I'm very pleased with this beautiful, spotless community - staff are warm and attentive, meals are tasty with good portions, and there are plenty of engaging activities plus a lovely courtyard view. It's close to family, feels safe and home-like, and made the transition easy, so I happily recommend it.
Current/former 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
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
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
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
3.65·(51)
Overall rating
5
4
3
2
1
Care
3.2
Staff
3.6
Meals
4.3
Amenities
4.2
Value
2.5
Pros
Compassionate, friendly caregiving staff
Skilled memory-care team
Engaging and varied activities program
High-quality, varied dining options
Clean, attractive common areas and dining room
Pleasant campus with courtyard access
On-site amenities (fitness room, pool, theater)
Responsive clinical coordination and emergency support
Family-friendly visitation and communication in many cases
Home-like, welcoming atmosphere
Life-enrichment and social opportunities (onsite and offsite)
Perceived good value by some families
Cons
Inconsistent care quality and reliability
High staff turnover and staffing shortages
Gaps in geriatric and dementia-focused training
Medication and medical-device monitoring lapses
Inconsistent laundry and linen-management processes
Cleanliness and sanitation inconsistencies in some units
Limited hygiene prompting and personal-care follow-through
Variable communication and information-flow with families
Shared-room privacy and roommate-management challenges
Management instability and uneven responsiveness
Inconsistent activity engagement for less-mobile residents
Personal-property handling and tracking weaknesses
Summary of reviews
The reviews for Footsteps at the Wilsonville describe a community with a mix of notable strengths and recurrent operational weaknesses. Many families praise the facility's warm, home-like environment, attractive common areas, and pleasant campus with courtyard access. Dining is frequently described as varied and tasty, and the community offers a range of amenities—fitness spaces, an indoor pool, a movie theater—and an active calendar of onsite and offsite programs. Memory-care expertise and compassionate individual caregivers are explicit strengths for several residents, and some reviewers report strong clinical coordination, quick hospital support, and reassuring emergency responsiveness.
At the same time, a consistent theme across reviews is variability in day-to-day care and operations. While some staff members are characterized as conscientious and highly caring, other accounts describe inconsistency in caregiving quality, understaffing, and high turnover. These staffing fluctuations appear to contribute to lapses in personal-care prompting (bathing, oral care), inconsistent assistance levels, and uneven engagement of less-mobile or less-social residents in activities. Several families emphasized that activity schedules and social programming exist, but that encouragement and follow-through to involve quieter or more impaired residents can be inconsistent.
Clinical and safety-related concerns are present in several reviews. Specific issues cited include gaps in medication administration and medical-device monitoring, delayed clinical responses at times, and administrative backlogs such as overdue care-plan reviews. These patterns suggest variability in clinical oversight and documentation practices. Related operational weaknesses include inconsistent laundry and linen services and sanitation concerns in some resident rooms and bathrooms; these hygiene and linen-management lapses, when they occur, substantially affect family perceptions of overall care quality.
Communication and management stability are additional mixed areas. Some families describe responsive, gracious management and clear communication, while others note poor information flow, front-desk availability issues, and a decline in service after management changes. Shared-room arrangements and roommate-management practices are another recurring concern: privacy, room organization, and how roommate health needs are handled vary across units. Personal-property tracking also appears inconsistent, with several families reporting missing clothing or belongings and uneven laundry handling.
In sum, Footsteps at the Wilsonville presents a polarized picture: strong amenities, appealing physical spaces, appetizing dining, and examples of high-quality, compassionate memory care coexist with operational gaps in staffing stability, clinical monitoring, laundry/linen management, sanitation consistency, and family communication. Prospective residents and families would benefit from focused questions during a tour: ask about current staffing ratios and turnover, medication and device-monitoring protocols, laundry and linen schedules, how the community supports less-engaged residents to participate in activities, and how management handles roommate issues and transitions in ownership or leadership. These checks can help determine whether the community's strengths align with a particular resident's needs and expectations.
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Location
Footsteps at the Wilsonville is located at 7600 Vlahos Dr, Wilsonville, OR, 97070.
About Footsteps at the Wilsonville
Footsteps At The Wilsonville is a specialized residential community dedicated to supporting individuals living with memory loss. Located in Wilsonville, Oregon, this community offers a nurturing and structured environment designed to support those affected by dementia and related memory impairments. With a dedicated capacity of 51 beds, all of which are reserved for memory care residents, Footsteps At The Wilsonville is equipped to provide individualized attention and support tailored to the unique needs of its residents.
The care philosophy at Footsteps At The Wilsonville centers on delivering person-centered care that respects each individual’s history, preferences, and personal journey. The community features programming and daily routines structured to support cognitive stimulation, social engagement, and overall well-being. The staff is trained in memory care best practices, fostering an atmosphere where residents can feel safe, understood, and valued. The layout of the building and the design of common areas are intentionally crafted to enhance both comfort and safety, allowing residents freedom of movement while minimizing confusion and risk.
At Footsteps At The Wilsonville, activities and therapies are chosen to align with the abilities and interests of those living with memory loss. These may include music therapy, art projects, sensory experiences, and gentle physical activities, all intended to encourage meaningful connections and help residents maintain a sense of dignity and fulfillment. Meals are thoughtfully planned to be both nutritious and appealing, served in communal dining spaces to encourage interaction and companionship.
The environment at Footsteps At The Wilsonville emphasizes warmth and community. Residents and their families are welcomed into a supportive atmosphere where professional caregivers collaborate closely with loved ones to ensure continuity of care and enhance quality of life. By focusing exclusively on memory care, Footsteps At The Wilsonville is uniquely positioned to cater to the complex and evolving needs of this population, creating a homelike setting where residents receive compassionate, comprehensive support every day.
People often ask...
Footsteps at the Wilsonville offers competitive pricing, with rates starting at a cost of $4,455 per month.
Footsteps at the Wilsonville offers assisted living and memory care.
There are 17 photos of Footsteps at the Wilsonville on Mirador.
The full address for this community is 7600 Vlahos Dr, Wilsonville, OR 97070.
No, Footsteps at the Wilsonville 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 violations of food sanitation rules and administration compliance during two visits, with extensive kitchen sanitation issues and rule noncompliance noted.
Found deficiencies in kitchen sanitation practices and adherence to food safety rules. Noted extensive buildup, debris, and spoiled items requiring cleaning and remediation.
Found that a safe environment was not maintained, allowing a resident to exit unsupervised and be unaccounted for about 30 minutes; a $188 fine was assessed.
Abuse—Failed to provide safe environment
08 Apr 2025Inspection
08 Apr 2025Inspection
Investigated and found a violation for not following the care plan during a transfer, which caused an injury.
Licensing—Failed to follow care plan
28 Mar 2025Inspection
28 Mar 2025Inspection
Found a failure to fully implement and update an acuity-based staffing tool, which could affect resident safety.
Licensing—Failed to provide safe environment
25 Mar 2025Complaint
25 Mar 2025Complaint
Found that medication orders were not carried out as prescribed for one resident, with Paxlovid doses missed and documented.
Deficiency—Systems: Treatment Orders
25 Mar 2025Abuse: Neglect
25 Mar 2025Abuse: Neglect
Found that the care plan was not followed when applying an arm brace, causing bruising; the incident involved neglect and abuse.
Abuse—Failed to follow care plan
11 Jan 2025Inspection
11 Jan 2025Inspection
Identified failure to develop, maintain, and implement an acuity-based staffing tool as required.
Licensing—Failed to staff as indicated by ABST
11 Jan 2025Inspection
11 Jan 2025Inspection
Found a deficiency in acuity-based staffing, indicating failure to develop, maintain, and implement an acuity-based staffing tool.
Licensing—Failed to staff as indicated by ABST
09 Jan 2025Inspection
09 Jan 2025Inspection
Found a deficiency in acuity-based staffing and substantiated the allegation of failing to staff as indicated.
Licensing—Failed to staff as indicated by ABST
20 Dec 2024Inspection
20 Dec 2024Inspection
Investigated the allegation of failing to provide a safe environment and found noncompliance with acuity-based staffing tool requirements.
Licensing—Failed to provide safe environment
19 Dec 2024Inspection
19 Dec 2024Inspection
Found failure to develop, maintain, and implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037(1-7).
Licensing—Failed to staff as indicated by ABST
18 Dec 2024Inspection
18 Dec 2024Inspection
Investigated an allegation regarding staffing; found failure to develop, maintain, and implement an Acuity Based Staffing Tool in accordance with the specified rule.
Licensing—Failed to staff as indicated by ABST
31 Oct 2024Kitchen
31 Oct 2024Kitchen
Identified significant kitchen sanitation deficiencies and administration compliance issues across visits, including dirty areas, improper food storage, and non-adherence to licensing rules.
Deficiency—Inspections and Investigation: Insp Interval
12 Aug 2024Inspection
12 Aug 2024Inspection
Determined that a resident was not protected from financial exploitation, and several rings disappeared due to theft.
Licensing—Failed to protect resident from financial exploitation
31 Jul 2024Abuse: Neglect
31 Jul 2024Abuse: Neglect
Investigated the allegation and found neglect for not following the service plan during ambulation, resulting in a fall with minor injury.
Abuse—Failed to follow care plan
29 Jun 2024Abuse: Neglect
29 Jun 2024Abuse: Neglect
Found violations for failing to follow the care plan related to sexually inappropriate behavior and for not intervening during an incident, constituting abuse and neglect. A fine was assessed.
Abuse—Failed to follow care plan
26 Jun 2024Abuse: Neglect
26 Jun 2024Abuse: Neglect
Found care planning deficiencies for ambulation with a walker and an observed bruise on the resident’s left eye, indicating neglect and potential abuse.
Abuse—Failed to properly plan care
19 May 2024Abuse: Neglect
19 May 2024Abuse: Neglect
Investigated neglect and abuse for failing to implement fall-prevention interventions, leading to multiple falls and discomfort between April 1 and May 20, 2024.
Abuse—Failed to properly plan care
05 May 2024Abuse: Neglect
05 May 2024Abuse: Neglect
Found a failure to follow the care plan for a known fall risk, with the resident found on the floor and later on a fall mat without documented safety checks or a bed alarm.
Abuse—Failed to follow care plan
16 Apr 2024Abuse: Neglect
16 Apr 2024Abuse: Neglect
Found staff failed to follow the fall-risk care plan, leaving the resident at risk of harm; a fine was assessed.
Abuse—Failed to follow care plan
05 Mar 2024Abuse: Neglect
05 Mar 2024Abuse: Neglect
Found neglect and abuse due to failure to plan care and implement fall-prevention interventions for a resident with a known fall history, resulting in a fall and fracture.
Abuse—Failed to properly plan care
19 Jan 2024Inspection
19 Jan 2024Inspection
Investigated the complaint and found a deficiency in medication administration where orders were not followed as prescribed.
Licensing—Failed to provide a safe medication administration system
15 Dec 2023Inspection
15 Dec 2023Inspection
Found that an alleged perpetrator failed to protect a resident from financial exploitation, leading to the theft of the resident’s wedding ring, and that the licensee failed to protect the resident from financial abuse.
Licensing—Failed to protect resident from financial exploitation
07 Dec 2023Inspection
07 Dec 2023Inspection
Determined that a resident was financially exploited and protection failed to prevent it, resulting in violations of resident rights and safety rules.
Licensing—Failed to protect resident from financial exploitation
26 Oct 2023Abuse: Neglect
26 Oct 2023Abuse: Neglect
Investigated found that staff were not trained to operate a bed alarm, leading to delayed responses and a resident death.
Abuse—Failed to provide inservice
03 Aug 2023Licensure
03 Aug 2023Licensure
Identified deficiencies in kitchen cleanliness and administration compliance, with follow-up indicating substantial compliance.
Identified extensive cleanliness deficiencies in the kitchen during the initial visit; a follow-up determined substantial compliance with food sanitation rules.
Found failure to fully implement an acuity-based staffing tool as required and related rule violations cited.
Regulatory Action—Failed to use an ABST
04 May 2023License Condition
04 May 2023License Condition
Identified failure to fully implement an acuity-based staffing tool as required by the rule.
Regulatory Action—Failed to staff as indicated by ABST
09 Mar 2023Complaint
09 Mar 2023Complaint
Investigated a complaint and identified deficiencies in monitoring and reporting, notification to family and providers, coordination of care with outside providers, medication administration, and staffing tool implementation.
Deficiency—Change of Condition and Monitoring
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
09 Mar 2023Complaint
09 Mar 2023Complaint
Investigated and found that an acuity-based staffing tool was not fully implemented, with outdated records and staff unfamiliar with ABST.
Deficiency—Acuity-Based Staffing Tool
10 Feb 2023Abuse: Neglect
10 Feb 2023Abuse: Neglect
Concluded that failure to follow the care plan allowed a resident-to-resident altercation that caused pain, indicating abuse and neglect.
Abuse—Failed to provide safe environment
26 Dec 2022Inspection
26 Dec 2022Inspection
Investigated the allegation that a resident was not protected from financial exploitation and identified a violation for financial exploitation. The findings describe theft of funds from the resident and failure to protect from exploitation.
Licensing—Failed to protect resident from financial exploitation
29 Nov 2022Inspection
29 Nov 2022Inspection
Investigated and found a licensing violation for failing to maintain a 24-hour resident monitoring and reporting system and a functional door alarm or call system.
Licensing—Failed to maintain functional door alarm or call system
29 Nov 2022Inspection
29 Nov 2022Inspection
Investigated allegation found failure to coordinate appointments with outside providers and provide relevant information to off-site providers, leading to a licensing violation.
Licensing—Failed to provide transportation for medical or social purposes
11 Nov 2022Inspection
11 Nov 2022Inspection
Investigated a failure to follow the care plan that left a resident on the floor with head bleeding; violations for neglect and abuse were found.
Licensing—Failed to follow care plan
29 Jul 2022Abuse: Neglect
29 Jul 2022Abuse: Neglect
Found a failure to properly plan care that contributed to a resident's fall and fractured ankle. This deficiency is linked to neglect and abuse of care.
Abuse—Failed to properly plan care
10 Jul 2022Abuse: Neglect
10 Jul 2022Abuse: Neglect
Found failure to follow the care plan that led to a fall with a face laceration. A $188 fine was assessed.
Abuse—Failed to follow care plan
09 Jul 2022Abuse: Neglect
09 Jul 2022Abuse: Neglect
Investigated and found neglect and abuse due to failing to properly plan care for fall risk, resulting in an unwitnessed fall and head injury; a fine was assessed.
Abuse—Failed to properly plan care
02 Jul 2022Abuse: Neglect
02 Jul 2022Abuse: Neglect
Concluded that failing to follow the care plan led to an unwitnessed fall and hospital transfer, violating resident rights and constituting abuse.
Abuse—Failed to follow care plan
01 Jun 2022Inspection
01 Jun 2022Inspection
Found failure to submit timely or adequate weekly reporting of vaccinated individuals, residents, and staff to the proper authority for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
01 Jun 2022Inspection
01 Jun 2022Inspection
Investigated a failure to submit timely weekly reporting of vaccinated individuals, residents, and staff; found ongoing noncompliance for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
29 May 2022Inspection
29 May 2022Inspection
Investigated the allegation of not following the care plan, which led to a resident fall and scalp abrasion. A related rule violation was identified.
Licensing—Failed to follow care plan
21 May 2022Abuse: Neglect
21 May 2022Abuse: Neglect
Investigated and found that a safe environment was not provided after a flooding incident, leading to a resident fall and wrist fracture.
Abuse—Failed to provide safe environment
28 Mar 2022Validation
28 Mar 2022Validation
Identified deficiencies across service planning, coordination of care with outside providers, medication administration, staff training, and safety systems; final findings showed substantial compliance after the last revisit.
Deficiency—Comment
Deficiency—Service Plan: Service Planning Team
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Medication Administration
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—Call System
28 Mar 2022Validation
28 Mar 2022Validation
Identified deficiencies across care planning, safety, health care, environmental conditions, and staff training during follow-up visits, indicating ongoing compliance gaps.
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Activities
Deficiency—Secure Outdoor Recreation Area
13 Mar 2022Inspection
13 Mar 2022Inspection
Found a deficiency for failing to protect a resident from financial exploitation, after jewelry was taken from the resident's room.
Licensing—Failed to protect resident from financial exploitation
11 Mar 2022Inspection
11 Mar 2022Inspection
Determined that financial exploitation occurred. Protections for the resident failed.
Licensing—Failed to protect resident from financial exploitation
10 Mar 2022Abuse: Neglect
10 Mar 2022Abuse: Neglect
Investigated and found that a resident was financially exploited and safeguards to protect funds were not provided. A cash amount was taken from the resident, and access to lockable storage for valuables was not available.
Abuse—Failed to protect resident from financial exploitation
07 Mar 2022Inspection
07 Mar 2022Inspection
Found a staff member took about $500 from a resident, and the provider failed to protect the resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
07 Mar 2022Inspection
07 Mar 2022Inspection
Found that an alleged perpetrator took about $400 from the resident's room safe between February 25, 2022 and March 10, 2022, and protections against financial exploitation were insufficient.
Licensing—Failed to protect resident from financial exploitation
07 Mar 2022Inspection
07 Mar 2022Inspection
Investigated and found that a staff member took about $250 from a resident and the provider failed to protect the resident from financial exploitation.
Licensing—Failed to protect resident from financial exploitation
06 Mar 2022Inspection
06 Mar 2022Inspection
Found that a resident experienced financial exploitation and protections against exploitation were not adequate.
Licensing—Failed to protect resident from financial exploitation
04 Mar 2022Inspection
04 Mar 2022Inspection
Investigated a resident's financial exploitation; approximately $270 was taken from the resident's room and protections against exploitation were lacking. The findings indicate a rule violation.
Licensing—Failed to protect resident from financial exploitation
04 Mar 2022Inspection
04 Mar 2022Inspection
Investigated an allegation of financial exploitation and concluded there was a failure to protect the resident from it.
Licensing—Failed to protect resident from financial exploitation
27 Feb 2022Abuse: Neglect
27 Feb 2022Abuse: Neglect
Found that the provider failed to provide appropriate supervision according to resident needs, resulting in elopement from a secured area and risk of harm. This is considered neglect of care and constitutes abuse.
Abuse—Failed to provide safe environment
03 Jan 2022Inspection
03 Jan 2022Inspection
Investigated and found a violation for failing to provide a safe environment that protects residents' health and safety.
Licensing—Failed to provide safe environment
27 Oct 2021Inspection
27 Oct 2021Inspection
Investigated an allegation that a care plan was not followed during ambulation, resulting in a fall and hip fracture. Found neglect and abuse due to the failure to follow the care plan.
Licensing—Failed to follow care plan
21 Oct 2021Inspection
21 Oct 2021Inspection
Found that a staff member financially exploited a resident by taking narcotics, and that there was an inadequate medication administration system and failure to protect the resident from theft.
Licensing—Failed to protect resident from financial exploitation
21 Oct 2021Inspection
21 Oct 2021Inspection
Found that a staff member took narcotic pain medication from a resident, constituting financial exploitation, and that the resident was not adequately protected from theft.
Licensing—Failed to protect resident from financial exploitation
21 Oct 2021Inspection
21 Oct 2021Inspection
Investigated and found a staff member financially exploited a resident and safeguards for medication administration were inadequate, allowing theft.
Licensing—Failed to protect resident from financial exploitation
21 Oct 2021Inspection
21 Oct 2021Inspection
Investigated and found a substantiated violation involving financial exploitation and failure to protect a resident from theft. A staff member took narcotics from the resident.
Licensing—Failed to protect resident from financial exploitation
13 Sept 2021Inspection
13 Sept 2021Inspection
Found neglect of care and safety violations after failing to check on a resident for about two hours, who was later found injured. The actions were deemed neglect and abuse, and safety was not assured.
Licensing—Failed to provide service
12 Aug 2021Abuse: Neglect
12 Aug 2021Abuse: Neglect
Found a failure to provide a safe environment, with a resident-to-resident altercation and care plan deficiencies, resulting in a fine.
Abuse—Failed to provide safe environment
01 Aug 2021Inspection
01 Aug 2021Inspection
Investigated found that a staff member pushed a resident during care, causing discomfort and loss of dignity; protection from abuse was not provided.
Licensing—Failed to protect resident from physical abuse
01 Jul 2021Abuse: Neglect
01 Jul 2021Abuse: Neglect
Found that a safe environment was not provided, resulting in abuse and neglect. A $375 fine was assessed.
Abuse—Failed to provide safe environment
01 Jul 2021Abuse: Neglect
01 Jul 2021Abuse: Neglect
Identified neglect and abuse due to failure to address a resident’s fear and behavior during transfers, leading to an injury. A $250 fine was assessed.
Abuse—Failed to provide safe environment
13 May 2021Abuse: Neglect
13 May 2021Abuse: Neglect
Found a violation of safe environment and inadequate care planning for a resident, with a history of skin tears and falls. This resulted in a substantiated abuse/neglect finding and a $500 fine.
Abuse—Failed to provide safe environment
03 May 2021Abuse: Neglect
03 May 2021Abuse: Neglect
Investigated a complaint and found the resident did not receive an adequate care plan, resulting in neglect and abuse; a $500 fine was assessed.
Abuse—Failed to provide safe environment
01 Apr 2021Abuse: Neglect
01 Apr 2021Abuse: Neglect
Found a failure to provide a safe environment that caused harm and constitutes abuse and neglect. The incident involved a resident grabbing another resident's arm, causing a bruise.
Abuse—Failed to provide safe environment
24 Mar 2021Inspection
24 Mar 2021Inspection
Investigated and found that a diet order was not followed, exposing the individual to a food allergy and potential harm.
Licensing—Failed to follow care plan
10 Jan 2021Abuse: Neglect
10 Jan 2021Abuse: Neglect
Identified neglect for failing to provide nail care services, resulting in unkempt nails. A $750 fine was assessed.
Abuse—Failed to provide service
10 Jan 2021Abuse: Neglect
10 Jan 2021Abuse: Neglect
Identified neglect due to failure to provide appropriate services and proper skin care, leading to an infection.
Abuse—Failed to provide service
06 Oct 2020Abuse: Neglect
06 Oct 2020Abuse: Neglect
Investigated an abuse/neglect allegation; found failures to monitor and redirect a resident according to known behaviors, resulting in two altercations and undue discomfort.
Abuse—Failed to provide safe environment
29 Aug 2020Abuse: Neglect
29 Aug 2020Abuse: Neglect
Investigated an allegation of neglect and abuse; found failures to plan and monitor care per known behavior, resulting in a resident being scratched.
Abuse—Failed to provide safe environment
24 Aug 2020Abuse: Neglect
24 Aug 2020Abuse: Neglect
Investigated and found neglect and abuse due to failure to provide a safe environment and proper supervision, resulting in a physical altercation and resident discomfort. A $375 fine was assessed.
Abuse—Failed to provide safe environment
09 Jun 2020Inspection
09 Jun 2020Inspection
Investigated the complaint and found deficiencies in staff training and documentation of demonstrated competency.
Licensing—Failed to provide inservice
28 May 2020Abuse: Neglect
28 May 2020Abuse: Neglect
Investigated a medication administration failure that resulted in the resident experiencing unreasonable discomfort due to a deficient safety system.
Abuse—Failed to provide a safe medication administration system
29 Apr 2020Abuse: Neglect
29 Apr 2020Abuse: Neglect
Investigated a failure to plan care for a resident's falls history; found violations of resident rights and neglect/abuse.
Abuse—Failed to properly plan care
03 Apr 2020Abuse: Neglect
03 Apr 2020Abuse: Neglect
Investigated found that failure to follow the care plan during a transfer placed the resident at risk of harm. It constituted abuse and neglect.
Abuse—Failed to follow care plan
09 Mar 2020Inspection
09 Mar 2020Inspection
Found that a staff member failed to protect a resident from physical abuse during care, resulting in a bruise to the resident's wrist.
Licensing—Failed to protect resident from physical abuse
01 Mar 2020Abuse: Neglect
01 Mar 2020Abuse: Neglect
Found neglect and abuse due to failure to provide a safe environment, which led to a second altercation and undue discomfort for residents.
Abuse—Failed to provide safe environment
29 Feb 2020Abuse: Neglect
29 Feb 2020Abuse: Neglect
Fined after finding neglect and abuse due to failure to plan and implement care for a falls history, resulting in unwitnessed falls and injuries.
Abuse—Failed to properly plan care
05 Nov 2019Inspection
05 Nov 2019Inspection
Determined a resident's money went missing due to theft and protection against financial exploitation failed.
Licensing—Failed to protect resident from financial exploitation
18 Oct 2019Inspection
18 Oct 2019Inspection
Found a violation for failing to administer ordered medication.
Licensing—Failed to administer ordered medication
16 Oct 2019Abuse: Neglect
16 Oct 2019Abuse: Neglect
Found neglect of care and abuse due to failure to administer medications and an unsafe medication administration system. This placed a resident at risk of harm.
Abuse—Failed to provide service
06 Oct 2019Abuse: Neglect
06 Oct 2019Abuse: Neglect
Found failure to implement interventions and appropriately care plan for a resident with a known fall history, resulting in multiple falls and a fractured hip; a $1500 fine assessed.
Abuse—Failed to properly plan care
03 Oct 2019Inspection
03 Oct 2019Inspection
Identified a violation involving financial exploitation and a failure to protect a resident from exploitation. A staff member admitted accepting cash from a resident in May 2019.
Licensing—Failed to protect resident from financial exploitation
26 Dec 2018Inspection
26 Dec 2018Inspection
Investigated an allegation of failing to report suspected abuse; findings showed failure to report and a $750 fine was assessed.
Licensing—Failed to report potential or suspected abuse
26 Dec 2018Abuse: Neglect
26 Dec 2018Abuse: Neglect
Found neglect of a resident's dental hygiene that led to harm; a $500 fine was assessed.
Abuse—Failed to provide service
09 Jan 2018Abuse: Neglect
09 Jan 2018Abuse: Neglect
Found a deficiency for failing to provide a safe environment, leading to a resident-to-resident altercation, and assessed a $281 fine.
Abuse—Failed to provide safe environment
22 Nov 2017Inspection
22 Nov 2017Inspection
Investigated a safety incident and concluded that a safe environment was not provided, resulting in harm.
Licensing—Failed to provide safe environment
08 Nov 2017Abuse: Neglect
08 Nov 2017Abuse: Neglect
Determined that a safe environment was not provided, resulting in a resident-to-resident altercation.
Abuse—Failed to provide safe environment
03 Oct 2017Inspection
03 Oct 2017Inspection
Found failure to report potential or suspected abuse and to protect residents from further harm.
Licensing—Failed to report potential or suspected abuse
20 Sept 2017Abuse: Neglect
20 Sept 2017Abuse: Neglect
Investigated and found care plan non-compliance and inadequate supervision that led to two resident-to-resident altercations with harm; a fine was assessed.
Abuse—Failed to follow care plan
06 Sept 2017Abuse: Neglect
06 Sept 2017Abuse: Neglect
Found a deficiency for failing to provide a safe environment, which led to a resident-to-resident altercation.
Abuse—Failed to follow care plan
23 Aug 2017Abuse: Verbal/Mental abuse
23 Aug 2017Abuse: Verbal/Mental abuse
Investigated an allegation of verbal/mental abuse and found harm occurred due to failure to protect a resident.
Abuse—Failed to protect resident from verbal abuse
26 Jul 2017Inspection
26 Jul 2017Inspection
Found a safety deficiency that led to a resident-to-resident altercation.
Licensing—Failed to properly plan care
24 Jul 2017Inspection
24 Jul 2017Inspection
Found a deficiency where behavior assessment and timely intervention were not adequately performed, risking resident safety.
Licensing—Failed to provide safe environment
01 Jul 2017Inspection
01 Jul 2017Inspection
Found a safety deficiency that led to a resident-to-resident physical altercation. Allegation involved failing to follow the care plan.
Licensing—Failed to follow care plan
21 Jun 2017Inspection
21 Jun 2017Inspection
Investigated the allegation and found that a care plan was not followed, resulting in a resident altercation.
Licensing—Failed to follow care plan
12 Jun 2017Abuse: Neglect
12 Jun 2017Abuse: Neglect
Investigated an abuse/neglect allegation and found the care plan was not followed, leading to a resident-to-resident altercation; a fine was assessed.
Abuse—Failed to provide appropriate pain control
24 Apr 2017Abuse: Neglect
24 Apr 2017Abuse: Neglect
Investigated the allegation and found a deficiency in providing a safe environment, resulting in a resident fall.
Abuse—Failed to provide safe environment
11 Apr 2017Inspection
11 Apr 2017Inspection
Found a failure to provide a safe medication administration system, resulting in a resident going four days without their scheduled pain medication due to medication being out of stock and placed in the wrong location.
Licensing—Failed to provide a safe medication administration system
03 Apr 2017Abuse: Neglect
03 Apr 2017Abuse: Neglect
Concluded that a failure to assess and intervene resulted in a physical altercation between residents causing injury.
Abuse—Failed to provide safe environment
14 Feb 2017Abuse: Neglect
14 Feb 2017Abuse: Neglect
Found that an incorrect amount of medication was administered to a resident, resulting in harm.
Abuse—Failed to administer medication as ordered
21 Nov 2016Inspection
21 Nov 2016Inspection
Investigated and determined that a safe environment was not provided, resulting in mistreatment by caregivers.
Licensing—Failed to provide safe environment
15 Nov 2016Inspection
15 Nov 2016Inspection
Determined that a safe environment was not provided, resulting in a resident-to-resident physical altercation.
Licensing—Failed to provide safe environment
29 Aug 2016Abuse: Neglect
29 Aug 2016Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
26 Aug 2016Inspection
26 Aug 2016Inspection
Found a failure to provide a safe environment. Cited two regulatory violations related to safety.
Licensing—Failed to provide safe environment
26 Aug 2016Abuse: Neglect
26 Aug 2016Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
18 Aug 2016Inspection
18 Aug 2016Inspection
Investigated the complaint and substantiated a training deficiency. The deficiency involved lacking a method to determine performance through demonstration and evaluation for new staff.
Licensing—Failed to provide service
08 Aug 2016Inspection
08 Aug 2016Inspection
Found that a safe environment was not provided, resulting in a resident-to-resident physical altercation.
Licensing—Failed to provide safe environment
07 Jul 2016Inspection
07 Jul 2016Inspection
Found a violation of maintaining a safe physical environment.
Licensing—Failed to maintain a safe physical environment
07 Jul 2016Inspection
07 Jul 2016Inspection
Found a deficiency for failing to assess and intervene, with potential for harm.
Licensing—Failed to provide service
27 May 2016Abuse: Financial abuse
27 May 2016Abuse: Financial abuse
Found a failure to provide a secure medication system that allowed medications to be lost or stolen.
Abuse—Failure to provide a system that prevents theft or misuse of medication
18 Apr 2016Inspection
18 Apr 2016Inspection
Found failure to provide appropriate care to a resident.
Licensing—Failed to provide service
09 Mar 2016Inspection
09 Mar 2016Inspection
Found a deficiency involving failure to treat a resident with dignity and respect.
Licensing—Failed to assure resident rights
06 Feb 2016Abuse: Financial abuse
06 Feb 2016Abuse: Financial abuse
Investigated a financial abuse allegation related to medications and identified failures to maintain an accurate medication system and prevent theft.
Abuse—Failure to provide a system that prevents theft or misuse of medication
17 Jul 2014Inspection
17 Jul 2014Inspection
Determined a resident-rights violation occurred due to failure to treat a resident with respect and dignity.
Licensing—Failed to assure resident rights
06 May 2013Abuse: Neglect
06 May 2013Abuse: Neglect
Investigated an allegation of neglect related to medication safety and found a deficiency in the safe medication administration system. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
26 Apr 2013Abuse: Neglect
26 Apr 2013Abuse: Neglect
Concluded that the neglect allegation of failing to provide service was supported by findings, and a civil penalty of $300 was assessed.
Abuse—Failed to provide service
04 Mar 2013Abuse: Financial abuse
04 Mar 2013Abuse: Financial abuse
Concluded that a secure environment was not maintained, with findings supporting a deficiency.
Abuse—Failed to provide safe environment
05 Dec 2012Abuse: Financial abuse
05 Dec 2012Abuse: Financial abuse
Investigated and found a failure to provide a safe environment, which led to theft of resident funds.
Abuse—Failed to provide safe environment
06 Mar 2011Abuse: Financial abuse
06 Mar 2011Abuse: Financial abuse
Investigated the allegation of financial abuse and found a failure to maintain a secure environment.
Abuse—Failed to provide safe environment
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