Assisted Living and Memory Care
The Springs at Willowcreek
4398 Glencoe St Ne, Salem, OR 97301 · Map
Licensed for 85 residents
The Springs at Willowcreek is a state-licensed assisted living, memory care community in Salem, Oregon. It is licensed for 85 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Assisted Living | $5,205 /mo | Oct 12, 2026 |
Area costs
Care and services
From the community’s website
What The Springs at Willowcreek says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
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: May 30, 2025. See the record
License
Active, 85 residents
Residential Care Facility (Memory Care endorsement) 50M174.
Nearest emergency room
3.1 miles
Salem Hospital, rated 3 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.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| The Springs at Willowcreek this community | 85 | $5,205/mo | Active | 13 deficiencies, 36 violations | |
| Rosewood Court Residential Care | 0.2 mi | 50 | Not published | Active | 12 deficiencies, 5 violations |
| Lancaster Village 2 | 0.2 mi | 50 | $3,395/mo | Active | 17 deficiencies, 4 violations |
| The Springs at Lancaster Village | 0.3 mi | 36 | $3,395/mo | Active | 9 deficiencies, 3 violations |
| Reflections Memory Care | 0.9 mi | 16 | Not published | Active | 18 deficiencies, 5 violations |
State inspection record13 deficiencies, 36 violations
- Last inspection
- May 30, 2025
- Inspections
- 5, 13 deficiencies cited
- Substantiated abuse
- 19
- Substantiated licensing violations
- 17
- Regulatory actions
- 1
- Fines assessed
- $13,382.00 (19 violations)
- Current owner since
- August 1, 2011
License conditions and other regulatory actions
- December 10, 2024 to May 30, 2025: License Condition, Failed to meet the scheduled and unscheduled needs of residents RCFCD24-01199; incident: OR0004936400
The facility failure to have awake qualified direct care staff sufficient in number to meet the scheduled and unscheduled needs of residents in accordance with OAR 411-054-0070(1) per complaint on 03/24/24 there was one CG working with 3 residents needing hands on assistance with meals and 3 two-person transfers.
Rules: 411-054-0070 (Staffing Requirements and Training)
Inspections
- May 30, 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
- June 27, 2024: 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 August 26, 2024
- Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected August 26, 2024
- May 15, 2024: Complaint Investig., 1 deficiency cited report
- C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
- June 1, 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 June 30, 2023
- Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected June 30, 2023
- June 6, 2022: Validation, 6 deficiencies cited report
- C0000: Comment severity level 0
- C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected July 1, 2022
- C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected July 1, 2022
- C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected August 27, 2022
- C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected August 27, 2022
Show all 8
- C0540: Heating and Ventilation severity level 2, scope L2 Widespread, corrected July 1, 2022
- Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected August 27, 2022
- Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected July 1, 2022
Substantiated abuse or neglect
- May 28, 2025: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0036 (Service Plan – General)State’s findings
According to the documentation, the facility failed to follow the service plan for the Alleged Victim’s (AV) known fall risk. The AV is a known fall risk and has interventions in place to prevent falls, including the use of a tab alarm while in bed. On or about May 28, 2025, the staff placed the AV in bed but failed to properly connect their tab alarm as care planned. Staff were not made aware the AV was attempting to get out of bed and suffered a fall, sustaining bruising and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- March 24, 2025: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)State’s findings
According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV) by not administering antibiotics for approximately 5 days for a UTI. On or about September 11, 2024, the AV received a new order of antibiotics to treat their UTI. On or about September 13, 2024, the facility staff was informed the antibiotic would not treat the AV’s UTI and a new antibiotic was being ordered. The facility started the new ordered antibiotic on or about September 20, 2024, which is approximately seven (7) days after the facility was notified a new antibiotic was being ordered for the AV. the facility failed to provide a safe medication. administration system to treat the AV’s diagnosis of a UTI, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- November 3, 2024: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
The Alleged Victim (AV) is a known fall risk and has suffered 5 falls with injury between September 2024 and November 2024. AV's most recent fall was on November 3, 2024, staff saw AV walking independently but did not assist AV with ambulation to prevent a fall. AV suffered a bump to his/her head. After each of AV's previous falls, staff were to check on AV hourly and encourage AV to use his/her call light and wait for staff. According to documentation, it is known that AV has trouble remembering. Respondent failed to ensure progressive interventions were implemented to ensure AV's safety from falling. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
- October 9, 2024: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,350.00; 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) is a known fall risk and has a history of agitation and refusing medications. On or about October 9, 2024, Alleged Perpetrator #2 (AP2) was assisting AV in his/her room with eating when AV became agitated and sat up on the edge of his/her bed. AV was yelling at AP2 and sitting on the side of his/her bed. AP2 left AV's side and went to the door to yell for help and AV stood up and fell, hitting his/her head. AV was sent out to the hospital where he/she was diagnosed with a facial fracture, skin tear and bruising. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse, as outlined in OAR 411-020-0002(1)(b)(A)(i). Respondent failed to ensure appropriate interventions for fall prevention, medication refusal and agitation, resulting in a fall with multiple injuries. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
- October 9, 2024: Failed to provide appropriate pain control 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); 411-054-0040 (Change of Condition and Monitoring); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training)State’s findings
On or about October 8, 2024, and October 9, 2024, the Alleged Victim's (AV) family and hospice requested that AV receive pain medication every hour due to AV being uncomfortable and in pain, as AV was experiencing end of life. Alleged Perpetrator #2 (AP2) was the medication technician on duty at the time of the request. AP2 did not administer the medication, as AP2 stated that AV could not swallow the medication. According to documentation, AV was not given any pain medication until October 9, 2024, at 10:52 PM, The medication given wasn't effective until the third administration and AV was noted to be comfortable and sleeping. AP2's failure to administer medication as ordered caused AV pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Respondent failed to ensure AP2 was properly trained and understood how to administer medication to residents at end of life. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Show all 19
- July 25, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0036 (Service Plan – General)State’s findings
According to the documentation, the facility failed to implement appropriate progressive interventions for the Witness 1’s (W1) known behaviors resulting in physical altercations with other residents. On or about July 24, 2024, W1 and the Alleged Victim (AV) were involved in a resident to resident altercation where W1 pushed the AV to the ground causing the AV to seek medical attention. The AV was diagnosed with a sprained wrist and sustained bruises. There were no progressive interventions implemented onto the service plan to prevent W1 from engaging in physical altercations, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- February 23, 2024: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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
According to the documentation, the facility failed to update the Alleged Victim’s (AV) care plan for their repeated falls and moderate fall risk. From about December 05, 2023, through February 23, 2024, the AV experienced approximately five (5) injury and non-injury falls. On or about February 23, 2024, the AV was walking with a group of residents from one building to another from an activity. During that walk, the AV’s walker got stuck in a crack causing the AV to fall. The AV was sent to the emergency room where they were diagnosed with a fractured hip. The family elected to have surgery to repair the fractured hip. The AV did not recover well post operation and subsequently passed away. The AV was a known fall risk and was listed as a moderate fall risk on their service plan. The AV experienced an increase in the number of falls and there was no documented evidence the facility implemented interventions to prevent future falls. The failure to update the AV’s service plan with appropriate progressive fall interventions is a violation of resident rights is considered neglect of care and constitutes abuse.
- February 19, 2024: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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
According to the documentation, the facility failed to properly care plan for the Alleged Victim’s (AV) recent falls. On or about February 19, 2024, the AV was found on the floor and transported to the hospital for assessment. The AV suffered a large hematoma and was anemic, which required two blood transfers, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- January 23, 2024: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training)State’s findings
The Alleged Victim (AV) was actively dying and was scheduled to receive narcotic medication 4 times a day and as needed for pain. On or about January 22, 2024, AV received his/her pain medication at 8:30 PM. AV did not receive his/her medication again until January 23, 2024, at 4:30 AM. There was a language barrier with night shift staff, which contributed to AV not receiving his/her medication as ordered. AV suffered unreasonable discomfort due to not receiving his/her narcotic medication as ordered. The respondent failed to ensure medications were administered as ordered, and ensure staff have sufficient communication and language skills to perform their duties and communicate with residents and staff. These actions constitute abuse by neglect as defined by OAR 411-020-0002(1)(b)(A)(i) .
- August 18, 2023: Failed to follow care plan Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $2,500.00; 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
According to the documentation, the facility failed to follow the Alleged Victim’s (AV) service plan by providing stand-by assist with transfers, placing non-slip socks and placing tab alarm on them while in their chair. The failure resulted in the AV suffering a fall on or about August 18, 2023, and fracturing their hip, requiring surgery, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- July 14, 2023: Failed to properly plan care 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
According to the documentation, the facility failed to properly care plan for Witness 1 (W1) to implement interventions to prevent resident to resident altercations with the Alleged Victim (AV). The failure resulted in W1 slapping and pulling AV’s hair which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- June 5, 2023: 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
According to the documentation, the facility failed to provide a safe environment to prevent the Alleged Victim (AV) from elopement. The failure resulted in the AV to eloping from the facility out of the unlocked courtyard gate and was later found walking around the community approximately 10-20 minutes after the facility noticed the AV was gone, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- June 27, 2022: 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 facility failed to ensure supervision and staff support regarding known fall risks related to Alleged Victim (AV). Between June 2022 and September 2022, AV had 12 falls, 7 resulted in injuries, including bumps, bruises and pain. The facility's failure to properly care plan to ensure AV's safety is a violation of resident rights, is considered neglect of care and constitutes abuse.
- June 26, 2022: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
Witness #1 (W1) is known to have altercations with residents. On or about June 26, 2022, W1 went into the Alleged Victim's (AV) room and scratched his/her face. W1 is service planned to be in line of sight of staff to prevent altercations. Staff did not have AV in line of sight. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- June 26, 2022: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
Witness #1 (W1) is known to have altercations with residents. On or about June 27, 2022, W1 went into the Alleged Victim's (AV) room and grabbed his/her arm, causing a skin tear. W1 is service planned to be in line of sight of staff to prevent altercations. Staff did not have AV in line of sight. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- June 17, 2022: Failed to provide a safe medication administration system 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
The Alleged Victim (AV) is prescribed as need pain medication and as needed behavioral medication. On or about June 18, 2022, a temporary service plan was put into place by the facility Nurse, instructing staff to co-administer as needed behavioral medication and as needed pain medication. There was not a Physician order nor an order from Hospice in place to co-administer these medications. The effect on AV was that he/she became sedated and fell asleep. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- May 29, 2022: Failed to follow care plan Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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
The facility failed to follow Witness #1's (W1) care plan to be monitored and redirected due to behaviors. In an unwitnessed altercation, on or about May 29, 2022, W1 pushed the Alleged Victim (AV), causing him/her to fall, hit their head and sustain a spinal fracture. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- March 31, 2022: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $281.00; 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); 411-057-0170 (Physical Design, Environment, and Safety)State’s findings
On or about March 31, 2022, the facility failed to provide appropriate supervision to the Alleged Victim (AV) according to his/her needs. The failure resulted in AV eloping through a courtyard door that was left unsecured, without staff knowledge, placing him/her at risk of harm, 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 $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 facility failed to implement interventions or appropriately care plan for Witness #1’s (W1) known behaviors. This failure resulted in W1 slapping and grabbing the hands/wrists of the Alleged Victim (AV) on or about March 4, 2022, which caused unreasonable discomfort. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Substantiated licensing violations
- December 15, 2025: Failed to follow care plan 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)State’s findings
The Alleged Victim (AV) and Witness #1 (W1) have a history of altercations and are care planned to not be sitting together during meals. On or about December 15, 2025, AV and W1 were sitting at a table together, AV reached to get a plate of desert and W1 stabbed AV in the hand with a fork, causing a scratch and bleeding to AV's knuckle. Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) were working that day and had not read the temporary service plans regarding these two residents and did not separate them. AP2 and AP3's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to ensure the care plan was followed is a violation of Oregon Administrative Rules.
- October 20, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)State’s findings
According to the documentation, the Alleged perpetrator 2 (AP2) failed to follow the care plan to notify the RN and medical professional when the Alleged Victim’s blood sugar was low. Directions on the MAR stated any blood sugar less than 80 the RN and the PCP needs to be notified. The AP2 did not notify the low blood sugar to the RN or the PCP. On or about October 20, 2025, the AV’s blood sugar was approximately 66. The AP2 gave the AV orange juice and breakfast and came back a little while later to re-check their blood sugar. At this time, the blood sugar was 55. AP2 gave more orange juice to the AV and checked on the AV and they were unresponsive. The AV later passed away due to complications from this incident, which is a violation of resident rights, is considered neglect of care and constitutes abuse. the facility failed to follow the care plan, which is a violation of Oregon Administrative Rules.
- October 20, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0055 (Medications and Treatments)State’s findings
The facility failed to have a safe medication and treatment systems in accordance with OAR 411-054-0055(1); per report of a serious event.
- October 20, 2025: Failed to properly plan care Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0036 (Service Plan – General)State’s findings
The facility failed to have service plans reflective of the resident's needs as identified in the evaluation and include resident preferences that support the principles of dignity, privacy, choice, individuality, and independence in accordance with OAR 411-054-0036(2), per report of a serious event.
- October 20, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
Rules: 411-054-0055 (Medications and Treatments)State’s findings
The facility failed to have medication and treatment orders carried out as prescribed in accordance with OAR 411-054-0055(1)(f); per report of a serious event.
Show all 17
- January 27, 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 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.
- January 13, 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 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.
- December 28, 2024: 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.
- December 18, 2024: 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.
- December 15, 2024: 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.
- December 15, 2024: 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.
- November 2, 2024: 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.
- October 29, 2024: 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.
- October 5, 2024: 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.
- April 28, 2024: Failed to follow care plan 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)State’s findings
According to the documentation, the Alleged Perpetrator 2 (AP2) did not follow the care plan for the Alleged Victim to get a second person to assist with a Hoyer transfer. The failure resulted in the Hoyer lift to flip over, causing the AV to fall to the ground and sustained injuries, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.
- August 15, 2023: Failed to assure timely medical treatment 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)State’s findings
According to the documentation, the Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) failed to ensure the Alleged Victim (AV) received timely medical treatment after experiencing a change of condition. On or about August 15, 2023, the AV was found on the floor with vomit near them. Staff reported to AP2 during the night shift that AV had fallen and had vomit near their mouth. There is not documented evidence of AP2 checking on the AV during the night shift. During shift change, AP2 allegedly did not report the change of condition to AP3 at around 6:00 am. After shift change, two staff members reported to AP3 the change of condition of the AV and that they were still in bed, which was not typical for the AV. AP3 did not check on the AV, as a result, delaying medical treatment. At around 10:49 am, AP3 contacted their supervisor which directed them to call EMS due to AV being non-responsive. The AV was later pronounced dead at the hospital. The failure to ensure the AV received timely medical treatment after experiencing a change of condition by AP2 and AP3 is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide timely medical treatment to the AV which is a violation of Oregon Administrative Rules.
- January 24, 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 the documentation, the Alleged Perpetrator (AP2) failed to protect the Alleged Victim (AV) from financial exploitation. The failure resulted in the AP2 stealing the AV’s phone which is a violation of resident rights and is considered financial abuse. The facility failed to protect the AV from financial exploitation 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 85 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
- 50M174
- License status
- Active
- Licensed capacity
- 85
- County
- Marion County
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.
Paying with Medicaid and other programsOn the Oregon list of Medicaid providers (2026)
On the Oregon list of Medicaid providers. Listed as The Springs at Willowcreek 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.
- Dec 29, 2023: programmed (planned) inspection, complete (safety). Case closed Feb 22, 2024. No violations cited. OSHA record. OSHA recorded the employer as 317735175 - the Springs Living LLC.
- Dec 12, 2017: programmed (planned) inspection, complete (safety). Case closed May 8, 2018. 1 violation cited (1 serious). Penalties: $270 proposed, $270 now. OSHA record. OSHA recorded the employer as 317719019 - the Springs Living LLC.
Details
- Serious: Lockout of equipment during maintenance (1910.147(c)(5)(i)). Penalty $270 proposed, $270 now. To be fixed by Feb 1, 2018.
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 3.1 mi, nursing home 0.3 mi, pharmacy 0.5 mi
- Nearest hospital with an emergency room
- Salem Hospital, Salem. 3.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Tierra Rose Care Center, Salem. 0.3 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Care, Salem. 1.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97301 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Qci Salem, Salem, 1.0 mile away, straight line (CMS rating 2 of 5 stars)
Davita Lancaster Drive Dialysis, Salem, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Ne Salem Dialysis, Salem, 3.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 21 Medicare hospices tell CMS they serve ZIP code 97301.
Solterra Hospice Corporation, office in Salem, 1.2 miles away, straight line
Serenity Hospice, office in Salem, 3.8 miles away, straight line (CMS family survey rating 2 of 5 stars)
Willamette Vital Health, office in Salem, 4.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mid-Valley Healthcare Inc, Lebanon. 27.8 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 low, wildfire very low, tornado very low, heat wave relatively moderate, 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 December 2025. What was it, and how was it fixed?
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- 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?
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 | See above |
Common questionsAnswers to 4 questions families ask
What type of care does The Springs at Willowcreek provide?
The Springs at Willowcreek is licensed by the state of Oregon for assisted living, memory care in Salem, Oregon. Its licensed capacity is 85 residents.
Does Lilisity rate The Springs at Willowcreek?
No. We publish state licensing details for The Springs at Willowcreek 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 The Springs at Willowcreek 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. The starting prices it publishes are in the Prices section on this page.
How do I contact The Springs at Willowcreek?
Use The Springs at Willowcreek's website, thespringsliving.com/senior-living/or/salem/glencoe-st-ne, or visit at 4398 Glencoe St Ne, Salem, OR 97301.
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