Prestige Senior Living Arbor Place Memory Care

Last inspection

March 20, 2024

Inspections

3, 23 deficiencies cited

Substantiated abuse

16

Substantiated licensing violations

10

Regulatory actions

0

Fines assessed

$6,828.00 (16 violations)

Current owner since

December 1, 2013

• No deficiencies cited at the last inspection (March 2024)
• Every deficiency from the November 13, 2023 inspection was corrected by July 28, 2024

Inspections

• March 20, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• November 13, 2023: Validation, 21 deficiencies cited report
  • C0000: Comment severity level 0
  • C0154: Facility Administration: Policy & Procedure severity level 2, scope L2 Widespread, corrected January 15, 2024
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected July 28, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected January 15, 2024
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected January 15, 2024
  Show all 23

  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected January 15, 2024
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected January 15, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected January 15, 2024
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected January 15, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected January 15, 2024
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected January 15, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Isolated, corrected July 28, 2024
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected January 15, 2024
  • C0511: General Building Interior severity level 2, scope L2 Widespread, corrected January 15, 2024
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected January 15, 2024
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread, corrected January 15, 2024
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Widespread, corrected July 28, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected January 15, 2024
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected January 15, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected July 28, 2024
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Isolated, corrected January 15, 2024
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected January 15, 2024
  • Z0165: Behavior severity level 2, scope L2 Isolated, corrected January 15, 2024
• January 17, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected March 18, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected March 18, 2023

Substantiated abuse or neglect

• August 13, 2025: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care and has a history of falls. According to an investigation, on or about, August 9, 2025, AV experienced an unwitnessed fall, resulting in unreasonable discomfort and bruise. The facility failed to appropriately plan care and/or implement interventions to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care which constitutes abuse.

• June 30, 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) and Witness 1 (W1) have history of behaviors a previous resident-to-resident altercation with each other. It is known that Alleged Victim (AV) does not like having a roommate. According to an investigation, on or about June 30, 2025, staff heard yelling from the room that AV and W1 share and found W1 standing over AV. It was determined that W1 slapped AV, resulting in a red mark. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• April 28, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. Fall interventions documented in AV's care plan included to offer AV assistance to the bathroom at 8:00 pm, use of a nightlight to help light the way for nighttime bathroom needs and placing a pool noodle under the sheet of the bed to help AV establish boundaries of the bed. According to an investigation, on or about April 28, 2024, AV fell near their bed, resulting in a bruise and swelling to their face. The fall interventions had not been provided prior to the fall. The facility failed to follow the AV's care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• June 14, 2023: Failed to protect resident from mental or emotional abuse Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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); 411-057-0160 (Resident Services in a Memory Care Community)
  State’s findings

  According to an investigation, on or about June 14, 2023, the Alleged Perpetrator 2 (AP2) arranged for the Alleged Victim (AV) to be moved into memory care, despite AV not meeting criteria. While in memory care, AV experienced repeated unreasonable emotional discomfort, stopped participating in activities, stayed in his/her room, and skipped meals. It took approximately two weeks for AV to return to their prior living situation. AP2's actions are considered neglect of care and constitutes emotional abuse. The facility failed to protect the Alleged Victim (AV) from emotional abuse, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• February 8, 2023: Failed to administer medication as ordered 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, from approximately February 8, 2023, to February 28, 2023, AV did not receive the correct dosage of his/her seizure medication, placing AV at risk for harm. The facility failed to provide a safe medication administration system to ensure AV's medications were administered as ordered. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 30, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. According to an investigation, Alleged Perpetrator 2 (AP2) inappropriately yelled at AV, resulting in agitation and unreasonable discomfort. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes verbal abuse. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care which constitutes abuse.

• June 30, 2025: Failed to make facility or resident records accessible 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’s failure to provide records to the Department upon request was substantiated. The facility’s failure is a violation of Oregon Administrative Rules.

• February 5, 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 complete, update, review and document the ABST evaluation for each resident. The facility’s failure is a violation of Oregon Administrative Rules.

• August 19, 2023: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  According to an investigation, on or about August 22, 2023, Alleged Perpetrator 2 (AP2) yelled inappropriate comments to the Alleged Victim (AV), which resulted in the Alleged Victim (AV) experiencing unreasonable discomfort and loss of personal dignity. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes verbal abuse. The facility failed to protect AV from inappropriate verbal comments made by staff and the failure is a violation of Oregon Administrative Rules.

• October 28, 2022: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  Based on an investigation, it was determined that Alleged Perpetrator 2 (AP2) was verbally aggressive towards Alleged Victim (AV), which caused AV emotional distress and loss of personal dignity. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute verbal abuse. The facility failed to protect AV from verbal abuse, which is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 18 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.