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Assisted Living

Orchards Assisted Living

1018 Royal Court, Medford, OR 97504 · Map
Licensed for 72 residents

State license active
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Orchards Assisted Living is a state-licensed assisted living community in Medford, Oregon. It is licensed for 72 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
72 residentsLicensed capacity
State licensedAssisted living facility
$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.

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

8Deficiencies cited
16Substantiated violations

Last inspection: May 12, 2025. See the record

License

Active, 72 residents

Assisted Living Facility 70M210.

Nearest emergency room

0.3 miles

Providence Medford Medical Center, rated 2 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
Orchards Assisted Living this community72Not publishedActive8 deficiencies, 16 violations
Avamere at Waterford Assisted Living Facility0.2 mi85Not publishedActive7 deficiencies, 10 violations
Farmington Square Medford0.4 mi81Not publishedActive24 deficiencies, 51 violations
Horton Plaza0.4 mi18Not publishedActive6 deficiencies, 4 violations
Fountain Plaza0.5 mi19Not publishedActive6 deficiencies, 0 violations
State inspection record8 deficiencies, 16 violations
Last inspection
May 12, 2025
Inspections
4, 8 deficiencies cited
Substantiated abuse
12
Substantiated licensing violations
4
Regulatory actions
1
Fines assessed
$7,213.00 (11 violations)
Current owner since
October 1, 2021

License conditions and other regulatory actions

  • January 23, 2023 to March 7, 2023: License Condition, Failed to meet the scheduled and unscheduled needs of residents ALFCD23-00023; 2 incidents: OR0003805403, OR0003805402
    The facility failed to fully implement and update an acuity-based staffing tool (ABST) in accordance with OAR 411-054-0037.
    Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)

Inspections

  • May 12, 2025: Kitchen, 1 deficiency cited report
    • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • August 17, 2023: 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 October 16, 2023
  • October 4, 2022: Complaint Investig., 2 deficiencies cited report
    • C0010: Licensing Complaint Investigation 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 Isolated
  • April 25, 2022: Validation, 4 deficiencies cited report
    • C0000: Comment severity level 0
    • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected June 25, 2022
    • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected June 25, 2022
    • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected June 25, 2022
    • C0640: Heating and Ventilation severity level 2, scope L2 Widespread, corrected June 25, 2022

Substantiated abuse or neglect

  • November 5, 2024: 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); 411-054-0055 (Medications and Treatments)
    State’s findings

    On or about November 5. 2024, the Alleged Victim (AV) needed his/her colostomy bag replaced. Alleged Perpetrator #2 (AP2) assisted AV with this process, although AP2 had not provided this care to AV for some time and had not had any recent training. AV requested someone with more experience, however, AP2 determined they could complete this process. A few hours later, AV was in pain and it was discovered that the plastic covering for AV's bag was not opened as it should be and prevented the bag from working properly, causing AV pain and discomfort. AV was sent to the ER for evaluation and returned to the facility. AP2's actions were found to be inconclusive. The facility's failure to ensure training of staff and to ensure treatment orders were carried out as prescribed is a violation of resident rights, is considered neglect of care and constitute abuse.

  • January 24, 2023: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $450.00; 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 provide appropriate services for Alleged Victim (AV) according to his/her needs for assistance with incontinence care which resulted in AV being left in his/her soiled briefs too long causing AV embarrassment and anxiety resulting in emotional harm and unreasonable discomfort. The facility's failure to provide appropriate and timely incontinence care is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • January 24, 2023: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $750.00; 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)
    State’s findings

    On or about January 24, 2023, the facility failed to follow Alleged Victim's (AV) care plan which resulted in AV falling and hitting his/her head on the toilet during an attempted one-person assist during toileting. Based on facility documentation and interviews, AV is a two-person assist with gait belt with all transfers. The staff member who assisted with AV's transfer during toileting, was trained by other staff to do a one-person transfer when assisting AV with his/her care needs. The facility's failure to follow AV's care plan and properly train staff caused AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care which constitutes abuse.

  • January 24, 2023: Failed to assist with toileting Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $750.00; 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

    On or about January 24, 2023, the facility failed to monitor the Alleged Victim's (AV) safety during toileting. Based on interviews and facility documentation, AV was left on the toilet without assistance. Facility staff failed to respond to AV's call light in a timely manner which resulted in AV experiencing pain and numbness. The facility's failure to address AV's toileting needs within a reasonable amount of time, caused AV unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • October 3, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
    Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
    State’s findings

    The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs to be turned every 2 hours at night. The failure resulted in AV’s condition worsening causing further unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Show all 12
  • October 3, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
    Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
    State’s findings

    The facility failed to provide appropriate services according to the Alleged Victim’s (AV) toileting care needs. The facility's failure resulted in AV waiting long periods of time for brief changes resulting in unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • August 3, 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 implement interventions and appropriately monitor Witness 1 according to his/her known behaviors and prior altercations. The failure resulted in a physical altercation, causing unreasonable discomfort to the Alleged Victim, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • March 4, 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); 411-054-0036 (Service Plan – General)
    State’s findings

    The facility failed to appropriately care plan for Alleged Victim's (AV) physically aggressive behaviors. On or about March 4, 2022, AV received a skin tear to his/her arm when Alleged Perpetrator 2 (AP2) pinned AV against a wall after AV punched AP2 in the face. AV has a known history for harassing staff and being abusive with staff. The facility's failure to appropriately care plan and implement interventions for AV's physically aggressive behaviors is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that AP2 wrongfully restrained AV was investigated and findings determined no abuse occurred.

  • February 14, 2022: Failed to assure timely medical treatment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $450.00; report
    Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
    State’s findings

    On or about February 13, 2022, Alleged Victim (AV) experienced chest pains in which he/she pressed his/her pendant seeking help multiple times. An investigation determined that facility staff ignored AV's call for help and AV had to call 911. When Emergency Medical Services (EMS) arrived at facility, it was determined that AV had to be transferred to hospital for treatment. The facility's failure to provide basic care and services (timely response to request for assistance) resulted in AV experiencing delayed access to medical care/treatment for pain. This failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • December 27, 2021: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious 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

    The facility failed to provide a safe medication administration system for Alleged Victim (AV) by failing to administer AV's medication as ordered during the months of June 2021 and July 2021 which lead to AV being sent to the hospital twice in July 2021 due shortness of breath and stroke like symptoms. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. As the new owner of this facility, you are responsible for correcting any deficiencies which pre-date your ownership. You must correct violations which occurred under previous ownership, as directed by the Department. You will not be responsible for paying civil penalties incurred by previous owner(s). However, if you fail to correct identified deficiencies within the specified time you may be subject to aggravated civil penalties.

  • December 12, 2021: Failed to provide safe environment 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); 411-054-0030 (Resident Services)
    State’s findings

    On or about December 12, 2021, Witness 1 (W1), a resident of the facility, inappropriately touched Alleged Victim (AV) when W1 offered to give AV a massage, became aroused, and refused to stop right away when AV asked W1 to stop. W1's actions caused significant emotional harm to AV. The facility failed to keep AV safe when AV experienced unwanted touching by W1. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

  • December 12, 2021: Failed to provide safe environment Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; 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); 411-054-0120 (Civil Penalties)
    State’s findings

    On or about December 12, 2021, Alleged Perpetrator 2 (AP2) touched Alleged Victim (AV) inappropriately when AP2 ran his/her fingers down AV's neck and touched AV's chest. AP2's unwanted sexual contact made AV feel uncomfortable causing AV emotional distress. AP2's actions is considered sexual abuse. The facility failed to provide a safe environment by failing to keep AV safe when AV experienced unwanted touching by AP2 causing significant emotional harm to AV. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

  • August 12, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
    Rules: 411-054-0025 (Facility Administration)
    State’s findings

    On or about August 12, 2025, Alleged Victim (AV) had money go missing from his/her room. The property was taken by an unknown Alleged Perpetrator 2 (AP2) and this person is responsible for theft of property, which is considered financial exploitation and constitutes abuse. The facility failed to protect AV’s property from theft, which is a violation of Oregon Administrative Rules.

  • September 8, 2023: 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)
    State’s findings

    Alleged Perpetrator 2 (AP2) financially exploited Alleged Victim (AV) by wrongfully taking AV's medication by means of theft. Based on facility documentation and interviews, at the end of AP2's shift, ten doses of AV's pain medication was missing. At time of incident, AP2 was in charge of the locked medication cart during his/her shift. AP2's is responsible for financial exploitation which constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.

  • September 29, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
    Rules: 411-054-0025 (Facility Administration)
    State’s findings

    Alleged Perpetrator 2 (AP2) financially exploited Alleged Victim (AV) by wrongfully taking money belonging to AV. AP2's action is considered financial exploitation which constitutes abuse. The facility failed to provide a safe environment for AV according to Oregon Administrative Rules.

  • November 30, 2021: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
    Rules: 411-054-0025 (Facility Administration)
    State’s findings

    On or about November 30, 2021, Alleged Perpetrator 2 (AP2) verbally and emotionally abused Alleged Victim (AV) by directing intimidation and mental cruelty towards AV when AP2 assisted AV with his/her Activities for Daily Living. An investigation determined that when AP2 was leaving AV's room, AP2 brushed his/her fingers down the back of AV's neck and said "don't complain about me to anyone about this" when AV showed signs of being upset with the way that AP2 provided care. AP2's actions is considered Verbal/Emotional Abuse. The facility failed to provide a safe environment for AV 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 72 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
70M210
License status
Active
Licensed capacity
72
Administrator
Dagny Sprayberry

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 Orchards Assisted 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 safety1 OSHA inspection, 2 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.

  • Oct 19, 2016: programmed (planned) inspection, complete (safety). Case closed Jun 23, 2017. 2 violations cited (2 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 317714534 - Medford Assisted Living LLC. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Other than serious: Electrical wiring methods and equipment (1910.305(c)(4)). Penalty $0 proposed, $0 now. To be fixed by Jan 17, 2017.
    • Other than serious: Electrical wiring and grounding (1910.304(g)(5)). Penalty $0 proposed, $0 now. To be fixed by Jan 17, 2017.

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 0.3 mi, nursing home 0.4 mi, pharmacy 0.2 mi
Nearest hospital with an emergency room
Providence Medford Medical Center, Medford. 0.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Avamere at Three Fountains, Medford. 0.4 miles away, straight line.
Nearest home health agency office
Accentcare Home Health Of Rogue Valley, LLC, Medford. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Bi-Mart. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 97504 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Siskiyou Dialysis, Medford, 0.9 miles away, straight line (CMS rating 2 of 5 stars)
Davita Rogue Valley Dialysis, Medford, 2.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Hospice
7 Medicare hospices tell CMS they serve ZIP code 97504.
Providence Medford Hospice, office in Medford, 2.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Signature Healthcare At Home, office in Central Point, 2.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Asante Hospice, office in Talent, 7.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
Peacehealth, Springfield. 120.7 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 high; 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 high. 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.

  1. The state recorded a finding in August 2025. 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 are on duty during the day and at night?
  4. What happens if care needs increase? When would someone need to move?
  5. What fees are charged at move-in?
  6. How do you tell families about falls, illness or changes?
  7. How long have the executive director and the head of care been here?
  8. Who gives medications, and what training do they have?
  9. For what reasons can a resident be asked to leave?
  10. Is the apartment held during a hospital stay, and at what cost?
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: FEMA rates wildfire risk here very low
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 Orchards Assisted Living provide?

Orchards Assisted Living is licensed by the state of Oregon for assisted living in Medford, Oregon. Its licensed capacity is 72 residents.

Does Lilisity rate Orchards Assisted Living?

No. We publish state licensing details for Orchards Assisted 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 Orchards Assisted 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. Orchards Assisted Living does not publish its prices.

How do I contact Orchards Assisted Living?

Visit Orchards Assisted Living at 1018 Royal Court, Medford, OR 97504.

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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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