Assisted Living
Heron Pointe Senior Living
504 Gwinn Street East, Monmouth, OR 97361 · Map
Licensed for 74 residents
Heron Pointe Senior Living is a state-licensed assisted living community in Monmouth, Oregon. It is licensed for 74 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last inspection: Sep 10, 2026. See the record
License
Active, 74 residents
Assisted Living Facility 70M201.
Nearest emergency room
6.6 miles
Salem Health West Valley.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Heron Pointe Senior Living this community | 74 | Not published | Active | 8 deficiencies, 27 violations | |
| Blue Haven Memory Care - Independence | 1.8 mi | 16 | Not published | Active | 44 deficiencies, 25 violations |
| Jefferson Lodge Memory Care Community | 6.9 mi | 55 | Not published | Active | 21 deficiencies, 162 violations |
| Blue Haven Memory Care - Dallas | 7.0 mi | 16 | Not published | Active | 20 deficiencies, 0 violations |
| Dallas Retirement Village Assisted Living Hud | 7.4 mi | 25 | Not published | Active | 16 deficiencies, 3 violations |
State inspection record8 deficiencies, 27 violations
- Last inspection
- September 10, 2026
- Inspections
- 7, 8 deficiencies cited
- Substantiated abuse
- 15
- Substantiated licensing violations
- 12
- Regulatory actions
- 0
- Fines assessed
- $5,563.00 (13 violations)
- Current owner since
- November 1, 2024
Inspections
- September 10, 2026: Re-Licensure, 1 deficiency cited report
- C0295: Infection Prevention & Control severity level 2, scope L2 Isolated
- August 20, 2026: Kitchen, 1 deficiency cited report
- C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
- February 11, 2025: Complaint Investig., 1 deficiency cited report
- C0362: Acuity Based Staffing Tool - Abst Time severity level 2, scope L2 Widespread
- February 23, 2024: State Licensure, 1 deficiency cited report
- C0000: Comment severity level 0
- C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected May 17, 2024
- August 20, 2023: Complaint Investig., 1 deficiency cited report
- C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
- C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
- June 28, 2023: Complaint Investig., 3 deficiencies cited report
- C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
- C0260: Service Plan: General severity level 2, scope L2 Isolated
- C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
- C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
- February 2, 2023: State Licensure, 0 deficiencies cited report
- C0000: Comment severity level 0
Substantiated abuse or neglect
- June 5, 2025: Failed to protect resident from financial exploitation Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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)State’s findings
The Alleged Victim (AV) is dependent on the facility for both care and a safe living environment. AV voluntarily offered jewelry from their personal collection to Alleged Perpetrator #2 (AP2), who accepted the gift. AP2 had not been provided with the facility’s policies regarding the acceptance of gifts from residents. An investigation was conducted into the allegation that AP2 failed to protect AV from theft, and the investigation determined AP2 was not substantiated. The facility failed to ensure AP2 received and understood company policy related to resident gift-giving, resulting in the loss of AV’s personal property. The facility’s failure to provide AP2 with the appropriate policy constitutes a violation of the resident’s rights, is considered neglect of care, and constitutes abuse.
- December 24, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0030 (Resident Services); 411-054-0070 (Staffing Requirements and Training)State’s findings
On or about December 24, 2024, Alleged Perpetrator 2 (AP2) and Witness 7 (W7) were transferring Alleged Victim (AV) from AV's bed to AV's wheelchair when AP2 stepped on AV's right foot. The toenail came off AV's right big toe as a result. AV service plan indicates AV requires a 2-3 person assist for all transfers or a Hoyer lift but AP1 doesn't have a Hoyer lift. AP2 was hired on or about November 27, 2024, and went through new hire orientation from approximately December 2, 2024, through December 3, 2024. AP2 was trained on elder abuse prevention, investigation and reporting on or about December 2, 2024, AP2 was not trained on gait belt safety and transfers until approximately January 27, 2025. The facility failed to a safe environment and provide supervision and training to AP2, resulting in an unsafe environment for AV.
- December 19, 2024: Failed to assure resident was safe Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0070 (Staffing Requirements and Training); 411-054-0300 (Assisted Living Facility Building Requirements)State’s findings
Alleged Victim (AV) requires a 2-3 person assist for all transfers or a Hoyer lift. The facility does not use Hoyer lifts. AV is unable to assist with transfers. On or about December 19, 2024, Staff were helping AV transfer from the toilet to AV's wheelchair when the plastic lock on AV's gait belt broke. Staff assisted AV to the floor. AV was helped back off the floor and into AV's wheelchair. AV complained of pain in AV's right knee after this. AV had bruising to AV's right upper bicep. On or about December 27, 2024, staff were transferring AV from AV's wheelchair to AV's bed when AV got a laceration approximately 2 inches long on AV's right knee. AV had to be transported by EMS to the hospital and required 3 stitches in AV's right knee. On or about January 2, 2025, AV bandage on right knee was dated December 31, 2024. The facility failed to provide a safe environment, maintain care equipment for resident scheduled and unscheduled needs and failed to have enough staff to provide for AV's transfers resulting in injury.
- September 20, 2024: Failed to assist with toileting 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
Alleged Victim (AV) needs 2-3 staff to assist with transfers. AV is able to use the call pendant to ask for toileting assistance, and to notify staff when AV is finished using the toilet. Staff remind AV to use the call pendant or call switch in the bathroom to ask for assistance. AV has scheduled toilet checks. The schedule of the toilet checks is unspecified and the scheduled toilet checks are not on AV's Care history. AV has trouble getting staff to take AV to the toilet. AV usually needs 15-30 minutes to toilet. AV reports being left on the toilet for 2 hours. AV did not have h/h call pendant on, and AV could not reach the emergency call switch in the bathroom. Staff did not come back to check on AV. AV's bottom was sore from sitting on the toilet for so long. AV has been left by staff for more than 30 minutes on multiple occasions. AV reports she does not feel cared for by the staff at AP1. Staff report it is possible AV could have been left in the bathroom unattended for an hour or more if AV did not press AV's call pendant. Between July 26, 24, and September 26, 2024, AV’s call log records show, AV had to wait more than 15 minutes 55 times for a call to resolve. 7 of those calls were over 30 minutes with the longest being 52 minutes on September 23, 2024. The facility failed to follow the care plan and assist AV with toileting needs and failed to answer call light in a timely manner, which is a violation of resident rights, is considered neglect of care and constitutes abuse
- July 26, 2024: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; report
Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0036 (Service Plan – General)State’s findings
The Alleged Victim (AV) is a known fall risk with a history of falls. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls. According to an investigation AV experienced multiple falls between July 4, 2024, and July 23, 2024, which resulted in various abrasions and caused repeated unreasonable discomfort. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Show all 15
- June 18, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0036 (Service Plan – General)State’s findings
The Alleged Victim (AV) relies on the facility to provide his/her care. Witness 1 (W1) has a history of behaviors and resident-to-resident physical altercations. According to an investigation, on or about June 18, 2024, AV was walking past W1 in the dining room when W1 punched AV in the face and chest causing AV to fall, then stabbed AV in his/her arm with a pen. The facility failed to provide a safe environment to AV when the facility failed to implement interventions and appropriately care plan related to W1's known behaviors and recent history of altercations. The facility’s failure is a violation of resident's rights, is neglect of care and constitutes abuse.
- June 6, 2024: Failed to provide safe environment 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); 411-054-0030 (Resident Services)State’s findings
Alleged Victim (AV) requires 2-3 person assist for transfers. staff are trained on transfers. AV has complained repeatedly about staff being too aggressive with the gait belt, which has resulted in AV being afraid of staff using the gait belt. AV has been pinched by the gait belt leaving red marks on multiple occasions. On June 6, 2024, AV was being helped into the shower when a bruise was noticed on the left side of AV's chest. AV reported that the bruise was caused by staff using a gait belt while transferring AV. The incident reports states that AV had mild pain from the bruise. AV reports the gait belt caused severe pain. The Unknown Alleged Perpetrator #6 was transferring AV with the gait belt, admitted that it was the gait belt that bruised AV. The incident report and staff do not remember the name of AP6. The facility failed to provide a safe environment, which is a violation or resident rights, is considered neglect of care and constitutes abuse. An investigation inconclusively determined AP2 abused and neglected AV.
- August 20, 2023: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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
The facility failed to follow the care plan and provide appropriate services according to the Alleged Victim (AV)'s needs, relating to modified diet. AV is care planned to be positioned at a ninety-degree angle while eating, drinking, or taking medication. According to an investigation, meals were left on AV’s tray while he/she was lying in bed, which posed a serious risk of harm. This failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- June 27, 2023: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0070 (Staffing Requirements and Training)State’s findings
The Alleged Victim (AV) has a history of frequent/continual urinary tract infections. The facility failed to provide appropriate services according to resident needs. According to an investigation, the Alleged Victim’s (AV) call lights were not being answered in a timely manner when AV needed assistance with toileting. According to the activity log, between May 29, 2023, and June 27, 2023, there were approximately forty-three calls that took a response time of fifteen minutes or more, with the longest taking approximately an hour and thirteen minutes due to lack of staff, which resulted in repeated unreasonable discomfort and a loss of dignity. These failures are a violation of resident rights, is neglect of care which constitutes abuse.
- March 18, 2023: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0036 (Service Plan – General)State’s findings
The Alleged Victim (AV) relies on the facility for his/her care. Witness 1 (W1) is known to have aggression toward other residents and not to respond appropriately when surprised by others. According to an investigation, on or about March 18, 2023, W1 punched AV multiple times when AV tried to use W1’s wheelchair for leverage when he/she was rolling past W1. The facility failed to provide a safe environment to AV and appropriate care plan for W1’s known behaviors, which is a violation of resident rights, is neglect of care which constitutes abuse.
- June 20, 2022: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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); 411-054-0040 (Change of Condition and Monitoring)State’s findings
The facility failed to implement interventions and appropriately care plan related to AV’s history of falls. AV experienced approximately eighteen falls, with the majority being unwitnessed, from approximately May 26, 2022, and June 20, 2022. AV experienced repeated unreasonable discomfort, including skin tears and bruising. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- May 18, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
The facility failed to implement interventions and appropriately care plan related to Alleged Victim (AV) and Witness 1's (W1) behaviors and prior altercations. The failure resulted in a physical altercation between AV and W1, causing unreasonable discomfort, which is a violation to resident rights, is considered neglect of care and constitutes abuse.
- May 14, 2022: Failed to follow care plan 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
The facility failed to implement interventions and appropriately care plan related to AV’s history of falls. The failure resulted in AV experiencing multiple falls from approximately February 25, 2022, and May 14, 2022, which resulted in repeated unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- May 1, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
The facility failed to implement interventions and appropriately care plan related to Alleged Victim (AV) and Witness 1's (W1) behaviors and prior altercations. The failure resulted in a physical altercation between AV and W1, causing unreasonable discomfort, which is a violation to resident rights, is considered neglect of care and constitutes abuse.
- November 6, 2021: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious 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)State’s findings
Alleged Victim's (AV's) service plan dated on or about September 1 2021 to November 17, 2021 indicates AV is a high fall risk with history of falls. AV uses a 4 wheeled walker for short distances and an electric scooter for longer distances. AV ambulates independently and is able to transfer independently from bed, but does take time to get balanced. AV can get in/out of reclining lift chair, on/off toilet, and in bed independently. AV needs help getting out of bed 3-4x/week due to morning weakness & hip pain. AV has unsteady gait, generalized weakness & edema in lower legs. AV fell on or about on or about September 22, 2021 and September 23, 2021, no interventions implemented after falls. On or about September 27, 2024 AV fell, resulting in a head injury. Intervention implemented offer toileting assistance after each meal. On October 9, 2021 AV had an unwitnessed fall, no interventions implemented. On or about November 6, 2021 AV had an unwitnessed fall. AV used AV's call pendant to call for help AV was sitting with AV's back against AV's bed. AV was unable to stand or walk, and was transported to the hospital. AV diagnosed with a broken tailbone. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s increasing and ongoing falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Substantiated licensing violations
- January 15, 2025: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0037 (Acuity-Based Staffing Tool)State’s findings
The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility is not currently staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules. Corrective Action taken on related allegation.
- January 15, 2025: Failed to meet the scheduled and unscheduled needs of residents Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0070 (Staffing Requirements and Training)State’s findings
The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents. It was determined the lack of staff is leading to needs not being met or taking extended periods of time to be met. Facility is not currently staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules. Corrective Action taken on related allegation.
- December 25, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0037 (Acuity-Based Staffing Tool)State’s findings
Based on interview and record review, conducted during a site visit on 02/11/25, the facility's failure to develop and maintain an Acuity-Based Staffing Tool was substantiated. Findings include, but are not limited to: A review of the facility's posted staffing plan, undated, indicated the following: Day: two med techs and four caregivers; Evening: two med techs and four caregivers; and Night: one med tech and one caregiver. A review of the facility's schedule for Wednesday 12/25/24 revealed the facility was not staffing to their posted staffing plan. The following staff were scheduled: Day: one med tech and four caregivers; Evening: two med techs and three caregivers; and Night: one med tech and one caregiver. In an interview, Staff 1 agreed with the findings. The facility's failure to develop and maintain an Acuity-Based Staffing Tool was substantiated.
- November 21, 2024: Failed to provide proper food/nutrition Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
State’s findings
The facility failed to provide three daily nutritious, palatable meals with snacks available seven days a week. An investigation determined this is a violation of Oregon Administrative Rules.
- November 3, 2024: Failed to provide service 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); 411-054-0036 (Service Plan – General)State’s findings
On or about November 3, 2024, the Alleged Victim (AV) called for assistance from facility staff. Alleged Perpetrator #2 (AP2) answered the call light but refused to assist AV and left AV without providing care to AV, leaving AV soiled in his/her bed for hours without assistance. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.
Show all 12
- November 3, 2024: Failed to provide service 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); 411-054-0036 (Service Plan – General)State’s findings
On or about November 3, 2024, the Alleged Victim (AV) called for assistance from facility staff. Alleged Perpetrator #2 (AP2) answered the call light but refused to assist AV and told AV to eliminate in his/her incontinence brief. AV felt this was humiliating. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.
- September 11, 2024: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0055 (Medications and Treatments)State’s findings
Based on interview and record review, conducted during a site visit on 02/11/25, the facility's failure to carry out medication orders as prescribed was substantiated for 1 of 1 sampled resident (#1). Findings include, but are not limited to: A review of Resident 1's signed physician ordered, dated 08/29/24, revealed an order for: *"Hydrocodone/APAP 5-325 mg (norco) 1 Tab by mouth every 6 hours at 1000, 1600, 2200, and 0400". A review of Resident 1's MAR dated 09/01/24 through 09/30/24 revealed all four administrations were not completed on 09/11/24. An interview with Resident 1 confirmed s/he had not received his/her hydrocodone. The facility's failure to carry out medication orders as prescribed was substantiated. Verbal plan of correction: Facility will ensure medications are ordered seven days in advance whenever possible by adding a task to the MAR.
- April 14, 2024: Failed to follow care plan Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0025 (Facility Administration)State’s findings
The Alleged Victim relies on the facility for his/her care. According to an investigation, on or about April 14, 2024, Alleged Perpetrator 2 (AP2) did not follow the care plan, resulting in AV sitting in wet briefs for several hours, resulting in unreasonable discomfort. AP2’s actions are considered neglect and constitutes abuse The facility failure to ensure AV's care plan was followed, which is a violation of Oregon Administrative rules.
- March 31, 2024: Failed to follow care plan Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0025 (Facility Administration)State’s findings
The Alleged Victim relies on the facility for his/her care. According to an investigation, on or about March 31, 2024, Alleged Perpetrator 3 (AP3) did not follow the care plan, resulting in AV sitting in wet briefs for several hours, resulting in unreasonable discomfort. AP3's actions are considered neglect and constitutes abuse. The facility failure to ensure AV's care plan was followed, which is a violation of Oregon Administrative rules.
- July 15, 2023: Failed to meet the scheduled and unscheduled needs of residents Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0070 (Staffing Requirements and Training)State’s findings
The facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. An investigation determined this is a violation of Oregon Administrative Rules.
- June 28, 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)State’s findings
According to an investigation, it was determined that Alleged Perpetrator 2 (AP2) took the Alleged Victim's (AV) debit card and connected the account to his/her own cash app account, taking a total of approximately $90.00 from AV's account. AP2's actions are considered financial exploitation and constitutes abuse. The facility did not keep AV free from financial exploitation, which is a violation of Oregon Administrative rules.
- June 27, 2023: Failed to follow care plan Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
Rules: 411-054-0025 (Facility Administration)State’s findings
Alleged Victim (AV) relies on the facility for assistance with transfers and the use of a gait belt during transfer. On or about June 27, 2023, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan and transferred AV without the use of a gait belt resulting in AV being placed on his/her bed in a rough manner. As a result, AV expressed fear of AP2 and did not want AP2 in his/her room. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure care plans were followed 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 74 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.
License and ownershipActive license
- License type
- Assisted Living Facility
- License number
- 70M201
- License status
- Active
- Licensed capacity
- 74
- County
- Polk County
- Administrator
- Anna Palomar
Source: Oregon state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from public records we reviewed, as of Oct 12, 2026.
Paying with Medicaid and other programsOn the Oregon list of Medicaid providers (2026)
On the Oregon list of Medicaid providers. Listed as Heron Pointe Senior Living under Accepts Medicaid (ODHS licensing record). (state list, as of Sep 9, 2026)
Being on the list means the community has taken part in the program. Ask whether it has a Medicaid opening now, and how many residents it serves on Medicaid.
Staff pay and workplace safety4 OSHA inspections, 4 violations cited
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 10, 2024: programmed (planned) inspection, complete (safety). Case closed Sep 27, 2024. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 317735251 - Csl-monmouth I LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Jan 10, 2024.
- Dec 31, 2018: programmed (planned) inspection, complete (safety). Case closed Aug 2, 2019. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 317722932 - Emeritus Corp. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Dec 31, 2018.
- Dec 21, 2016: programmed (planned) inspection, complete (safety). Case closed Jun 1, 2017. 2 violations cited (2 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 317715209 - Brookdale Senior Living Communities INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Dec 21, 2016.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Dec 21, 2016.
- Jan 7, 2016: follow-up inspection, partial (safety). Case closed Jan 7, 2016. No violations cited. OSHA record. OSHA recorded the employer as 317710853 - Brookdale Senior Living Communities INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby careNearest hospital 6.6 mi, nursing home 1.2 mi, pharmacy 7.2 mi
- Nearest hospital with an emergency room
- Salem Health West Valley, Dallas. 6.6 miles away, straight line.
- Nearest Medicare nursing home
- Independence Health & Rehabilitation Center, Independence. 1.2 miles away, straight line.
- Nearest home health agency office
- First Call Home Health Agency, LLC, Salem. 11.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 7.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97361 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Salem Dialysis, Salem, 9.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Fmc West Salem, Salem, 11.0 miles away, straight line (CMS rating 1 of 5 stars)
Davita Glen Creek Dialysis, Salem, 11.4 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 97361.
Willamette Vital Health, office in Salem, 11.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Serenity Hospice, office in Salem, 11.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
Samaritan Evergreen Hospice, office in Albany, 18.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mid-Valley Healthcare Inc, Lebanon. 25.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in September 2026. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Oregon Department of Human Services, Long-Term Care Licensing inspection records | Oct 15, 2026 | See above |
| Oregon Medicaid provider list | Sep 9, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Heron Pointe Senior Living provide?
Heron Pointe Senior Living is licensed by the state of Oregon for assisted living in Monmouth, Oregon. Its licensed capacity is 74 residents.
Does Lilisity rate Heron Pointe Senior Living?
No. We publish state licensing details for Heron Pointe Senior Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Heron Pointe Senior Living cost?
Assisted Living in Oregon typically starts at $4,600 to $5,800 a month. Based on 108 communities that publish prices. These are area figures, not this community's price. Heron Pointe Senior Living does not publish its prices.
How do I contact Heron Pointe Senior Living?
Use Heron Pointe Senior Living's website, mosaicms.com/community/heron-pointe-senior-living, or visit at 504 Gwinn Street East, Monmouth, OR 97361.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid