I toured Emerald Gardens and felt immediately welcomed - staff (Alberto and Teresa stood out) were genuinely caring, attentive, and knew residents by name. The community is clean, well-maintained, with good food, engaging activities, and a reliable memory-care option. Admissions and communication were smooth and responsive, and I have real peace of mind knowing my loved one is in a safe, personalized, family-like setting.
Loved one of resident
Sep 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
Pet friendly
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.52·(86)
Overall rating
5
4
3
2
1
Care
4.2
Staff
4.6
Meals
4.1
Amenities
4.1
Value
1.8
Pros
Compassionate, resident-centered staff
Personalized care with staff who know residents by name
Responsive leadership and active admissions support
Memory-care specialization and secure memory unit
Clean, well-maintained interior and grounds
Engaging, varied activity program
Family-inclusive communication and support
Safety-focused infection-control practices
Home-like small-community atmosphere
Quick and efficient move-in and transition assistance
Emerald Gardens receives substantial positive feedback for its warm, resident-focused culture and its memory-care capabilities. Many families describe staff as compassionate and familiar with residents’ preferences; caregivers are frequently characterized as attentive, respectful, and willing to involve families. The community’s smaller scale and home-like atmosphere are commonly cited as strengths, and reviewers note a dedicated wellness director, proactive care coordination, and an efficient admissions process that can facilitate quick moves.
Care quality and staffing are central positives with staff praised for personalized attention, effective transitions from hospital settings, and attentive memory-care practices. At the same time, reviewers also describe operational inconsistencies: intermittent staffing shortfalls that have led to delayed assistance and longer waits for personal care, and concerns about medication processes and pharmacy coordination. These medication-management gaps are a serious operational issue and should be clarified during a tour and pre-admission review of protocols.
Dining and activities are generally well-regarded. Many residents and families appreciate the varied menus, special meals, and regular outings such as scenic bus trips; the community offers a range of on-site amenities and social programming. However, there are recurring notes about inconsistent meal execution (temperature and timing) and isolated reports of limited activity options in particular units, so actual daily programming and meal service rhythms may vary between units and times.
Facility condition receives mixed but mostly positive comments: reviewers commonly describe the building as bright, freshly painted, and well-maintained, with comfortable common spaces and outdoor areas. Nonetheless, a subset of reviews raises sanitation and odor concerns in certain common areas and identifies inconsistent housekeeping and laundry processes (including lost items). Prospective families should observe cleanliness during a visit and ask about housekeeping schedules and laundry controls.
Management and administrative practices draw both praise and concern. Many reviewers compliment responsive leadership, helpful admissions staff, and proactive communication (including FaceTime assistance and family-inclusive events). Conversely, there are several notable operational issues: billing and deposit transparency problems, occasional communication lapses about financial matters, and at least one report of placement instability tied to payer source. These financial and transparency issues warrant careful contract review and clear written answers about refund policies, payer transitions, and billing procedures.
Notable patterns: the dominant themes are strong caregiver relationships, effective memory-care programming, and a welcoming small-community environment. Counterbalancing themes are operational variability — especially staffing consistency, medication/pharmacy coordination, housekeeping/laundry controls, and financial transparency. Recommendation: families interested in Emerald Gardens should schedule an in-person tour that includes observation of mealtime, activity engagement, and a visit to the memory-care unit; request written policies on staffing ratios, medication administration and pharmacy coordination, housekeeping/laundry procedures, visitation policies during infection-control events, and a clear, written financial agreement including refund terms and Medicaid transfer procedures. This will help validate the positive aspects described and clarify the facility-level operational issues noted in other accounts.
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Location
Emerald Gardens is located at 1890 Newberg Hwy, Woodburn, OR, 97071.
About Emerald Gardens
Emerald Gardens Assisted and Memory Care is a thoughtfully designed senior living community located in Woodburn, Oregon. This residence provides both assisted living and specialized memory care within an inviting, community-style setting. The environment is tailored to support individuals who value independence but may require some assistance with daily living, as well as those with evolving memory care needs related to conditions like Alzheimer’s and other forms of dementia. Every aspect of the community is created with residents in mind, from beautifully appointed living rooms to comfortable, welcoming spaces throughout the building.
At Emerald Gardens, the primary goal is to supply excellent social, physical, and emotional support while helping residents achieve maximum independence. Residents benefit from the reassurance that a trained staff member is always nearby, ready to provide thoughtful, attentive help whenever it is needed. The staff emphasizes maximizing each individual's independence, self-worth, and dignity, ensuring that everyone enjoys a sense of community and belonging.
The Healthy Living life enrichment programs at Emerald Gardens are a cornerstone of the community, offering a lifestyle of choice and a robust calendar of activities and events designed to stimulate the mind, body, and spirit. These programs are crafted to foster engagement and fulfillment, creating opportunities for residents to socialize and stay active according to their interests. The lifestyle at Emerald Gardens is supported by tailored care and supportive services that meet the unique needs of each resident, recognizing the importance of individualized attention.
For residents in need of memory care, Emerald Gardens offers programming that is carefully designed to address the complexities of memory loss. The Memory Care Program aims to create an environment that reduces agitation and confusion, focusing on individualized needs as they evolve over time. The staff at Emerald Gardens understands that the right setting can make a meaningful difference for those living with memory challenges, and they dedicate themselves to maintaining a supportive, caring space for all.
Emerald Gardens is known for its commitment to creating and sustaining comfortable, caring environments for those who depend on them. The community prioritizes an atmosphere that feels like home, with extra-attentive staff and no detail overlooked in making residents feel welcome. Individuals seeking a supportive, enriching place to call home will find Emerald Gardens to be a warm, inviting community dedicated to enhancing quality of life for every resident.
A family-owned and operated group of residential communities dedicated to exceptional senior care, offering independent living, assisted living, memory care, respite stays, hospice care, and life enrichment programs across Oregon, Idaho, Nevada, and Montana.
People often ask...
Emerald Gardens offers competitive pricing, with rates starting at a cost of $3,300 per month.
Emerald Gardens offers assisted living and memory care.
There are 25 photos of Emerald Gardens on Mirador.
The full address for this community is 1890 Newberg Hwy, Woodburn, OR 97071.
No, Emerald Gardens 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 the allegation and found that staff did not fully implement and update an acuity-based staffing tool. This was identified as a violation of Oregon Administrative Rules.
Licensing—Failed to use an ABST
09 Jun 2026Inspection
09 Jun 2026Inspection
Found deficiencies in maintaining an updated ABST that reflects resident care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
21 May 2026Inspection
21 May 2026Inspection
Found failure to provide requested records upon inquiry, violating Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Investigated and determined that documentation was not provided upon request, violating a rule.
Licensing—Failed to cooperate with an investigation
21 May 2026Inspection
21 May 2026Inspection
Investigated and concluded that records were not provided upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found that records were not provided upon request, violating Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found that records were not provided to the Department upon request. This constitutes a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found failure to provide records to the Department upon request, violating an administrative rule.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Investigated a records request issue and found a deficiency for failing to provide records upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Investigated the allegation of failing to cooperate and found that documentation was not provided upon request.
Licensing—Failed to cooperate with an investigation
21 May 2026Inspection
21 May 2026Inspection
Investigated and found a deficiency for failing to provide documentation upon request.
Licensing—Failed to cooperate with an investigation
21 May 2026Inspection
21 May 2026Inspection
Found that documentation was not provided upon request, and the allegation was substantiated.
Licensing—Failed to cooperate with an investigation
21 May 2026Inspection
21 May 2026Inspection
Found failure to provide records upon request, constituting a violation of Oregon Administrative Rules.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found failure to provide records to the Department upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found that records were not provided to the Department upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Investigated and found that records were not provided to the Department when requested.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found that records were not provided when requested.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Investigated and found that records were not provided to the department when requested.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Investigated a records request allegation and determined that documentation was not provided upon request.
Licensing—Failed to cooperate with an investigation
21 May 2026Inspection
21 May 2026Inspection
Found a violation for failing to provide records upon request.
Licensing—Failed to make facility or resident records accessible
21 May 2026Inspection
21 May 2026Inspection
Found a violation for failing to provide requested records.
Licensing—Failed to make facility or resident records accessible
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated the allegation of financial exploitation and found that a resident's personal funds were left unprotected, resulting in about $10 missing due to easy access to the funds; a fine was assessed.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated and found a violation for neglect and abuse related to financial exploitation after funds were missing from an unsecured container in an office.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated and found that a resident's funds were missing due to inadequate protection from financial exploitation; funds were kept insecurely and accessible by multiple staff, leading to a financial exploitation finding.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Determined that a resident's personal funds were misappropriated and protections against financial exploitation were not maintained.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated an allegation of financial exploitation and found a failure to protect a resident's funds, resulting in missing money due to lax controls.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated found that a resident's personal funds were not protected, funds were missing due to unsecured access, and an unknown perpetrator took money; a $375 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Found that a resident's personal funds went missing due to unsecured storage and staff access, indicating a failure to protect from financial exploitation.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Concluded that the provider failed to protect a resident from financial exploitation, resulting in missing funds; a $375 fine was assessed.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated a financial exploitation allegation and found inadequate protection of a resident's funds, with approximately $79.39 missing and a $375 fine assessed.
Abuse—Failed to protect resident from financial exploitation
26 Dec 2025Abuse: Neglect
26 Dec 2025Abuse: Neglect
Investigated the allegation of financial exploitation and found that a resident's money was missing due to inadequate safeguards. Funds were stored in an unlocked box inside an office accessible by multiple staff, with the door often left open.
Abuse—Failed to protect resident from financial exploitation
14 Nov 2025Inspection
14 Nov 2025Inspection
Determined a licensing violation occurred for failing to monitor change of condition and to assist a resident with eating.
Licensing—Failed to provide oversight and monitoring of change of condition
27 Aug 2025Abuse: Neglect
27 Aug 2025Abuse: Neglect
Investigated found neglect of care and abuse due to failure to follow care plan and physician orders, resulting in severe harm and death; a fine was assessed.
Abuse—Failed to provide service
13 Aug 2025Kitchen
13 Aug 2025Kitchen
Identified deficiencies in food sanitation and administration compliance, including unsanitary kitchen conditions and maintenance issues in the memory care area.
Identified insufficient direct care staffing to meet 24-hour and unscheduled resident needs and to provide two-staff support on night shifts for safety and evacuation.
Regulatory Action—Failed to meet the scheduled and unscheduled needs of residents
21 Apr 2025License Condition
21 Apr 2025License Condition
Investigated the allegation that ABST was not used; found a failure to use ABST to accurately capture care time and care elements for 2 of 4 sampled Residents.
Regulatory Action—Failed to use an ABST
20 Mar 2025Abuse: Neglect
20 Mar 2025Abuse: Neglect
Investigated found that a high-risk resident did not receive a one-on-one caregiver, leading to a fall and head injury. That constituted abuse and neglect.
Abuse—Failed to provide service
19 Mar 2025Abuse: Neglect
19 Mar 2025Abuse: Neglect
Investigated an abuse and neglect allegation related to falls. Found failure to properly plan care and implement interventions to mitigate fall risk, resulting in multiple falls and related injuries.
Abuse—Failed to properly plan care
06 Mar 2025Complaint
06 Mar 2025Complaint
Investigated a staffing-related complaint and identified deficiencies in staffing requirements and training, including the acuity-based staffing tool.
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
05 Mar 2025Abuse: Neglect
05 Mar 2025Abuse: Neglect
Investigated a complaint and found that care planning did not address a known fall risk's needs, resulting in multiple unwitnessed falls with injuries.
Abuse—Failed to properly plan care
28 Feb 2025Inspection
28 Feb 2025Inspection
Found deficiencies in the Acuity-Based Staffing Tool, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
28 Feb 2025Inspection
28 Feb 2025Inspection
Investigated the allegation of failing to provide service and found a violation regarding the implementation of services.
Licensing—Failed to provide service
12 Feb 2025Licensure
12 Feb 2025Licensure
Found multiple deficiencies in infection prevention, psychotropic medication management, staffing, acuity-based staffing, privacy, and staff training across two visits.
Deficiency—Infection Prevention & Control
Deficiency—Systems: Psychotropic Medication
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Individual Rights Settings: Privacy, Dignity
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
05 Feb 2025Inspection
05 Feb 2025Inspection
Identified a deficiency in maintaining an updated ABST that accurately reflects resident care needs. Inconsistencies were found between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
04 Feb 2025Inspection
04 Feb 2025Inspection
Found deficiencies in the ABST, failing to reflect resident population and care needs, with inconsistencies between the roster, care plans, and ABST data.
Licensing—Failed to use an ABST
12 Jul 2024Abuse: Neglect
12 Jul 2024Abuse: Neglect
Found neglect and abuse due to failure to follow the care plan, which led to a fall with injuries. A $375 fine was assessed.
Abuse—Failed to follow care plan
09 May 2024Licensure
09 May 2024Licensure
Identified deficiencies in kitchen sanitation and administration during the initial visit; follow-up determined substantial compliance with the applicable rules.
Investigated the allegation and found a failure to provide a safe environment that resulted in a resident's serious injury. A $375.00 fine was assessed.
Abuse—Failed to provide safe environment
28 Jun 2023Abuse: Neglect
28 Jun 2023Abuse: Neglect
Concluded neglect occurred due to failure to plan care, leading to multiple falls and an injury, with a fine assessed.
Abuse—Failed to properly plan care
15 May 2023Inspection
15 May 2023Inspection
Found that staff did not follow the care plan when transferring a resident, which resulted in bruising and constituted neglect and abuse.
Licensing—Failed to follow care plan
03 Mar 2023Inspection
03 Mar 2023Inspection
Identified an outdated Acuity-Based Staffing Tool and inconsistencies between rosters, care plans, and ABST data. This resulted in a licensing violation.
Licensing—Failed to use an ABST
02 Feb 2023Complaint
02 Feb 2023Complaint
Found failure to implement effective methods for responding to and resolving resident complaints, including an extended period without a working call pendant and an unsafe improvised workaround.
Identified abuse and neglect after a staff member punched a resident and failed to follow the care plan; a $375 fine was assessed.
Abuse—Failed to follow care plan
17 Dec 2022Abuse: Neglect
17 Dec 2022Abuse: Neglect
Found that a safe environment was not provided, resulting in abuse and neglect; a fine was assessed.
Abuse—Failed to provide safe environment
13 Dec 2022Inspection
13 Dec 2022Inspection
Found a deficiency related to lack of a working equipment that constitutes a Level 2 licensing violation.
Licensing—Failed to assure adequate supply or equipment
12 Dec 2022Abuse: Neglect
12 Dec 2022Abuse: Neglect
Found a failure to provide a safe environment that harmed a resident, constituting neglect and abuse. A fine was assessed.
Abuse—Failed to provide safe environment
08 Dec 2022Abuse: Neglect
08 Dec 2022Abuse: Neglect
Found a failure to provide a safe environment for a known fall risk, resulting in harm and constituting abuse and neglect; a $375 fine was assessed.
Abuse—Failed to provide safe environment
22 Oct 2022Abuse: Neglect
22 Oct 2022Abuse: Neglect
Found neglect and abuse due to an unsafe environment after a resident sustained a skin injury; a fine was assessed.
Abuse—Failed to provide safe environment
19 Oct 2022Abuse: Neglect
19 Oct 2022Abuse: Neglect
Investigated a neglect allegation and found inadequate planning of care to prevent falls, resulting in a resident fall and hospital transfer.
Abuse—Failed to properly plan care
08 Sept 2022Abuse: Neglect
08 Sept 2022Abuse: Neglect
Found that care planning did not address a resident's fall risk, leading to a fall and injuries.
Abuse—Failed to properly plan care
17 Aug 2022Abuse: Neglect
17 Aug 2022Abuse: Neglect
Investigated a report of an unsafe environment and found a known wanderer entered another resident's room and assaulted them, indicating neglect and abuse with a fine assessed.
Abuse—Failed to provide safe environment
11 Aug 2022Licensure
11 Aug 2022Licensure
Identified deficiencies in food sanitation and kitchen maintenance, with administrative noncompliance noted across visits.
Investigated a complaint and found a failure to follow the care plan led to abuse and neglect of a resident.
Abuse—Failed to follow care plan
23 Jul 2022Abuse: Neglect
23 Jul 2022Abuse: Neglect
Found a neglect/abuse violation after a resident fell due to not having a fall mat by the bed; a fine was assessed.
Abuse—Failed to follow care plan
22 Jul 2022Abuse: Neglect
22 Jul 2022Abuse: Neglect
Found a failure to properly plan care to prevent falls, resulting in a fine.
Abuse—Failed to properly plan care
05 Jul 2022Abuse: Neglect
05 Jul 2022Abuse: Neglect
Investigated allegations found a failure to implement meaningful interventions to prevent falls, constituting neglect and abuse, with a $500 fine assessed.
Abuse—Failed to properly plan care
22 Jun 2022Inspection
22 Jun 2022Inspection
Investigated a medication administration incident in which a resident received another resident's medication, leading to vomiting, diarrhea, and an ER visit. Found violations of medication safety rules and resident rights.
Licensing—Failed to provide a safe medication administration system
12 Jun 2022Abuse: Neglect
12 Jun 2022Abuse: Neglect
Found a failure to properly plan care, placing a resident at risk for harm. A $375 fine was assessed.
Abuse—Failed to properly plan care
22 Apr 2022Abuse: Neglect
22 Apr 2022Abuse: Neglect
Investigated a fall incident involving a known fall-risk resident and found a failure to provide a safe environment, resulting in injuries.
Abuse—Failed to provide safe environment
15 Nov 2021Abuse: Neglect
15 Nov 2021Abuse: Neglect
Found a failure to administer medications as ordered, leading to missed doses and neglect.
Abuse—Failed to administer medication as ordered
28 Oct 2021Abuse: Neglect
28 Oct 2021Abuse: Neglect
Determined neglect of care related to a resident's falls and assessed a $188 fine.
Abuse—Failed to provide service
18 Oct 2021Validation
18 Oct 2021Validation
Investigations found widespread deficiencies across health services, care planning, activities, staffing, medication management, safety, and coordination of outside providers, resulting in multiple cited violations.
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Medications and Treatments
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Systems: Treatment Administration
Deficiency—Systems: Self-Administration of Meds
Deficiency—Systems: Psychotropic Medication
Deficiency—Restraints and Supportive Devices
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
05 Oct 2021Inspection
05 Oct 2021Inspection
Investigated found that a staff member buckled a resident into a wheelchair, restraining them and violating resident rights, constituting abuse and neglect.
Licensing—Failed to assure resident rights
07 Sept 2021Abuse: Neglect
07 Sept 2021Abuse: Neglect
Investigated and found that the care plan was not followed, resulting in neglect and abuse by withholding regular showers from a resident for over a week.
Abuse—Failed to follow care plan
07 Sept 2021Abuse: Neglect
07 Sept 2021Abuse: Neglect
Investigated the allegation and found improper care planning for a resident, resulting in inadequate assistance and multiple falls due to staffing shortages.
Abuse—Failed to properly plan care
07 Sept 2021Abuse: Neglect
07 Sept 2021Abuse: Neglect
Investigated found neglect and abuse for failing to provide regular bathing, skin care, and timely assistance, causing ongoing discomfort. A $250 fine was assessed.
Abuse—Failed to provide service
16 Aug 2021Abuse: Neglect
16 Aug 2021Abuse: Neglect
Found violations for failure to have prescribed medication available, constituting neglect and abuse. A $750 fine was assessed.
Abuse—Failed to have medication available
16 Aug 2021Abuse: Neglect
16 Aug 2021Abuse: Neglect
Identified that diabetes medication was not available for a resident on multiple occasions, risking harm. Findings noted neglect and abuse with a fine assessed.
Abuse—Failed to have medication available
12 Aug 2021Abuse: Neglect
12 Aug 2021Abuse: Neglect
Investigated found that staff verbally abused a resident and failed to protect them from verbal abuse, constituting neglect and abuse. A fine was assessed.
Abuse—Failed to protect resident from verbal abuse
12 Aug 2021Abuse: Neglect
12 Aug 2021Abuse: Neglect
Found that a caregiver yelled at a resident causing emotional harm and failed to protect the resident from verbal abuse, resulting in a $375 fine.
Abuse—Failed to protect resident from verbal abuse
04 Aug 2021Abuse: Neglect
04 Aug 2021Abuse: Neglect
Found neglect and abuse due to failing to administer prescribed cream as ordered, leaving a resident with redness and discomfort. A $250 fine was assessed.
Abuse—Failed to administer medication as ordered
19 May 2021Abuse: Neglect
19 May 2021Abuse: Neglect
Investigated a complaint and found a resident had multiple falls after admission, with inadequate care planning and interventions to reduce further falls, constituting neglect and abuse.
Abuse—Failed to properly plan care
04 May 2021Abuse: Neglect
04 May 2021Abuse: Neglect
Investigated a case of neglect involving failure to provide a safe environment after a resident eloped and was located miles away. A fine was assessed.
Abuse—Failed to provide safe environment
14 Mar 2021Abuse: Neglect
14 Mar 2021Abuse: Neglect
Found neglect and abuse where transportation was arranged but not followed through, resulting in harm.
Abuse—Failed to assure physician services
14 Aug 2019Inspection
14 Aug 2019Inspection
Found a deficiency for failing to provide a safe environment after a resident's money went missing, which constitutes abuse.
Licensing—Failed to provide safe environment
10 Jul 2019Abuse: Neglect
10 Jul 2019Abuse: Neglect
Found neglect that left the individual unsupervised, resulting in a fall.
Abuse—Failed to follow care plan
27 Jun 2019Abuse: Neglect
27 Jun 2019Abuse: Neglect
Investigated a neglect allegation related to medication administration; found that a resident did not receive all medications and fell twice, and a fine was assessed.
Abuse—Failed to provide a safe medication administration system
27 Jun 2019Abuse: Neglect
27 Jun 2019Abuse: Neglect
Investigated a neglect finding involving stopping a resident's medication, resulting in the resident not receiving medication from 6/27 to 7/2.
Abuse—Failed to provide a safe medication administration system
28 Feb 2019Abuse: Neglect
28 Feb 2019Abuse: Neglect
Found neglect of a resident's health and safety that resulted in inappropriate sexual contact between residents.
Abuse—Failed to protect resident from inappropriate sexual contact
18 Mar 2018Inspection
18 Mar 2018Inspection
Found that a staff member did not follow the care plan, resulting in not using a Hoyer Lift to transfer the resident and the resident sliding to the floor.
Licensing—Failed to follow care plan
19 Feb 2018Abuse: Neglect
19 Feb 2018Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe medication administration system, leading to an incorrect dose.
Abuse—Failed to provide a safe medication administration system
01 Feb 2018Inspection
01 Feb 2018Inspection
Found that medications were not administered properly according to the rule.
Licensing—Failed to administer medication as ordered
03 Nov 2017Abuse: Neglect
03 Nov 2017Abuse: Neglect
Found failure to provide appropriate care resulting in a clogged catheter and skin breakdown.
Abuse—Failed to provide service
28 Jul 2017Inspection
28 Jul 2017Inspection
Found a violation related to palatability and sanitation after noting cold food that should be hot.
Licensing—Failed to provide proper food/nutrition
12 Dec 2015Abuse: Physical Abuse
12 Dec 2015Abuse: Physical Abuse
Investigated an allegation of physical abuse and found a failure to protect the resident from rough treatment.
Abuse—Failed to protect resident from rough treatment
27 Aug 2015Inspection
27 Aug 2015Inspection
Investigated an allegation that necessary information was not communicated; found that relevant information was not provided to the offsite provider and a protocol to receive information was required.
Licensing—Failed to communicate necessary information
09 Jun 2014Abuse: Neglect
09 Jun 2014Abuse: Neglect
Investigated and found a failure to provide a safe environment resulting in a resident fall with injury. A $250 fine was assessed.
Abuse—Failed to adequately care plan related to falls
20 May 2014Abuse: Neglect
20 May 2014Abuse: Neglect
Found that care planning for falls was inadequate and a safe environment was not provided.
Abuse—Failed to adequately care plan related to falls
27 Mar 2014Abuse: Neglect
27 Mar 2014Abuse: Neglect
Investigated a neglect allegation of an absent qualified caregiver and found a failure to provide a safe environment.
Abuse—Failed to assure that a qualified caregiver was present
14 Aug 2012Abuse: Neglect
14 Aug 2012Abuse: Neglect
Investigated and found that medical treatment as ordered was not provided.
Abuse—Failed to provide medical treatment as ordered
23 Jul 2012Abuse: Neglect
23 Jul 2012Abuse: Neglect
Investigated an allegation of neglect and found a lack of a safe and secure environment.
Abuse—Failed to protect resident from financial exploitation
20 Jul 2012Abuse: Verbal/Mental abuse
20 Jul 2012Abuse: Verbal/Mental abuse
Found that residents were not protected from inappropriate verbal comments.
Abuse—Failed to protect resident from verbal abuse
14 Jul 2011Abuse: Financial abuse
14 Jul 2011Abuse: Financial abuse
Investigated an allegation of failing to provide a safe environment. Found that a safe environment was not provided.
Abuse—Failed to provide safe environment
19 Dec 2010Abuse: Neglect
19 Dec 2010Abuse: Neglect
Investigated a neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to follow care plan
11 Mar 2010Abuse: Neglect
11 Mar 2010Abuse: Neglect
Investigated an allegation of failing to administer medication as ordered; found violations and a $300 fine was assessed.
Abuse—Failed to administer medication as ordered
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