Pricing ranges from
    $3,300 – 5,700/month

    Emerald Gardens

    1890 Newberg Hwy, Woodburn, OR 97071
    • Assisted Living
    • Memory Care

    Warm staff, spotless facility, recommended

    I toured Emerald Gardens and felt immediately at ease - staff are warm, genuine, and know residents by name. The place is bright and spotless, the food homestyle and tasty, and the small memory-care option felt caring and well run. Move-in was smooth, leadership is responsive, and residents enjoy plenty of activities in a welcoming, safe environment. I'm very pleased overall and would recommend it, with only minor room for improvement.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Tour Type

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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·(85)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      4.6
    • Meals

      4.1
    • Amenities

      4.1
    • Value

      1.8

    Pros

    • Compassionate caregiving staff
    • Personalized staff–resident relationships
    • Responsive leadership and administration
    • Efficient admissions and move-in support
    • Memory-care specialization and programming
    • Small, homelike community atmosphere
    • Clean, well-maintained facility and grounds
    • Engaging activities and scheduled outings
    • Varied dining menu and homestyle meals
    • On-site amenities (TV room, computer, card room, patio)
    • FaceTime and virtual-visit support
    • Accepts Medicaid

    Cons

    • Inconsistent staffing levels and scheduling
    • Medication-management and pharmacy coordination gaps
    • Housekeeping and sanitation inconsistencies
    • Food-service timing and temperature variability
    • Billing, deposit, and refund policy inconsistencies
    • Communication and transparency lapses from administration
    • Variability in admissions and tour professionalism
    • Laundry and personal-property management problems
    • Limited visitation flexibility during infection-control events
    • Inconsistent activity availability during lockdowns or staffing shortages
    • Potential preferential focus on private-pay residents

    Summary of reviews

    Overall impression: Reviewers most often highlight a facility with a strong, family‑oriented culture and attentive front‑line staff. Many families describe caregivers who know residents by name, provide individualized attention, and create a warm, homelike atmosphere. The community’s smaller scale and visible memory‑care program are frequently cited as strengths; reviewers praise personalized care plans, proactive safety and infection‑control practices, and a willingness to assist families with virtual visits and frequent communication.

    Care quality and staff: Clinical and caregiving staff receive consistently positive comments for compassion, patience, and responsiveness. Several accounts describe effective coordination of medical needs and staff who go beyond baseline expectations to support residents and families. At the same time, a pattern of inconsistent staffing levels and scheduling appears across reviews; some families report delays in personal-care tasks, longer waits for staff attention, and occasional gaps in hygiene and housekeeping performance. A subset of reviews raises concerns about medication-management processes and pharmacy coordination, indicating the need to clarify medication protocols and oversight during a tour.

    Dining and activities: Dining is generally viewed positively—many reviewers mention varied menus, homestyle meals, and friendly dining-room socializing. However, there are recurring comments about meal-service timing and temperature inconsistency, and some reviewers wished for greater menu variety or more consistent hot‑meal delivery. Activity programming is frequently praised: the community offers a broad calendar, themed events, and off‑site scenic bus trips that many residents enjoy. Conversely, a number of reviewers noted periods when activity offerings were limited (for example during infection‑control periods or staffing shortages), producing uneven resident engagement at times.

    Facilities and amenities: The facility is commonly described as bright, clean, and well maintained, with specific praise for common spaces, patios, and recent painting or remodeling. On‑site amenities such as TV and computer rooms, card rooms, and outdoor decks contribute to a homelike feel. There are also isolated sanitation concerns and odor issues mentioned for particular areas, together with reports of inconsistent housekeeping performance; these suggest variability in routine environmental maintenance rather than universally poor conditions.

    Management and operations: Administrative and leadership staff receive a mix of strong praise and notable criticism. Many families commend proactive administrators, smooth move‑ins, and helpful admissions staff. Conversely, some reviews describe lapses in transparency, inconsistent communication, and problems with billing or deposit/refund resolution. There are also remarks about variability in tour quality and responsiveness from specific administrative team members. Operational weaknesses clustered around laundry/personal‑property handling, occasional billing disputes, and perceived preferential treatment of private‑pay residents are recurring themes.

    Notable patterns and considerations: The overall sentiment skews positive with particular strengths in personalized caregiving, memory‑care programming, and community atmosphere. The chief operational risks to weigh are staffing consistency, medication management procedures, housekeeping reliability, and financial/contract clarity. Prospective families may benefit from focused conversations during a visit about staffing ratios, medication oversight, housekeeping schedules, meal‑service protocols, and contract/refund terms. That approach will help determine whether the facility’s many strengths align with a particular resident’s needs and expectations.

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    Location

    Map showing location of Emerald Gardens

    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.

    About Radiant Senior Living

    Emerald Gardens is managed by Radiant Senior Living.

    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 24 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.

    License number50M019
    StatusActive
    Facility typeResidential Care Facility
    Capacity59 residents
    LicenseeRSL Woodburn, LLC
    EffectiveOctober 1st, 1987
    Special certificationMemory Care
    View the official license record

    Inspection Reports

    81

    Reports

    0

    Type A Citations

    0

    Type B Citations

    2

    Complaints

    16

    Years

    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.
    • AbuseFailed to protect resident from financial exploitation
    26 Dec 2025Abuse: Neglect
    Determined that a resident's personal funds were misappropriated and protections against financial exploitation were not maintained.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to protect resident from financial exploitation
    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.
    • AbuseFailed to provide service
    13 Aug 2025Kitchen
    Identified deficiencies in food sanitation and administration compliance, including unsanitary kitchen conditions and maintenance issues in the memory care area.
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    21 Apr 2025License Condition
    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 ActionFailed to meet the scheduled and unscheduled needs of residents
    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 ActionFailed to use an ABST
    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.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to properly plan care
    06 Mar 2025Complaint
    Investigated a staffing-related complaint and identified deficiencies in staffing requirements and training, including the acuity-based staffing tool.
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity-Based Staffing Tool
    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.
    • AbuseFailed to properly plan care
    28 Feb 2025Inspection
    Investigated the allegation of failing to provide service and found a violation regarding the implementation of services.
    • LicensingFailed to provide service
    28 Feb 2025Inspection
    Found deficiencies in the Acuity-Based Staffing Tool, with inconsistencies between the resident roster, care plans, and ABST data.
    • LicensingFailed to use an ABST
    12 Feb 2025Licensure
    Found multiple deficiencies in infection prevention, psychotropic medication management, staffing, acuity-based staffing, privacy, and staff training across two visits.
    • DeficiencyInfection Prevention & Control
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyAcuity Based Staffing Tool - ABST Time
    • DeficiencyAcuity Based Staffing Tool - Updates & Staffing Plan
    • DeficiencyIndividual Rights Settings: Privacy, Dignity
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance with Rules Health Care
    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.
    • AbuseFailed to follow care plan
    09 May 2024Licensure
    Identified deficiencies in kitchen sanitation and administration during the initial visit; follow-up determined substantial compliance with the applicable rules.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    07 Jan 2024Abuse: Neglect
    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.
    • AbuseFailed to provide safe environment
    28 Jun 2023Abuse: Neglect
    Concluded neglect occurred due to failure to plan care, leading to multiple falls and an injury, with a fine assessed.
    • AbuseFailed to properly plan care
    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.
    • LicensingFailed to follow care plan
    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.
    • LicensingFailed to use an ABST
    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.
    • DeficiencyLicensing Complaint Investigation
    • DeficiencyFacility Administration: Policy & Procedure
    06 Jan 2023Abuse: Neglect
    Identified abuse and neglect after a staff member punched a resident and failed to follow the care plan; a $375 fine was assessed.
    • AbuseFailed to follow care plan
    17 Dec 2022Abuse: Neglect
    Found that a safe environment was not provided, resulting in abuse and neglect; a fine was assessed.
    • AbuseFailed to provide safe environment
    13 Dec 2022Inspection
    Found a deficiency related to lack of a working equipment that constitutes a Level 2 licensing violation.
    • LicensingFailed to assure adequate supply or equipment
    12 Dec 2022Abuse: Neglect
    Found a failure to provide a safe environment that harmed a resident, constituting neglect and abuse. A fine was assessed.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to provide safe environment
    22 Oct 2022Abuse: Neglect
    Found neglect and abuse due to an unsafe environment after a resident sustained a skin injury; a fine was assessed.
    • AbuseFailed to provide safe environment
    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.
    • AbuseFailed to properly plan care
    08 Sept 2022Abuse: Neglect
    Found that care planning did not address a resident's fall risk, leading to a fall and injuries.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to provide safe environment
    11 Aug 2022Licensure
    Identified deficiencies in food sanitation and kitchen maintenance, with administrative noncompliance noted across visits.
    • DeficiencyComment
    • DeficiencyResident Services Meals, Food Sanitation Rule
    • DeficiencyAdministration Compliance
    08 Aug 2022Abuse: Neglect
    Investigated a complaint and found a failure to follow the care plan led to abuse and neglect of a resident.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to follow care plan
    22 Jul 2022Abuse: Neglect
    Found a failure to properly plan care to prevent falls, resulting in a fine.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to properly plan care
    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.
    • LicensingFailed to provide a safe medication administration system
    12 Jun 2022Abuse: Neglect
    Found a failure to properly plan care, placing a resident at risk for harm. A $375 fine was assessed.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to provide safe environment
    15 Nov 2021Abuse: Neglect
    Found a failure to administer medications as ordered, leading to missed doses and neglect.
    • AbuseFailed to administer medication as ordered
    28 Oct 2021Abuse: Neglect
    Determined neglect of care related to a resident's falls and assessed a $188 fine.
    • AbuseFailed to provide service
    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.
    • DeficiencyComment
    • DeficiencyReasonable Precautions
    • DeficiencyReporting & Investigating Abuse-Other Action
    • DeficiencyResident Services: Activities
    • DeficiencyService Plan: General
    • DeficiencyService Plan: Service Planning Team
    • DeficiencyChange of Condition and Monitoring
    • DeficiencyResident Health Services
    • DeficiencyRes Hlth Srvc: On- and Off-Site Health Srvc
    • DeficiencySystems: Medications and Treatments
    • DeficiencySystems: Treatment Orders
    • DeficiencySystems: Medication Administration
    • DeficiencySystems: Treatment Administration
    • DeficiencySystems: Self-Administration of Meds
    • DeficiencySystems: Psychotropic Medication
    • DeficiencyRestraints and Supportive Devices
    • DeficiencyStaffing Requirements and Training: Staffing
    • DeficiencyTraining Within 30 Days: Direct Care Staff
    • DeficiencyFire and Life Safety: Safety
    • DeficiencyFire and Life Safety: Training For Residents
    • DeficiencyInspections and Investigation: Insp Interval
    • DeficiencyAdministration Compliance
    • DeficiencyStaff Training Requirements
    • DeficiencyCompliance With Rules Health Care
    • DeficiencyNutrition and Hydration
    • DeficiencyActivities
    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.
    • LicensingFailed to assure resident rights
    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.
    • AbuseFailed to provide service
    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.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to properly plan care
    16 Aug 2021Abuse: Neglect
    Found violations for failure to have prescribed medication available, constituting neglect and abuse. A $750 fine was assessed.
    • AbuseFailed to have medication available
    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.
    • AbuseFailed to have medication available
    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.
    • AbuseFailed to protect resident from verbal abuse
    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.
    • AbuseFailed to protect resident from verbal abuse
    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.
    • AbuseFailed to administer medication as ordered
    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.
    • AbuseFailed to properly plan care
    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.
    • AbuseFailed to provide safe environment
    14 Mar 2021Abuse: Neglect
    Found neglect and abuse where transportation was arranged but not followed through, resulting in harm.
    • AbuseFailed to assure physician services
    14 Aug 2019Inspection
    Found a deficiency for failing to provide a safe environment after a resident's money went missing, which constitutes abuse.
    • LicensingFailed to provide safe environment
    10 Jul 2019Abuse: Neglect
    Found neglect that left the individual unsupervised, resulting in a fall.
    • AbuseFailed to follow care plan
    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.
    • AbuseFailed to provide a safe medication administration system
    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.
    • AbuseFailed to provide a safe medication administration system
    28 Feb 2019Abuse: Neglect
    Found neglect of a resident's health and safety that resulted in inappropriate sexual contact between residents.
    • AbuseFailed to protect resident from inappropriate sexual contact
    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.
    • LicensingFailed to follow care plan
    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.
    • AbuseFailed to provide a safe medication administration system
    01 Feb 2018Inspection
    Found that medications were not administered properly according to the rule.
    • LicensingFailed to administer medication as ordered
    03 Nov 2017Abuse: Neglect
    Found failure to provide appropriate care resulting in a clogged catheter and skin breakdown.
    • AbuseFailed to provide service
    28 Jul 2017Inspection
    Found a violation related to palatability and sanitation after noting cold food that should be hot.
    • LicensingFailed to provide proper food/nutrition
    12 Dec 2015Abuse: Physical Abuse
    Investigated an allegation of physical abuse and found a failure to protect the resident from rough treatment.
    • AbuseFailed to protect resident from rough treatment
    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.
    • LicensingFailed to communicate necessary information
    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.
    • AbuseFailed to adequately care plan related to falls
    20 May 2014Abuse: Neglect
    Found that care planning for falls was inadequate and a safe environment was not provided.
    • AbuseFailed to adequately care plan related to falls
    27 Mar 2014Abuse: Neglect
    Investigated a neglect allegation of an absent qualified caregiver and found a failure to provide a safe environment.
    • AbuseFailed to assure that a qualified caregiver was present
    14 Aug 2012Abuse: Neglect
    Investigated and found that medical treatment as ordered was not provided.
    • AbuseFailed to provide medical treatment as ordered
    23 Jul 2012Abuse: Neglect
    Investigated an allegation of neglect and found a lack of a safe and secure environment.
    • AbuseFailed to protect resident from financial exploitation
    20 Jul 2012Abuse: Verbal/Mental abuse
    Found that residents were not protected from inappropriate verbal comments.
    • AbuseFailed to protect resident from verbal abuse
    14 Jul 2011Abuse: Financial abuse
    Investigated an allegation of failing to provide a safe environment. Found that a safe environment was not provided.
    • AbuseFailed to provide safe environment
    19 Dec 2010Abuse: Neglect
    Investigated a neglect allegation and found a failure to provide a safe environment.
    • AbuseFailed to follow care plan
    11 Mar 2010Abuse: Neglect
    Investigated an allegation of failing to administer medication as ordered; found violations and a $300 fine was assessed.
    • AbuseFailed to administer medication as ordered

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