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Assisted Living and Memory Care

Mckenzie Manor Memory Care

360 W 28th Ave, Eugene, OR 97405 · Map
Licensed for 65 residents

State license active
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Mckenzie Manor Memory Care is a state-licensed assisted living, memory care community in Eugene, Oregon. It is licensed for 65 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingAlso memory care
65 residentsLicensed capacity
State licensedResidential care facility (memory care endorsement)
$4,600 to $5,800/moTypical assisted living start in Oregon, from 108 communities that publish prices

Prices

This community does not publish its prices.

Area costs

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.
Memory Care in Oregon typically starts at $6,000 to $8,200 a month. Based on 78 communities that publish prices. These are area figures, not this community's price.

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

14Deficiencies cited
15Substantiated violations

Last inspection: Feb 25, 2026. See the record

License

Active, 65 residents

Residential Care Facility (Memory Care endorsement) 5MA106.

Nearest emergency room

5.0 miles

Mckenzie-Willamette Medical Center, rated 4 of 5 stars by CMS.

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.

CommunityDistanceLicensed capacityPublished starting priceLicenseInspection citations
Mckenzie Manor Memory Care this community65Not publishedActive14 deficiencies, 15 violations
Emerald Valley Assisted Living1.8 mi48Not publishedActive13 deficiencies, 10 violations
Fox Hollow2.2 mi54Not publishedActive8 deficiencies, 7 violations
Marquis Eugene Assisted Living2.6 mi87Not publishedActive13 deficiencies, 2 violations
Marquis Eugene Memory Care2.6 mi50Not publishedActive10 deficiencies, 0 violations
State inspection record14 deficiencies, 15 violations
Last inspection
February 25, 2026
Inspections
5, 14 deficiencies cited
Substantiated abuse
13
Substantiated licensing violations
2
Regulatory actions
0
Fines assessed
$5,688.00 (13 violations)
Current owner since
November 1, 2021

Inspections

  • February 25, 2026: Kitchen, 2 deficiencies cited report
    • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
    • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • August 28, 2024: Complaint Investig., 1 deficiency cited report
    • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • April 4, 2024: State Licensure, 0 deficiencies cited report
    • C0000: Comment severity level 0
  • June 23, 2023: State Licensure, 0 deficiencies cited report
    • C0000: Comment severity level 0
  • May 2, 2022: Validation, 11 deficiencies cited report
    • C0000: Comment severity level 0
    • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected July 3, 2022
    • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected July 3, 2022
    • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected July 3, 2022
    • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected July 3, 2022
    Show all 12
    • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected July 3, 2022
    • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected July 3, 2022
    • Z0142: Administration Compliance severity level 2, scope L2 Pattern, corrected July 3, 2022
    • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected July 3, 2022
    • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected July 3, 2022
    • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern, corrected July 3, 2022
    • Z0164: Activities severity level 2, scope L2 Pattern, corrected July 3, 2022

Substantiated abuse or neglect

  • January 24, 2024: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
    State’s findings

    The Alleged Victim (AV) is known to wander the hallways and enter resident’s rooms. Witness 1 (W1) has a history of verbal and physical aggression against staff and residents. According to an investigation, AV was on a behavior plan for monitoring when ambulating when he/she wanders. On or about January 24, 2024, AV was wondering the hallway and opened W1’s door. W1 pushed AV and struck him/her in the face, resulting in a bloody nose and a cut lip. The facility failed to follow AV’s care plans, which is a violation of resident rights, is neglect of care which constitutes abuse.

  • November 19, 2023: Failed to provide safe environment 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 Alleged Victim (AV) and Witness 1 (W1) have history of behaviors and resident-to-resident altercations with each other when near W1’s room. According to an investigation, on or about November 19, 2023, AV wandered into W1’s room where W1 hit AV in the face, resulting in an abrasion to his/her nose and discoloration to his/her right cheek. The facility failed to follow behavioral support plans and provide a safe environment for AV which is a violation of resident rights, is neglect of care which constitutes abuse.

  • April 16, 2023: Failed to provide safe environment 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 Alleged Victim (AV) has a history of waking up confused, has aggressive behaviors, and resident-to-resident altercations. AV prefers to communicate in h/h native language and the ability to communicate in English comes in waves. Witness 1 (W1) and AV have behavioral support plans that include monitoring for aggression towards staff and other residents. On or about April 16, 2023, AV woke up confused and agitated, resulting in AV being aggressive towards staff. Staff gave AV space but were unable to effectively communicate with AV. AV walked into W1’s room where s/he hit W1 in the arm, and W1 punched AV in the face, resulting in a bruise to AVs face and AV experiencing unreasonable discomfort. The facility failed to provide a safe environment by not following AV’s behavioral support plan. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • February 22, 2023: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; report
    Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
    State’s findings

    The Alleged Victim (AV) has a history of falls and was care planned as a high fall risk. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning around falls and instruction. On or about February 22, 2023, AV fell during a transfer from his/her wheelchair to his/her bed, resulting in two vertebral fractures. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • October 30, 2022: Failed to provide safe environment 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)
    State’s findings

    The Alleged Victim (AV) and Witness 1 (W1) have history of behaviors and resident-to-resident altercations. W1 is care planned to get overwhelmed in noisy settings and prefers to have meals brought to his/her room. According to an investigation, on or about October 30, 2022, AV and W1 were in the dining area when W1 became overstimulated and hit AV in the face, which resulted in unreasonable discomfort. The facility failed to provide a safe environment for AV which is a violation of resident rights, is neglect of care which constitutes abuse.

Show all 13
  • September 7, 2022: Failed to provide safe environment 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 provide a safe environment. Witness 1 (W1) has a history of behaviors and resident-to-resident altercations. On or about August 27, 2022, W1 started a new medication that is known to increase behaviors and on or about August 29, 2022, W1’s behaviors increased. On or about September 7, 2022, the Alleged Victim (AV) and W1 were involved in a resident-to resident altercation where W1 punched AV in the arm, resulting in unreasonable discomfort. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.

  • September 7, 2022: Failed to provide safe environment 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 provide a safe environment. Witness 1 (W1) has a history of behaviors and resident-to-resident altercations. On or about August 27, 2022, W1 started a new medication that is known to increase behaviors and on or about August 29, 2022, W1’s behaviors increased. On or about September 7, 2022, the Alleged Victim (AV) was standing against a wall when W1 went up to AV and punched him/her in the arm, resulting in unreasonable discomfort. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.

  • September 7, 2022: Failed to provide safe environment 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 provide a safe environment. Witness 1 (W1) has a history of behaviors and resident-to-resident altercations. On or about August 27, 2022, W1 started a new medication that is known to increase behaviors and on or about August 29, 2022, W1’s behaviors increased. On or about September 7, 2022, the Alleged Victim (AV) was sitting in his/her wheelchair when W1 went up to AV and punched him/her in the arm, resulting in unreasonable discomfort. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.

  • September 6, 2022: Failed to provide safe environment 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 provide a safe environment. Witness 1 (W1) has a history of behaviors and resident-to-resident altercations. On or about August 27, 2022, W1 started a new medication that is known to increase behaviors and on or about August 29, 2022, W1’s behaviors increased. On or about September 6, 2022, the Alleged Victim (AV) was sitting in his/her wheelchair when W1 went up to AV and punched him/her in the arm, resulting in unreasonable discomfort. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.

  • September 6, 2022: Failed to provide safe environment 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 provide a safe environment. Witness 1 (W1) has a history of behaviors and resident-to-resident altercations. On or about August 27, 2022, W1 started a new medication that is known to increase behaviors and on or about August 29, 2022, W1’s behaviors increased. On or about September 6, 2022, the Alleged Victim (AV) was sitting in the living room when W1 went up to AV and punched him/her in the arm, resulting in unreasonable discomfort. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.

  • July 15, 2022: Failed to provide safe environment 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 provide a safe environment. According to an investigation, Witness 4 (W4) has a history of behaviors and resident-to-resident altercations. On or about July 16, 2022, W4 punched the Alleged Victim (AV) on his/her forearm while they were sitting at the table in the dining room, which resulted in unreasonable discomfort and loss of personal dignity. The facility’s failure is a violation of resident rights, is neglect of care and constitutes abuse.

  • February 17, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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

    On or about September 25, 2021, Witness 5 (W5) was seen chasing the Alleged Victim (AV) down the hallway. The AV had a bloody nose and W5 had blood on his/her knuckles. Prior to incident, W5 had been showing signs of increasing behaviors starting on or about September 17, 2022. The facility failed to properly plan care, and initiate interventions to respond to W5's increasing behaviors, which is a violation to resident rights, is considered neglect of care and constitutes abuse.

  • January 15, 2022: Failed to intervene when resident's condition changed 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); 411-054-0040 (Change of Condition and Monitoring)
    State’s findings

    The facility failed to intervene when the Alleged Victim ‘s (AV) experienced a change of condition. Between January 15, 2022, and January 31, 2022, AV experienced many bouts of diarrhea. AV was not assessed until approximately February 4, 2022, which resulted in AV experiencing unreasonable discomfort and a loss of personal dignity. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

  • June 1, 2023: Failed to protect resident from financial exploitation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
    Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
    State’s findings

    On or about June 1, 2023, it was discovered that sixty of the Alleged Victim’s (AV) narcotic pills were missing during a shift change. Based on an investigation, it was determined that Alleged Perpetrator 2 (AP2) took AV’s medication, resulting in financial exploitation, by way of theft. AP2 was responsible for financial exploitation, which constitutes abuse. The facility did not keep AV free from financial exploitation, which is a violation of Oregon Administrative rules.

  • January 20, 2023: Failed to use an 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 have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this 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 65 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
Residential Care Facility (Memory Care endorsement)
License number
5MA106
License status
Active
Licensed capacity
65
Administrator
Sherry Hogan

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 Mckenzie Manor Memory Care 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 safety2 OSHA inspections, 1 violation 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 5, 2026: complaint inspection, partial (safety). Case closed May 11, 2026. 1 violation cited (1 other). Penalties: $180 proposed, $180 now. OSHA record. OSHA recorded the employer as 317742864 - Sapphire at Mckenzie Manor LLC.
    Details
    • Other than serious: Cited rule OAR. Penalty $180 proposed, $180 now. To be fixed by Mar 26, 2026.
  • Nov 22, 2019: programmed (planned) inspection, complete (safety). Case closed Dec 5, 2019. No violations cited. OSHA record. OSHA recorded the employer as 317726247 - Eugene Southtowne Living Center LLC. 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 5.0 mi, nursing home 0.4 mi, pharmacy 0.2 mi
Nearest hospital with an emergency room
Mckenzie-Willamette Medical Center, Springfield. 5.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Cascade Manor, Eugene. 0.4 miles away, straight line.
Nearest home health agency office
Amedisys Home Health Care, Eugene. 3.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
CVS Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 97405 as metropolitan (metropolitan core).
Dialysis within 15 miles
Fresenius Kidney Care West Eugene, Eugene, 2.9 miles away, straight line (CMS rating 2 of 5 stars)
Qualicenters - Eugene-Springfield Ltd, Springfield, 4.5 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Emerald Valley, Springfield, 4.5 miles away, straight line (CMS rating 5 of 5 stars)
Hospice
8 Medicare hospices tell CMS they serve ZIP code 97405.
Signature Healthcare At Home, office in Eugene, 3.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Brighton Hospice, office in Eugene, 3.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Serenity Hospice, office in Eugene, 4.6 miles away, straight line
Nearest geriatric medicine practice
Peacehealth Medical Group, Eugene. 5.2 miles away, straight line. 2 geriatric medicine doctors 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 low; 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 low. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively moderate. 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.

  1. The state recorded a finding in February 2026. What was it, and how was it fixed?
  2. What does the base rate include, and when did rates last go up?
  3. How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
  4. What dementia training does each caregiver get before working alone, and every year after?
  5. How do staff respond when a resident is agitated, frightened or tries to leave?
  6. How many caregivers are on duty during the day and at night?
  7. What happens if care needs increase? When would someone need to move?
  8. What fees are charged at move-in?
  9. How do you tell families about falls, illness or changes?
  10. How long have the executive director and the head of care been here?
What we checked12 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.

SourceData as ofWhat we found
Oregon Department of Human Services, Long-Term Care Licensing inspection recordsOct 15, 2026See above
Oregon Medicaid provider listSep 9, 2026See above
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: no FEMA wildfire rating of moderate or higher here
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
Common questionsAnswers to 4 questions families ask
What type of care does Mckenzie Manor Memory Care provide?

Mckenzie Manor Memory Care is licensed by the state of Oregon for assisted living, memory care in Eugene, Oregon. Its licensed capacity is 65 residents.

Does Lilisity rate Mckenzie Manor Memory Care?

No. We publish state licensing details for Mckenzie Manor Memory Care 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 Mckenzie Manor Memory Care 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. Mckenzie Manor Memory Care does not publish its prices.

How do I contact Mckenzie Manor Memory Care?

Visit Mckenzie Manor Memory Care at 360 W 28th Ave, Eugene, OR 97405.

Choosing assisted livingOur care guide: what to look for, what it costs, how families pay, and more questions to ask (PDF)

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