuse: Neglect
07 Mar 2019Abuse: Neglect
Found neglect for failing to provide a safe environment, which led to physical harm; a $375 fine was assessed.
Abuse—Failed to provide safe environment
07 Mar 2019Abuse: Neglect
07 Mar 2019Abuse: Neglect
Investigated a complaint and found neglect by failing to keep a resident safe in their room after a known aggressor slept in a spare bed, creating risk of serious harm. A fine was assessed.
Abuse—Failed to provide safe environment
16 Jan 2019Inspection
16 Jan 2019Inspection
Investigated the allegation of failing to provide a safe environment and concluded that the allegation was supported.
Licensing—Failed to provide safe environment
16 Jan 2019Inspection
16 Jan 2019Inspection
Investigated an allegation of failing to provide service and substantiated it.
Licensing—Failed to provide service
16 Jan 2019Inspection
16 Jan 2019Inspection
Found a staffing deficiency due to failure to provide adequate staff.
Licensing—Failed to provide appropriate staffing
12 Jan 2019Abuse: Neglect
12 Jan 2019Abuse: Neglect
Found that an Alleged Victim sustained bruises and skin injury due to improper transfers, indicating neglect and abuse; a fine was assessed.
Abuse—Failed to investigate injury of unknown origin to rule out abuse
06 Dec 2018Abuse: Neglect
06 Dec 2018Abuse: Neglect
Investigated a neglect allegation and found that a documented intervention was not implemented, resulting in physical harm to a resident.
Abuse—Failed to assure resident was safe
04 Sept 2018Abuse: Neglect
04 Sept 2018Abuse: Neglect
Identified a failure to provide a safe environment, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
31 Aug 2018Abuse: Neglect
31 Aug 2018Abuse: Neglect
Found deficiencies for failing to provide basic care, creating risk of serious harm; a fine was assessed.
Abuse—Failed to properly plan care
30 May 2018Inspection
30 May 2018Inspection
Investigated a staffing allegation and found inadequate staffing to meet residents' scheduled and unscheduled needs, with family members assisting due to shortages.
Licensing—Failed to provide appropriate staffing
13 Mar 2018Inspection
13 Mar 2018Inspection
Investigated the allegation and found a deficiency for not providing a homelike environment due to a staff member speaking harshly to a resident while rushing them.
Licensing—Failed to provide a homelike environment
26 Feb 2018Inspection
26 Feb 2018Inspection
Investigated a complaint and substantiated a licensing violation involving failure to follow the care plan, which led to a resident-to-resident altercation. A $375 fine was assessed.
Licensing—Failed to provide safe environment
30 Jan 2018Abuse: Neglect
30 Jan 2018Abuse: Neglect
Found failure to assess and intervene when a resident's condition changed, resulting in harm. A fine was assessed.
Abuse—Failed to intervene when resident's condition changed
24 Sept 2017Abuse: Neglect
24 Sept 2017Abuse: Neglect
Found deficiencies in patient care tracking that led to missed medical appointments and hospitalization. A $250 fine was assessed.
Abuse—Failed to provide medical treatment as ordered
22 Sept 2017Inspection
22 Sept 2017Inspection
Found a violation for failing to protect a resident from rough treatment.
Licensing—Failed to follow care plan
22 Sept 2017Abuse: Verbal/Mental abuse
22 Sept 2017Abuse: Verbal/Mental abuse
Determined that residents were not protected from verbal abuse, resulting in loss of dignity.
Abuse—Failed to protect resident from verbal abuse
22 Sept 2017Inspection
22 Sept 2017Inspection
Found failure to follow the care plan that increased the risk of a fall.
Licensing—Failed to follow care plan
22 Sept 2017Inspection
22 Sept 2017Inspection
Investigated an allegation that care planning after a fall was inadequate. Found a failure to assess and intervene after a fall resulting in harm.
Licensing—Failed to adequately care plan related to falls
01 Sept 2017Abuse: Financial abuse
01 Sept 2017Abuse: Financial abuse
Determined that a secure environment was not provided, resulting in theft of residents' property.
Abuse—Failed to provide safe environment
07 Aug 2017Inspection
07 Aug 2017Inspection
Investigated the allegation that a resident was not shaved or dressed and identified a failure to provide dressing and grooming assistance.
Licensing—Failed to assist with dressing or grooming
29 Apr 2017Abuse: Neglect
29 Apr 2017Abuse: Neglect
Investigated an allegation of neglect and found that residents did not receive appropriate care or hygiene supplies, resulting in injury.
Abuse—Failed to provide safe environment
29 Mar 2017Inspection
29 Mar 2017Inspection
Concluded there was a failure to provide a secure environment, resulting in an elopement.
Licensing—Failed to provide safe environment
29 Mar 2017Inspection
29 Mar 2017Inspection
Found a failure to provide a secure environment, including an elopement from the Memory Care Unit.
Licensing—Failed to provide safe environment
08 Sept 2016Inspection
08 Sept 2016Inspection
Investigated the allegation and found that residents were not given the required 60-day written notice before a nonemergent remodel that would displace them, including where they would be moved, remodel length, and the assurance of returning.
Licensing—Failed to comply with move-out, transfer or discharge requirements
29 Jun 2016Inspection
29 Jun 2016Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
26 Feb 2016Abuse: Physical Abuse
26 Feb 2016Abuse: Physical Abuse
Found a violation of safety standards due to failing to protect a resident from rough treatment.
Abuse—Failed to protect resident from rough treatment
10 Jan 2016Abuse: Neglect
10 Jan 2016Abuse: Neglect
Found safety-related deficiencies in medication administration and in providing a safe environment.
Abuse—Failed to provide a safe medication administration system
24 Jul 2015Abuse: Neglect
24 Jul 2015Abuse: Neglect
Found a failure to provide a secure environment.
Abuse—Failed to provide safe environment
26 Sept 2013Abuse: Physical Abuse
26 Sept 2013Abuse: Physical Abuse
Found substantiated abuse and an unsafe environment.
Abuse—Failed to protect resident from rough treatment
23 Sept 2013Abuse: Neglect
23 Sept 2013Abuse: Neglect
Found a failure to provide a safe medication system, resulting in a medication error. Violations were cited.
Abuse—Failed to administer medication as ordered
30 Jul 2013Abuse: Neglect
30 Jul 2013Abuse: Neglect
Found that a safe environment was not provided and the falls-related neglect allegation was substantiated.
Abuse—Failed to adequately care plan related to falls
09 Mar 2013Inspection
09 Mar 2013Inspection
Found that a safe medication administration system was not in place.
Licensing—Failed to have medication available
29 Nov 2010Inspection
29 Nov 2010Inspection
Found a licensing violation for not complying with move-out, transfer or discharge requirements and not providing appropriate care to the resident.
Licensing—Failed to comply with move-out, transfer or discharge requirements
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Tanner Spring Assisted Living & Memory Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Tanner Spring Assisted Living & Memory Care directly. There is no cost for this service. We are compensated by the community you select.
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