Boone Ridge Senior Living Community

Last inspection

December 21, 2023

Inspections

3, 0 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

7

Regulatory actions

0

Fines assessed

$625.00 (2 violations)

Current owner since

May 7, 2019

• No deficiencies cited at the last 2 inspections (January 2023 to December 2023)

Inspections

• December 21, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 19, 2023: Validation, 0 deficiencies cited report
  • C0000: Comment severity level 0
• January 3, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• January 27, 2023: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0045 (Resident Health Services)
  State’s findings

  The facility failed to provide appropriate services according to the Alleged Victim (AV)’s needs, resulting in AV not being evaluated timely after an unwitnessed fall and head injury. On or about January 27, 2023, AV had an unwitnessed fall, was noted to have confusion, required redirection, and had bruising on h/h forehead. On or about January 29, 2023, witness #2 (W2) was visiting and noticed the bruising and requested AV be evaluated and sent to the emergency room. Documentation provided to the department and investigation interviews shows per policy AV should have been sent out for an unwitnessed fall with head injury. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 22, 2022: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV) has a history of falls and unsteady gait. On or about December 22, 2022, AV had a fall and was transported to the ER. AV was found to have a fractured arm and a urinary tract infection. The facility failed to properly plan care and provided interventions appropriate to mitigate continued falls, which is a violation of resident’s rights is neglect of care and constitutes abuse.

Substantiated licensing violations

• June 4, 2025: Failed to protect resident from financial exploitation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  Alleged Victim (AV) lived at Respondent’s facility. On or about May 29, 2025, Alleged Perpetrator #2 (AP2) accepted groceries purchased by AV. AP2's action of accepting items from AV is considered financial exploitation and constitutes abuse. The facility failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules.

• June 19, 2024: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility for h/h care. On or about June 19, 2024, Alleged Perpetrator 2 (AP2) administered another resident's medications to AV. As a result, AV suffered discomforts described by facility staff as; confusion, lightheadedness, tiredness, more tired than usual, difficulty walking, sleepiness, fatigue, drowsiness, felt like Jello, an unsteady gait, pretty uncomfortable, and fearful. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to administer medication as ordered which is a violation of Oregon Administrative Rules.

• May 1, 2024: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0030 (Resident Services); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure The Alleged Victim's (AV) medications were administered as ordered. On or about May 1, 2024, AP2 administered AV medication that belonged another resident causing unreasonable discomfort and placing him/her at risk of serious harm. AV was transported to the emergency room as AV was found to be drowsy and "out of it".. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.

• June 16, 2023: Failed to protect resident from financial exploitation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) Debit Card went missing from h/h room and approximately $403.30 was spent at two different stores. Video surveillance shows Alleged Perpetrator #2 (AP2) AP2 enter AV's room during dinner time when AV was not in the room, to get the trash. The next shift AP2 worked, s/he went right into AV's room and the card was back. AP2 admitted to taking AV debit card without AV permission. AP2 is responsible for theft of property, which is considered financial exploitation and constitutes abuse. The facility failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules.

• March 22, 2023: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about March 01, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days.

• November 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about November 01, 2022 the Oregon Health Authority reported to the Department that Responded failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days.

• December 7, 2021: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care. On or about 12/07/2021, Alleged Perpetrator 2 (AP2) was assisting AV with his/her jacket zipper when the zipper separated and broke. AV said, “you broke it” and AP2 called AV a liar, which is considered verbal/emotional abuse. The facility failed to protect AV from verbal/emotional abuse which is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 103 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.