New Friends Memory And Residential Care of Florence

Last inspection

September 15, 2026

Inspections

5, 19 deficiencies cited

Substantiated abuse

8

Substantiated licensing violations

7

Regulatory actions

2

Fines assessed

$3,814.00 (8 violations)

Current owner since

November 1, 2010

License conditions and other regulatory actions

• September 10, 2026: License Condition, Failed to provide safe environment RCFCD26-00766; incident: CALMS - 00129274
  The facility failed to follow resident services outlined in OAR 411-054-0030 for food service requirements: Facilities must provide three nutritious, palatable meals daily, plus snacks, in line with USDA Dietary Guidelines, including fresh fruit and vegetables. Modified special diets are available when needed, prepared correctly, and residents should be involved in menu planning. All food must follow OAR?333-150-0000 (Food Sanitation Rules) during preparation and service. During Food Preparation and the kitchen is open for service a PIC needs to be in charge to ensure correct food handling occurs, proper diets are provided, food is put away correctly to avoid bacteria growth and/or pest, kitchen needs to be clean and good repair.
  Rules: 411-054-0030 (Resident Services)
• September 16, 2025 to March 4, 2026: License Condition, Failed to staff as indicated by ABST RCFCD25-00834; incident: OR0005238600
  The facility failed to fully implement and update an acuity-based staffing tool in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• September 15, 2026: Kitchen, 3 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 4, scope L4 Widespread
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 4, scope L4 Widespread
  • Z0142: Administration Compliance severity level 4, scope L4 Widespread
• August 18, 2025: 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
• January 25, 2024: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread, corrected May 15, 2025
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected May 15, 2025
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected May 15, 2025
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected May 15, 2025
• January 23, 2023: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  Show all 10

  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Pattern
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern
• October 13, 2022: Complaint Investig., 3 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Isolated
  • C0243: Resident Services: Adls severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• January 5, 2026: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; 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); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. AV's care planned fall interventions were that AV may require assistance during times of dizziness. According to an investigation, on or about August 31, 2024, AV reported to staff he/she was feeling dizzy and fell a few minutes later while left alone in h/h room, resulting in a hip fracture. The facility failed to provide appropriate care, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• November 9, 2025: 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); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about November 9, 2025, AV fell out of a wheelchair while seated in the common area, resulting in bruising and a shoulder injury. AV had been observed leaning over in wheelchair prior to the fall. AV's service planned interventions were for staff to monitor AV's location and for AV to be watched closely and assisted with transfers. AV's service plan included use of a pressure alarm on AV's wheelchair, fall mat and safety checks 4-6 times per shift. AV had three previous falls in October 2025 with no new interventions to address the fall risk or direction to staff. The service planned pressure alarm was not functioning at the time of the fall on 11/9/25. The facility failed to develop fall interventions after previous falls and failed to follow the care plan to provide supervision and an alarm, resulting in injury and bruising. The facility failed to properly plan care and follow the care plan for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.

• November 7, 2025: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about October 28, 2025, AV was administered an incorrect dose of anxiety medication on three occasions, resulting in risk of serious harm. Following a change in dose order on October 23, 2025, the narcotics book had not been updated and there was no medication audit conducted. The facility failed to provide a safe medication system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 5, 2025: Failed to provide safe environment 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) resides in the memory care, has a history of wandering behavior and is dependent on staff for daily care needs. AV's care plan instructs staff to ensure AV stays out of other resident's rooms. Witness 1 (W1) has a history of sexual behaviors towards AV and other residents. According to the investigation, on or about November 5, 2025, W1 came out of their room asking for staff to help remove AV who was in his/her apartment. AV was found seated in a chair in AV's room. Staff had documented AV wandering into other resident's room prior to the incident. This placed AV at risk of serious harm due to W1's history of recent sexualized behaviors. The facility failed to protect AV from potential harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 15, 2025: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services)
  State’s findings

  The Alleged Victim (AV) resides in the memory care, has a history of wandering behavior and is dependent on staff for daily care needs. Witness 1 (W1) has a history of sexual behaviors towards others. According to the investigation, on or about October 15, 2025, AV was found in W1's room and W1 had pants undone. It is believed W1 brought AV to their room as AV would not have been able to do this without assistance. W1's behaviors were being entered into a monitoring log, but the log had not been reviewed and no new interventions were implemented. This placed AV at risk of serious harm due to W1's history of sexualized behaviors. The facility failed to properly address resident behaviors, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• December 9, 2025: 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 develop, maintain, and implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• December 8, 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

  The facility failed to protect the Alleged Victim (AV) from financial exploitation. According to an investigation, AV experienced a loss of funds. The failure is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) financially exploited AV by wrongfully taking funds from AV's account was investigated and determined to be inconclusive. The allegation that Alleged Perpetrator 2 (AP2) financially exploited AV by accepting a gifted drink was investigated and determined to be substantiated.

• December 8, 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

  The facility failed to protect the Alleged Victim (AV) from financial exploitation. According to an investigation, AV experienced a loss of funds. The failure is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 2 (AP2) financially exploited AV by wrongfully taking funds from AV's account was investigated and determined to be inconclusive. The allegation that Alleged Perpetrator 2 (AP2) financially exploited AV by accepting a gifted drink was investigated and determined to be substantiated.

• September 12, 2025: 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 develop, maintain, and implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• March 9, 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

  Based on interview and record review, conducted during a site visit on 08/12/25, the facility's failure to have a fully implemented and updated Acuity-Based Staffing Tool (ABST) was substantiated.

• February 20, 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

  Based on interview and record review, conducted during a site visit on 08/12/25, the facility's failure to have a fully implemented and updated Acuity-Based Staffing Tool (ABST) was substantiated.

• September 23, 2022: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to prepare and serve food in accordance with OAR 411-054-0030(1)(a)(C), 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 48 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.