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FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M098
Aaren Brooke Place
995 N Oregon St
Malheur
Ontario MSO
Capacity: 14
Administrator: Wendy Osborne
Facility Phone: (541) 881-1188
Facility Fax: (541) 881-9082
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 1980-01-01 Ontario, OR 97914
Renewal Date :2018-04-30 0
Units: 14
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
70M001
Adams House Assisted Living
121 Cordelia Drive
Douglas
Roseburg
Capacity: 40
Administrator: Susan Lebengood
Facility Phone: (541) 863-4444
Facility Fax: (541) 863-7978
Owner: Assisted Living Facilities, Inc.County
Orig Lic. Date: 1996-04-01 Myrtle Creek, OR 97457
Renewal Date :2018-03-31 0
Units: 34
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
50R378
Adara Oaks Manor
931 NE Linden Avenue
Multnomah
E Mult ADS
Capacity: 60
Administrator: Spencer Ross
Facility Phone: (503) 912-3211
Facility Fax: (503) 512-7477
Owner: Adara Oaks Manor, LLCCounty
Orig Lic. Date: 2011-06-30 Gresham, OR 97030
Renewal Date :2016-11-30 0
Units: 42
Management: Adara Oaks Manor, LLC
Yes
Email: [email protected]
Other Services:
50R417
Advocate Care
13033 South East Holgate Blvd
Multnomah
Multnomah
Capacity: 34
Administrator: Leah Lichens
Facility Phone: (971) 271-8547
Facility Fax: (971) 271-8602
Owner: Advocate Care, LLCCounty
Orig Lic. Date: 2015-04-27 Portland, OR 97236
Renewal Date :2017-04-30 0
Units: 34
Management: Advocate Care, LLC
Yes
Email: [email protected]
Other Services:
70M002
Alderwood Assisted Living
131 Alder St
Jackson
Medford
Capacity: 64
Administrator: Sandra Monday
Facility Phone: (541) 664-3757
Facility Fax: (541) 664-8527
Owner: Alderwood Assisted Living, LLCCounty
Orig Lic. Date: 1995-08-01 Central Point, OR 97502
Renewal Date :2018-02-28 0
Units: 60
Management: AIM Senior Management, LLC
Yes
Email: [email protected]
Other Services:
50R315
All Comfort Residential Care
9347 SW 35th St.
Multnomah
WCDAVS
Capacity: 16
Administrator: Breanna Mattson
Facility Phone: (503) 977-0606
Facility Fax: (503) 977-1011
Owner: Peaks and Valleys, LLCCounty
Orig Lic. Date: 2003-04-24 Portland, OR 97219
Renewal Date :2016-08-31 0
Units: 16
Management: Peaks and Valleys, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 1 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M003
Alpine House Assisted Living
204 N Park St
Wallowa
Enterprise MSO
Capacity: 36
Administrator: Margo Peppers
Facility Phone: (541) 432-7402
Facility Fax: (541) 432-3301
Owner: Joseph ALF, Inc.County
Orig Lic. Date: 1995-04-01 Joseph, OR 97846
Renewal Date :2017-04-30 0
Units: 30
Management: Joseph ALF, Inc.
Yes
Email: [email protected]
Other Services:
70A287
Amber Assisted Living, The
365 SW Bel Air Drive- PO Box 308
Columbia
St. Helens MSO
Capacity: 40
Administrator: Darla Sharer
Facility Phone: (503) 728-2744
Facility Fax: (503) 728-4038
Owner: Amber Investors, LLCCounty
Orig Lic. Date: 2003-03-21 Clatskanie, OR 97016
Renewal Date :2016-08-31 0
Units: 32
Management: Ageia Health Services, LLC
Yes
Email: [email protected]
Other Services:
50R339
Angeline Senior Living
501 3rd St.
Union
La Grande MSO
Capacity: 15
Administrator: Elizabeth Neaves
Facility Phone: (541) 975-2418
Facility Fax: (541) 962-0542
Owner: Angeline Senior Living, LLCCounty
Orig Lic. Date: 1999-10-04 La Grande, OR 97850
Renewal Date :2017-08-31 0
Units: 11
Management: Angeline Senior Living, LLC
Yes
Email: [email protected]
Other Services:
50R371
Applegate House of Grants Pass
1635 Kellenbeck Avenue
Josephine
Grants Pass DSO
Capacity: 15
Administrator: Stacey Smith
Facility Phone: (541) 474-6493
Facility Fax: (541) 474-6742
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2011-01-06 Grants Pass, OR 97528
Renewal Date :2017-01-31 0
Units: 15
Management: Pacific Living Centers, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 15
70M022
Applegate Place
1465 East Central
Douglas
Roseburg
Capacity: 36
Administrator: Robert Moore
Facility Phone: (541) 459-6300
Facility Fax: (541) 459-6302
Owner: Sutherlin ALF, Inc.County
Orig Lic. Date: 1997-02-01 Sutherlin, OR 97479
Renewal Date :2017-01-31 0
Units: 30
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
50R414
Arbor at Avamere Court, The
450 Claggett Court N
Marion
Salem NWSDS
Capacity: 48
Administrator: Shirley Confer
Facility Phone: (503) 856-7440
Facility Fax: (503) 390-1271
Owner: Keizer River Operations, LLCCounty
Orig Lic. Date: 2014-10-20 Keizer, OR 97303
Renewal Date :2016-10-31 0
Units: 48
Management: Keizer River Operations, LLC
Non Medicaid
Email: [email protected]
Other Services: MC, ACU 48
Tuesday, July 05, 2016 Page 2 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R328
Arbor House of Grants Pass
820 Gold Court
Josephine
Grants Pass AAA
Capacity: 15
Administrator: Athena Cromwell
Facility Phone: (541) 474-7887
Facility Fax: (541) 474-7005
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2004-08-20 Grants Pass, OR 97527
Renewal Date :2016-08-31 0
Units: 11
Management: Pacific Living Centers, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 15
50R367
Arbor Oaks Terrace Memory Care
317 Werth Blvd.
Yamhill
McMinnville NWSDS
Capacity: 48
Administrator: Tia Woodall
Facility Phone: (503) 538-2288
Facility Fax: (503) 538-2226
Owner: Newberg Memory Associates, LLCCounty
Orig Lic. Date: 2010-04-14 Newberg, OR 97132
Renewal Date :2018-04-30 0
Units: 48
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
5MA166
Ashley Manor - Alameda
1310 SW 12th Ave
Malheur
Ontario MSO
Capacity: 14
Administrator: Melissa Grimes
Facility Phone: (541) 889-6280
Facility Fax: (541) 889-6302
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 1998-04-24 Ontario, OR 97914
Renewal Date :2018-04-30 0
Units: 14
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50R295
Ashley Manor - Anique
525 Anique Ln
Josephine
Grants Pass MSO
Capacity: 15
Administrator: Tamra Morey
Facility Phone: (541) 474-4376
Facility Fax: (541) 474-4598
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2002-03-18 Grants Pass, OR 97526
Renewal Date :2017-05-31 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: anique@ashleycares .com
Other Services:
50R274
Ashley Manor - Arrowhead
3853 Arrowhead Dr.
Jackson
Medford AAA
Capacity: 11
Administrator: Judith Annin
Facility Phone: (541) 282-0467
Facility Fax: (541) 770-6545
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2001-04-16 Medford, OR 97504
Renewal Date :2017-05-31 0
Units: 11
Management: Ashley Manor, L.L.C.
Non Medicaid
Email: [email protected]
Other Services:
50R288
Ashley Manor - Athens
1514 Athens Ave.
Umatilla
Pendleton MSO
Capacity: 15
Administrator: Christina Allbritton
Facility Phone: (541) 278-6776
Facility Fax: (541) 278-6776
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2001-10-01 Pendleton, OR 97801
Renewal Date :2017-04-30 0
Units: 11
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 3 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA246
Ashley Manor - Brookhurst
2146 Brookhurst
Jackson
Medford AAA
Capacity: 14
Administrator: Ashley Morgan
Facility Phone: (541) 618-9050
Facility Fax: (541) 773-7438
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2000-05-01 Medford, OR 97504
Renewal Date :2017-05-31 0
Units: 14
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50R281
Ashley Manor - Conners
2853 NE Conners Ave.
Deschutes
Bend MSO
Capacity: 15
Administrator: Antonio Cornelio
Facility Phone: (541) 383-4400
Facility Fax: (541) 383-4984
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2001-07-26 Bend, OR 97701
Renewal Date :2017-04-30 0
Units: 11
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
5MA255
Ashley Manor - Heidi Lane
2144 NW Heidi Lane
Josephine
Grants Pass MSO
Capacity: 15
Administrator: Teresa Heard
Facility Phone: (541) 955-1816
Facility Fax: (541) 955-0774
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2000-09-25 Grants Pass, OR 97526
Renewal Date :2017-05-31 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50R306
Ashley Manor - Homedale
44 North Homedale Rd.
Klamath
Klamath Falls
Capacity: 15
Administrator: Billi Hughes
Facility Phone: (541) 850-3770
Facility Fax: (541) 273-1220
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2002-11-27 Klamath Falls, OR 97601
Renewal Date :2017-05-31 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50M204
Ashley Manor - Lund Lane
1040 Lund Lane
Baker
Baker City MSO
Capacity: 9
Administrator: Debbie Howerton
Facility Phone: (541) 524-9880
Facility Fax: (541) 523-3091
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 1999-08-13 Baker City, OR 97814
Renewal Date :2017-08-31 0
Units: 9
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
5MA238
Ashley Manor - Meadow Lakes
228 SW Meadow Lakes Drive
Crook
Prineville MSO
Capacity: 15
Administrator: Trisha Gilbert
Facility Phone: (541) 447-5816
Facility Fax: (541) 447-1546
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2000-03-03 Prineville, OR 97754
Renewal Date :2017-04-30 0
Units: 11
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 4 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA241
Ashley Manor - Oak
572 NE Oak Street
Jefferson
Madras MSO
Capacity: 15
Administrator: Taylor Lanning
Facility Phone: (541) 475-7635
Facility Fax: (541) 475-3981
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2000-03-29 Madras, OR 97741
Renewal Date :2017-04-30 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50M267
Ashley Manor - Pacific Heights
1995 8th St.
Hood River
The Dalles MSO
Capacity: 15
Administrator: Sarah Johnson
Facility Phone: (541) 387-4514
Facility Fax: (541) 387-0249
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2001-03-08 Hood River, OR 97031
Renewal Date :2017-04-30 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50M265
Ashley Manor - Rimrock
1600 SW Rimrock Way
Deschutes
Bend MSO
Capacity: 15
Administrator: Mindy Forrester
Facility Phone: (541) 504-8855
Facility Fax: (541) 504-8510
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 2001-02-20 Redmond, OR 97756
Renewal Date :2017-04-30 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
5MA233
Ashley Manor - Roseburg
427 SE Ramp St.
Douglas
Roseburg AAA
Capacity: 30
Administrator: Cady Hale
Facility Phone: (541) 464-0961
Facility Fax: (541) 672-2713
Owner: Ashley Manor LLCCounty
Orig Lic. Date: 2000-02-07 Roseburg, OR 97470
Renewal Date :2017-11-30 0
Units: 30
Management: Ashley Manor LLC
Yes
Email: [email protected]
Other Services:
5MA003
Ashley Manor - Sage
1355 SW Sage
Umatilla
Pendleton MSO
Capacity: 40
Administrator: Kimberly Cates
Facility Phone: (541) 567-1991
Facility Fax: (541) 567-3252
Owner: Ashley Manor, LLCCounty
Orig Lic. Date: 1992-12-01 Hermiston, OR 97838
Renewal Date :2017-02-28 0
Units: 30
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
50M220
Ashley Manor - Shasta
475 S Shasta Pl. Longview Div.
Harney
Burns MSO
Capacity: 15
Administrator: Markie Sykes
Facility Phone: (541) 573-3029
Facility Fax: (541) 573-3049
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 1999-03-24 Burns, OR 97720
Renewal Date :2017-03-31 0
Units: 15
Management: Ashley Manor, L.L.C.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 5 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA206
Ashley Manor - Well Springs
2110 SW 2nd Avenue
Malheur
Ontario MSO
Capacity: 10
Administrator: Lindsay Wilson
Facility Phone: (541) 881-9136
Facility Fax: (541) 881-9165
Owner: Ashley Manor, L.L.C.County
Orig Lic. Date: 1999-08-13 Ontario, OR 97914
Renewal Date :2017-08-31 0
Units: 10
Management: Ashley Manor, L.L.C.
Non Medicaid
Email: [email protected]
Other Services:
5MA221
Aspen Ridge Memory Care
1025 NE Purcell Blvd
Deschutes
Bend MSO
Capacity: 42
Administrator: Kim Luis
Facility Phone: (541) 385-8500
Facility Fax: (541) 312-6674
Owner: FM Aspen MC, LLCCounty
Orig Lic. Date: 1999-05-26 Bend, OR 97701
Renewal Date :2017-01-31 0
Units: 42
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 42
70M217
Aspen Ridge Retirement Community
1010 NE Purcell
Deschutes
Bend MSO
Capacity: 95
Administrator: Bryan Carnahan
Facility Phone: (541) 385-8500
Facility Fax: (541) 330-6687
Owner: FM Aspen Ret, LLCCounty
Orig Lic. Date: 1999-09-13 Bend, OR 97701
Renewal Date :2017-01-31 0
Units: 65
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
70M005
Aspens (The)
210 Roe Davis Ave
Harney
Burns MSO
Capacity: 48
Administrator: Ryan Dupuy
Facility Phone: (541) 573-2222
Facility Fax: (541) 573-2224
Owner: Harney Pioneer Homes, IncCounty
Orig Lic. Date: 1996-03-07 Hines, OR 97738
Renewal Date :2018-02-28 0
Units: 40
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
70A278
Assumption Village
9121 N. Burr Avenue
Multnomah
NE Portland ASO/DSO
Capacity: 84
Administrator: E'lan Calise
Facility Phone: (503) 283-5644
Facility Fax: (503) 283-5692
Owner: Assumption Village LLCCounty
Orig Lic. Date: 2002-05-29 Portland, OR 97203
Renewal Date :2016-05-31 0
Units: 77
Management: S.A.G.E.
Yes
Email: [email protected]
Other Services:
70M007
Astor Place
999 Klaskanine Ave
Clatsop
Warrenton NWSDS
Capacity: 34
Administrator: Larry Reed
Facility Phone: (503) 325-6970
Facility Fax: (503) 325-9555
Owner: ASTOR AID OPCO, LLCCounty
Orig Lic. Date: 1996-08-20 Astoria, OR 97103
Renewal Date :2017-07-31 0
Units: 28
Management: ASTOR AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 6 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R327
Atrium at Flagstone, The
3325 Columbia View Dr.
Wasco
The Dalles
Capacity: 33
Administrator: Karen Wilson
Facility Phone: (541) 298-5656
Facility Fax: (541) 298-1535
Owner: Flagstone Operations, LLC.County
Orig Lic. Date: 2004-08-13 The Dalles, OR 97058
Renewal Date :2016-10-31 0
Units: 17
Management: Milestone Retirement Communities, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 33
5MA162
Atrium at McLoughlin Place, The
1153 Molalla Ave
Clackamas
Clackamas AAA
Capacity: 50
Administrator: Amy Clapp
Facility Phone: (503) 655-3337
Facility Fax: (503) 656-6939
Owner: McLoughlin Place Operations, LLCCounty
Orig Lic. Date: 1997-03-01 Oregon City, OR 97045
Renewal Date :2016-10-31 0
Units: 25
Management: Milestone Retirement Communities, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 50
50M006
Autumn Garden Home RCF, Inc.
6215 SE Hazel Ave.
Clackamas
Milwaukie SPD
Capacity: 10
Administrator: Silviu Bumb
Facility Phone: (503) 771-5305
Facility Fax: (503) 771-5305
Owner: Autumn Garden Home RCF, LLCCounty
Orig Lic. Date: 1980-01-01 Portland, OR 97206
Renewal Date :2018-03-31 0
Units: 10
Management: Autumn Garden Home RCF, LLC
Yes
Email: [email protected]
Other Services:
50R343
Autumn House of Grants Pass
PO Bx 1419 2268 Williams Hwy
Josephine
Grants Pass SDS
Capacity: 15
Administrator: Tanelia Valenzuela
Facility Phone: (541) 474-6399
Facility Fax: (541) 474-6736
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2006-09-22 Grants Pass, OR 97528
Renewal Date :2016-09-30 0
Units: 13
Management: Pacific Living Centers, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 15
50R320
Avamere at Bethany
16360 NW Avamere Court
Washington
WCDAVS
Capacity: 26
Administrator: Angela Newsom
Facility Phone: (503) 690-2402
Facility Fax: (503) 690-2134
Owner: Avamere Bethany Operations, LLCCounty
Orig Lic. Date: 2003-08-29 Portland, OR 97229
Renewal Date :2017-09-30 0
Units: 13
Management: Avamere Bethany Operations, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 26
70A291
Avamere at Bethany Assisted Living Facility
16360 NW Avamere Court
Washington
Hillsboro
Capacity: 90
Administrator: Alex McVay
Facility Phone: (503) 690-2402
Facility Fax: (503) 690-2134
Owner: Avamere Bethany Operations, LLCCounty
Orig Lic. Date: 2003-08-08 Portland, OR 97229
Renewal Date :2017-08-31 0
Units: 71
Management: Avamere-Bethany Operations, LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 7 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA261
Avamere at Hillsboro
2000 SE 30th Avenue
Washington
WCDAVS
Capacity: 24
Administrator: Tim Minks
Facility Phone: (503) 693-9944
Facility Fax: (503) 640-6654
Owner: Avamere-Hillsboro Operations, LLCCounty
Orig Lic. Date: 2000-11-06 Hillsboro, OR 97123
Renewal Date :2016-11-30 0
Units: 12
Management: Avamere-Hillsboro Operations, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 24
70M245
Avamere at Hillsboro Assisted Living Facility
2000 SE 30th Ave.
Washington
WCDAVS
Capacity: 75
Administrator: Mark Bruhns
Facility Phone: (503) 693-9944
Facility Fax: (503) 640-6654
Owner: Avamere Hillsboro Operations, LLCCounty
Orig Lic. Date: 2000-09-26 Hillsboro, OR 97123
Renewal Date :2016-09-30 0
Units: 65
Management: Avamere-Hillsboro Operations, LLC
Yes
Email: [email protected]
Other Services:
5MA259
Avamere at Newberg
730 Foothills Dr.
Yamhill
McMinnville NWSDS
Capacity: 22
Administrator: JK Soderquist
Facility Phone: (503) 554-0767
Facility Fax: (503) 554-0436
Owner: Genesis Newberg Operations Company, LLCCounty
Orig Lic. Date: 2000-10-02 Newberg, OR 97132
Renewal Date :2016-10-31 0
Units: 22
Management: Genesis Newberg Operations Company, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 22
5MA249
Avamere at Sandy
17727 SE Langensand Rd
Clackamas
Estacada SPD
Capacity: 24
Administrator: Cathi Davenport
Facility Phone: (503) 668-4199
Facility Fax: (503) 668-7758
Owner: Avamere-Sandy Operations, LLCCounty
Orig Lic. Date: 2000-07-05 Sandy, OR 97055
Renewal Date :2018-07-31 0
Units: 20
Management: Avamere Sandy Operations, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 24
70M231
Avamere at Sandy Assisted Living Facility
17727 SE Langensand
Clackamas
Estacada SPD
Capacity: 65
Administrator: Alex Vinokurov
Facility Phone: (503) 668-4199
Facility Fax: (503) 668-7758
Owner: Avamere-Sandy Operations, LLCCounty
Orig Lic. Date: 2000-03-31 Sandy, OR 97055
Renewal Date :2018-03-31 0
Units: 55
Management: Avamere-Sandy Operations, LLC
Yes
Email: [email protected]
Other Services:
70A275
Avamere at Seaside
2500 S. Roosevelt Dr.
Clatsop
Warrenton NWSDS
Capacity: 64
Administrator: Kerry Clark
Facility Phone: (503) 738-0900
Facility Fax: (503) 738-0903
Owner: Necanicum Operations, LLCCounty
Orig Lic. Date: 2002-04-25 Seaside, OR 97138
Renewal Date :2017-04-30 0
Units: 41
Management: Necanicum Operations, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 8 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R296
Avamere at Seaside Residential Care Facility
2500 S. Roosevelt Dr.
Clatsop
Warrenton NWSDS
Capacity: 40
Administrator: Jessica Riches
Facility Phone: (503) 738-0900
Facility Fax: (503) 738-0903
Owner: Necanicum Operations, LLCCounty
Orig Lic. Date: 2002-04-25 Seaside, OR 97138
Renewal Date :2017-04-30 0
Units: 27
Management: Necanicum Operations, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 40
5MA245
Avamere at Sherwood
16500 SW Century Drive
Washington
WCDAVS
Capacity: 24
Administrator: Shirley Confer
Facility Phone: (503) 625-7333
Facility Fax: (503) 625-6565
Owner: Avamere Sherwood Operations, LLCCounty
Orig Lic. Date: 2000-04-25 Sherwood, OR 97140
Renewal Date :2018-02-28 0
Units: 12
Management: Avamere-Sherwood Operations, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 24
70M227
Avamere at Sherwood Assisted Living Facility
16500 SW Century Dr.
Washington
WCDAVS
Capacity: 65
Administrator: Patty Odenborg
Facility Phone: (503) 625-7333
Facility Fax: (503) 625-6565
Owner: Avamere Sherwood Operations, LLCCounty
Orig Lic. Date: 2000-01-28 Sherwood, OR 97140
Renewal Date :2018-02-28 0
Units: 55
Management: Avamere-Sherwood Operations, LLC
Yes
Email: [email protected]
Other Services:
50R275
Avamere at St. Helens
2400 Gable Rd.
Columbia
St. Helens MSO
Capacity: 28
Administrator: Michelle Endicott
Facility Phone: (503) 366-8070
Facility Fax: (503) 366-8088
Owner: Avamere - St. Helens Operations, LLCCounty
Orig Lic. Date: 2001-04-09 St. Helens, OR 97051
Renewal Date :2017-04-30 0
Units:
Management: Avamere-St. Helens Operations, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 28
50A235
Avamere at Waterford
760 Spring Street
Jackson
Medford
Capacity: 20
Administrator: Christy Kruse
Facility Phone: (541) 773-7718
Facility Fax: (541) 773-7719
Owner: Waterford Operations, LLCCounty
Orig Lic. Date: 2000-02-14 Medford, OR 97504
Renewal Date :2016-10-31 0
Units: 15
Management: Waterford Operations, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 20
70M218
Avamere at Waterford Assisted Living Facility
760 Spring Street
Jackson
Medford SSO
Capacity: 85
Administrator: Christy Kruse
Facility Phone: (541) 773-7718
Facility Fax: (541) 857-5139
Owner: Waterford Operations, LLCCounty
Orig Lic. Date: 1999-06-23 Medford, OR 97504
Renewal Date :2016-10-31 0
Units: 68
Management: Waterford Operations, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 9 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R068
Avamere Court at Keizer RCF
5210 River Road N
Marion
Salem NWSDS
Capacity: 63
Administrator: Rebecca Tlusty
Facility Phone: (503) 393-3624
Facility Fax: (503) 393-0108
Owner: Keizer Campus Operations, LLCCounty
Orig Lic. Date: 1992-07-31 Keizer, OR 97307
Renewal Date :2017-03-31 0
Units: 53
Management: Keizer Campus Operations, LLC
Yes
Email: [email protected]
Other Services:
70M208
Avamere Living at Newberg
730 Foothills Drive
Yamhill
McMinnville NWSDS
Capacity: 70
Administrator: Sarah Cleesen
Facility Phone: (503) 554-0767
Facility Fax: (503) 554-0436
Owner: Genesis Newberg Operations Company, LLCCounty
Orig Lic. Date: 1999-04-08 Newberg, OR 97132
Renewal Date :2017-04-30 0
Units: 54
Management: Genesis Newberg Operations Company, LLC
Yes
Email: [email protected]
Other Services:
70M258
Avamere Living at St. Helens
2400 Gable Rd.
Columbia
St. Helens MSO
Capacity: 70
Administrator: Brett Woodyard
Facility Phone: (503) 366-8070
Facility Fax: (503) 366-8088
Owner: Avamere - St. Helens Operations, LLCCounty
Orig Lic. Date: 2001-03-12 St. Helens, OR 97051
Renewal Date :2017-03-31 0
Units: 52
Management: Avamere-St.Helens Operations, LLC
Yes
Email: [email protected]
Other Services:
70M008
Awbrey Place
2825 Neff Rd
Deschutes
Bend MSO
Capacity: 49
Administrator: Angela Kooistra
Facility Phone: (541) 317-8464
Facility Fax: (541) 317-4147
Owner: AWBREY AID OPCO, LLCCounty
Orig Lic. Date: 1995-11-18 Bend, OR 97701
Renewal Date :2017-07-31 0
Units: 46
Management: AWBREY AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M055
Azalea Gardens Senior Living
755 Elk Drive
Curry
Gold Beach MSO
Capacity: 42
Administrator: Shyrlee Stagner
Facility Phone: (541) 469-7182
Facility Fax: (541) 469-5672
Owner: Brookings Senior Living, LLCCounty
Orig Lic. Date: 1996-08-08 Brookings, OR 97415
Renewal Date :2018-06-30 0
Units: 36
Management: Mosaic Management, Inc.
Yes
Email: [email protected]
Other Services:
50R407
Bartlett House of Medford Memory Care Community
3465 Lone Pine Rd
Jackson
Medford SSO
Capacity: 15
Administrator: Christina Stanley
Facility Phone: (541) 245-9814
Facility Fax: (541) 245-9819
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2014-03-31 Medford, OR 97504
Renewal Date :2018-03-31 0
Units: 15
Management: Pacific Living Centers, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 15
Tuesday, July 05, 2016 Page 10 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A307
Bayberry Commons Assisted Living
2211 Laura Street
Lane
Eugene AAA
Capacity: 62
Administrator: Patty Neuman
Facility Phone: (541) 744-7000
Facility Fax: (541) 744-7999
Owner: Bayberry Commons, Inc.County
Orig Lic. Date: 2007-04-06 Springfield, OR 97477
Renewal Date :2017-04-30 0
Units: 48
Management: Ridgeline Management Co.
Yes
Email: [email protected]
Other Services:
50R347
Bayberry Commons Memory Care
2211 Laura Street
Lane
Eugene AAA
Capacity: 14
Administrator: Patty Neuman
Facility Phone: (541) 744-7000
Facility Fax: (541) 744-7999
Owner: Bayberry Commons, Inc.County
Orig Lic. Date: 2007-04-06 Springfield, OR 97477
Renewal Date :2017-04-30 0
Units: 14
Management: Ridgeline Management Co.
Yes
Email: [email protected]
Other Services: MCC, ACU 14
50M138
Baycrest Assisted Care
3959 Sheridan Ave
Coos
Coos Bay MSO
Capacity: 36
Administrator: Molly Laird
Facility Phone: (541) 756-4151
Facility Fax: (541) 751-7715
Owner: Bay Area Properties, LLCCounty
Orig Lic. Date: 1995-03-31 North Bend, OR 97459
Renewal Date :2016-12-31 0
Units: 30
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services:
5MA215
Baycrest Memory Care
955 Kentucky Avenue
Coos
Coos Bay MSO
Capacity: 55
Administrator: Leslie Davis
Facility Phone: (541) 756-4151
Facility Fax: (541) 756-7715
Owner: Bay Area Properties, LLCCounty
Orig Lic. Date: 1998-03-26 Coos Bay, OR 97420
Renewal Date :2016-12-31 0
Units: 55
Management: Seasons Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 55
70M067
Bayside Terrace Assisted Living
192 Norman Ave
Coos
Coos Bay MSO
Capacity: 61
Administrator: Tyanna Handy
Facility Phone: (541) 888-2255
Facility Fax: (541) 888-5908
Owner: ARHC OCCOOOR01 TRS, LLCCounty
Orig Lic. Date: 1996-09-23 Coos Bay, OR 97420
Renewal Date :2017-08-31 0
Units: 47
Management: FM Ocean Crest, LLC
Yes
Email: [email protected]
Other Services:
50R408
Bee Hive Homes of Baker City
3078 Resort St.
Baker
Baker City APD
Capacity: 15
Administrator: Nicole Howerton
Facility Phone: (541) 403-3445
Facility Fax: (541) 523-1508
Owner: The Home Place in Baker, LLCCounty
Orig Lic. Date: 2014-04-11 Baker City, OR 97814
Renewal Date :2016-04-30 0
Units: 15
Management: Bee Hive Homes of Baker City
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 11 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M227
Blue Haven RCF - Dallas
280 SE Uglow St
Polk
Dallas NWSDS
Capacity: 16
Administrator: Tonya Smith
Facility Phone: (503) 623-0300
Facility Fax: (503) 588-7125
Owner: Blue Haven Residential Care Facilities, Inc.County
Orig Lic. Date: 1997-11-01 Dallas, OR 97338
Renewal Date :2017-07-31 0
Units: 16
Management: Blue Haven Residential Care Facilities, Inc.
Yes
Email: [email protected]
Other Services:
50M225
Blue Haven RCF - Independence
202 South 9th Street
Polk
Dallas NWSDS
Capacity: 16
Administrator: Shawna Stone
Facility Phone: (503) 910-5700
Facility Fax: (503) 390-5485
Owner: Blue Haven Residential Care Facilities, Inc.County
Orig Lic. Date: 1999-10-20 Independence, OR 97351
Renewal Date :2017-07-31 0
Units: 16
Management: Blue Haven Residential Care Facilities, Inc.
Yes
Email: [email protected]
Other Services:
70A235
Bonaventure of Albany Assisted Living
420 Geri Street
Linn
Albany
Capacity: 60
Administrator: Michelle Hampl
Facility Phone: (541) 497-5600
Facility Fax: (541) 497-5601
Owner: Mountain West Retirement CorporationCounty
Orig Lic. Date: 2015-12-07 Albany, OR 97321
Renewal Date :2017-12-31 0
Units: 54
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services:
50R430
Bonaventure of Albany Memory Care
420 Geri Street
Linn
Albany
Capacity: 23
Administrator: Luis Gonzalez Collazo
Facility Phone: (541) 497-5600
Facility Fax: (541) 497-5601
Owner: Mountain West Retirement CorporationCounty
Orig Lic. Date: 2015-12-07 Albany, OR 97321
Renewal Date :2017-12-31 0
Units: 22
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 23
70A320
Bonaventure of Salem Assisted Living
3411 Boone Rd SE
Marion
Woodburn ADS
Capacity: 65
Administrator: McKenzie Worden
Facility Phone: (503) 480-0004
Facility Fax: (503) 480-0104
Owner: Bonaventure of Salem, LLCCounty
Orig Lic. Date: 2012-08-22 Salem, OR 97317
Renewal Date :2016-08-31 0
Units: 52
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services:
50R385
Bonaventure of Salem Memory Care
3411 Boone Rd SE
Marion
Woodburn ADS
Capacity: 24
Administrator: Darlene Chavez
Facility Phone: (503) 480-0004
Facility Fax: (503) 480-0104
Owner: Bonaventure of Salem, LLCCounty
Orig Lic. Date: 2012-08-22 Salem, OR 97317
Renewal Date :2016-08-31 0
Units: 24
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 24
Tuesday, July 05, 2016 Page 12 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A301
Bonaventure of Tigard Assisted Living
15000 SW Hall Blvd
Washington
Tigard
Capacity: 69
Administrator: Danielle Richardson
Facility Phone: (503) 214-4200
Facility Fax: (503) 214-4201
Owner: Bonaventure of Tigard, LLCCounty
Orig Lic. Date: 2016-02-17 Tigard, OR 97224
Renewal Date :2018-02-28 0
Units: 59
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services:
50R432
Bonaventure of Tigard Memory Care
15000 SW Hall Blvd
Washington
Tigard
Capacity: 23
Administrator: Monique Cruz
Facility Phone: (503) 214-4200
Facility Fax: (503) 214-4201
Owner: Bonaventure of Tigard, LLCCounty
Orig Lic. Date: 2016-02-17 Tigard, OR 97224
Renewal Date :2018-02-28 0
Units: 23
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services: ACU 23
70A266
Bridge Assisted Living, The
201 SW Bridge St.
Josephine
Grants Pass MSO
Capacity: 77
Administrator: Matt Tartaglio
Facility Phone: (541) 956-2110
Facility Fax: (541) 956-2109
Owner: Grants Pass Assisted Living, LLCCounty
Orig Lic. Date: 2001-09-18 Grants Pass, OR 97526
Renewal Date :2017-04-30 0
Units: 63
Management: Woollard Ipsen Management, LLC
Yes
Email: [email protected]
Other Services:
50A253
Bridgecreek Memory Care Community
1401 12th St
Linn
Albany SSO
Capacity: 58
Administrator: Casey Sharer
Facility Phone: (541) 259-1779
Facility Fax: (541) 259-2012
Owner: Bridgecreek Investors, LLCCounty
Orig Lic. Date: 2000-09-07 Lebanon, OR 97355
Renewal Date :2016-02-28 0
Units: 31
Management: Ageia Health Services, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 58
70M009
Bridgewood Rivers Assisted Living
1901 NW Hughwood
Douglas
Roseburg
Capacity: 50
Administrator: Teresa Courtney
Facility Phone: (541) 440-1914
Facility Fax: (541) 440-9009
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1990-06-01 Roseburg, OR 97470
Renewal Date :2017-05-31 0
Units: 40
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
50R368
Brightcreek at Sea View
98059 Gerlach Lane
Curry
Brookings/Harbor SPD
Capacity: 35
Administrator: Stephenie Gideon
Facility Phone: (541) 469-4500
Facility Fax: (541) 469-4522
Owner: Sea View Assisted Living Community, LLCCounty
Orig Lic. Date: 2010-06-01 Brookings, OR 97415
Renewal Date :2016-10-31 0
Units: 19
Management: Seasons Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 35
Tuesday, July 05, 2016 Page 13 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A062
Brookdale Ashland
548 North Main Street
Jackson
Medford
Capacity: 45
Administrator: Ryan Franko
Facility Phone: (541) 482-3292
Facility Fax: (541) 488-6988
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1997-07-16 Ashland, OR 97520
Renewal Date :2016-08-31 0
Units: 38
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50A232
Brookdale Beaverton
16655 NW Walker Rd
Washington
WCDAVS
Capacity: 60
Administrator: Wendy Trimbo
Facility Phone: (503) 439-1653
Facility Fax: (503) 439-1654
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 2000-01-25 Beaverton, OR 97006
Renewal Date :2017-11-30 0
Units: 52
Management: Brookdale Senior Living Communities, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 60
50A263
Brookdale Bend
1099 NE Watt Way
Deschutes
Bend MSO
Capacity: 59
Administrator: Candace Nonnenmacher
Facility Phone: (541) 385-4717
Facility Fax: (541) 385-5232
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 2000-11-30 Bend, OR 97701
Renewal Date :2017-11-30 0
Units: 46
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 59
70A290
Brookdale Chestnut Lane - Gresham
1219 NE Sixth Street
Multnomah
Mid-Mult ASD
Capacity: 78
Administrator: Bradley Flynn
Facility Phone: (503) 674-0364
Facility Fax: (503) 674-9904
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2003-08-11 Gresham, OR 97030
Renewal Date :2016-08-31 0
Units: 70
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M234
Brookdale Eagle Point
261 Loto Street
Jackson
Medford AAA
Capacity: 70
Administrator: Mandy Shelton
Facility Phone: (541) 830-0355
Facility Fax: (541) 830-0524
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2000-04-21 Eagle Point, OR 97524
Renewal Date :2016-08-31 0
Units: 62
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50R279
Brookdale Eugene Alpine Court Memory Care
3720 N. Clarey St
Lane
Eugene SSO
Capacity: 64
Administrator: Cherie Long
Facility Phone: (541) 689-3900
Facility Fax: (541) 689-5622
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2001-06-13 Eugene, OR 97402
Renewal Date :2016-08-31 0
Units: 64
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 64
Tuesday, July 05, 2016 Page 14 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M202
Brookdale Eugene Alpine Springs
3760 N. Clarey St.
Lane
Eugene SSO
Capacity: 80
Administrator: Michelle Eske-Page
Facility Phone: (541) 607-9525
Facility Fax: (541) 607-5589
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1999-06-25 Eugene, OR 97402
Renewal Date :2016-08-31 0
Units: 70
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
5MA146
Brookdale Forest Grove
3110 19th Ave
Washington
WCDAVS
Capacity: 110
Administrator: Chris Budke
Facility Phone: (503) 357-3288
Facility Fax: (503) 359-1407
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1980-01-01 Forest Grove, OR 97116
Renewal Date :2017-11-30 0
Units: 88
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M016
Brookdale Geary Street
2445 Geary St SE
Linn
Albany SSO
Capacity: 80
Administrator: Trista Rinker
Facility Phone: (541) 926-8200
Facility Fax: (541) 926-8300
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1997-07-01 Albany, OR 97321
Renewal Date :2017-11-30 0
Units: 70
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50R403
Brookdale Geary Street Memory Care
2445 Geary St SE
Linn
Albany APD
Capacity: 44
Administrator: Doug Swaim
Facility Phone: (541) 926-8200
Facility Fax: (541) 926-8300
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 2014-04-10 Albany, OR 97321
Renewal Date :2018-04-30 0
Units: 32
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 44
5MA269
Brookdale Grants Pass Pointe
1400 Redwood Circle
Josephine
Grants Pass MSO
Capacity: 64
Administrator: Peggy Dias
Facility Phone: (541) 474-2838
Facility Fax: (541) 956-0190
Owner: S-H OpCo Spring Pointe, LLCCounty
Orig Lic. Date: 2001-03-15 Grants Pass, OR 97527
Renewal Date :2016-08-31 0
Units: 56
Management: BKD Twenty-One Management, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 64
70M254
Brookdale Grants Pass Village
1420 Redwood Circle
Josephine
Grants Pass MSO
Capacity: 90
Administrator: Deborah Vick
Facility Phone: (541) 474-0200
Facility Fax: (541) 474-5012
Owner: S-H OpCO Spring Village, LLCCounty
Orig Lic. Date: 2001-02-01 Grants Pass, OR 97527
Renewal Date :2016-08-31 0
Units: 83
Management: BKD Twenty-One Management, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 15 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M040
Brookdale Hermiston
980 W Highland Ave
Umatilla
Hermiston MSO
Capacity: 63
Administrator: Lori Scheel
Facility Phone: (541) 567-3141
Facility Fax: (541) 567-7863
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1996-05-16 Hermiston, OR 97838
Renewal Date :2016-08-31 0
Units: 57
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70A297
Brookdale Lebanon
181 South 5th Street
Linn
Albany SSO
Capacity: 95
Administrator: Dena Newton
Facility Phone: (541) 258-7706
Facility Fax: (541) 258-2233
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2005-12-09 Lebanon, OR 97355
Renewal Date :2016-08-31 0
Units: 83
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M017
Brookdale McMinnville City Center
721 NE 27th St.
Yamhill
McMinnville NWSDS
Capacity: 50
Administrator: Crystale Harding
Facility Phone: (503) 435-0100
Facility Fax: (503) 435-0200
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1998-05-19 McMinnville, OR 97128
Renewal Date :2017-11-30 0
Units: 41
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
5MA130
Brookdale McMinnville City Center Memory Care
721 NE 27th St.
Yamhill
McMinnville NWSDS
Capacity: 15
Administrator: Crystale Harding
Facility Phone: (503) 435-0100
Facility Fax: (503) 435-0200
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1998-06-11 McMinnville, OR 97128
Renewal Date :2017-11-30 0
Units: 15
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: ACU 15
50R078
Brookdale McMinnville Town Center
775 East 27th
Yamhill
McMinnville NWSDS
Capacity: 35
Administrator: Lara Egle
Facility Phone: (503) 472-3130
Facility Fax: (503) 434-5199
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1991-07-01 McMinnville, OR 97128
Renewal Date :2017-11-30 0
Units: 27
Management: Brookdale Senior Living Communities, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50M056
Brookdale Medford
3033 Barnett Rd
Jackson
Medford AAA
Capacity: 95
Administrator: Christina Konenakeaw
Facility Phone: (541) 776-7600
Facility Fax: (541) 776-0745
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1980-01-01 Medford, OR 97504
Renewal Date :2017-11-30 0
Units: 78
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 16 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M201
Brookdale Monmouth
504 Gwinn St E.
Polk
Dallas NWSDS
Capacity: 74
Administrator: Belinda Hamilton
Facility Phone: (503) 838-6850
Facility Fax: (503) 838-6443
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1999-06-04 Monmouth, OR 97361
Renewal Date :2016-08-31 0
Units: 61
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50M055
Brookdale Mt. Hood
25200 SE Stark St
Multnomah
E Mult ADS
Capacity: 88
Administrator: Jeri Gray
Facility Phone: (503) 665-4300
Facility Fax: (503) 674-7487
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1991-06-19 Gresham, OR 97030
Renewal Date :2017-11-30 0
Units: 78
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70A308
Brookdale Newberg
3802 Hayes St.
Yamhill
McMinnville NWSDS
Capacity: 110
Administrator: Amanda Bristow
Facility Phone: (503) 538-1705
Facility Fax: (503) 538-1905
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2007-06-29 Newberg, OR 97132
Renewal Date :2016-08-31 0
Units: 83
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50M142
Brookdale Ontario
1372 SW 8th Ave
Malheur
Ontario MSO
Capacity: 82
Administrator: Brandy Perry
Facility Phone: (541) 889-4600
Facility Fax: (541) 889-3291
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1995-05-11 Ontario, OR 97914
Renewal Date :2017-09-30 0
Units: 53
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70A303
Brookdale Oswego Springs - Portland
11552 SW Lesser Rd.
Multnomah
W Portland AAA
Capacity: 82
Administrator: Cindy Plaza
Facility Phone: (503) 542-4747
Facility Fax: (503) 542-4848
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2006-04-12 Portland, OR 97219
Renewal Date :2016-08-31 0
Units: 75
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M070
Brookdale Park Place - Tigard
8445 SW Hemlock St
Washington
WCDAVS
Capacity: 130
Administrator: Ryan Duve
Facility Phone: (503) 245-8985
Facility Fax: (503) 246-2689
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1990-02-01 Portland, OR 97223
Renewal Date :2016-08-31 0
Units: 112
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 17 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A305
Brookdale Redmond Assisted Living
1942 SW Canyon Drive
Deschutes
Redmond SPD
Capacity: 77
Administrator: Donna Hawley
Facility Phone: (541) 316-4400
Facility Fax: (541) 316-4401
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2006-11-09 Redmond, OR 97756
Renewal Date :2016-08-31 0
Units: 62
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50R344
Brookdale Redmond Clare Bridge
1942 SW Canyon Drive
Deschutes
Redmond SPD
Capacity: 32
Administrator: Donna Hawley
Facility Phone: (541) 316-4400
Facility Fax: (541) 316-4401
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2006-11-20 Redmond, OR 97756
Renewal Date :2016-08-31 0
Units: 24
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: ACU 32
70M078
Brookdale River Road
592 Bever Dr NE
Marion
Salem NWSDS
Capacity: 56
Administrator: Alicia Sykes
Facility Phone: (503) 463-4060
Facility Fax: (503) 304-3090
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1998-07-17 Keizer, OR 97303
Renewal Date :2016-09-30 0
Units: 49
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50M054
Brookdale River Valley - Tualatin
19200 SW 65th Ave
Clackamas
Canby SPD
Capacity: 120
Administrator: Howard Dunkley
Facility Phone: (503) 692-3192
Facility Fax: (503) 691-9836
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1989-03-01 Tualatin, OR 97062
Renewal Date :2016-08-31 0
Units: 114
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 26
70M236
Brookdale Rose Valley Scappoose
33800 SE Frederick Street
Columbia
St. Helens MSO
Capacity: 79
Administrator: Steven Matthews
Facility Phone: (503) 543-4646
Facility Fax: (503) 543-4648
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2000-05-15 Scappoose, OR 97056
Renewal Date :2016-08-31 0
Units: 64
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
5MA254
Brookdale Roseburg
3400 NW Edenbower Blvd.
Douglas
Roseburg AAA
Capacity: 60
Administrator: Sarah Calvert
Facility Phone: (541) 464-5600
Facility Fax: (541) 464-5858
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2000-09-07 Roseburg, OR 97470
Renewal Date :2016-08-31 0
Units: 56
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 60
Tuesday, July 05, 2016 Page 18 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA205
Brookdale Salem
1355 Boone Rd SE
Marion
Salem NWSDS
Capacity: 60
Administrator: Natalie Nelson
Facility Phone: (503) 365-7500
Facility Fax: (503) 365-7600
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 1999-05-19 Salem, OR 97302
Renewal Date :2017-11-30 0
Units: 52
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 60
70A295
Brookdale Sellwood
8517 SE 17th Avenue
Multnomah
SE Portland ASO
Capacity: 100
Administrator: Lana Buckles
Facility Phone: (503) 542-4800
Facility Fax: (503) 542-4801
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2005-06-16 Portland, OR 97202
Renewal Date :2016-08-31 0
Units: 85
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70A299
Brookdale Springfield Briarwood
4865 Main Street
Lane
Eugene AAA
Capacity: 150
Administrator: Charity Bobbitt
Facility Phone: (541) 284-2865
Facility Fax: (541) 284-2864
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2006-03-01 Springfield, OR 97478
Renewal Date :2016-08-31 0
Units: 122
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M226
Brookdale Springfield Woodside
4851 Main Street
Lane
Eugene SSO
Capacity: 62
Administrator: Abby Grimps
Facility Phone: (541) 747-1887
Facility Fax: (541) 747-0181
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2000-01-21 Springfield, OR 97478
Renewal Date :2016-08-31 0
Units: 53
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M251
Brookdale Stayton
2201 3rd Ave.
Marion
Salem NWSDS
Capacity: 75
Administrator: Amanda Villarreal
Facility Phone: (503) 769-3200
Facility Fax: (503) 769-1286
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2000-11-15 Stayton, OR 97383
Renewal Date :2016-08-31 0
Units: 62
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
50A236
Brookdale Troutdale
1201 SW Cherry Park Rd.
Multnomah
E. County ASD
Capacity: 60
Administrator: Olivia Peneyra
Facility Phone: (503) 465-8104
Facility Fax: (503) 465-8204
Owner: Brookdale Senior Living Communities, Inc.County
Orig Lic. Date: 2000-03-01 Troutdale, OR 97060
Renewal Date :2017-11-30 0
Units: 52
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 60
Tuesday, July 05, 2016 Page 19 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M228
Brookdale Wilsonville
8170 Vlahos Drive
Clackamas
Milwaukie SPD
Capacity: 32
Administrator: Kathy White
Facility Phone: (503) 682-0653
Facility Fax: (503) 570-1034
Owner: Emeritus CorporationCounty
Orig Lic. Date: 1999-10-21 Wilsonville, OR 97070
Renewal Date :2016-08-31 0
Units: 27
Management: Brookdale Senior Living Communities, Inc.
Yes
Email: [email protected]
Other Services:
70M010
Brookside Place
3550 SW Canal Blvd
Deschutes
Bend MSO
Capacity: 45
Administrator: Deanna Boire
Facility Phone: (541) 504-1600
Facility Fax: (541) 504-1602
Owner: Redmond ALF, Inc.County
Orig Lic. Date: 1995-03-03 Redmond, OR 97756
Renewal Date :2017-01-31 0
Units: 37
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
5MA151
Brookstone Alzheimer's Special Care Center
5881 SE Woodside Dr
Marion
Salem NWSDS
Capacity: 57
Administrator: Richard Howard
Facility Phone: (503) 316-0687
Facility Fax: (503) 589-1753
Owner: Salem Associates LLCCounty
Orig Lic. Date: 1996-08-10 Salem, OR 97301
Renewal Date :2016-08-31 0
Units: 39
Management: Jerry Erwin Associates, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 57
5MA240
Callahan Court Memory Care Comm.
1770 NW Valley View Drive
Douglas
Roseburg AAA
Capacity: 48
Administrator: Kim Jordan
Facility Phone: (541) 673-3900
Facility Fax: (541) 673-3105
Owner: LSREF Golden Ops 14(OR) LLCCounty
Orig Lic. Date: 2000-03-23 Roseburg, OR 97470
Renewal Date :2017-01-31 0
Units: 48
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
70M229
Callahan Village
1801 Garden Valley Blvd.
Douglas
Roseburg
Capacity: 86
Administrator: Tammy Huntley
Facility Phone: (541) 673-4500
Facility Fax: (541) 672-1346
Owner: LSREF Golden Ops UE (OR) LLCCounty
Orig Lic. Date: 2000-02-04 Roseburg, OR 97470
Renewal Date :2017-01-31 0
Units: 71
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
70M247
Cambridge Terrace Assisted Living
2800 14th Ave. SE
Linn
Albany SSO
Capacity: 60
Administrator: Luis Gonzalez Collazo
Facility Phone: (541) 928-9494
Facility Fax: (541) 812-9198
Owner: Albany Assisted Living LLCCounty
Orig Lic. Date: 2000-10-06 Albany, OR 97321
Renewal Date :2016-10-31 0
Units: 50
Management: Bonaventure Senior Living
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 20 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A011
Canfield Place Retirement Community
14570 SW Hart Rd
Washington
WCDAVS
Capacity: 105
Administrator: Lauren Spangler
Facility Phone: (503) 626-5100
Facility Fax: (503) 526-3803
Owner: Canfield Place Rtrmt Comm LLCCounty
Orig Lic. Date: 1996-08-06 Beaverton, OR 97005
Renewal Date :2018-07-31 0
Units: 88
Management: Leisure Care, LLC
Non Medicaid
Email: [email protected]
Other Services:
70A296
Canyon Rim Manor
1701 George Jackson Rd.
Wasco
The Dalles AAA
Capacity: 35
Administrator: Corrie Lemon
Facility Phone: (541) 395-2515
Facility Fax: (541) 395-0937
Owner: Maupin Senior Living, LLCCounty
Orig Lic. Date: 2005-11-18 Maupin, OR 97037
Renewal Date :2017-07-31 0
Units: 27
Management: Mosaic Management, Inc.
Yes
Email: [email protected]
Other Services:
50R216
Capital Manor Retirement Community
1955 Salem Dallas Hwy NW
Polk
Salem NWSDS
Capacity: 102
Administrator: Carolyn Creighton
Facility Phone: (503) 362-4101
Facility Fax: (503) 371-9021
Owner: Capital Manor, Inc.County
Orig Lic. Date: 1999-01-19 Salem, OR 97304
Renewal Date :2017-05-31 0
Units: 73
Management: Life Care Services, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 21
70M013
Carriage Place
150 S Williamson Dr
Crook
Prineville MSO
Capacity: 34
Administrator: Kira Buresh
Facility Phone: (541) 416-0500
Facility Fax: (541) 416-1445
Owner: CARRIAGE AID OPCO, LLCCounty
Orig Lic. Date: 1995-10-27 Prineville, OR 97754
Renewal Date :2017-07-31 0
Units: 30
Management: CARRIAGE AID OPCO, LLC
Yes
Email: [email protected]
Other Services:
50M012
Cascade Park Retirement Center
950 N Cascade Dr
Marion
Woodburn NWSDS
Capacity: 32
Administrator: Elaine Rust
Facility Phone: (503) 981-0033
Facility Fax: (503) 982-2707
Owner: Woodburn Investment Associates, Ltd.County
Orig Lic. Date: 1991-06-09 Woodburn, OR 97071
Renewal Date :2017-08-31 0
Units: 28
Management: Century Park Associates, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R128
Cascades of Bend Retirement Community
1801 NE Lotus Dr
Deschutes
Bend MSO
Capacity: 70
Administrator: Jamie Maul
Facility Phone: (541) 389-0046
Facility Fax: (541) 382-1239
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1982-01-01 Bend, OR 97701
Renewal Date :2017-05-31 0
Units: 35
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 21 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M228
Cascadia Village Retirement Comm.
39495 Cascadia Village Drive
Clackamas
Clackamas AAA
Capacity: 55
Administrator: Michael Ball
Facility Phone: (503) 668-0300
Facility Fax: (503) 668-1154
Owner: Sandy Assisted Living, LLCCounty
Orig Lic. Date: 2000-02-04 Sandy, OR 97055
Renewal Date :2018-02-28 0
Units: 50
Management: Bonaventure Senior Living
Yes
Email: [email protected]
Other Services:
5MA207
Cedar Crest Alzheimer Special Care
18325 SW Pacific HWY
Washington
WCDAVS
Capacity: 56
Administrator: Todd Whitehead
Facility Phone: (503) 925-0544
Facility Fax: (503) 625-2301
Owner: Tualatin Associates, LLCCounty
Orig Lic. Date: 1999-04-28 Tualatin, OR 97062
Renewal Date :2017-04-30 0
Units: 30
Management: JEA Senior Living
Yes
Email: [email protected]
Other Services: MCC, ACU 56
70M222
Cedar Village Assisted Living Community
4452 Lancaster Dr. NE
Marion
Salem NWSDS
Capacity: 62
Administrator: Janie Kellett
Facility Phone: (503) 390-9600
Facility Fax: (503) 390-9152
Owner: ARHC CVSALOR01 TRS, LLCCounty
Orig Lic. Date: 1999-10-22 Salem, OR 97305
Renewal Date :2017-07-31 0
Units: 51
Management: FM Cedar Village, LLC
Yes
Email: [email protected]
Other Services:
50R353
Cedar Village Memory Care Community
4452 Lancaster Drive NE
Marion
Salem NWSDS
Capacity: 24
Administrator: Kimberlee Brooks
Facility Phone: (503) 390-9600
Facility Fax: (503) 390-9152
Owner: ARHC CVSALOR01 TRS, LLCCounty
Orig Lic. Date: 2008-01-15 Salem, OR 97301
Renewal Date :2017-07-31 0
Units: 18
Management: FM Cedar Village, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 24
50R351
Chantele's Loving Touch Memory Care
1128 W. Central Avenue
Douglas
Roseburg AAA
Capacity: 45
Administrator: Chantele Bangs
Facility Phone: (541) 459-4549
Facility Fax: (541) 459-2187
Owner: Chantele's Loving Touch Memory Care, Inc.County
Orig Lic. Date: 2007-11-06 Sutherlin, OR 97479
Renewal Date :2017-11-30 0
Units: 39
Management: Chantele's Loving Touch Memory Care, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 45
50M172
Chateau Gardens Memory Care Community
2669 S Cloverleaf Loop
Lane
Eugene SSO
Capacity: 28
Administrator: Kim Frederick
Facility Phone: (541) 746-9703
Facility Fax: (541) 744-7017
Owner: Cloverleaf Assisted Living, LLCCounty
Orig Lic. Date: 1993-12-08 Springfield, OR 97477
Renewal Date :2017-12-31 0
Units: 22
Management: Ridgeline Management Co.
Yes
Email: [email protected]
Other Services: MCC, ACU 28
Tuesday, July 05, 2016 Page 22 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R014
Cherry Blossom Cottage
11177 SE Cherry Blossom Dr
Multnomah
Mid-County ASD
Capacity: 49
Administrator: Rebecca Meadowcroft
Facility Phone: (503) 256-9777
Facility Fax: (503) 256-0047
Owner: Sylvia's Legacy, Inc.County
Orig Lic. Date: 1989-05-28 Portland, OR 97216
Renewal Date :2017-05-31 0
Units: 40
Management: Sylvia's Legacy, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50R389
Cherry Park Plaza
1323 SW Cherry Park Road
Multnomah
East ADS
Capacity: 33
Administrator: Roberta Bradfield
Facility Phone: (503) 491-1661
Facility Fax:
Owner: CHGCXA Troutdale, LLCCounty
Orig Lic. Date: 2013-04-12 Troutdale, OR 97060
Renewal Date :2017-04-30 0
Units: 23
Management: CHG Management Company I, LLC
Non Medicaid
Email: [email protected]
Other Services: MC, ACU 14
50R416
Cherrywood Memory Care, The
2750 NE Doran Drive
Yamhill
McMinnville
Capacity: 56
Administrator: Denise Stoutenburg
Facility Phone: (503) 309-6202
Facility Fax: (503) 883-9462
Owner: Cherrywood, Inc., TheCounty
Orig Lic. Date: 2015-04-10 McMinnville, OR 97128
Renewal Date :2017-04-30 0
Units: 35
Management: Cherrywood, Inc., The
Yes
Email: [email protected]
Other Services: MCC, ACU 56
50M208
Chetco Inn Residential Care Facility
417 Fern St
Curry
Gold Beach MSO
Capacity: 37
Administrator: Donald Werner
Facility Phone: (541) 469-5347
Facility Fax: (541) 469-5348
Owner: Chetco Inn RCF IncorporatedCounty
Orig Lic. Date: 1994-11-23 Brookings, OR 97415
Renewal Date :2017-08-31 0
Units: 36
Management: Chetco Inn RCF Incorporated
Yes
Email: [email protected]
Other Services:
70M004
Chinook Place
470 NE Oak St
Jefferson
Bend MSO
Capacity: 12
Administrator: Rosie Griggs
Facility Phone: (541) 475-6425
Facility Fax: (541) 475-6001
Owner: ASPEN COURT AID OPCO, LLCCounty
Orig Lic. Date: 1991-02-01 Madras, OR 97741
Renewal Date :2017-07-31 0
Units: 12
Management: ASPEN COURT AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M014
Churchill Estates Assisted Living
1919 Bailey Hill Rd
Lane
Eugene SSO
Capacity: 48
Administrator: Kristina Becker
Facility Phone: (541) 485-8320
Facility Fax: (541) 485-8405
Owner: Churchill Management, Inc.County
Orig Lic. Date: 1991-02-11 Eugene, OR 97405
Renewal Date :2016-07-31 0
Units: 44
Management: Churchill Retirement Services, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 23 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R365
Churchill Estates Residential Care
3800 Westleigh
Lane
Eugene SSO
Capacity: 108
Administrator: Deborah Hankins
Facility Phone: (541) 485-8320
Facility Fax: (541) 344-0215
Owner: Churchill Management, Inc.County
Orig Lic. Date: 2009-12-31 Eugene, OR 97405
Renewal Date :2016-07-31 0
Units: 58
Management: Churchill Retirement Services, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 44
50R139
Clackamas View Senior Living - Milwaukie
14550 SE Vista Ln
Clackamas
Clackamas AAA
Capacity: 40
Administrator: Kimberly Young
Facility Phone: (503) 659-2325
Facility Fax: (503) 652-4376
Owner: Chancellor Health Care of California X, Inc.County
Orig Lic. Date: 1995-04-01 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 25
Management: Chancellor Health Care, Inc,
Non Medicaid
Email: [email protected]
Other Services:
5MA016
Clarendon Court Alzheimer's Residence
5732 SE 122nd Ave
Multnomah
E Portland ASD
Capacity: 15
Administrator: Loredana Horga
Facility Phone: (503) 761-3434
Facility Fax: (503) 206-6950
Owner: Clarendon Court Alzheimer's Residence, LLCCounty
Orig Lic. Date: 1984-03-01 Portland, OR 97236
Renewal Date :2017-01-31 0
Units: 15
Management: Clarendon Court Alzheimer's Residence, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 15
50R421
Clatsop Care Memory Community
2219 SE Dolphin Road
Clatsop
NWSDS
Capacity: 32
Administrator: Mindy Stokes
Facility Phone: (503) 468-0904
Facility Fax: (503) 468-0103
Owner: Clatsop Care Center Health DistrictCounty
Orig Lic. Date: 2015-07-01 Warrenton, OR 97146
Renewal Date :2017-07-31 0
Units: 32
Management: Clatsop Care Center Health District
Yes
Email: [email protected]
Other Services: MCC, ACU 32
70M203
Clatsop Retirement Village
947 Olney Ave.
Clatsop
Warrenton NWSDS
Capacity: 80
Administrator: Elizabeth Rathfon
Facility Phone: (503) 325-4676
Facility Fax: (503) 325-4646
Owner: Clatsop Care Center Health DistrictCounty
Orig Lic. Date: 1999-07-19 Astoria, OR 97103
Renewal Date :2017-07-31 0
Units: 69
Management: Clatsop Care Center Health District
Yes
Email: [email protected]
Other Services:
50M021
Comfort Care
1735 Kane St
Klamath
Klamath Falls MSO
Capacity: 16
Administrator: Mary Nork
Facility Phone: (541) 883-2882
Facility Fax: (541) 884-1616
Owner: Mary NorkCounty
Orig Lic. Date: 1993-10-31 Klamath Falls, OR 97603
Renewal Date :2017-10-31 0
Units: 8
Management: Mary Nork
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 24 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R023
Conifer House Residential Care & Memory Care
145 NE Conifer Blvd
Benton
Albany SSO
Capacity: 51
Administrator: Susan Jensen
Facility Phone: (541) 757-2444
Facility Fax: (541) 757-8621
Owner: Conifer House Operating Company, LLCCounty
Orig Lic. Date: 1987-08-01 Corvallis, OR 97330
Renewal Date :2016-08-31 0
Units: 32
Management: Benicia Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 32
50R404
Coral Springs Residential Care
2520 Coral Ave. NE
Marion
Salem NWSDS
Capacity: 32
Administrator: Heather Arnason
Facility Phone: (503) 362-5885
Facility Fax: (503) 362-8008
Owner: Sweet Bye N Bye AFC & RCF Facilities, Inc.County
Orig Lic. Date: 2014-03-26 Salem, OR 97305
Renewal Date :2018-03-31 0
Units: 32
Management: Sweet Bye N Bye AFC & RCF Facilities, Inc.
Non Medicaid
Email: [email protected]
Other Services:
70M015
Cornell Estates Retirement and Assisted Living Residence
1005 NE 17th
Washington
WCDAVS
Capacity: 75
Administrator: Charlene Torrey
Facility Phone: (503) 640-2884
Facility Fax: (503) 681-2784
Owner: Cornell Investors Group Inc.County
Orig Lic. Date: 1991-06-01 Hillsboro, OR 97123
Renewal Date :2017-05-31 0
Units: 59
Management: Cornell Investors Group, Inc.
Yes
Email: [email protected]
Other Services:
50R346
Cornerstone Residential Option
12640 SE Bush
Multnomah
E County AAA
Capacity: 16
Administrator: Milissa Wright
Facility Phone: (503) 761-6621
Facility Fax: (503) 761-6633
Owner: Cornerstone Care Option, IncCounty
Orig Lic. Date: 2006-12-26 Portland, OR 97236
Renewal Date :2016-12-31 0
Units: 16
Management: Cornerstone Care Option, Inc.
Yes
Email: [email protected]
Other Services:
70A280
Corvallis Caring Place Assisted Living
750 NW 23rd St
Benton
Albany SSO
Capacity: 55
Administrator: Lorene Hales
Facility Phone: (541) 753-2033
Facility Fax: (541) 753-2034
Owner: Corvallis Caring Place, Inc.County
Orig Lic. Date: 2002-06-28 Corvallis, OR 97330
Renewal Date :2018-06-30 0
Units: 42
Management: Mennonite Management Services, Inc.
Yes
Email: [email protected]
Other Services:
70A285
Country Meadows Village
155 S. Evergreen
Marion
Salem NWSDS
Capacity: 50
Administrator: Diane Matheny
Facility Phone: (971) 983-1424
Facility Fax: (971) 983-3222
Owner: Crown II Development, LLCCounty
Orig Lic. Date: 2002-12-12 Woodburn, OR 97071
Renewal Date :2017-04-30 0
Units: 40
Management: Crown Two Development, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 25 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R283
Countryside Living of Canby
390 NW 2nd
Clackamas
Canby SPD
Capacity: 35
Administrator: Brittany Schwabauer
Facility Phone: (503) 266-3031
Facility Fax: (503) 266-4000
Owner: Countryside Living of Canby, LLCCounty
Orig Lic. Date: 2001-09-06 Canby, OR 97013
Renewal Date :2017-09-30 0
Units: 21
Management: Countryside Living of Canby, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 35
50M426
Countryside Living of Redmond
1350 NW Canal Blvd
Deschutes
Redmond
Capacity: 35
Administrator: Barbara Thompson
Facility Phone: (541) 548-3049
Facility Fax: (541) 548-9984
Owner: Countryside Living of Redmond, LLCCounty
Orig Lic. Date: 2016-01-07 Redmond, OR 97756
Renewal Date :2018-01-31 0
Units: 20
Management: Countryside Living of Redmond, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 35
50R380
Countryside Living South
406 NW 2nd Avenue
Clackamas
Canby SPD
Capacity: 20
Administrator: Leah Marroquin
Facility Phone: (503) 266-3031
Facility Fax: (503) 266-4000
Owner: Countryside Living of Canby, LLCCounty
Orig Lic. Date: 2011-09-13 Canby, OR 97013
Renewal Date :2017-09-30 0
Units: 16
Management: Countryside Living of Canby, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 20
70A318
Countryside Village
1700 Kellenbeck Rd.
Josephine
Grants Pass DSO
Capacity: 22
Administrator: Sherri Scott
Facility Phone: (541) 956-0999
Facility Fax: (541) 471-1182
Owner: Lynn-Ann Development, LLCCounty
Orig Lic. Date: 2011-09-02 Grants Pass, OR 97528
Renewal Date :2017-09-30 0
Units: 16
Management: Lynn-Ann Development, LLC
Yes
Email: [email protected]
Other Services:
50R277
Courtyard at Hillside Memory Care
300 NW Hillside Park Way
Yamhill
McMinnville NWSDS
Capacity: 20
Administrator: Denise Olson
Facility Phone: (503) 472-9534
Facility Fax: (503) 888-7477
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2001-05-01 McMinnville, OR 97128
Renewal Date :2016-08-31 0
Units: 20
Management: Emeritus Corporation
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 20
70M239
Courtyard at Mt. Tabor
6323 SE Division
Multnomah
SE Portland ASO
Capacity: 80
Administrator: Ashley Gomez
Facility Phone: (503) 772-9795
Facility Fax: (503) 788-8711
Owner: Courtyard Assisted Members, LLCCounty
Orig Lic. Date: 2000-08-07 Portland, OR 97206
Renewal Date :2016-08-31 0
Units: 73
Management: Integral Senior Living, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 26 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA252
Courtyard at Mt.Tabor Garden House
6323 SE Division
Multnomah
SE Portland ASO
Capacity: 24
Administrator: Gerald Koll, Jr.
Facility Phone: (503) 772-9795
Facility Fax: (503) 788-8711
Owner: Courtyard Assisted Members, LLCCounty
Orig Lic. Date: 2000-08-24 Portland, OR 97206
Renewal Date :2016-08-31 0
Units: 20
Management: Integral Senior Living, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 20
70A315
Courtyard Fountains Assisted Living Community
1537 SE 223rd
Multnomah
E Multnomah ADS
Capacity: 49
Administrator: William Michaels
Facility Phone: (503) 667-4500
Facility Fax: (503) 667-3978
Owner: ARHC CFGREOR01 TRS, LLCCounty
Orig Lic. Date: 2010-05-17 Gresham, OR 97030
Renewal Date :2017-12-31 0
Units: 44
Management: Courtyard Fountains Care Properties, LLC
Non Medicaid
Email: [email protected]
Other Services:
5MA024
Curry Manor
1458 Quail Lane
Douglas
Roseburg AAA
Capacity: 62
Administrator: Jan Sullivan
Facility Phone: (541) 673-3999
Facility Fax: (541) 440-9684
Owner: TSL Curry Manor, LLCCounty
Orig Lic. Date: 1982-11-01 Roseburg, OR 97470
Renewal Date :2017-11-30 0
Units: 62
Management: Tierra Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 47
70M018
Dallas Retirement Village Assisted Living
340 NW Brentwood St
Polk
Dallas NWSDS
Capacity: 53
Administrator: Elizabeth "Karri" Key
Facility Phone: (503) 831-0214
Facility Fax: (503) 831-0278
Owner: Dallas Mennonite Retirement Community, Inc.County
Orig Lic. Date: 1996-09-30 Dallas, OR 97338
Renewal Date :2016-09-30 0
Units: 45
Management: Life Care Services
Yes
Email: [email protected]
Other Services:
70A321
Dallas Retirement Village Assisted Living HUD
377 NW Jasper St
Polk
Dallas NWSDS
Capacity: 25
Administrator: Elizabeth "Karri" Key
Facility Phone: (503) 623-5581
Facility Fax: (503) 623-2901
Owner: Dallas Health Care Center, LLCCounty
Orig Lic. Date: 2013-01-01 Dallas, OR 97338
Renewal Date :2017-01-31 0
Units: 20
Management: Life Care Services
Yes
Email: [email protected]
Other Services:
50R331
Dallas Retirement Village Memory Care Center
340 NW Brentwood Avenue
Polk
Dallas NWSDS
Capacity: 20
Administrator: Alycia Williamson
Facility Phone: (503) 623-5581
Facility Fax: (503) 623-2901
Owner: Dallas Health Care Center, LLCCounty
Orig Lic. Date: 2004-10-11 Dallas, OR 97338
Renewal Date :2017-01-31 0
Units: 20
Management: Life Care Services
Yes
Email: [email protected]
Other Services: MCC, ACU 20
Tuesday, July 05, 2016 Page 27 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M019
Davenport Place
930 Oak St
Marion
Woodburn NWSDS
Capacity: 36
Administrator: Tammy O'Rourke
Facility Phone: (503) 873-7162
Facility Fax: (503) 873-6672
Owner: DAVENPORT AID OPCO, LLCCounty
Orig Lic. Date: 1995-07-25 Silverton, OR 97381
Renewal Date :2017-07-31 0
Units: 30
Management: DAVENPORT AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M250
Deer Meadow Assisted Living Community
1350 W Main St
Yamhill
McMinnville NWSDS
Capacity: 68
Administrator: Jennifer Abraham
Facility Phone: (503) 843-7799
Facility Fax: (503) 843-2112
Owner: Aspen Foundation IIICounty
Orig Lic. Date: 2000-11-06 Sheridan, OR 97378
Renewal Date :2016-11-30 0
Units: 53
Management: Aspen Foundation III
Yes
Email: jabraham.deermeadow@aspencommunities.
Other Services:
70M020
Deerfield Village Assisted Living
5770 SE Kellogg Cr Dr
Clackamas
Milwaukie SPD
Capacity: 48
Administrator: Lanelle Veile
Facility Phone: (503) 653-4064
Facility Fax: (503) 659-4525
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1991-11-04 Milwaukie, OR 97222
Renewal Date :2017-05-31 0
Units: 40
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
50M048
Donham Place
5833 N Lombard St
Multnomah
NE Portland ASO/DSO
Capacity: 13
Administrator: John Varner
Facility Phone: (503) 283-2852
Facility Fax: (503) 283-4868
Owner: Donham Place, LLCCounty
Orig Lic. Date: 1974-01-01 Portland, OR 97203
Renewal Date :2017-10-31 0
Units: 13
Management: Donham Place, LLC
Yes
Email: [email protected]
Other Services:
70M021
Dorian Place Assisted Living Facility
375 N Dorian Dr
Malheur
Ontario MSO
Capacity: 50
Administrator: Nancy Hollis
Facility Phone: (541) 889-8545
Facility Fax: (541) 889-7340
Owner: Dorian Place Operations, LLCCounty
Orig Lic. Date: 1995-07-19 Ontario, OR 97914
Renewal Date :2016-12-31 0
Units: 45
Management: Milestone Retirement Communities, LLC
Yes
Email: [email protected]
Other Services:
50R334
East Cascade Memory Care Community
175 NE 16th Street
Jefferson
Madras SPD
Capacity: 16
Administrator: Shantel Vasquez
Facility Phone: (541) 475-2273
Facility Fax: (541) 475-4289
Owner: East Cascade Retirement Community, LLCCounty
Orig Lic. Date: 2005-09-23 Madras, OR 97741
Renewal Date :2017-01-31 0
Units: 12
Management: Senior Housing Managers, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 16
Tuesday, July 05, 2016 Page 28 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M212
East Cascade Retirement Community
175 NE 16th Street
Jefferson
Madras MSO
Capacity: 48
Administrator: Randy Mondello
Facility Phone: (541) 475-2273
Facility Fax: (541) 475-4289
Owner: East Cascade Retirement Community, LLCCounty
Orig Lic. Date: 1999-04-06 Madras, OR 97741
Renewal Date :2017-01-31 0
Units: 48
Management: Senior Housing Managers, LLC
Yes
Email: [email protected]
Other Services:
50R276
Edgewood Arbor Memory Care
7733 SW Scholls Ferry Rd.
Washington
WCDAVS
Capacity: 27
Administrator: Billie Wingfield
Facility Phone: (503) 671-9474
Facility Fax: (503) 671-9245
Owner: Beaverton Assisted Living, LLCCounty
Orig Lic. Date: 2001-05-01 Beaverton, OR 97008
Renewal Date :2017-05-31 0
Units: 16
Management: Hawthorn Retirement Group, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 27
70A261
Edgewood Point Assisted Living
7733 SW Scholls Ferry Rd
Washington
WCDAVS
Capacity: 59
Administrator: Billie Wingfield
Facility Phone: (503) 671-9474
Facility Fax: (503) 671-9245
Owner: Beaverton Assisted Living, LLCCounty
Orig Lic. Date: 2001-04-13 Beaverton, OR 97008
Renewal Date :2017-04-30 0
Units: 49
Management: Hawthorn Retirement Group, LLC
Yes
Email: [email protected]
Other Services:
50R280
Elderberry Square Community
3321 Oak St
Lane
Florence AAA
Capacity: 48
Administrator: Christi Schuster
Facility Phone: (541) 902-8821
Facility Fax: (541) 902-8615
Owner: Elderberry Square Community, LLCCounty
Orig Lic. Date: 2001-06-28 Florence, OR 97439
Renewal Date :2016-11-30 0
Units: 48
Management: Senior Housing Managers, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 32
5ME119
ElderHealth & Living
382-B South 58th St
Lane
Eugene SSO
Capacity: 95
Administrator: Nancy Koll
Facility Phone: (541) 747-4858
Facility Fax: (541) 747-5322
Owner: ElderHealth & Living CorporationCounty
Orig Lic. Date: 1991-08-01 Springfield, OR 97478
Renewal Date :2016-08-31 0
Units: 58
Management: ElderHealth & Living Corporation
Yes
Email: [email protected]
Other Services: MCC, ACU 95
50M025
Elderly Care Home
12435 SW 121st
Washington
WCDAVS
Capacity: 15
Administrator: Sarah Mahinay
Facility Phone: (503) 590-9854
Facility Fax: (503) 590-4659
Owner: Elderly Care Home, Inc.County
Orig Lic. Date: 1993-06-22 Tigard, OR 97223
Renewal Date :2018-03-31 0
Units: 10
Management: Elderly Care Home, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 29 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R405
Elite Care Oatfield Estates Larch House
4405 SE Oatfield Hill Rd
Clackamas
Oregon City APD
Capacity: 15
Administrator: Gita Reddy
Facility Phone: (503) 742-7218
Facility Fax: (503) 653-5705
Owner: Elite Care OE2, LLCCounty
Orig Lic. Date: 2014-04-25 Milwaukie, OR 97267
Renewal Date :2018-04-30 0
Units: 12
Management: Elite Care OE2, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R406
Elite Care Oatfield Estates Tabor House
4425 SE Oatfield Hill Rd
Clackamas
Oregon City
Capacity: 15
Administrator: Gita Reddy
Facility Phone: (503) 742-7218
Facility Fax: (503) 653-5705
Owner: Elite Care OE2 LLCCounty
Orig Lic. Date: 2014-04-25 Milwaukie, OR 97267
Renewal Date :2018-04-30 0
Units: 12
Management: Elite Care OE2, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R282
Elite Care Oatfield Estates-Adam's House
4483 SE Oatfield Hill Rd
Clackamas
Milwaukie SPD
Capacity: 15
Administrator: Douglas Edington
Facility Phone: (503) 513-4956
Facility Fax: (503) 513-4960
Owner: Elite Care Oatfield Estates, LLCCounty
Orig Lic. Date: 2001-08-10 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 12
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R330
Elite Care Oatfield Estates-Ashland House
4398 SE Oatfield Hill Rd.
Clackamas
Milwaukie SPD
Capacity: 15
Administrator: Gita Reddy
Facility Phone: (503) 758-0202
Facility Fax: (503) 785-0303
Owner: Elite Care Oatfield Estates, LLCCounty
Orig Lic. Date: 2004-09-15 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 12
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R289
Elite Care Oatfield Estates-Helen's House
4469 SE Oatfield Hill Rd.
Clackamas
Milwaukie SPD
Capacity: 15
Administrator: Douglas Edington
Facility Phone: (503) 653-5656
Facility Fax: (503) 653-5705
Owner: Elite Care Oatfield Estates, LLCCounty
Orig Lic. Date: 2001-10-22 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 12
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R256
Elite Care Oatfield Estates-Hood House
4499 SE Oatfield Hill Rd.
Clackamas
MilwauKie SPD
Capacity: 15
Administrator: Douglas Edington
Facility Phone: (503) 653-4853
Facility Fax: (503) 353-6624
Owner: Elite Care Oatfield Estates, LLCCounty
Orig Lic. Date: 2000-09-15 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 12
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 30 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R318
Elite Care Oatfield Estates-Jefferson House
4422 SE Oatfield Hill Rd.
Clackamas
Milwaukie SPD
Capacity: 15
Administrator: Gita Reddy
Facility Phone: (503) 653-5656
Facility Fax: (503) 653-5705
Owner: Elite Care Oatfield Estates, LLCCounty
Orig Lic. Date: 2003-06-25 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 12
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R308
Elite Care Oatfield Estates-Rainier House
4457 SE Oatfield Hill Rd.
Clackamas
Milwaukie SPD
Capacity: 15
Administrator: Douglas Edington
Facility Phone: (503) 653-2104
Facility Fax: (503) 653-2105
Owner: Elite Care Oatfield Estates, LLCCounty
Orig Lic. Date: 2003-02-04 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 12
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
50M144
Elizabethan Manor
44882 Mission Road
Umatilla
Pendleton
Capacity: 50
Administrator: Delores McLaren
Facility Phone: (541) 276-7157
Facility Fax: (541) 276-3093
Owner: Prestige Residential Community, L.L.CCounty
Orig Lic. Date: 1995-08-28 Pendleton, OR 97801
Renewal Date :2018-03-31 0
Units: 33
Management: Prestige Senior Living, L.L.C
Yes
Email: [email protected]
Other Services:
50M026
Ellendale Residential Care Center
511 E Ellendale Ave
Polk
Dallas NWSDS
Capacity: 34
Administrator: Arthur V Johnson
Facility Phone: (503) 623-3709
Facility Fax: (503) 623-7029
Owner: Dallas Care Center, Inc.County
Orig Lic. Date: 1972-01-01 Dallas, OR 97338
Renewal Date :2016-10-31 0
Units: 34
Management: Dallas Care Center, Inc.
Yes
Email: [email protected]
Other Services:
70M025
Elliott Residence
390 Church St
Marion
Salem NWSDS
Capacity: 60
Administrator: Mary Ziebert
Facility Phone: (503) 769-8313
Facility Fax: (503) 769-8318
Owner: Janmaur I, L.L.C.County
Orig Lic. Date: 1996-06-24 Sublimity, OR 97385
Renewal Date :2018-05-31 0
Units: 50
Management: Marian Estates Support Services
Yes
Email: [email protected]
Other Services:
50M019
Emerald Gardens
1890 N Newberg Hwy
Marion
Woodburn NWSDS
Capacity: 59
Administrator: Jessica Penland
Facility Phone: (503) 982-4000
Facility Fax: (503) 980-2049
Owner: RSL Woodburn, LLCCounty
Orig Lic. Date: 1987-10-01 Woodburn, OR 97071
Renewal Date :2017-05-31 0
Units: 44
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 20
Tuesday, July 05, 2016 Page 31 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M026
Emerald Valley Assisted Living
4550 W Amazon Dr
Lane
Eugene SSO
Capacity: 48
Administrator: Kristin Jensen
Facility Phone: (541) 345-9668
Facility Fax: (541) 345-1190
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1990-08-15 Eugene, OR 97405
Renewal Date :2017-05-31 0
Units: 40
Management: Cascade Living Group, Inc.
Yes
Email: kristen.jensen@reveraliving,com
Other Services:
50R301
Emerson House
3577 SE Division
Multnomah
Portland SE ASO
Capacity: 55
Administrator: Erin Jones
Facility Phone: (503) 234-8585
Facility Fax: (503) 234-8535
Owner: Emerson House, LLCCounty
Orig Lic. Date: 2000-01-10 Portland, OR 97202
Renewal Date :2016-12-31 0
Units: 55
Management: Kinsel Ameri Properties, Inc.
Yes
Email: [email protected]
Other Services:
50R305
Evergreen Court of Molalla
250 Kennel St.
Clackamas
Canby SPD
Capacity: 52
Administrator: Lynn Gaffney
Facility Phone: (503) 829-2424
Facility Fax: (503) 829-2425
Owner: Molalla Senior Living, LLCCounty
Orig Lic. Date: 2002-10-25 Molalla, OR 97038
Renewal Date :2017-10-31 0
Units: 34
Management: Avant Senior Housing Managers & Consultants,
Yes
Email: [email protected]
Other Services: MCC, ACU 27
50A219
Expressions at Summerplace
15727 NE Russell Street
Multnomah
Mid-County ASD
Capacity: 20
Administrator: Shannon Robb
Facility Phone: (503) 252-9361
Facility Fax: (503) 252-9405
Owner: Summerplace Assisted Living, LLCCounty
Orig Lic. Date: 1999-07-31 Portland, OR 97230
Renewal Date :2017-07-31 0
Units: 16
Management: Prestige Senior Living, L.L.C
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 20
50R340
Fanno Creek by Elite Care
12353 SW Grant St
Washington
WCDAVS
Capacity: 30
Administrator: Laurie Laverdiere
Facility Phone: (971) 506-2359
Facility Fax: (503) 653-5705
Owner: Elite Care Grant, LLCCounty
Orig Lic. Date: 2008-05-09 Tigard, OR 97223
Renewal Date :2018-04-30 0
Units: 30
Management: Elite Care Management Group, LLC
Non Medicaid
Email: [email protected]
Other Services:
50A028
Farmington Square - Beaverton
14420 SW Farmington Rd
Washington
WCDAVS
Capacity: 70
Administrator: Teddi Neilson
Facility Phone: (503) 626-2273
Facility Fax: (503) 627-0262
Owner: RSL Beaverton, LLCCounty
Orig Lic. Date: 1993-05-10 Beaverton, OR 97005
Renewal Date :2017-07-31 0
Units: 59
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 44
Tuesday, July 05, 2016 Page 32 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50A149
Farmington Square - Eugene
2730 Bailey Lane
Lane
Eugene AAA
Capacity: 66
Administrator: Billie Wingfield
Facility Phone: (541) 344-7902
Facility Fax: (541) 344-5627
Owner: RSL Eugene, LLCCounty
Orig Lic. Date: 1996-06-30 Eugene, OR 97401
Renewal Date :2015-07-31 0
Units: 66
Management: Radiant Senior Living, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 24
5MA031
Farmington Square - Gresham
1655 NE 18th
Multnomah
Mid-County ASD
Capacity: 76
Administrator: Betty Aberg
Facility Phone: (503) 665-1994
Facility Fax: (503) 492-2172
Owner: RSL Gresham, LLCCounty
Orig Lic. Date: 1992-06-01 Gresham, OR 97030
Renewal Date :2017-07-31 0
Units: 64
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 38
50A083
Farmington Square - Medford
1530 Poplar Dr
Jackson
Medford AAA
Capacity: 81
Administrator: Darren Penquite
Facility Phone: (541) 770-9080
Facility Fax: (541) 857-0272
Owner: RSL Medford, LLCCounty
Orig Lic. Date: 1994-01-31 Medford, OR 97504
Renewal Date :2016-09-30 0
Units: 52
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 81
50A034
Farmington Square - Salem
910 Boone Rd SE
Marion
Salem NWSDS
Capacity: 122
Administrator: Margo Garibay
Facility Phone: (503) 363-2273
Facility Fax: (503) 363-4991
Owner: RSL Salem, LLCCounty
Orig Lic. Date: 1994-08-24 Salem, OR 97306
Renewal Date :2017-07-31 0
Units: 102
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 70
50A143
Farmington Square - Tualatin
17950 SW 115th Ave
Washington
WCDAVS
Capacity: 64
Administrator: Steven Worral
Facility Phone: (503) 692-1748
Facility Fax: (503) 691-2759
Owner: RSL Tualatin, LLCCounty
Orig Lic. Date: 1995-08-28 Tualatin, OR 97062
Renewal Date :2017-07-31 0
Units: 60
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 46
50R379
Fern Gardens Memory Care
2636 Table Rock Rd
Jackson
Medford SSO
Capacity: 84
Administrator: Tish Cofer
Facility Phone: (541) 779-3368
Facility Fax: (541) 773-5724
Owner: Fern Gardens Memory Care, LLCCounty
Orig Lic. Date: 2011-08-26 Medford, OR 97504
Renewal Date :2017-08-31 0
Units: 44
Management: Ridgeline Management Co.
Yes
Email: [email protected]
Other Services: MCC, ACU 84
Tuesday, July 05, 2016 Page 33 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A311
Fircrest Community Living
213 NE Fircrest Drive
Yamhill
McMinnville NWSDS
Capacity: 29
Administrator: Amanda Killinger
Facility Phone: (503) 472-2200
Facility Fax: (503) 883-9462
Owner: Fircrest Community Living, Inc.County
Orig Lic. Date: 2009-04-01 McMinnville, OR 97128
Renewal Date :2017-04-30 0
Units: 29
Management: Fircrest Community Living, Inc.
Yes
Email: [email protected]
Other Services:
50R358
Fircrest Memory Care
213 NE Fircrest Drive
Yamhill
McMinnville NWSDS
Capacity: 52
Administrator: Elisabeth Williams
Facility Phone: (503) 472-2200
Facility Fax: (503) 883-9462
Owner: Fircrest Community Living, Inc.County
Orig Lic. Date: 2009-04-01 McMinnville, OR 97128
Renewal Date :2017-04-30 0
Units: 52
Management: Fircrest Community Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 52
50M037
Firwood Gardens RCF
819 NE 122nd Ave
Multnomah
E County ASD
Capacity: 85
Administrator: Nikki Bales
Facility Phone: (503) 252-0086
Facility Fax: (503) 252-2327
Owner: Sapphire at Firwood, LLCCounty
Orig Lic. Date: 1980-12-01 Portland, OR 97230
Renewal Date :2017-11-30 0
Units: 78
Management: Sapphire at Firwood, LLC
Yes
Email: [email protected]
Other Services:
70M028
Flagstone Retirement & Assisted Living
3325 Columbia View Dr.
Wasco
Mid-Columbia AAA
Capacity: 60
Administrator: Sharla Mosqueda
Facility Phone: (541) 298-5656
Facility Fax: (541) 298-1685
Owner: Flagstone Operations, LLC.County
Orig Lic. Date: 1992-02-15 The Dalles, OR 97058
Renewal Date :2016-10-31 0
Units: 50
Management: Milestone Retirement Communities, LLC
Yes
Email: [email protected]
Other Services:
50R398
Footsteps at Carman Oaks
3900 SW Carman Drive
Washington
Milwaukie APD
Capacity: 16
Administrator: Martina Padron
Facility Phone: (503) 636-4700
Facility Fax:
Owner: HSRE-Springs II at Lake Oswego Sub-TRS, LLCCounty
Orig Lic. Date: 2013-09-04 Lake Oswego, OR 97035
Renewal Date :2017-09-30 0
Units: 12
Management: The Springs Living, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 16
50R377
Footsteps at Clackamas Woods
14314 SE Webster Road
Clackamas
Milwaukie SPD
Capacity: 32
Administrator: Jennifer McClure
Facility Phone: (503) 654-3413
Facility Fax: (503) 653-3425
Owner: TSL Clack OPS, LLCCounty
Orig Lic. Date: 2011-06-01 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 24
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 32
Tuesday, July 05, 2016 Page 34 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R399
Footsteps at Mill Creek
1021 W 10th Street
Wasco
The Dalles ADS
Capacity: 25
Administrator: Naomi Ma'ae
Facility Phone: (541) 296-1303
Facility Fax:
Owner: HSRE-Springs II at the Dalles, LLPCounty
Orig Lic. Date: 2013-10-09 The Dalles, OR 97058
Renewal Date :2017-10-31 0
Units: 19
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 25
50R397
Footsteps at Sherwood
15677 SW Oregon
Washington
Tigard APD
Capacity: 31
Administrator: Angela Jones
Facility Phone: (503) 625-9481
Facility Fax: (503) 625-1372
Owner: HSRE-Springs II at Sherwood Sub-TRS, LLCCounty
Orig Lic. Date: 2013-09-04 Sherwood, OR 97140
Renewal Date :2017-09-30 0
Units: 21
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 21
50R361
Footsteps at Tanasbourne
1950 NW 192nd Avenue
Washington
Hillsboro WCDAVS
Capacity: 12
Administrator: Leanne Barger
Facility Phone: (503) 629-5500
Facility Fax: (503) 629-1515
Owner: Springs at Tanasbourne II, LLCCounty
Orig Lic. Date: 2009-08-01 Hillsboro, OR 97006
Renewal Date :2016-12-31 0
Units: 12
Management: The Springs Living, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 12
5MA217
Footsteps at The Wilsonville
7600 Vlahos Drive
Clackamas
Canby SPD
Capacity: 51
Administrator: Vanessa Ceryance
Facility Phone: (503) 582-9414
Facility Fax: (503) 582-9236
Owner: HSRE-Springs at Wilsonville Sub-TRS, LLCCounty
Orig Lic. Date: 1999-06-24 Wilsonville, OR 97070
Renewal Date :2016-11-30 0
Units: 51
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 51
50M209
Forest Glen Senior Residence
200 SW Frontage Rd.
Douglas
Roseburg AAA
Capacity: 36
Administrator: Louise Cousins
Facility Phone: (541) 839-4266
Facility Fax: (541) 839-4857
Owner: Aspen FoundationCounty
Orig Lic. Date: 1993-09-01 Canyonville, OR 97417
Renewal Date :2016-11-30 0
Units: 19
Management: Aspen Foundation
Yes
Email: [email protected]
Other Services:
70M029
Forest Grove Beehive
2122 Hawthorne
Washington
WCDAVS
Capacity: 48
Administrator: Elizabeth Alter
Facility Phone: (503) 357-6409
Facility Fax: (503) 357-9046
Owner: Forest Grove Beehive, LLCCounty
Orig Lic. Date: 1991-08-28 Forest Grove, OR 97116
Renewal Date :2017-08-31 0
Units: 44
Management: Caring Places Management, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 35 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M154
Forest Meadows RCF
625 Barbara Dr
Josephine
Grants Pass MSO
Capacity: 15
Administrator: Blake Gowans
Facility Phone: (541) 479-8865
Facility Fax: (541) 955-9820
Owner: Forest Meadows RCF, Inc.County
Orig Lic. Date: 1997-01-16 Grants Pass, OR 97526
Renewal Date :2016-08-31 0
Units: 15
Management: Forest Meadows RCF, Inc.
Yes
Email: [email protected]
Other Services:
50R038
Fountain Plaza
1441 Morrow Rd
Jackson
Medford SSO
Capacity: 19
Administrator: Charmagne Manlulu
Facility Phone: (541) 772-6005
Facility Fax: (541) 734-5000
Owner: Fountain Plaza, L.L.C.County
Orig Lic. Date: 1991-06-01 Medford, OR 97504
Renewal Date :2017-12-31 0
Units: 19
Management: Dharma Healthcare Management, Inc.
Non Medicaid
Email: [email protected]
Other Services:
70M094
Fountains At Town Center Village, The
8607 SE Causey Ave
Clackamas
Milwaukie SPD
Capacity: 87
Administrator: Steven Esser
Facility Phone: (503) 654-4500
Facility Fax: (503) 786-1232
Owner: TCV Employees, LLCCounty
Orig Lic. Date: 1991-02-01 Happy Valley, OR 97086
Renewal Date :2017-05-31 0
Units: 77
Management: Generations, LLC
Yes
Email: [email protected]
Other Services:
50M268
Four Seasons RCF - Fairgrounds
2850 Evergreen Ave NE
Marion
Salem NWSDS
Capacity: 32
Administrator: Jane Albert
Facility Phone: (503) 566-5876
Facility Fax: (503) 588-7125
Owner: Four Seasons RCF FairgroundsCounty
Orig Lic. Date: 2001-03-15 Salem, OR 97303
Renewal Date :2017-07-31 0
Units: 26
Management: Four Seasons RCF Fairgrounds
Yes
Email: [email protected]
Other Services:
50R395
Four Seasons RCF Evergreen
2855 Evergreen Ave NE
Marion
Salem NWSDS
Capacity: 28
Administrator: Kathy Mauch
Facility Phone: (503) 999-1135
Facility Fax: (503) 371-7355
Owner: Four Seasons RCF EvergreenCounty
Orig Lic. Date: 2013-08-15 Salem, OR 97301
Renewal Date :2017-08-31 0
Units: 28
Management: Four Seasons RCF Evergreen
Yes
Email: [email protected]
Other Services:
70A294
Fox Hollow Independent & Assisted Living Community
2599 NE Studio Rd
Deschutes
Bend SPD
Capacity: 76
Administrator: Erin Crow
Facility Phone: (541) 383-2030
Facility Fax: (541) 383-4979
Owner: Fox Hollow Bend, LLCCounty
Orig Lic. Date: 2005-02-23 Bend, OR 97701
Renewal Date :2018-04-30 0
Units: 71
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 36 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R046
Fox Hollow Residential Care Community
5320 Fox Hollow Rd
Lane
Eugene SSO
Capacity: 54
Administrator: Janet Engel
Facility Phone: (541) 343-8439
Facility Fax: (541) 683-9427
Owner: Regency At Fox Hollow, Inc.County
Orig Lic. Date: 1988-01-01 Eugene, OR 97405
Renewal Date :2016-07-31 0
Units: 51
Management: Prestige Care Inc.
Non Medicaid
Email: [email protected]
Other Services:
50R040
Friendsview Retirement Community
1301 E Fulton St
Yamhill
McMinnville NWSDS
Capacity: 155
Administrator: Kim Libonati
Facility Phone: (503) 538-3144
Facility Fax: (503) 538-6371
Owner: Friendsview Manor, Inc.County
Orig Lic. Date: 1993-10-26 Newberg, OR 97132
Renewal Date :2016-08-31 0
Units: 89
Management: Friendsview Manor, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 18
70M063
Gardens at Laurelhurst Village, The
3060 SE Stark St
Multnomah
SE Portland ASO
Capacity: 25
Administrator: Christine M Madewell
Facility Phone: (503) 535-4932
Facility Fax: (503) 535-4951
Owner: Laurelhurst Operations, LLCCounty
Orig Lic. Date: 1997-09-04 Portland, OR 97214
Renewal Date :2017-06-30 0
Units: 25
Management: Laurelhurst Operations, LLC
Yes
Email: [email protected]
Other Services:
5MA242
Gardens Enhanced Care Community, The
3334 22nd Ave
Washington
WCDAVS
Capacity: 56
Administrator: Luan O'Daniels
Facility Phone: (503) 357-9780
Facility Fax: (503) 357-6996
Owner: The Grove Assisted Living, L.L.C.County
Orig Lic. Date: 2000-04-07 Forest Grove, OR 97116
Renewal Date :2017-08-31 0
Units: 28
Management: Heights Management, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 56
50R311
Gardens, The
2690 NE Yacht
Lincoln
Toledo/Lincoln SSO
Capacity: 43
Administrator: Tiffany Helton
Facility Phone: (541) 994-7400
Facility Fax: (541) 994-5678
Owner: Lakeview Operations, LLCCounty
Orig Lic. Date: 2003-03-21 Lincoln City, OR 97367
Renewal Date :2016-09-30 0
Units: 31
Management: Westmont Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 43
50R388
Gateway 2 Healthier Living
608 N Cloverleaf Loop
Lane
Eugene
Capacity: 10
Administrator: Mark Kinkade
Facility Phone: (541) 744-9817
Facility Fax: (541) 744-0220
Owner: Gateway Assisted Living, IncCounty
Orig Lic. Date: 2013-03-05 Springfield, OR 97477
Renewal Date :2017-03-31 0
Units: 10
Management: Gateway Assisted Living, Inc.
Yes
Email: [email protected]
Other Services: ECU 10
Tuesday, July 05, 2016 Page 37 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R304
Gateway Gardens
178 Commons Dr.
Lane
Eugene AAA
Capacity: 90
Administrator: Sherri Borth
Facility Phone: (541) 302-1283
Facility Fax: (541) 485-8978
Owner: Gateway Gardens Assisted Living, Inc.County
Orig Lic. Date: 2002-11-01 Eugene, OR 97401
Renewal Date :2017-11-30 0
Units: 78
Management: Gateway Gardens Assisted Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 75
5MA042
Gateway Living
611 N Cloverleaf Loop
Lane
Eugene
Capacity: 130
Administrator: Jessica Knox
Facility Phone: (541) 744-9817
Facility Fax: (541) 744-0220
Owner: Gateway Assisted Living, IncCounty
Orig Lic. Date: 1991-02-01 Springfield, OR 97477
Renewal Date :2017-04-30 0
Units: 118
Management: Gateway Assisted Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 70
70M030
Gibson Creek Retirement & Assisted Living Residence
1615 Brush College Rd NW
Polk
Salem NWSDS
Capacity: 65
Administrator: Sandra Abt
Facility Phone: (503) 361-8599
Facility Fax: (503) 371-1160
Owner: TLC West, L.L.C.County
Orig Lic. Date: 1997-09-30 Salem, OR 97304
Renewal Date :2017-09-30 0
Units: 50
Management: Bonaventure Senior Living
Yes
Email: [email protected]
Other Services:
70M031
Gilman Park Assisted Living
2205 Gilman Drive
Clackamas
Milwaukie SPD
Capacity: 101
Administrator: Nathan Emge
Facility Phone: (503) 657-5700
Facility Fax: (503) 657-1183
Owner: FM Gilman, LLCCounty
Orig Lic. Date: 1995-02-01 Oregon City, OR 97045
Renewal Date :2017-01-31 0
Units: 101
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
50M044
Golden Acres Retirement Center
12711 SE Holgate Blvd
Multnomah
East County ASD
Capacity: 50
Administrator: Sandi Tidwell
Facility Phone: (503) 761-6421
Facility Fax: (503) 762-2423
Owner: Sandra TidwellCounty
Orig Lic. Date: 1960-01-01 Portland, OR 97236
Renewal Date :2016-08-31 0
Units: 32
Management: Sandra Tidwell
Yes
Email: [email protected]
Other Services:
50R319
Golden Age Living, LLC
3484 SE Hill Rd.
Clackamas
Milwaukie Spd
Capacity: 15
Administrator: Persida Stana
Facility Phone: (503) 652-8000
Facility Fax: (503) 652-8902
Owner: Golden Age Living LLCCounty
Orig Lic. Date: 2003-07-17 Milwaukie, OR 97267
Renewal Date :2018-04-30 0
Units: 12
Management: Golden Age Living LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 38 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R402
Grace Manor Residential Care
2811 Bailey Lane
Lane
Eugene APD
Capacity: 18
Administrator: Daniel Vlaciu
Facility Phone: (541) 686-2721
Facility Fax: (541) 338-9003
Owner: Grace Manor Lease Interests, LLCounty
Orig Lic. Date: 2014-03-14 Eugene, OR 97401
Renewal Date :2018-03-31 0
Units: 18
Management: Senior Housing Managers, LLC
Yes
Email: [email protected]
Other Services:
70M032
Grace Place
380 NW 6th Ave
Clackamas
Estacada SPD
Capacity: 36
Administrator: Luke Wilkenfeldt
Facility Phone: (503) 630-5341
Facility Fax: (503) 630-5348
Owner: GRACE AID OPCO, LLCCounty
Orig Lic. Date: 1997-01-08 Estacada, OR 97023
Renewal Date :2017-07-31 0
Units: 30
Management: GRACE AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M033
Grande Ronde Retirement Residence
1809 Gekeler Lane
Union
La Grande MSO
Capacity: 76
Administrator: Mark Stephenson
Facility Phone: (541) 963-4700
Facility Fax: (541) 963-6519
Owner: FM Grande, LLCCounty
Orig Lic. Date: 1990-07-01 La Grande, OR 97850
Renewal Date :2017-01-31 0
Units: 66
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
70M034
Greenridge Estates At Mountain Park, LLC.
4 Greenridge Dr
Clackamas
Milwaukie SPD
Capacity: 79
Administrator: Rebecca Rhineheimer
Facility Phone: (503) 635-8818
Facility Fax: (503) 635-6857
Owner: Greenridge Estates at Mountain Park, LLCCounty
Orig Lic. Date: 1992-06-03 Lake Oswego, OR 97035
Renewal Date :2018-05-31 0
Units: 71
Management: Greenridge Estates at Mountain Park, LLC
Yes
Email: [email protected]
Other Services:
50R387
Griffin House, The
6630 Alderbrook Road
Tillamook
Tillamook NWSDS
Capacity: 13
Administrator: Sharon Griffin
Facility Phone: (503) 801-0418
Facility Fax:
Owner: The Griffin House LLCCounty
Orig Lic. Date: 2012-10-25 Tillamook, OR 97141
Renewal Date :2016-10-31 0
Units: 12
Management: The Griffin House LLC
Yes
Email: [email protected]
Other Services:
70M035
Grove Assisted Living, The
2112 Oak St
Washington
WCDAVS
Capacity: 78
Administrator: Thomas O'Daniels
Facility Phone: (503) 359-1002
Facility Fax: (503) 359-0615
Owner: The Grove Assisted Living, L.L.C.County
Orig Lic. Date: 1996-08-01 Forest Grove, OR 97116
Renewal Date :2017-08-31 0
Units: 63
Management: Heights Management, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 39 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M079
Guardian Angel Homes
540 NW 12th St
Umatilla
Hermiston MSO
Capacity: 40
Administrator: Leslie Wolf
Facility Phone: (541) 564-9070
Facility Fax: (541) 564-8178
Owner: Hermiston Health Care, LLCCounty
Orig Lic. Date: 1995-09-07 Hermiston, OR 97838
Renewal Date :2017-06-30 0
Units: 32
Management: Tailored Management Services, LLC
Yes
Email: [email protected]
Other Services:
50M428
Guardian Angel Homes Memory Care
540 N.W. 12th Street
Umatilla
Hermiston
Capacity: 16
Administrator: Angela Turner
Facility Phone: (541) 564-9070
Facility Fax: (541) 567-6421
Owner: Hermiston Health Care, LLCCounty
Orig Lic. Date: 2016-04-25 Hermiston, OR 97838
Renewal Date :2018-04-30 0
Units: 16
Management: Tailored Management Services, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 16
50M124
Harmony Estates Residential Care Center
87326 McTimmons Lane
Coos
Coos Bay MSO
Capacity: 30
Administrator: Michael Schulz
Facility Phone: (541) 347-9631
Facility Fax: (541) 347-9631
Owner: Harmony Estates, Inc.County
Orig Lic. Date: 1985-01-09 Bandon, OR 97411
Renewal Date :2016-05-31 0
Units: 30
Management: Harmony Estates, Inc.
Yes
Email: [email protected]
Other Services:
50M049
Harmony Guest Home
351 SE Fifth St
Washington
Hillsboro
Capacity: 62
Administrator: Lucy Gallarde
Facility Phone: (503) 648-3413
Facility Fax: (503) 693-6695
Owner: Harmony Guest Home, Inc.County
Orig Lic. Date: 1990-05-01 Hillsboro, OR 97123
Renewal Date :2017-05-31 0
Units: 42
Management: Harmony Guest Home, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 32
50R356
Harmony House of Salem
3062 Hyacinth St. NE
Marion
Salem NWSDS
Capacity: 15
Administrator: Michele Nixon
Facility Phone: (503) 588-0722
Facility Fax: (503) 588-0755
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2009-01-16 Salem, OR 97301
Renewal Date :2017-01-31 0
Units: 15
Management: Pacific Living Centers, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 15
5ME248
Harmony Living
1535 SW Shirley Ann Drive
Yamhill
McMinnville NWSDS
Capacity: 16
Administrator: Dagny Sprayberry
Facility Phone: (503) 472-9997
Facility Fax: (503) 472-9986
Owner: Harmony Living, Inc.County
Orig Lic. Date: 2000-05-15 McMinnville, OR 97128
Renewal Date :2016-05-31 0
Units: 9
Management: Harmony Living, Inc.
Yes
Email: [email protected]
Other Services: ECU 16
Tuesday, July 05, 2016 Page 40 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA051
Harvest Homes RCF
6921 N Roberts
Multnomah
NE Portland ASO/DSO
Capacity: 40
Administrator: Kelly Chancellor
Facility Phone: (503) 286-2423
Facility Fax: (503) 286-1110
Owner: Harvest Homes, Inc.County
Orig Lic. Date: 1971-01-01 Portland, OR 97203
Renewal Date :2018-02-28 0
Units: 39
Management: Harvest Homes, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 20
70M036
Harvest Homes, Inc.
6921 N Roberts Ave
Multnomah
NE Portland ASO/DSO
Capacity: 49
Administrator: Jeanine Sinnott
Facility Phone: (503) 286-2423
Facility Fax: (503) 289-6473
Owner: Harvest Homes, Inc.County
Orig Lic. Date: 1998-05-29 Portland, OR 97203
Renewal Date :2018-05-31 0
Units: 42
Management: Harvest Homes, Inc.
Yes
Email: [email protected]
Other Services:
50M201
Haven House Retirement Center
714 Main Street PO Bos 386
Wheeler
The Dalles AAA
Capacity: 19
Administrator: Marjorie Sharp
Facility Phone: (541) 763-4651
Facility Fax: (541) 763-2129
Owner: Fossil Elderly Housing Committee, Inc.County
Orig Lic. Date: 1999-07-01 Fossil, OR 97830
Renewal Date :2017-07-31 0
Units: 19
Management: Fossil Elderly Housing Committee, Inc.
Yes
Email: [email protected]
Other Services:
70A269
Hawks Ridge Senior Assisted Living Community
1795 8th St
Hood River
The Dalles MSO
Capacity: 85
Administrator: Heather Lilly
Facility Phone: (541) 387-4087
Facility Fax: (541) 387-2697
Owner: LSREF Golden Ops 26 (OR) LLCCounty
Orig Lic. Date: 2001-10-19 Hood River, OR 97031
Renewal Date :2017-01-31 0
Units: 70
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
50R350
Hawthorne Gardens Memory Care Community
2828 SE Taylor Street
Multnomah
E Cty ASD
Capacity: 21
Administrator: Emily Taghon
Facility Phone: (971) 222-0396
Facility Fax: (971) 222-0397
Owner: GF Hawthorne Tenant, LLCCounty
Orig Lic. Date: 2007-07-30 Portland, OR 97214
Renewal Date :2017-09-30 0
Units: 12
Management: Artegan at Hawthorne Gardens, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 21
70A309
Hawthorne Gardens Senior Living Community
2828 SE Taylor Street
Multnomah
E Cty ASD
Capacity: 65
Administrator: Tawnia Boehmer
Facility Phone: (971) 222-0396
Facility Fax: (971) 222-0397
Owner: GF Hawthorne Tenant, LLCCounty
Orig Lic. Date: 2007-07-30 Portland, OR 97214
Renewal Date :2017-09-30 0
Units: 46
Management: Artegan at Hawthorne Gardens, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 41 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R376
Hawthorne House
2635 21st Avenue
Washington
Hillsboro SPD
Capacity: 22
Administrator: Kathleen Leatham
Facility Phone: (503) 357-6409
Facility Fax: (503) 357-9046
Owner: Hawthorne House, LLCCounty
Orig Lic. Date: 2011-05-26 Forest Grove, OR 97116
Renewal Date :2017-05-31 0
Units: 22
Management: Caring Places Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 22
50R300
Hawthorne House of Salem
3042 Hyacinth St. NE
Marion
Salem NWSDS
Capacity: 15
Administrator: Krishanna Jaramillo
Facility Phone: (503) 763-2722
Facility Fax: (503) 763-2677
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2002-08-30 Salem, OR 97303
Renewal Date :2016-08-31 0
Units: 11
Management: Pacific Living Centers, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 15
50R294
Hearthstone at Murrayhill
10880 SW Davies Rd.
Washington
Hillsboro WCDAVS
Capacity: 142
Administrator: Tom Freitag
Facility Phone: (503) 520-0911
Facility Fax: (503) 641-4944
Owner: Hearthstone at Murrayhill, LLCCounty
Orig Lic. Date: 2002-02-28 Beaverton, OR 97008
Renewal Date :2018-02-28 0
Units: 119
Management: Hearthstone Management Services, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 32
70A273
Hearthstone at Murrayhill Assisted Living
10880 SW Davies Rd
Washington
Hillsboro WCDAVS
Capacity: 80
Administrator: Tom Freitag
Facility Phone: (503) 520-0911
Facility Fax: (503) 641-4944
Owner: Hearthstone at Murrayhill, LLCCounty
Orig Lic. Date: 2002-02-28 Beaverton, OR 97008
Renewal Date :2018-02-28 0
Units: 64
Management: Hearthstone Management Services, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M037
Hearthstone Of Beaverton
12520 SW Hart Rd
Washington
WCDAVS
Capacity: 75
Administrator: Duane Miner
Facility Phone: (503) 641-0911
Facility Fax: (503) 641-1118
Owner: Hearthstone of Beaverton Operations, LLCCounty
Orig Lic. Date: 1996-11-01 Beaverton, OR 97008
Renewal Date :2016-10-31 0
Units: 58
Management: Hearthstone Management Services, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R409
Heartwood Place
2325 Boones Ferry Road
Marion
woodburn NWSDS
Capacity: 48
Administrator: Lorri Marcott
Facility Phone: (503) 980-9990
Facility Fax: (503) 980-9995
Owner: WMC Operating Company LLCCounty
Orig Lic. Date: 2014-05-02 Woodburn, OR 97071
Renewal Date :2018-05-31 0
Units: 48
Management: Benicia Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
Tuesday, July 05, 2016 Page 42 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R332
Heritage House of Woodburn
943 N. Cascade Dr.
Marion
Woodburn NWSDS
Capacity: 15
Administrator: Shannon Souza
Facility Phone: (503) 982-1506
Facility Fax: (503) 982-1175
Owner: Pacific Living Centers, Inc.County
Orig Lic. Date: 2004-12-15 Woodburn, OR 97071
Renewal Date :2016-12-31 0
Units: 15
Management: Pacific Living Centers, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 15
70M241
High Lookee Lodge
2321 Ollallie Lane PO Box 6
Jefferson
Madras MSO
Capacity: 53
Administrator: Jolene Switzler
Facility Phone: (541) 553-1182
Facility Fax: (541) 553-1186
Owner: Confederated Tribes of Warm Springs Reservation ofCounty
Orig Lic. Date: 2000-04-17 Warm Springs, OR 97761
Renewal Date :2015-10-31 0
Units: 36
Management: Confederated Tribes of Warm Springs Reservat
Yes
Email: [email protected]
Other Services:
50M211
Hill House
1325 SW Gibbs Street
Multnomah
WCDAVS
Capacity: 28
Administrator: Sharleen Moschella
Facility Phone: (503) 274-0000
Facility Fax: (503) 243-3427
Owner: Peaks and Valleys, LLCCounty
Orig Lic. Date: 1998-05-28 Portland, OR 97239
Renewal Date :2017-08-31 0
Units: 20
Management: Peaks and Valleys, LLC
Yes
Email: [email protected]
Other Services:
50R369
Hillside Care Manor
800 NW 25th Avenue
Multnomah
West ADS
Capacity: 40
Administrator: Alma Navarro
Facility Phone: (503) 688-5080
Facility Fax: (503) 688-5096
Owner: Peaks and Valleys, LLCCounty
Orig Lic. Date: 2010-07-16 Portland, OR 97210
Renewal Date :2017-10-31 0
Units: 24
Management: Peaks and Valleys, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 25
70M041
Hillside Place
1400 SE 19th
Lincoln
Toledo/Lincoln SSO
Capacity: 37
Administrator: Jill Woolsey
Facility Phone: (541) 994-8028
Facility Fax: (541) 994-8331
Owner: HILLSIDE AID OPCO, LLCCounty
Orig Lic. Date: 1992-07-08 Lincoln City, OR 97367
Renewal Date :2017-07-31 0
Units: 33
Management: HiLLSIDE AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R230
Holladay Park Plaza
1300 NE 16th
Multnomah
NE Portland ASO/DSO
Capacity: 44
Administrator: Tia Dodge
Facility Phone: (503) 288-6671
Facility Fax: (503) 331-4853
Owner: Holladay Park Plaza, Inc.County
Orig Lic. Date: 2000-01-06 Portland, OR 97232
Renewal Date :2016-12-31 0
Units: 35
Management: Pacific Retirement Services, Inc.
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 43 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50A074
Holly Residential Care Center
1075 Irvington Drive
Lane
Eugene AAA
Capacity: 42
Administrator: Jeffrey Laramee
Facility Phone: (541) 607-8587
Facility Fax: (541) 607-8595
Owner: The Maren CorporationCounty
Orig Lic. Date: 1999-10-15 Eugene, OR 97404
Renewal Date :2017-05-31 0
Units: 38
Management: The Maren Corporation
Yes
Email: [email protected]
Other Services:
70M042
Homewood Heights Assisted Living
17999 SE River Rd
Clackamas
Milwaukie SPD
Capacity: 52
Administrator: Linda Nickolisen
Facility Phone: (503) 659-6600
Facility Fax: (503) 659-8193
Owner: Homewoods Heights LLCCounty
Orig Lic. Date: 1996-03-01 Milwaukie, OR 97267
Renewal Date :2018-02-28 0
Units: 44
Management: Prestige Senior Living, L.L.C
Yes
Email: [email protected]
Other Services:
50R316
Hope N Care
12045 SE Pardee St.
Multnomah
Mid-Mult ASD
Capacity: 64
Administrator: Rosalinda Asa
Facility Phone: (503) 761-6939
Facility Fax: (503) 761-5909
Owner: Asa Care, Inc.County
Orig Lic. Date: 2003-04-25 Portland, OR 97266
Renewal Date :2017-04-30 0
Units: 64
Management: Asa Care, Inc.
Yes
Email: [email protected]
Other Services:
50R145
Horton Plaza
1122 Spring St
Jackson
Medford AAA
Capacity: 17
Administrator: Danielle Stovall
Facility Phone: (541) 770-1122
Facility Fax: (541) 770-9576
Owner: Horton Plaza A Joint VentureCounty
Orig Lic. Date: 1995-08-14 Medford, OR 97504
Renewal Date :2017-08-31 0
Units: 16
Management: Dharma Healthcare Management, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50R062
Hubbard Residential Care Facility
647 Junction Rd
Douglas
Roseburg AAA
Capacity: 7
Administrator: Ann Hubbard
Facility Phone: (541) 832-3282
Facility Fax: (541) 832-2676
Owner: Norma Ann HubbardCounty
Orig Lic. Date: 1972-11-01 Glendale, OR 97442
Renewal Date :2017-08-31 0
Units: 7
Management: Norma Ann Hubbard
Yes
Email: [email protected]
Other Services:
70M044
Inland Point Retirement Community
2290 Inland Dr
Coos
Coos Bay MSO
Capacity: 60
Administrator: Susan Cain
Facility Phone: (541) 756-0176
Facility Fax: (541) 756-8405
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1995-11-22 North Bend, OR 97459
Renewal Date :2017-05-31 0
Units: 50
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 44 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R251
Ivy Court Senior Living
18265 SE River Road
Clackamas
Milwaukie SPD
Capacity: 16
Administrator: Margaret Oliver
Facility Phone: (503) 786-3443
Facility Fax: (503) 786-9650
Owner: Ivy Court Senior Living, Inc.County
Orig Lic. Date: 2000-08-15 Milwaukie, OR 97222
Renewal Date :2016-08-31 0
Units: 16
Management: Ivy Court Senior Living, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50M065
Jefferson Lodge Memory Care Community
664 SE Jefferson St
Polk
Dallas NWSDS
Capacity: 50
Administrator: Margaret Schreiber-Wise
Facility Phone: (503) 623-8104
Facility Fax: (503) 588-8653
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1994-07-18 Dallas, OR 97338
Renewal Date :2017-05-31 0
Units: 44
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 50
70A214
Jennings - McCall Center
2300 Masonic Way
Washington
WCDAVS
Capacity: 147
Administrator: Jennifer Buckhannon
Facility Phone: (503) 359-4465
Facility Fax: (503) 359-4468
Owner: Grand Lodge of AF & AM of OregonCounty
Orig Lic. Date: 1991-12-12 Forest Grove, OR 97116
Renewal Date :2017-11-30 0
Units: 121
Management: Aidan Health Services, Inc.
Yes
Email: [email protected]
Other Services:
50R393
Jennings McCall RCF
2300 Masonic Way
Washington
WCDAVS
Capacity: 27
Administrator: Keirsten Holm
Facility Phone: (503) 359-4465
Facility Fax: (503) 359-8552
Owner: Grand Lodge of AF & AM of OregonCounty
Orig Lic. Date: 2013-06-18 Forest Grove, OR 97116
Renewal Date :2017-06-30 0
Units: 27
Management: Aidan Health Services, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 27
70M048
Junction City Retirement & Assisted Living Residence
500 E 6th St
Lane
Eugene SSO
Capacity: 36
Administrator: Casey Brill
Facility Phone: (541) 998-6060
Facility Fax: (541) 998-3747
Owner: FC Ranger OPS Junction City (OR), LLCCounty
Orig Lic. Date: 1998-06-16 Junction City, OR 97448
Renewal Date :2017-06-30 0
Units: 26
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
70M049
Juniper House
301 SW 28th Dr
Umatilla
Pendleton MSO
Capacity: 31
Administrator: Johnnie McQuilken
Facility Phone: (541) 278-0666
Facility Fax: (541) 278-1578
Owner: Assisted Living Facilities, Inc.County
Orig Lic. Date: 1991-04-03 Pendleton, OR 97801
Renewal Date :2018-03-31 0
Units: 25
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 45 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M422
Juniper House Memory Care
301 SW 28th Drive
Umatilla
Umatilla
Capacity: 16
Administrator: Johnnie McQuilkin
Facility Phone: (541) 278-0666
Facility Fax: (541) 278-1578
Owner: Assisted Living Facilities Inc.County
Orig Lic. Date: 2015-07-24 Pendleton, OR 97801
Renewal Date :2017-07-31 0
Units: 13
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 16
70M050
Kilchis House
4212 Marolf Place
Tillamook
Tillamook NWSDS
Capacity: 36
Administrator: Cathey Mason
Facility Phone: (503) 842-2204
Facility Fax: (503) 815-1694
Owner: Tillamook County CARE, Inc.County
Orig Lic. Date: 1994-12-19 Tillamook, OR 97141
Renewal Date :2017-09-30 0
Units: 30
Management: Tillamook County CARE, Inc.
Yes
Email: [email protected]
Other Services:
50M424
Kinsington at Redwood Park
1390 Dowell Road
Josephine
Medford
Capacity: 30
Administrator: Lynn Rawlins
Facility Phone: (541) 476-2536
Facility Fax: (541) 476-2456
Owner: Heirloom Living Centers, LLCCounty
Orig Lic. Date: 2015-11-12 Grants Pass, OR 97527
Renewal Date :2017-11-30 0
Units: 30
Management: Cameo Care Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 30
50R372
Kinsington Place
827 SW Kinsington Court
Josephine
Grants Pass DSO
Capacity: 16
Administrator: Alison Andrews
Facility Phone: (541) 955-9866
Facility Fax: (541) 955-9865
Owner: Heirloom Living Centers, LLCCounty
Orig Lic. Date: 2011-01-17 Grants Pass, OR 97526
Renewal Date :2017-01-31 0
Units: 15
Management: Heirloom Living Centers, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 16
70M053
Lakeview Senior Living
2690 NE Yacht
Lincoln
Toledo/Lincoln SSO
Capacity: 67
Administrator: Darcy Hood
Facility Phone: (541) 994-7400
Facility Fax: (541) 994-5678
Owner: Lakeview Operations, LLCCounty
Orig Lic. Date: 1995-11-01 Lincoln City, OR 97367
Renewal Date :2016-09-30 0
Units: 56
Management: Westmont Living, Inc.
Yes
Email: [email protected]
Other Services:
70M051
Lancaster Assisted Living
4156 Market St NE
Marion
Salem NWSDS
Capacity: 50
Administrator: Peggy Cruz
Facility Phone: (503) 364-3383
Facility Fax: (503) 371-0498
Owner: Lancaster Assisted Living LLCCounty
Orig Lic. Date: 1997-03-21 Salem, OR 97301
Renewal Date :2017-03-31 0
Units: 42
Management: Senior Living Management, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 46 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M052
Lancaster Village
4148 Market St NE
Marion
Salem NWSDS
Capacity: 36
Administrator: Judy Belt
Facility Phone: (503) 364-3383
Facility Fax: (503) 364-6433
Owner: Lancaster Village, LLCCounty
Orig Lic. Date: 1990-02-01 Salem, OR 97301
Renewal Date :2017-01-31 0
Units: 32
Management: Senior Living Services, Inc.
Yes
Email: [email protected]
Other Services:
70A312
Laurel Parc at Bethany
15850 NW Central Drive
Washington
Beaverton SPD
Capacity: 153
Administrator: Tina Tittle
Facility Phone: (503) 533-7979
Facility Fax: (503) 906-5796
Owner: Laurel Parc AL at Bethany, LLCCounty
Orig Lic. Date: 2009-04-01 Portland, OR 97229
Renewal Date :2017-04-30 0
Units: 102
Management: Laurel Parc AL at Bethany, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 23
50R333
Laurel Pines Retirement Lodge
3100 Avenue A
Jackson
Medford AAA
Capacity: 56
Administrator: Kathleen A Adamson
Facility Phone: (541) 830-7800
Facility Fax: (541) 830-7802
Owner: Laurel Pines, Inc.County
Orig Lic. Date: 2005-06-15 White City, OR 97503
Renewal Date :2016-12-31 0
Units: 28
Management: Dakavia Management, Corp.
Yes
Email: [email protected]
Other Services:
70M252
Laurelhurst House
15 SE 55th Ave
Multnomah
E County ASD
Capacity: 38
Administrator: Ben Brandt
Facility Phone: (503) 234-5050
Facility Fax: (503) 234-9090
Owner: Laurelhurst House, LLCCounty
Orig Lic. Date: 2000-11-17 Portland, OR 97215
Renewal Date :2016-11-30 0
Units: 38
Management: Touchstone Communities, LLC
Yes
Email: [email protected]
Other Services:
70M242
Lone Oak Assisted Living Facility
2615 Lone Oak Way
Lane
Eugene SSO
Capacity: 85
Administrator: Amanda Boehlke
Facility Phone: (541) 463-7700
Facility Fax: (541) 461-0539
Owner: LSREF Golden Ops 14 (OR) LLCCounty
Orig Lic. Date: 2000-09-15 Eugene, OR 97402
Renewal Date :2017-01-31 0
Units: 70
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
5MA080
Lydia's House
5353 SE Columbus St
Linn
Albany SSO
Capacity: 28
Administrator: Mary Scott
Facility Phone: (541) 928-4728
Facility Fax: (541) 917-1399
Owner: Mennonite Home Of Albany, Inc.County
Orig Lic. Date: 1980-01-01 Albany, OR 97321
Renewal Date :2016-08-31 0
Units: 24
Management: Mennonite Home Of Albany, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 28
Tuesday, July 05, 2016 Page 47 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M216
Macdonald Residence
605 NW Couch Street
Multnomah
W Portland
Capacity: 54
Administrator: Monique Mills
Facility Phone: (503) 241-7374
Facility Fax: (503) 241-7375
Owner: Macdonald Residence Limited PartnershipCounty
Orig Lic. Date: 1999-09-01 Portland, OR 97209
Renewal Date :2017-08-31 0
Units: 54
Management: Mennonite Management Services, Inc.
Yes
Email: [email protected]
Other Services:
70M056
Magnolia Gardens Assisted Retirement Living
1425 Daugherty
Lane
Eugene SSO
Capacity: 56
Administrator: Teresa Taylor
Facility Phone: (541) 942-0054
Facility Fax: (541) 942-3994
Owner: Magnolia Gardens Assisted Retirement Living LLCCounty
Orig Lic. Date: 1996-07-08 Cottage Grove, OR 97424
Renewal Date :2016-06-30 0
Units: 56
Management: Magnolia Gardens L.L.C.
Yes
Email: [email protected]
Other Services:
50R314
Magnolia Village Memory Care Community
1355 Daugherty
Lane
Eugene SSO
Capacity: 15
Administrator: Teresa Taylor
Facility Phone: (541) 942-8966
Facility Fax: (541) 942-8915
Owner: Magnolia Village, LLCCounty
Orig Lic. Date: 2003-04-04 Cottage Grove, OR 97424
Renewal Date :2017-04-30 0
Units: 15
Management: Magnolia Gardens, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 15
50R278
Manor Special Care Center
1200 Mira Mar Ave.
Jackson
Medford AAA
Capacity: 25
Administrator: Laura Herman
Facility Phone: (541) 857-7715
Facility Fax: (541) 857-7719
Owner: Rogue Valley Manor, Inc.County
Orig Lic. Date: 2001-05-29 Medford, OR 97504
Renewal Date :2017-05-31 0
Units: 13
Management: Pacific Retirement Services, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 25
50R363
Manor Terrace Care Suites
1250 Mira Mar Avenue
Jackson
Medford SSO
Capacity: 30
Administrator: Jill Howard
Facility Phone: (541) 857-7777
Facility Fax: (541) 857-7599
Owner: Rogue Valley ManorCounty
Orig Lic. Date: 2009-10-21 Medford, OR 97504
Renewal Date :2017-10-31 0
Units: 28
Management: Pacific Retirement Services, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50M425
Maple Valley Dementia Care
219 NE Fircrest Drive
Yamhill
NWSDS
Capacity: 28
Administrator: Tammy Perez
Facility Phone: (503) 883-9385
Facility Fax: (360) 891-7162
Owner: Maple Valley Dementia Care, Inc.County
Orig Lic. Date: 2015-11-19 McMinnville, OR 97128
Renewal Date :2017-11-30 0
Units: 28
Management: Maple Valley Dementia Care, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 28
Tuesday, July 05, 2016 Page 48 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M257
Marie Rose Center Assisted Living
17360 Holy Names Drive
Clackamas
Milwaukie SPD
Capacity: 79
Administrator: Lynn Szender
Facility Phone: (503) 675-2475
Facility Fax: (503) 675-2458
Owner: Mary's Woods at Marylhurst, Inc.County
Orig Lic. Date: 2001-02-22 Lake Oswego, OR 97034
Renewal Date :2017-02-28 0
Units: 70
Management: Mary's Woods at Marylhurst, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 23
50R401
Marie Rose Residential Care
17360 Holy Names Drive
Clackamas
Milwaukie SPD
Capacity: 26
Administrator: Lynn Szender
Facility Phone: (503) 675-2475
Facility Fax: (503) 534-3937
Owner: Mary's Woods at Marylhurst, Inc.County
Orig Lic. Date: 2014-01-01 Lake Oswego, OR 97034
Renewal Date :2018-01-31 0
Units: 26
Management: Mary's Woods at Marylhurst, Inc.
Yes
Email: [email protected]
Other Services:
50M423
Marjorie House Memory Care Community
2855 NE Cumulus Avenue
Yamhill
NWSDS
Capacity: 45
Administrator: Donna Fuller-Archer
Facility Phone: (503) 474-4222
Facility Fax: (503) 474-4220
Owner: Marjorie House McMinnville, LLCCounty
Orig Lic. Date: 2015-11-01 McMinnville, OR 97128
Renewal Date :2017-11-30 0
Units: 45
Management: Marjorie House McMinnville, LLC
Yes
Email: [email protected]
Other Services: ACU 45
70A057
Markham House Retirement Community
10606 SW Capitol Hwy
Multnomah
W Portland
Capacity: 63
Administrator: Darrin Buckner
Facility Phone: (503) 244-9500
Facility Fax: (503) 244-1022
Owner: PORTMH, LLCCounty
Orig Lic. Date: 1994-03-01 Portland, OR 97219
Renewal Date :2018-06-30 0
Units: 54
Management: Leisure Care, LLC
Non Medicaid
Email: [email protected]
Other Services:
50A244
Marquis Autumn Hills Residential Memory Care
6630 SW Beaverton-Hillsdale Hwy.
Washington
WCDAVS
Capacity: 22
Administrator: Jaron Sue
Facility Phone: (503) 292-7874
Facility Fax: (503) 292-2359
Owner: Marquis Companies II, Inc.County
Orig Lic. Date: 2000-04-07 Portland, OR 97225
Renewal Date :2017-04-30 0
Units: 15
Management: Marquis Companies I, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 22
70M100
Marquis Forest Grove Assisted Living
3336 19th Ave
Washington
WCDAVS
Capacity: 70
Administrator: Shehani Fernando
Facility Phone: (503) 359-1129
Facility Fax: (503) 357-4449
Owner: Marquis Companies II, Inc.County
Orig Lic. Date: 1996-08-09 Forest Grove, OR 97116
Renewal Date :2017-04-30 0
Units: 58
Management: Marquis Companies I, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 49 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M099
Marquis Hope Village ALF
1589 S Ivy
Clackamas
Canby SPD
Capacity: 92
Administrator: Marci Bird
Facility Phone: (503) 266-2444
Facility Fax: (503) 266-6725
Owner: Marquis Companies I, Inc.County
Orig Lic. Date: 1998-03-04 Canby, OR 97013
Renewal Date :2018-02-28 0
Units: 80
Management: Marquis Companies I, Inc.
Yes
Email: [email protected]
Other Services:
70A288
Marquis Piedmont Assisted Living
319 NE Russet St.
Multnomah
NE Portland ASO/DSO
Capacity: 80
Administrator: Theresa Decker
Facility Phone: (503) 289-5571
Facility Fax: (503) 286-0635
Owner: Marquis Companies II, Inc.County
Orig Lic. Date: 2003-05-19 Portland, OR 97211
Renewal Date :2017-04-30 0
Units: 80
Management: Marquis Companies I, Inc.
Yes
Email: [email protected]
Other Services:
70A324
Marquis Tualatin Assisted Living
19945 SW Boones Ferry Road
Washington
WCDAVS
Capacity: 87
Administrator: Lindsey Schaub
Facility Phone: (503) 621-5400
Facility Fax: (503) 621-5501
Owner: Marquis Companies II, Inc.County
Orig Lic. Date: 2014-07-21 Tualatin, OR 97062
Renewal Date :2018-07-31 0
Units: 80
Management: Marquis Companies I, Inc.
Yes
Email: [email protected]
Other Services:
70A286
Marquis Wilsonville Assisted Living
30900 SW Parkway Ave
Clackamas
Canby SPD
Capacity: 72
Administrator: McKenzie Dodge
Facility Phone: (503) 682-2330
Facility Fax: (503) 682-2208
Owner: Marquis Companies II, Inc.County
Orig Lic. Date: 2003-02-07 Wilsonville, OR 97070
Renewal Date :2017-04-30 0
Units: 60
Management: Marquis Companies I, Inc.
Yes
Email: [email protected]
Other Services:
50R381
Maryville Memory Care
14645 SW Farmington Road
Washington
Beaverton SPD
Capacity: 16
Administrator: Michael Kilbury
Facility Phone: (503) 643-8626
Facility Fax: (503) 520-1435
Owner: Sisters of St. Mary of Oregon Maryville Corp.County
Orig Lic. Date: 2011-10-13 Beaverton, OR 97007
Renewal Date :2017-10-31 0
Units: 15
Management: Sisters of St. Mary of Oregon Maryville Corp.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 16
70M238
McKay Creek Estates
1601 Southgate Place
Umatilla
Pendleton MSO
Capacity: 60
Administrator: Rick Hoisington
Facility Phone: (541) 276-1987
Facility Fax: (541) 278-4788
Owner: Pendleton Ventures, L.L.C.County
Orig Lic. Date: 2000-07-12 Pendleton, OR 97801
Renewal Date :2018-06-30 0
Units: 44
Management: Prestige Senior Living, L.L.C.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 50 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R410
McKenzie Living
6452 "A" Street
Lane
Eugene LCOG
Capacity: 21
Administrator: Yvonne Starr
Facility Phone: (541) 744-9817
Facility Fax: (541) 744-0220
Owner: McKenzie Living, Inc.County
Orig Lic. Date: 2014-05-21 Springfield, OR 97478
Renewal Date :2018-05-31 0
Units: 21
Management: McKenzie Living, Inc.
Yes
Email: [email protected]
Other Services:
70M058
McKillop Residence
500 Conifer Circle
Marion
Salem NWSDS
Capacity: 60
Administrator: Shauna Garza
Facility Phone: (503) 769-8900
Facility Fax: (503) 769-0950
Owner: Janmaur II, L.L.C.County
Orig Lic. Date: 1998-04-16 Sublimity, OR 97385
Renewal Date :2018-03-31 0
Units: 50
Management: Marian Estates Support Services
Yes
Email: [email protected]
Other Services:
50R357
McLoughlin Memory Care
1145 Molalla Avenue
Clackamas
Milwaukie SPD
Capacity: 28
Administrator: Roselynn Rockwood
Facility Phone: (503) 655-3337
Facility Fax: (503) 656-6939
Owner: McLoughlin Place Operations, LLCCounty
Orig Lic. Date: 2009-02-01 Oregon City, OR 97045
Renewal Date :2016-10-31 0
Units: 24
Management: Milestone Retirement Communities, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 28
70M059
McLoughlin Place Senior Living
1153 Molalla Ave
Clackamas
Milwaukie SPD
Capacity: 74
Administrator: Sherry Andrus
Facility Phone: (503) 655-3337
Facility Fax: (503) 656-6939
Owner: McLoughlin Place Operations, LLCCounty
Orig Lic. Date: 1997-03-30 Oregon City, OR 97045
Renewal Date :2016-10-31 0
Units: 70
Management: Milestone Retirement Communities, LLC
Yes
Email: [email protected]
Other Services:
70M060
Meadow Creek Village Assisted Living
3988 12th St SE
Marion
Salem NWSDS
Capacity: 52
Administrator: Sarah Loucks
Facility Phone: (503) 375-9732
Facility Fax: (503) 375-2144
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1992-07-08 Salem, OR 97302
Renewal Date :2017-05-31 0
Units: 44
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
70M061
Meadowbrook Place
4000 Cedar St
Baker
Baker City
Capacity: 60
Administrator: Suzanne Miller
Facility Phone: (541) 523-6333
Facility Fax: (541) 523-9166
Owner: Meadowbrook Place Operations, LLCCounty
Orig Lic. Date: 1992-12-02 Baker City, OR 97814
Renewal Date :2016-10-31 0
Units: 50
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 51 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M218
Meadows Courtyard
13637 Garden Meadow Drive
Clackamas
Milwaukie SPD
Capacity: 42
Administrator: Pamalynn Richardson
Facility Phone: (503) 656-8113
Facility Fax: (503) 650-7486
Owner: Meadows Courtyard, Inc.County
Orig Lic. Date: 1999-02-17 Oregon City, OR 97045
Renewal Date :2017-02-28 0
Units: 37
Management: Meadows Courtyard, Inc.
Yes
Email: [email protected]
Other Services:
70A306
Middlefield Oaks Assisted Living Community
1500 Village Drive
Lane
Eugene AAA
Capacity: 85
Administrator: Tesla Thoms
Facility Phone: (541) 767-0080
Facility Fax: (541) 767-1181
Owner: Middlefield Oaks Assisted Living, LLCCounty
Orig Lic. Date: 2006-11-17 Cottage Grove, OR 97424
Renewal Date :2017-07-31 0
Units: 62
Management: Frontier Management, Inc., A Corporation of Co
Yes
Email: [email protected]
Other Services:
50R345
Middlefield Oaks Memory Care Community
1500 Village Drive
Lane
Eugene AAA
Capacity: 36
Administrator: Shannon Black
Facility Phone: (541) 767-0080
Facility Fax: (541) 767-1181
Owner: Middlefield Oaks Assisted Living, LLCCounty
Orig Lic. Date: 2006-11-17 Cottage Grove, OR 97424
Renewal Date :2017-07-31 0
Units: 24
Management: Frontier Management, Inc., A Corporation of Co
Yes
Email: [email protected]
Other Services: MCC, ACU 36
50M081
Milwaukie Care Center
14107 SE Redwood Ave
Clackamas
Milwaukie SPD
Capacity: 23
Administrator: Jannice Steeves
Facility Phone: (503) 659-1077
Facility Fax: (503) 659-7370
Owner: Milwaukie Care Center, Inc.County
Orig Lic. Date: 1992-08-30 Milwaukie, OR 97222
Renewal Date :2016-08-31 0
Units: 14
Management: Milwaukie Care Center, Inc.
Yes
Email: [email protected]
Other Services:
70A317
Mirabella at South Waterfront
3550 SW Bond Ave.
Multnomah
Milwaukie SPD
Capacity: 24
Administrator: Sharon McCartney
Facility Phone: (503) 688-6514
Facility Fax: (503) 688-6555
Owner: Mirabella at South WaterfrontCounty
Orig Lic. Date: 2010-10-07 Portland, OR 97239
Renewal Date :2016-10-31 0
Units: 16
Management: Pacific Retirement Services, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50R293
Miramont Pointe
11520 SE Sunnyside Rd
Clackamas
Milwaukie SPD
Capacity: 186
Administrator: Julie Campbell-Taylor
Facility Phone: (503) 698-1600
Facility Fax: (503) 652-0168
Owner: MP, LLCCounty
Orig Lic. Date: 2002-01-10 Clackamas, OR 97015
Renewal Date :2017-03-31 0
Units: 143
Management: MP, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 21
Tuesday, July 05, 2016 Page 52 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50A214
Monterey Court Memory Care
8915 SE Monterey
Clackamas
Milwaukie SPD
Capacity: 48
Administrator: Amy Landon
Facility Phone: (503) 654-3200
Facility Fax: (503) 654-3800
Owner: Monterey Court Ventures, LLCCounty
Orig Lic. Date: 1999-08-13 Happy Valley, OR 97086
Renewal Date :2017-03-31 0
Units: 24
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
70M233
Morrow Heights Retirement & Assisted Living Community
176 Wards Creek Road
Jackson
Medford AAA
Capacity: 53
Administrator: Terry O'Donnell
Facility Phone: (541) 582-8200
Facility Fax: (541) 582-6818
Owner: LSREF Golden Ops 14 (OR) LLCCounty
Orig Lic. Date: 2000-04-14 Rogue River, OR 97537
Renewal Date :2017-01-31 0
Units: 43
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
50R322
Mountain View Residential Care Facility
1220 SE 282nd Ave.
Multnomah
Mid-Mult
Capacity: 23
Administrator: Charlotte White
Facility Phone: (503) 666-9309
Facility Fax: (503) 667-6894
Owner: BME Enterprises, Inc.County
Orig Lic. Date: 2003-11-06 Gresham, OR 97080
Renewal Date :2017-11-30 0
Units: 21
Management: Fred T. & Elizabeth C. Asa
Yes
Email: lis_asa@@yahoo.com
Other Services:
50R085
Mt. Angel Towers
One Towers Lane Box 2120
Marion
Woodburn NWSDS
Capacity: 29
Administrator: Carina Torres
Facility Phone: (503) 845-7211
Facility Fax: (503) 845-7210
Owner: Mt. Angel Towers, Oregon, Ltd.County
Orig Lic. Date: 1994-07-18 Mt. Angel, OR 97362
Renewal Date :2016-06-30 0
Units: 29
Management: Mt. Angel Towers, Oregon, Ltd.
Non Medicaid
Email: [email protected]
Other Services:
50R390
Mt. Bachelor Memory Care
20225 Powers Road
Deschutes
Bend APD
Capacity: 56
Administrator: Mallory Dacosta
Facility Phone: (541) 318-3322
Facility Fax: (541) 318-3348
Owner: MBMC 1, LLCCounty
Orig Lic. Date: 2013-05-13 Bend, OR 97702
Renewal Date :2017-05-31 0
Units: 56
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 56
50M086
Mt. Scott Residential Care Home
8014 SE Lambert St
Multnomah
SE Portland ASO
Capacity: 46
Administrator: Dennis Murphy
Facility Phone: (503) 774-1329
Facility Fax: (503) 774-3037
Owner: Sistere, Inc.County
Orig Lic. Date: 1981-01-01 Portland, OR 97206
Renewal Date :2017-09-30 0
Units: 26
Management: Sistere, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 53 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M088
Myrtle Point Care Center RCF
637 Ash St
Coos
Coos Bay MSO
Capacity: 20
Administrator: Fritzie Vader
Facility Phone: (541) 572-2066
Facility Fax: (541) 572-5477
Owner: Care Centers Management, Inc.County
Orig Lic. Date: 1992-02-01 Myrtle Point, OR 97458
Renewal Date :2018-01-31 0
Units: 20
Management: Dakavia Management, Corp.
Yes
Email: [email protected]
Other Services:
70M064
Neawanna By The Sea
20 North Wahanna Rd
Clatsop
Warrenton NWSDS
Capacity: 48
Administrator: Tammy Tucker
Facility Phone: (503) 738-5526
Facility Fax: (503) 738-5569
Owner: FC Ranger OPS Neawanna (OR), LLCCounty
Orig Lic. Date: 1990-11-06 Seaside, OR 97138
Renewal Date :2017-06-30 0
Units: 40
Management: Neawanna Care Properties, LLC
Yes
Email: [email protected]
Other Services:
70M065
Nehalem Bay House
35385 Tohl Ave
Tillamook
Tillamook NWSDS
Capacity: 44
Administrator: Blanca Turrieta
Facility Phone: (503) 368-6445
Facility Fax: (503) 368-6468
Owner: Tillamook County CARE, Inc.County
Orig Lic. Date: 1998-08-06 Nehalem, OR 97131
Renewal Date :2017-09-30 0
Units: 34
Management: Tillamook County CARE, Inc.
Yes
Email: [email protected]
Other Services:
70M066
Northridge Center
3737 S Pacific Hwy
Jackson
Medford
Capacity: 61
Administrator: Memory Dent
Facility Phone: (541) 535-5497
Facility Fax: (541) 535-1221
Owner: Northridge Center, Inc.County
Orig Lic. Date: 1994-06-04 Medford, OR 97501
Renewal Date :2018-05-31 0
Units: 55
Management: Northridge Center, Inc.
Yes
Email: [email protected]
Other Services:
70M237
Nyssa Gardens Assisted Living Facility
1101 Park Avenue
Malheur
Ontario MSO
Capacity: 36
Administrator: April Aldred
Facility Phone: (541) 372-4024
Facility Fax: (541) 372-0126
Owner: Malheur Memorial Hospital DistrictCounty
Orig Lic. Date: 2000-05-22 Nyssa, OR 97913
Renewal Date :2018-05-31 0
Units: 32
Management: Malheur Memorial Health District
Yes
Email: [email protected]
Other Services:
50M133
Oak Lane Retirement
727 SW Rogue River Ave
Josephine
Grants Pass MSO
Capacity: 74
Administrator: Terri Henry
Facility Phone: (541) 476-7727
Facility Fax: (541) 479-1362
Owner: TSL Oak Lane, LLCCounty
Orig Lic. Date: 1994-04-25 Grants Pass, OR 97526
Renewal Date :2018-02-28 0
Units: 59
Management: Tierra Senior Living, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 54 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M225
Oak Park Assisted Living Community
1400 NE Rocky Ridge Dr.
Douglas
Roseburg AAA
Capacity: 76
Administrator: Lindsey Keller
Facility Phone: (541) 464-5656
Facility Fax: (541) 677-7063
Owner: Roseburg Assisted Living, LLCCounty
Orig Lic. Date: 2000-01-05 Roseburg, OR 97470
Renewal Date :2018-01-31 0
Units: 63
Management: Bonaventure Senior Living
Yes
Email: [email protected]
Other Services:
70M095
Oaks At Lebanon, The
621 West Oak
Linn
Albany SSO
Capacity: 70
Administrator: Angelic Kutsch
Facility Phone: (541) 258-7777
Facility Fax: (541) 258-7255
Owner: FM Oaks, LLCCounty
Orig Lic. Date: 1992-04-01 Lebanon, OR 97355
Renewal Date :2017-01-31 0
Units: 62
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
50R171
Oaktree Residential Living
5030 West Port St PO Box 22636
Lane
Eugene SSO
Capacity: 16
Administrator: Elkhan Babayev
Facility Phone: (541) 607-0688
Facility Fax: (541) 688-6404
Owner: Elman's House Corp.County
Orig Lic. Date: 1998-08-28 Eugene, OR 97402
Renewal Date :2016-11-30 0
Units: 16
Management: Elman's House Corp.
Yes
Email: [email protected]
Other Services:
5MA222
Ocean Park
984 Parkview Drive
Curry
Gold Beach MSO
Capacity: 55
Administrator: Georgia Borowski
Facility Phone: (541) 469-6817
Facility Fax: (541) 469-3768
Owner: ARHC OPBROOR01 TRS, LLCCounty
Orig Lic. Date: 1999-08-25 Brookings, OR 97415
Renewal Date :2017-09-30 0
Units: 40
Management: Ocean Park Care Properties
Yes
Email: [email protected]
Other Services: MCC, ACU 55
70A302
Ocean Ridge Retirement and Assisted Living Community
1855 SE Ocean Blvd.
Coos
Coos Bay SPD
Capacity: 100
Administrator: Diane Mason
Facility Phone: (541) 267-4000
Facility Fax: (541) 267-4411
Owner: ARHC ORCOOOR01 TRS, LLCCounty
Orig Lic. Date: 2006-03-31 Coos Bay, OR 97420
Renewal Date :2017-07-31 0
Units: 81
Management: FM Ocean Ridge, LLC
Yes
Email: [email protected]
Other Services:
70M068
Oceanview Assisted Living Residence
525 NE 71st
Lincoln
Toledo/Lincoln SSO
Capacity: 84
Administrator: Steven Bae
Facility Phone: (541) 574-0550
Facility Fax: (541) 574-7713
Owner: Newport Assisted Living, LLCCounty
Orig Lic. Date: 1997-11-28 Newport, OR 97365
Renewal Date :2017-11-30 0
Units: 71
Management: Westmont Living, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 55 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R091
Odd Fellows Home Of Oregon
3102 SE Holgate Blvd
Multnomah
SE Ptld ADS
Capacity: 115
Administrator: Kim Williams
Facility Phone: (503) 872-1239
Facility Fax: (503) 872-1277
Owner: Odd Fellows Home of OregonCounty
Orig Lic. Date: 1978-02-01 Portland, OR 97202
Renewal Date :2018-03-31 0
Units: 93
Management: Odd Fellows Home of Oregon
Yes
Email: [email protected]
Other Services:
50M092
O'Hara's Manor
1250 SE Roberts
Multnomah
Mid-County ASD
Capacity: 32
Administrator: Cynthia Mares
Facility Phone: (503) 667-5430
Facility Fax: (503) 492-0359
Owner: O'Hara's Manor, Inc.County
Orig Lic. Date: 1979-12-15 Gresham, OR 97080
Renewal Date :2016-12-31 0
Units: 30
Management: O'Hara's Manor, Inc.
Non Medicaid
Email: [email protected]
Other Services:
70M210
Orchards Assisted Living
1018 Royal Court
Jackson
Medford AAA
Capacity: 72
Administrator: Pam Roberts
Facility Phone: (541) 776-5255
Facility Fax: (541) 776-5227
Owner: Medford Assisted Living, LLCCounty
Orig Lic. Date: 1999-02-05 Medford, OR 97504
Renewal Date :2017-04-30 0
Units: 61
Management: Woollard Ipsen Management, LLC
Yes
Email: [email protected]
Other Services:
50M094
Oregon City Residential Care
515 10th St
Clackamas
Milwaukie SPD
Capacity: 50
Administrator: Arthur Johnson
Facility Phone: (503) 656-0855
Facility Fax: (503) 657-4212
Owner: Valley View Care Centers, Inc.County
Orig Lic. Date: 1978-04-01 Oregon City, OR 97045
Renewal Date :2017-01-31 0
Units: 40
Management: Valley View Care Centers, Inc.
Yes
Email: [email protected]
Other Services:
70M027
Oregon Retirement Center
1010 NE 3rd
Umatilla
Pendleton MSO
Capacity: 44
Administrator: Sean Moon
Facility Phone: (541) 938-5693
Facility Fax: (541) 938-4490
Owner: Evergreen Oregon Healthcare Orchards Retirement, County
Orig Lic. Date: 1993-09-10 Milton-Freewater, OR 97862
Renewal Date :2017-04-30 0
Units: 34
Management: Evergreen Healthcare Management, LLC
Yes
Email: [email protected]
Other Services:
50R336
Oswego Grove
4550 SW Carman Drive
Clackamas
Milwaukie SPD
Capacity: 31
Administrator: Jason Wart
Facility Phone: (503) 675-6055
Facility Fax: (503) 675-6077
Owner: Avamere Lake Oswego Operations Investors, LLCCounty
Orig Lic. Date: 2005-12-27 Lake Oswego, OR 97035
Renewal Date :2017-12-31 0
Units: 31
Management: Avamere Lake Oswego Operations Investors, L
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 31
Tuesday, July 05, 2016 Page 56 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A304
Oswego Place Assisted Living Community
17450 Pilkington Rd.
Clackamas
Milwaukie SPD
Capacity: 79
Administrator: McKenzie Owens
Facility Phone: (503) 697-1025
Facility Fax: (503) 697-1026
Owner: Oswego Place Assisted Living Community, LLCCounty
Orig Lic. Date: 2006-06-02 Lake Oswego, OR 97035
Renewal Date :2016-06-30 0
Units: 72
Management: Bonaventure Senior Living
Non Medicaid
Email: [email protected]
Other Services:
50M096
Our House Of Portland
2727 SE Alder
Multnomah
E County ASD
Capacity: 14
Administrator: Kimberly Hutchinson
Facility Phone: (503) 234-0175
Facility Fax: (503) 236-7129
Owner: Our House Of Portland, IncCounty
Orig Lic. Date: 1990-03-01 Portland, OR 97214
Renewal Date :2016-10-31 0
Units: 14
Management: Our House of Portland, Inc.
Yes
Email: [email protected]
Other Services:
5MA223
Pacific Gardens Alzheimer's Special Care Center
17309 NE Glisan
Multnomah
NE Portland ASO/DSO
Capacity: 60
Administrator: Darren Burch
Facility Phone: (503) 253-4920
Facility Fax: (503) 253-4819
Owner: Erwin Family Properties II, LLCCounty
Orig Lic. Date: 1996-11-01 Portland, OR 97230
Renewal Date :2016-06-30 0
Units: 40
Management: JEA Senior Living
Yes
Email: [email protected]
Other Services: MCC, ACU 60
70M039
Pacific View Assisted Living Community
1000 6th Ave West
Coos
Coos Bay MSO
Capacity: 85
Administrator: Debbie Wilson
Facility Phone: (541) 347-7502
Facility Fax: (541) 347-7802
Owner: Bandon Senior Living, LLCCounty
Orig Lic. Date: 1995-02-07 Bandon, OR 97411
Renewal Date :2017-12-31 0
Units: 68
Management: Seasons Management, LLC
Yes
Email: [email protected]
Other Services:
5MA137
Pacific View Memory Care Community
1000 6th Ave West
Coos
Coos Bay MSO
Capacity: 30
Administrator: Debbie Wilson
Facility Phone: (541) 347-7502
Facility Fax: (541) 347-7802
Owner: Bandon Senior Living, LLCCounty
Orig Lic. Date: 1994-11-01 Bandon, OR 97411
Renewal Date :2017-12-31 0
Units: 30
Management: Seasons Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 30
50R009
Pacifica Senior Living Calaroga Terrace
1400 NE Second Ave
Multnomah
Portland SE ASO
Capacity: 74
Administrator: Rebecca Mock
Facility Phone: (503) 234-8271
Facility Fax: (503) 239-3399
Owner: Pacifica Senior Living, LLCCounty
Orig Lic. Date: 1991-06-01 Portland, OR 97232
Renewal Date :2017-02-28 0
Units: 63
Management: Pacifica Senior Living, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 57 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M024
Pacifica Senior Living Klamath Falls
2130 Eldorado Blvd
Klamath
Klamath Falls MSO
Capacity: 70
Administrator: Stephanie Weiser
Facility Phone: (541) 882-4830
Facility Fax: (541) 882-8308
Owner: Pacifica SL Klamath Falls, LLCCounty
Orig Lic. Date: 1997-04-08 Klamath Falls, OR 97601
Renewal Date :2018-05-31 0
Units: 60
Management: Pacifica Senior Living, LLC
Yes
Email: [email protected]
Other Services:
5MA170
Pacifica Senior Living McMinnville
320 SW Hill Road
Yamhill
McMinnville NWSDS
Capacity: 37
Administrator: Joeda Simonson
Facility Phone: (503) 472-3509
Facility Fax: (503) 472-3929
Owner: Pacifica SL McMinnville, LLCCounty
Orig Lic. Date: 1998-09-01 McMinnville, OR 97128
Renewal Date :2018-05-31 0
Units: 37
Management: Pacifica Senior Living, LLC
Yes
Email: New email coming
Other Services: MCC, ACU 37
5MA160
Pacifica Senior Living Portland
1808 SE 182nd Ave
Multnomah
Mid-County ASD
Capacity: 114
Administrator: Dana Klopfenstein
Facility Phone: (503) 492-6942
Facility Fax: (503) 492-2810
Owner: Pacifica Senior Living, LLCCounty
Orig Lic. Date: 1997-08-01 Portland, OR 97233
Renewal Date :2018-03-31 0
Units: 98
Management: Pacifica Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 114
70M071
Parkhurst Place
2450 May St
Hood River
The Dalles MSO
Capacity: 35
Administrator: Timothy Dufour
Facility Phone: (541) 387-4600
Facility Fax: (541) 387-4472
Owner: PARKHURST AID OPCO, LLCCounty
Orig Lic. Date: 1995-10-26 Hood River, OR 97031
Renewal Date :2017-07-31 0
Units: 30
Management: PARKHURST AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M072
Parkland Village Retirement Community
3121 NE Cumulus Avenue
Yamhill
McMinnville NWSDS
Capacity: 60
Administrator: Luke Bolling
Facility Phone: (503) 435-1499
Facility Fax: (503) 434-5190
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1996-09-24 McMinnville, OR 97128
Renewal Date :2017-05-31 0
Units: 50
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
70M023
Parkview Assisted Living
10801 NE Weidler
Multnomah
NE Portland ASO/DSO
Capacity: 77
Administrator: Steven C. Williams
Facility Phone: (503) 255-0685
Facility Fax: (503) 256-1140
Owner: Oregon Baptist Retirement HomeCounty
Orig Lic. Date: 1996-08-12 Portland, OR 97220
Renewal Date :2018-07-31 0
Units: 63
Management: Oregon Baptist Retirement Homes
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 58 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R413
Parkview Memory Care at Cherrywood Village
10721 SE Cherry Blossom Dr.
Multnomah
Mid-Mult ADS
Capacity: 38
Administrator: Julianne Foster
Facility Phone: (503) 408-0404
Facility Fax: (503) 946-0215
Owner: PAR, LLCCounty
Orig Lic. Date: 2014-08-07 Portland, OR 97216
Renewal Date :2016-08-31 0
Units: 38
Management: PAR, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 38
70M230
Pelican Pointe Assisted Living Community
615 Washburn Way
Klamath
Klamath Falls MSO
Capacity: 75
Administrator: Linda Hall
Facility Phone: (541) 882-8900
Facility Fax: (541) 850-2459
Owner: ARHC PPKLAOR01 TRS, LLCCounty
Orig Lic. Date: 2000-03-03 Klamath Falls, OR 97603
Renewal Date :2017-03-31 0
Units: 64
Management: FM Pelican, LLC
Yes
Email: [email protected]
Other Services:
5MA131
Pelican Pointe Memory Care Community
615 Washburn Way
Klamath
Klamath Falls MSO
Capacity: 48
Administrator: Cathy Van Dyke
Facility Phone: (541) 882-8900
Facility Fax: (541) 850-2459
Owner: ARHC PPKLAOR01 TRS, LLCCounty
Orig Lic. Date: 2000-03-03 Klamath Falls, OR 97603
Renewal Date :2017-03-31 0
Units: 24
Management: FM Pelican, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
50R435
Petra Memory Care
950 South End Road
Clackamas
Clackamas
Capacity: 31
Administrator: Justin Hollingshead
Facility Phone: (971) 260-0175
Facility Fax:
Owner: Petra Memory Care, LLCCounty
Orig Lic. Date: 2016-06-29 Oregon City, OR 97045
Renewal Date :2018-06-30 0
Units: 31
Management: Avant Senior Housing and Consultants, LLC
Non Medicaid
Email: [email protected]
Other Services: ACU 31
70M206
Pheasant Pointe Assisted Living Community
835 E. Main Street
Clackamas
Canby SPD
Capacity: 61
Administrator: Chelsea Slaven
Facility Phone: (503) 829-3777
Facility Fax: (503) 829-7392
Owner: ARHC PPMOLOR01 TRS, LLCCounty
Orig Lic. Date: 1998-12-17 Molalla, OR 97038
Renewal Date :2017-07-31 0
Units: 45
Management: FM Pheasant Pointe, LLC
Yes
Email: [email protected]
Other Services:
50R352
Pheasant Pointe Memory Care Community
835 E. Main Street
Clackamas
Canby SPD
Capacity: 12
Administrator: Debra Mueller
Facility Phone: (503) 829-3777
Facility Fax: (503) 829-7392
Owner: ARHC PPMOLOR01 TRS, LLCCounty
Orig Lic. Date: 2007-12-21 Molalla, OR 97038
Renewal Date :2017-07-31 0
Units: 7
Management: FM Pheasant Pointe, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 12
Tuesday, July 05, 2016 Page 59 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A293
Pioneer Place Assisted Living
1060 D Street W
Malheur
Ontario MSO
Capacity: 31
Administrator: Betsy Bates
Facility Phone: (541) 473-3131
Facility Fax: (541) 473-2842
Owner: Pioneer Nursing Home Health DistrictCounty
Orig Lic. Date: 2004-04-16 Vale, OR 97918
Renewal Date :2018-04-30 0
Units: 28
Management: Pioneer Nursing Home Health District
Yes
Email: [email protected]
Other Services:
70A298
Pioneer Village
805 N. 5th St.
Jackson
Medford AAA
Capacity: 60
Administrator: Jim Digerness
Facility Phone: (541) 899-6825
Facility Fax: (541) 899-4848
Owner: RSL Pioneer, LLCCounty
Orig Lic. Date: 2005-12-30 Jacksonville, OR 97530
Renewal Date :2017-07-31 0
Units: 51
Management: Radiant Senior Living, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50M247
Pleasant Valley RCF
18857 SE Giese Rd.
Multnomah
Mid-County ADS
Capacity: 11
Administrator: Carmen Flores
Facility Phone: (503) 328-8486
Facility Fax: (503) 328-9613
Owner: BME Enterprises, Inc.County
Orig Lic. Date: 2000-05-03 Gresham, OR 97080
Renewal Date :2017-03-31 0
Units: 10
Management: BME Enterprises, Inc.
Yes
Email: [email protected]
Other Services:
70M073
Powell Valley Assisted Living Community
4001 SE 182nd Ave
Multnomah
Mid County ASD
Capacity: 115
Administrator: Pam Arvidson
Facility Phone: (503) 665-2496
Facility Fax: (503) 661-8720
Owner: PVALC-LLCCounty
Orig Lic. Date: 1989-10-01 Gresham, OR 97030
Renewal Date :2016-07-31 0
Units: 105
Management: Care Wise Management, Inc.
Yes
Email: [email protected]
Other Services:
5MA213
Powell Valley Memory Care Community
4001 SE 182nd Ave
Multnomah
Mid County ASD
Capacity: 42
Administrator: Laureen Manibusan
Facility Phone: (503) 665-2496
Facility Fax: (503) 661-8720
Owner: PVALC-LLCCounty
Orig Lic. Date: 1998-08-30 Gresham, OR 97030
Renewal Date :2017-08-31 0
Units: 36
Management: Care Wise Management, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 42
70M221
Prairie House Assisted Living Community
51485 Morson Street
Deschutes
Bend MSO
Capacity: 46
Administrator: Scott Nay
Facility Phone: (541) 536-8559
Facility Fax: (541) 536-1373
Owner: Assisted Living Alternatives, Inc.County
Orig Lic. Date: 1999-10-22 La Pine, OR 97739
Renewal Date :2017-10-31 0
Units: 46
Management: Ridgeline Management Co.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 60 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R313
Prairie House Memory Care Community
51485 Morson St.
Deschutes
Bend MSO
Capacity: 18
Administrator: Scott Nay
Facility Phone: (541) 536-8559
Facility Fax: (541) 536-1373
Owner: Assisted Living Alternatives, Inc.County
Orig Lic. Date: 2003-04-08 La Pine, OR 97739
Renewal Date :2017-04-30 0
Units: 11
Management: Ridgeline Management Co.
Yes
Email: [email protected]
Other Services: MCC, ACU 18
5ME175
Premier Living Center
5120 SE 118th
Multnomah
Mid-Multnomah ASD
Capacity: 16
Administrator: Gelissa Crichton
Facility Phone: (503) 762-3413
Facility Fax: (503) 762-3428
Owner: Premier Living Center, Inc.County
Orig Lic. Date: 1998-09-04 Portland, OR 97266
Renewal Date :2016-09-30 0
Units: 12
Management: Premier Living Center, Inc.
Yes
Email: [email protected]
Other Services:
70A292
Prestige Senior Living Arbor Place
3150 Juanipero Way
Jackson
Medford AAA
Capacity: 64
Administrator: Linda Green
Facility Phone: (541) 773-5380
Facility Fax: (541) 773-5378
Owner: CHP Medford -Arbor Place OR Tenant Corp.County
Orig Lic. Date: 2003-11-10 Medford, OR 97504
Renewal Date :2017-12-31 0
Units: 54
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
50R323
Prestige Senior Living Arbor Place Memory Care
3150 Juanipero Way
Jackson
Medford AAA
Capacity: 18
Administrator: Linda Green
Facility Phone: (541) 773-5380
Facility Fax: (541) 773-5378
Owner: CHP Medford -Arbor Place OR Tenant Corp.County
Orig Lic. Date: 2003-11-10 Medford, OR 97504
Renewal Date :2017-12-31 0
Units: 12
Management: Prestige Senior Living, L.L.C
Yes
Email: [email protected]
Other Services: MCC, ACU 18
70M243
Prestige Senior Living Beaverton Hills
4525 SW 99th Avenue
Washington
WCDAVS
Capacity: 75
Administrator: Katie Gaffney
Facility Phone: (503) 520-1350
Facility Fax: (503) 671-0511
Owner: CHP Beaverton OR Tenant CorpCounty
Orig Lic. Date: 2000-09-15 Beaverton, OR 97005
Renewal Date :2017-12-31 0
Units: 60
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
70A279
Prestige Senior Living Five Rivers
3500 12th St
Tillamook
Tillamook NWSDS
Capacity: 82
Administrator: David Fitting
Facility Phone: (503) 842-0918
Facility Fax: (503) 842-7077
Owner: CHP Tillamook-Five Rivers OR Tenant CorpCounty
Orig Lic. Date: 2002-06-13 Tillamook, OR 97141
Renewal Date :2017-12-31 0
Units: 64
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 61 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A289
Prestige Senior Living High Desert
2660 NE Mary Rose Place
Deschutes
Bend MSO
Capacity: 75
Administrator: Debra West
Facility Phone: (541) 312-2003
Facility Fax: (541) 312-2011
Owner: CHP Bend-High Desert OR Tenant Corp.County
Orig Lic. Date: 2003-07-22 Bend, OR 97701
Renewal Date :2017-12-31 0
Units: 68
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
70M240
Prestige Senior Living Huntington Terrace
1410 NE Cleveland
Multnomah
Mid-County
Capacity: 75
Administrator: Randall Wilson
Facility Phone: (503) 465-1404
Facility Fax: (503) 669-8896
Owner: CHP-Gresham-Huntington Terrace OR Tenant Corp.County
Orig Lic. Date: 2000-08-21 Gresham, OR 97030
Renewal Date :2017-12-31 0
Units: 66
Management: Prestige Senior Living, L.L.C
Yes
Email: [email protected]
Other Services:
70A277
Prestige Senior Living Orchard Heights
695 Orchard Heights Rd NW
Polk
Salem NWSDS
Capacity: 67
Administrator: Debra West
Facility Phone: (503) 566-9052
Facility Fax: (503) 485-2112
Owner: CHP Salem -Orchard Heights OR Tenant CorpCounty
Orig Lic. Date: 2002-05-09 Salem, OR 97304
Renewal Date :2017-12-31 0
Units: 61
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
50R297
Prestige Senior Living Orchard Heights Memory Care
695 Orchard Heights Rd. NW
Polk
Salem NWSDS
Capacity: 18
Administrator: Debra West
Facility Phone: (503) 566-9052
Facility Fax: (503) 485-2112
Owner: CHP Salem-Orchard Heights OR Tenant Corp.County
Orig Lic. Date: 2002-05-09 Salem, OR 97304
Renewal Date :2017-12-31 0
Units: 18
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 18
70M211
Prestige Senior Living Riverwood
18321 SW Pacific Hwy
Washington
WCDAVS
Capacity: 74
Administrator: Askol Saieedi Tekantapeh
Facility Phone: (503) 925-9310
Facility Fax: (503) 925-0211
Owner: CHP Tualatin-Riverwood OR Tenant CorpCounty
Orig Lic. Date: 1999-04-09 Tualatin, OR 97062
Renewal Date :2017-12-31 0
Units: 60
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
70A260
Prestige Senior Living Southern Hills
4795 Skyline Rd. S.
Marion
Salem NWSDS
Capacity: 72
Administrator: Patrcia Guzman
Facility Phone: (503) 378-7499
Facility Fax: (503) 378-1481
Owner: CHP Salem-Southern Hills OR Tenant Corp.County
Orig Lic. Date: 2001-04-06 Salem, OR 97306
Renewal Date :2017-12-31 0
Units: 66
Management: Prestige Senior Living, L.L.C
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 62 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A281
Prestige Senior Living West Hills
5595 SW West Hills Rd.
Benton
Albany
Capacity: 72
Administrator: Daniel Trout
Facility Phone: (541) 753-7136
Facility Fax: (541) 257-2008
Owner: CHP-Corvallis-West Hills OR Tenant, Inc.County
Orig Lic. Date: 2002-08-16 Corvallis, OR 97333
Renewal Date :2018-03-31 0
Units: 66
Management: Prestige Senior Living
Yes
Email: [email protected]
Other Services:
70M213
Princeton Village Assisted Living Residence
14370 SE Oregon Trail Drive
Clackamas
Milwaukie SPD
Capacity: 68
Administrator: Jennifer Thomas
Facility Phone: (503) 558-1215
Facility Fax: (503) 558-8437
Owner: ARHC PVCLAOR01 TRS, LLCCounty
Orig Lic. Date: 1999-08-16 Clackamas, OR 97015
Renewal Date :2017-03-31 0
Units: 53
Management: FM Princeton, LLC
Yes
Email: administrator@princetonvillageassistedliving.
Other Services:
70M205
Providence Benedictine Orchard House
550 S Main St.
Marion
Woodburn NWSDS
Capacity: 54
Administrator: Deana Wentworth
Facility Phone: (503) 845-2757
Facility Fax: (503) 845-2560
Owner: Providence Health & Services - OregonCounty
Orig Lic. Date: 1998-10-23 Mt. Angel, OR 97362
Renewal Date :2017-10-31 0
Units: 50
Management: Providence Health & Services - Oregon
Yes
Email: [email protected]
Other Services:
70A249
Providence Brookside Manor
1550 Brookside Dr.
Hood River
The Dalles MSO
Capacity: 20
Administrator: Jamie Hanshaw
Facility Phone: (541) 387-6370
Facility Fax: (541) 387-2728
Owner: Providence Health & Services - OregonCounty
Orig Lic. Date: 2000-11-08 Hood River, OR 97031
Renewal Date :2016-11-30 0
Units: 17
Management: Providence Health System - Oregon
Non Medicaid
Email: [email protected]
Other Services:
50A262
Providence Brookside Memory Care
1550 Brookside Dr.
Hood River
The Dalles MSO
Capacity: 24
Administrator: Jamie Hanshaw
Facility Phone: (541) 387-6370
Facility Fax: (541) 387-2728
Owner: Providence Health & Services - OregonCounty
Orig Lic. Date: 2000-11-15 Hood River, OR 97031
Renewal Date :2016-11-30 0
Units: 23
Management: Providence Health System - Oregon
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 24
50R321
Providence ElderPlace in Cully
5119 NE 57th Ave.
Multnomah
NE Portland ASO/DSO
Capacity: 42
Administrator: John Donahue
Facility Phone: (503) 215-8050
Facility Fax: (503) 215-8082
Owner: Providence Health & Services - OregonCounty
Orig Lic. Date: 2003-10-07 Portland, OR 97218
Renewal Date :2017-10-31 0
Units: 42
Management: Providence Health & Services - Oregon
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 63 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
5MA043
Providence ElderPlace in Glendoveer
13007 NE Glisan St
Multnomah
Mid-County ASD
Capacity: 102
Administrator: Nancy Ferris
Facility Phone: (503) 215-7850
Facility Fax: (503) 215-7851
Owner: Providence Health & Services - OregonCounty
Orig Lic. Date: 1960-01-01 Portland, OR 97230
Renewal Date :2017-05-31 0
Units: 85
Management: Providence Health & Services - Oregon
Yes
Email: [email protected]
Other Services:
70A271
Providence ElderPlace in Irvington Village
420 NE Mason
Multnomah
NE Portland ASO/DSO
Capacity: 130
Administrator: Kathy Gordon
Facility Phone: (503) 546-9292
Facility Fax: (503) 335-6280
Owner: Providence Health & Services - OregonCounty
Orig Lic. Date: 2002-01-03 Portland, OR 97211
Renewal Date :2017-08-31 0
Units: 104
Management: Providence Health & Services - Oregon
Yes
Email: [email protected]
Other Services:
5MA243
Quail Park Memory Care Residences
2630 Lone Oak Way
Lane
Eugene SSO
Capacity: 79
Administrator: Cindy Herb
Facility Phone: (541) 607-5025
Facility Fax: (541) 607-5025
Owner: Laurel Court of Eugene, LLCCounty
Orig Lic. Date: 2000-04-10 Eugene, OR 97404
Renewal Date :2017-03-31 0
Units: 79
Management: Living Care Management
Yes
Email: [email protected]
Other Services: MCC, ACU 79
50M300
Quail Park Memory Care Residences of Klamath Falls
320 Jade Terrace
Klamath
Klamath Falls
Capacity: 44
Administrator: Paul "Kevin" Aruda
Facility Phone: (541) 273-7336
Facility Fax: (541) 884-1020
Owner: Quail Park of Klamath Falls Phase II, LLCCounty
Orig Lic. Date: 2015-04-01 Klamath Falls, OR 97601
Renewal Date :2017-04-30 0
Units: 28
Management: Living Care Lifestyles
Yes
Email: [email protected]
Other Services: MCC, ACU 44
50R292
Quail Park of Klamath Falls
1000 Town Center Dr.
Klamath
Klamath Falls MSO
Capacity: 43
Administrator: Bobbie Lindsey
Facility Phone: (541) 885-7250
Facility Fax: (541) 882-8882
Owner: Quail Park of Klamath Falls, LLCCounty
Orig Lic. Date: 2001-12-05 Klamath Falls OR, OR 97601
Renewal Date :2017-12-31 0
Units: 37
Management: Living Care Lifestyles
Yes
Email: [email protected]
Other Services:
70M074
Quail Run Assisted Living
2525 47th Ave SE
Linn
Albany SSO
Capacity: 137
Administrator: Crystal Well
Facility Phone: (541) 928-1122
Facility Fax: (541) 917-1393
Owner: Mennonite Home Of Albany, Inc.County
Orig Lic. Date: 1995-04-14 Albany, OR 97321
Renewal Date :2017-04-30 0
Units: 98
Management: Mennonite Home Of Albany, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 64 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M075
Rackleff Place
655 SW 13th Ave
Clackamas
Canby SPD
Capacity: 29
Administrator: Nicolle Harold-Hollen
Facility Phone: (503) 266-9555
Facility Fax: (503) 266-9556
Owner: Canby ALF, Inc.County
Orig Lic. Date: 1990-06-18 Canby, OR 97013
Renewal Date :2017-01-31 0
Units: 25
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
70A268
Raleigh Hills Assisted Living Community
4815 SW Dogwood Ln
Washington
WCDAVS
Capacity: 90
Administrator: Lynda Brown
Facility Phone: (503) 297-3200
Facility Fax: (503) 297-5739
Owner: Raleigh Hills Management, LLCCounty
Orig Lic. Date: 2001-09-24 Portland, OR 97225
Renewal Date :2017-09-30 0
Units: 79
Management: Raleigh Hills Management, LLC
Yes
Email: [email protected]
Other Services:
50R287
Raleigh Hills Enhanced Care Community
4815 SW Dogwood Ln
Washington
WCDAVS
Capacity: 21
Administrator: Lynda Brown
Facility Phone: (503) 297-3200
Facility Fax: (503) 297-5739
Owner: Raleigh Hills Management, LLCCounty
Orig Lic. Date: 2001-09-24 Portland, OR 97225
Renewal Date :2017-09-30 0
Units: 21
Management: Raleigh Hills Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 21
70M076
Redwood Heights Retirement & Assisted Living Community
4050 12th St Cutoff SE
Marion
Salem NWSDS
Capacity: 95
Administrator: Michael Burdick
Facility Phone: (503) 540-0822
Facility Fax: (503) 361-2237
Owner: ARHC RHSALOR01 TRS, LLCCounty
Orig Lic. Date: 1997-11-21 Salem, OR 97302
Renewal Date :2017-08-31 0
Units: 80
Management: FM Redwood Heights, LLC
Yes
Email: [email protected]
Other Services:
70M220
Redwood Terrace
3111 Canal Ave
Josephine
Grants Pass MSO
Capacity: 49
Administrator: Jim Thompson
Facility Phone: (541) 471-9543
Facility Fax: (541) 479-1928
Owner: Oregon Heights, LLCCounty
Orig Lic. Date: 1996-11-18 Grants Pass, OR 97527
Renewal Date :2016-12-31 0
Units: 45
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
50A070
Regency Park Alzheimer's Care
8300 SW Barnes Rd
Washington
WCDAVS
Capacity: 49
Administrator: Serena Dumadaug
Facility Phone: (503) 292-8444
Facility Fax: (503) 292-8409
Owner: Regency Park Apartments Ltd Part.County
Orig Lic. Date: 1994-02-28 Portland, OR 97225
Renewal Date :2017-09-30 0
Units: 30
Management: Regency Park Management, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 49
Tuesday, July 05, 2016 Page 65 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M077
Regency Park Assisted Living
8300 SW Barnes Rd
Washington
WCDAVS
Capacity: 118
Administrator: Sean Leahy
Facility Phone: (503) 292-8444
Facility Fax: (503) 292-8409
Owner: Regency Park Apartments Ltd Part.County
Orig Lic. Date: 1986-09-10 Portland, OR 97225
Renewal Date :2017-09-30 0
Units: 99
Management: Regency Park Management, LLC
Non Medicaid
Email: [email protected]
Other Services:
70A069
Regency Park Place at Corvallis
2595 Jack London St
Benton
Albany SSO
Capacity: 55
Administrator: Rochelle Collett
Facility Phone: (541) 754-5808
Facility Fax: (541) 752-8684
Owner: BD Corvallis I, LLCCounty
Orig Lic. Date: 1995-06-26 Corvallis, OR 97330
Renewal Date :2018-04-30 0
Units: 46
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
70M096
Regency Village at Bend
127 SE Wilson Ave
Deschutes
Bend MSO
Capacity: 88
Administrator: Deanna Bettesworth
Facility Phone: (541) 317-3544
Facility Fax: (541) 330-0121
Owner: BD Bend I, LLCCounty
Orig Lic. Date: 1995-12-08 Bend, OR 97702
Renewal Date :2018-04-30 0
Units: 65
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
70M207
Regency Village at Prineville
830 North Elm Street
Crook
Prineville MSO
Capacity: 57
Administrator: Michael Sheldon
Facility Phone: (541) 416-3600
Facility Fax: (541) 416-9293
Owner: BD Prineville I, LLCCounty
Orig Lic. Date: 1999-03-22 Prineville, OR 97754
Renewal Date :2018-04-30 0
Units: 47
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
70M038
Regency Village at Redmond
3000 SW 32nd St
Deschutes
Bend MSO
Capacity: 55
Administrator: Gerald Thomas
Facility Phone: (541) 923-5452
Facility Fax: (541) 923-0280
Owner: BD Redmond I, LLCCounty
Orig Lic. Date: 1995-02-03 Redmond, OR 97756
Renewal Date :2016-04-30 0
Units: 45
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
50R126
Regency Woodland
4710 Sunnyside Rd SE
Marion
Salem NWSDS
Capacity: 40
Administrator: Lisa Greer
Facility Phone: (503) 364-1355
Facility Fax: (503) 364-3666
Owner: BD Salem I, LLCCounty
Orig Lic. Date: 1988-08-01 Salem, OR 97302
Renewal Date :2016-04-30 0
Units: 36
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 66 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50A165
Regent at Sheldon Park, a Blue Harbor Senior Living Com
2440 Willakenzie Road
Lane
Eugene AAA
Capacity: 32
Administrator: Charisa Coxen
Facility Phone: (541) 344-1078
Facility Fax: (541) 344-1370
Owner: Sheldon Park Management LLCCounty
Orig Lic. Date: 1997-11-25 Eugene, OR 97401
Renewal Date :2016-07-31 0
Units: 16
Management: Sheldon Park Management LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 32
50A239
Regent Court, a Blue Harbor Senior Living Community
400 NW Elks Drive
Benton
Albany SSO
Capacity: 48
Administrator: Rebecca Hosner
Facility Phone: (541) 758-8000
Facility Fax: (541) 738-6543
Owner: Regent Court Management LLCCounty
Orig Lic. Date: 2000-03-15 Corvallis, OR 97330
Renewal Date :2016-07-31 0
Units: 24
Management: Regent Court Management LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 48
50R374
Revere Court of Portland
11547 NE Glisan Street
Multnomah
Mid-Mult
Capacity: 40
Administrator: Travis M. Freed
Facility Phone: (503) 255-0070
Facility Fax: (503) 257-3127
Owner: Chancellor Health Care of California X, Inc.County
Orig Lic. Date: 2011-03-01 Portland, OR 97220
Renewal Date :2017-09-30 0
Units: 29
Management: Chancellor Health Care, Inc,
Yes
Email: [email protected]
Other Services: MCC, ACU 40
70M253
Ridgeview Assisted Living Center
872 Golfview Drive
Jackson
Medford AAA
Capacity: 51
Administrator: Ingrid Johansen
Facility Phone: (541) 779-2208
Facility Fax: (541) 779-2384
Owner: Ridgeview Assisted Living Center, LLCCounty
Orig Lic. Date: 2000-11-09 Medford, OR 97504
Renewal Date :2016-11-30 0
Units: 51
Management: Ridgeview Assisted Living Center, LLC
Yes
Email: [email protected]
Other Services:
50M132
River Grove Memory Care
140 Green Lane
Lane
Eugene SSO
Capacity: 60
Administrator: Tris Legacy
Facility Phone: (541) 461-4898
Facility Fax: (541) 461-0256
Owner: River Grove Operating CompanyCounty
Orig Lic. Date: 1994-04-21 Eugene, OR 97404
Renewal Date :2017-04-30 0
Units: 60
Management: Benecia Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 60
70M082
River Run Place
1155 Darlene Lane
Lane
Eugene SSO
Capacity: 56
Administrator: Joan Ziebell
Facility Phone: (541) 338-8780
Facility Fax: (541) 338-0387
Owner: River Run AID OPCO, LLCCounty
Orig Lic. Date: 1997-08-21 Eugene, OR 97401
Renewal Date :2017-07-31 0
Units: 47
Management: River Run AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 67 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M429
Rivera Mansions RCF
2220 SE 174th Avenue
Multnomah
Multnomah
Capacity: 6
Administrator: Airene Keppel
Facility Phone: (503) 333-2711
Facility Fax: (971) 244-5392
Owner: Rivera Mansions, LLCCounty
Orig Lic. Date: 2016-05-10 Portland, OR 97233
Renewal Date :2018-05-31 0
Units: 6
Management: Rivera Mansions, LLC
Yes
Email: [email protected]
Other Services:
50R355
Riverside Living
23500 NE Halsey St.
Multnomah
E Multnomah
Capacity: 16
Administrator: Melissa Lawrence
Facility Phone: (503) 328-9285
Facility Fax: (360) 891-7162
Owner: Riverside Living, Inc.County
Orig Lic. Date: 2008-11-24 Wood Village, OR 97060
Renewal Date :2016-11-30 0
Units: 16
Management: Riverside Living, Inc.
Yes
Email: [email protected]
Other Services:
50R202
Riverview Terrace
1970 West Harvard Avenue
Douglas
Roseburg
Capacity: 20
Administrator: Shari Bagshaw
Facility Phone: (541) 672-2500
Facility Fax: (541) 677-0489
Owner: Crown One Development LLCCounty
Orig Lic. Date: 1998-10-23 Roseburg, OR 97470
Renewal Date :2017-06-30 0
Units: 15
Management: Crown Two Development, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R375
RN Villa Care Center
401 NE 139th Avenue
Multnomah
East ADS
Capacity: 45
Administrator: Vickie Thun
Facility Phone: (503) 719-6944
Facility Fax: (503) 206-5442
Owner: RN Villa Care Center, LLCCounty
Orig Lic. Date: 2011-05-23 Portland, OR 97230
Renewal Date :2017-05-31 0
Units: 45
Management: RN Villa Care Center, LLC
Yes
Email: [email protected]
Other Services:
50R348
Rock of Ages Mennonite Home
15600 SW Rock of Ages Rd.
Yamhill
McMinnville NWSDS
Capacity: 22
Administrator: Delvin Zook
Facility Phone: (503) 472-6212
Facility Fax: (503) 472-4797
Owner: Bible Mennonite Fellowship, Inc.County
Orig Lic. Date: 2007-05-12 McMinnville, OR 97128
Renewal Date :2018-03-31 0
Units: 17
Management: Bible Mennonite Fellowship, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 22
70M054
Rogue River Place
2437 Kane St
Klamath
Klamath Falls MSO
Capacity: 43
Administrator: Donna Buick
Facility Phone: (541) 882-0440
Facility Fax: (541) 884-8576
Owner: Sage AID OPCO, LLCCounty
Orig Lic. Date: 1996-10-23 Klamath Falls, OR 97603
Renewal Date :2017-07-31 0
Units: 36
Management: Sage AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 68 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R270
Rose Linn Vintage Place
2330 Debok Rd
Clackamas
Milwaukie SPD
Capacity: 70
Administrator: Heather Lucas
Facility Phone: (503) 655-0474
Facility Fax: (503) 655-2850
Owner: West Linn Care Center Operating Co LLCCounty
Orig Lic. Date: 2001-03-19 West Linn, OR 97068
Renewal Date :2018-07-31 0
Units: 44
Management: Benecia Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 40
70M080
Rose Schnitzer Manor
6140 SW Boundary St
Multnomah
W Portland
Capacity: 180
Administrator: Glyndon Ruth Kimbrough
Facility Phone: (503) 535-4000
Facility Fax: (503) 535-4214
Owner: Robison Jewish HomeCounty
Orig Lic. Date: 1998-02-28 Portland, OR 97221
Renewal Date :2018-02-28 0
Units: 161
Management: Robison Jewish Home
Yes
Email: [email protected]
Other Services:
50R310
Rosewood Court Residential Care
4254 Weathers Street NE
Marion
Salem NWSDS
Capacity: 50
Administrator: Brian Henderson
Facility Phone: (503) 585-4602
Facility Fax: (503) 585-6002
Owner: Capri Senior Living, LLCCounty
Orig Lic. Date: 2003-02-13 Salem, OR 97301
Renewal Date :2017-02-28 0
Units: 50
Management: Capri Senior Living , LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 50
70M081
Rosewood Park Retirement & Assisted Living Residence
2405 SE Century Blvd.
Washington
WCDAVS
Capacity: 95
Administrator: Paul Silva
Facility Phone: (503) 642-2100
Facility Fax: (503) 642-1480
Owner: Rosewood Investors Group, L.L.C.County
Orig Lic. Date: 1996-01-12 Hillsboro, OR 97123
Renewal Date :2017-12-31 0
Units: 82
Management: Rosewood ALF, LLC
Yes
Email: [email protected]
Other Services:
50R290
Rosewood Specialty Care
2550 SE Century Blvd.
Washington
WCDAVS
Capacity: 48
Administrator: Angela Hernandez
Facility Phone: (503) 259-8999
Facility Fax: (503) 259-9509
Owner: Brookwood Court Assisted Living, LLCCounty
Orig Lic. Date: 2001-11-09 Hillsboro, OR 97123
Renewal Date :2017-11-30 0
Units: 48
Management: Hillsboro Care Properties, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
50R370
Roxy Ann Memory Community
2530 Lone Pine Road
Jackson
Medford SSO
Capacity: 16
Administrator: Tina Duncan
Facility Phone: (541) 608-7699
Facility Fax: (541) 858-7992
Owner: Roxy Ann Memory Community, LLCCounty
Orig Lic. Date: 2010-10-25 Medford, OR 97504
Renewal Date :2016-10-31 0
Units: 16
Management: Roxy Ann Memory Community, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 16
Tuesday, July 05, 2016 Page 69 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A264
Royal Anne Assisted Living Facility
10610 SE Clay St.
Multnomah
Mid-County ADS
Capacity: 110
Administrator: Donise Sunden
Facility Phone: (503) 408-0404
Facility Fax: (503) 946-0208
Owner: PAR, LLCCounty
Orig Lic. Date: 2001-06-29 Portland, OR 97216
Renewal Date :2018-02-28 0
Units: 91
Management: Generations, LLC
Yes
Email: [email protected]
Other Services:
70A319
Royalton Place Assisted Living
5555 SE King Rd
Clackamas
Milwaukie APD
Capacity: 64
Administrator: Kristi Luce
Facility Phone: (503) 653-1854
Facility Fax: (503) 786-1670
Owner: BDC/Milwaukie, LLCCounty
Orig Lic. Date: 2012-05-01 Milwaukie, OR 97222
Renewal Date :2018-05-31 0
Units: 40
Management: Royalton Place Management, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R383
Royalton Place Memory Care
5555 SE King Rd
Clackamas
Milwaukie SPD
Capacity: 28
Administrator: Roselynn Rockwood
Facility Phone: (503) 653-1854
Facility Fax: (503) 786-1670
Owner: BDC/Milwaukie, LLCCounty
Orig Lic. Date: 2012-05-01 Milwaukie, OR 97222
Renewal Date :2018-05-31 0
Units: 19
Management: Royalton Place Management, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 28
70A314
Russellville Park West
23 SE 103rd
Multnomah
NE Portland ASO
Capacity: 120
Administrator: Meg Davidson
Facility Phone: (503) 254-5900
Facility Fax: (503) 255-7098
Owner: Russellvillle III, LLCCounty
Orig Lic. Date: 2009-05-01 Portland, OR 97216
Renewal Date :2017-05-31 0
Units: 95
Management: Leisure Care, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R360
Russellville Park West Memory Care
23 SE 103rd
Multnomah
NE Portland ASO
Capacity: 20
Administrator: Stephanie Giles
Facility Phone: (503) 254-5900
Facility Fax: (503) 255-7098
Owner: Russellvillle III, LLCCounty
Orig Lic. Date: 2009-05-01 Portland, OR 97216
Renewal Date :2017-05-31 0
Units: 16
Management: Leisure Care, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 20
70A265
Sea Aire Assisted Living
1882 N Hwy 101
Lincoln
Toledo/Lincoln SSO
Capacity: 50
Administrator: Robin Parrish
Facility Phone: (541) 547-5500
Facility Fax: (541) 547-5503
Owner: Sea Aire Assisted Living, LLCCounty
Orig Lic. Date: 2001-07-31 Yachats, OR 97498
Renewal Date :2017-12-31 0
Units: 44
Management: Sea Aire Assisted Living, LLC
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 70 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A316
Sea View Senior Living Community
98059 Gerlach Lane
Curry
Brookings/Harbor
Capacity: 99
Administrator: Sonia Graham
Facility Phone: (541) 469-4500
Facility Fax: (541) 469-4522
Owner: Sea View Assisted Living Community, LLCCounty
Orig Lic. Date: 2010-06-01 Brookings, OR 97415
Renewal Date :2016-10-31 0
Units: 78
Management: Seasons Management, LLC
Yes
Email: [email protected]
Other Services:
50R384
Senior Haven Residential Care Facility
12140 SE Foster Road
Multnomah
Milwaukie APD
Capacity: 20
Administrator: Aristotle Paguio
Facility Phone: (971) 271-1897
Facility Fax: (503) 254-3607
Owner: Senior Haven RCF, LLCCounty
Orig Lic. Date: 2012-08-16 Portland, OR 97266
Renewal Date :2016-08-31 0
Units: 20
Management: Senior Haven RCF, LLC
Yes
Email: [email protected]
Other Services:
70M223
Settler's Park Assisted Living Community
2895 17th St.
Baker
Baker City MSO
Capacity: 56
Administrator: Jackie Wirth
Facility Phone: (541) 523-0200
Facility Fax: (541) 523-0268
Owner: LSREF Golden Ops 26 (OR) LLCCounty
Orig Lic. Date: 1999-11-05 Baker City, OR 97814
Renewal Date :2017-01-31 0
Units: 44
Management: SLH Rainier Manager, LLC
Yes
Email: [email protected]
Other Services:
50A226
Settler's Park Memory Care Community
2895 17th Street
Baker
Baker City
Capacity: 30
Administrator: Deborah S. Culley
Facility Phone: (541) 523-0200
Facility Fax: (541) 523-0268
Owner: LSREF Golden Ops 26 (OR) LLCCounty
Orig Lic. Date: 1999-11-05 Baker City, OR 97814
Renewal Date :2017-01-31 0
Units: 30
Management: SLH Rainier Manager, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 30
70A083
Sheldon Park Assisted Living, a Blue Harbor Senior Living
2440 Willakenzie Road
Lane
Eugene SSO
Capacity: 108
Administrator: Charisa Coxen
Facility Phone: (541) 344-1078
Facility Fax: (541) 344-1370
Owner: Sheldon Park Management LLCCounty
Orig Lic. Date: 1998-01-16 Eugene, OR 97401
Renewal Date :2016-07-31 0
Units: 92
Management: Sheldon Park Management LLC
Non Medicaid
Email: [email protected]
Other Services:
50M264
Sherwood Pines Residential Care
87986 Sherwood
Lane
Eugene AAA
Capacity: 16
Administrator: Danielle Evans
Facility Phone: (541) 935-0653
Facility Fax: (541) 935-4328
Owner: Sherwood Pines Residential Care, Inc.County
Orig Lic. Date: 2001-02-14 Veneta, OR 97487
Renewal Date :2017-06-30 0
Units: 12
Management: Sherwood Pines Residential Care, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 16
Tuesday, July 05, 2016 Page 71 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A263
Shore Pines Assisted Living
93975 Ocean Way
Curry
Gold Beach MSO
Capacity: 53
Administrator: Nancy Giovannetti
Facility Phone: (541) 247-0333
Facility Fax: (541) 247-9213
Owner: Shore Pines Assisted Living, LLCCounty
Orig Lic. Date: 2001-05-02 Gold Beach, OR 97444
Renewal Date :2017-05-31 0
Units: 43
Management: Mosaic Management, Inc.
Yes
Email: [email protected]
Other Services:
70M084
Silver Creek Assisted Living Facility
703 Evergreen Rd
Marion
Woodburn NWSDS
Capacity: 41
Administrator: Trisha Irwin
Facility Phone: (503) 981-4142
Facility Fax: (503) 982-0172
Owner: FC Ranger OPS Silver Creek (OR), LLCCounty
Orig Lic. Date: 1995-06-01 Woodburn, OR 97071
Renewal Date :2017-06-30 0
Units: 32
Management: Silver Creek Care Properties, LLC
Yes
Email: [email protected]
Other Services:
50R373
Silver Creek Memory Care Community
703 Evergreen Rd.
Marion
Woodburn NWSDS
Capacity: 20
Administrator: Felicity Harvey
Facility Phone: (503) 981-4142
Facility Fax: (503) 982-0172
Owner: FC Ranger OPS Silver Creek(OR), LLCCounty
Orig Lic. Date: 2011-02-14 Woodburn, OR 97071
Renewal Date :2017-06-30 0
Units: 17
Management: Silver Creek Care Properties, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 20
50R309
Silvia & John's Residential Care
19909 SE Stark St.
Multnomah
E. Mult. ADS
Capacity: 16
Administrator: Silvia Pribeagu
Facility Phone: (503) 665-8195
Facility Fax: (503) 661-2567
Owner: Silvia & John's Residential Care, Inc.County
Orig Lic. Date: 2003-02-04 Portland, OR 97233
Renewal Date :2017-02-28 0
Units: 16
Management: Silvia & John's Residential Care, Inc.
Non Medicaid
Email: silviajohnsrcf@gmailcom
Other Services:
70M085
Skylark Assisted Living
900 Skylark Pl
Jackson
Medford
Capacity: 87
Administrator: Teresa Selby
Facility Phone: (541) 552-1713
Facility Fax: (541) 552-1058
Owner: Ashland Assisted Living, LLCCounty
Orig Lic. Date: 1997-10-24 Ashland, OR 97520
Renewal Date :2017-09-30 0
Units: 75
Management: Mission Senior Living, LLC
Yes
Email: [email protected]
Other Services:
5MA161
Skylark Memory Care
950 Skylark Place
Jackson
Medford AAA
Capacity: 32
Administrator: Ahidee Herrera
Facility Phone: (541) 552-1713
Facility Fax: (541) 552-1058
Owner: Ashland Assisted Living, LLCCounty
Orig Lic. Date: 1997-09-23 Ashland, OR 97520
Renewal Date :2017-09-30 0
Units: 20
Management: Mission Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 32
Tuesday, July 05, 2016 Page 72 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A270
Somerset Assisted Living
8360 Cason Rd
Clackamas
Milwaukie SPD
Capacity: 100
Administrator: Stephanie Deatherage
Facility Phone: (503) 723-7868
Facility Fax: (503) 655-1543
Owner: Gladstone Assisted Living LLCCounty
Orig Lic. Date: 2001-11-30 Gladstone, OR 97027
Renewal Date :2017-11-30 0
Units: 86
Management: Hawthorn Retirement Group, LLC
Yes
Email: [email protected]
Other Services:
5MA106
Southtowne Living Center
360 W 28th
Lane
Eugene AAA
Capacity: 65
Administrator: David Meisner
Facility Phone: (541) 683-3618
Facility Fax: (541) 312-0077
Owner: Eugene Southtowne Living Center, LLCCounty
Orig Lic. Date: 1991-07-01 Eugene, OR 97405
Renewal Date :2017-01-31 0
Units: 29
Management: Ageia Health Services, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 65
70M087
Spring Meadows Assisted Living Facility
36070 Pittsburg Rd
Columbia
St Helens MSO
Capacity: 44
Administrator: Scott Page
Facility Phone: (503) 397-0401
Facility Fax: (503) 397-2116
Owner: ElderservCounty
Orig Lic. Date: 1995-10-10 St Helens, OR 97051
Renewal Date :2017-09-30 0
Units: 35
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
70M088
Spring Valley Assisted Living
770 Harlow Rd
Lane
Eugene SSO
Capacity: 63
Administrator: Tracy Nelson
Facility Phone: (541) 744-2116
Facility Fax: (541) 744-0103
Owner: Cascade Living Group - Oregon, LLCCounty
Orig Lic. Date: 1993-04-01 Springfield, OR 97477
Renewal Date :2017-05-31 0
Units: 51
Management: Cascade Living Group, Inc.
Yes
Email: [email protected]
Other Services:
70A284
SpringRidge Court Assisted Living
32100 SW French Prairie Rd.
Clackamas
Milwaukie SPD
Capacity: 85
Administrator: Garth Hallman
Facility Phone: (503) 694-2800
Facility Fax: (503) 694-5124
Owner: Spring Ridge Subtenant LLCCounty
Orig Lic. Date: 2002-10-31 Wilsonville, OR 97070
Renewal Date :2018-04-30 0
Units: 70
Management: SRG Management, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R303
SpringRidge Court Memory Care
32100 SW French Prairie Rd
Clackamas
Milwaukie SPD
Capacity: 16
Administrator: Garth Hallman
Facility Phone: (503) 694-2800
Facility Fax: (503) 694-5124
Owner: Spring Ridge Subtenant LLCCounty
Orig Lic. Date: 2002-10-31 Wilsonville, OR 97070
Renewal Date :2018-04-30 0
Units: 0
Management: SRG Management, LLC
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 16
Tuesday, July 05, 2016 Page 73 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R234
Springs at Anna Maria, The
822 Golf View Drive
Jackson
Medford
Capacity: 38
Administrator: Megan Hamilton
Facility Phone: (541) 774-1822
Facility Fax: (541) 857-0994
Owner: HSRE-Springs III at Medford AM sub-TRS, LLCCounty
Orig Lic. Date: 2000-02-14 Medford, OR 97504
Renewal Date :2016-05-31 0
Units: 29
Management: The Springs Living, LLC
Non Medicaid
Email: [email protected]
Other Services:
70A012
Springs at Carman Oaks, The
3900 SW Carman Dr
Clackamas
Milwaukie SPD
Capacity: 21
Administrator: Curchelle Ensign
Facility Phone: (503) 636-4700
Facility Fax: (503) 636-9545
Owner: HSRE-Springs II at Lake Oswego Sub-TRS, LLCCounty
Orig Lic. Date: 1996-05-24 Lake Oswego, OR 97035
Renewal Date :2016-11-30 0
Units: 17
Management: The Springs Living, LLC
Non Medicaid
Email: [email protected]
Other Services:
70M204
Springs at Clackamas Woods ALF
14314 SE Webster Rd.
Clackamas
Milwaukie SPD
Capacity: 56
Administrator: Jennifer Whalen
Facility Phone: (503) 654-3413
Facility Fax: (503) 652-5191
Owner: TSL Clack OPS, LLCCounty
Orig Lic. Date: 1999-07-19 Milwaukie, OR 97267
Renewal Date :2016-10-31 0
Units: 48
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services:
70M219
Springs at Mill Creek, The
1201 W 10th Street
Wasco
Mid-Columbia AAA
Capacity: 65
Administrator: Toni Sly
Facility Phone: (541) 296-1303
Facility Fax: (541) 296-4051
Owner: HSRE-Springs II at the Dalles, LLPCounty
Orig Lic. Date: 1999-10-12 The Dalles, OR 97058
Renewal Date :2016-11-30 0
Units: 59
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services:
70A276
Springs at Sherwood, The
15677 SW Oregon
Washington
WCDAVS
Capacity: 57
Administrator: Angela Jones
Facility Phone: (503) 625-9481
Facility Fax: (503) 625-1372
Owner: HSRE-Springs at Sherwood Sub-TRS, LLCCounty
Orig Lic. Date: 2002-05-03 Sherwood, OR 97140
Renewal Date :2016-11-30 0
Units: 36
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services:
70M313
Springs at Tanasbourne II, LLC
1950 NW 192nd Avenue
Washington
Hillsboro WCDAVS
Capacity: 84
Administrator: Victor Lanna
Facility Phone: (503) 629-5500
Facility Fax: (503) 629-1515
Owner: Springs at Tanasbourne II, LLCCounty
Orig Lic. Date: 2009-04-01 Hillsboro, OR 97124
Renewal Date :2016-12-30 0
Units: 70
Management: The Springs Living, LLC
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 74 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A300
Springs at Veranda Park, The
1641 NE Veranda Park Drive
Jackson
Medford
Capacity: 44
Administrator: Natalie Hayes
Facility Phone: (541) 494-5000
Facility Fax:
Owner: HSRE-Springs III at Medford VP Sub TRS, LLCCounty
Orig Lic. Date: 2016-02-09 Medford, OR 97504
Renewal Date :2018-02-28 0
Units: 31
Management: The Springs Living, LLC
Non Medicaid
Email: [email protected]
Other Services:
70A200
Springs at Wilsonville, The
7600 Vlahos Drive
Clackamas
Milwaukie SPD
Capacity: 85
Administrator: Dianne Selander
Facility Phone: (503) 582-9414
Facility Fax: (503) 582-9236
Owner: HSRE-Springs II at Lake Oswego Sub-TRS, LLCCounty
Orig Lic. Date: 1999-06-24 Wilsonville, OR 97070
Renewal Date :2016-11-30 0
Units: 65
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services:
70M089
Spruce Point Assisted Living
375 9th St
Lane
Florence AAA
Capacity: 72
Administrator: Grace Hall
Facility Phone: (541) 997-6111
Facility Fax: (541) 997-5747
Owner: Spruce Point, Inc.County
Orig Lic. Date: 1995-08-01 Florence, OR 97439
Renewal Date :2017-07-31 0
Units: 65
Management: Prestige Care Inc.
Yes
Email: [email protected]
Other Services:
50R359
Spruce Point Memory Care
375 9th Street
Lane
Florence AAA
Capacity: 25
Administrator: Heidi Turner
Facility Phone: (541) 997-6111
Facility Fax: (541) 997-5747
Owner: Spruce Point, Inc.County
Orig Lic. Date: 2009-04-08 Florence, OR 97439
Renewal Date :2017-04-30 0
Units: 25
Management: Prestige Care Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 25
5MA107
St. Andrews Memory Care
7617 SE Main St
Multnomah
E County ASD
Capacity: 85
Administrator: Velita Rubino
Facility Phone: (503) 257-7946
Facility Fax: (503) 257-9221
Owner: Pacifica Senior Living, LLCCounty
Orig Lic. Date: 1988-09-01 Portland, OR 97215
Renewal Date :2018-03-31 0
Units: 60
Management: Pacifica Senior Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 85
7MU215
St. Anthony Village
3560 SE 79th Avenue
Multnomah
Mid-Mult ASD.
Capacity: 126
Administrator: Janice Mittelstaedt
Facility Phone: (503) 775-4414
Facility Fax: (503) 771-9189
Owner: St. Anthony Village Associates LPCounty
Orig Lic. Date: 1999-08-11 Portland, OR 97206
Renewal Date :2017-08-31 0
Units: 110
Management: SAGE
Yes
Email: [email protected]
Other Services: MCC, ACU 24
Tuesday, July 05, 2016 Page 75 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A310
Stafford Assisted Living Facility, The
1200 Overlook Dr
Clackamas
Milwaukie SPD
Capacity: 16
Administrator: Thomas Cloutier
Facility Phone: (503) 636-4589
Facility Fax: (503) 636-4583
Owner: Avamere Stafford Operations, LLCCounty
Orig Lic. Date: 2008-05-01 Lake Oswego, OR 97034
Renewal Date :2016-04-30 0
Units: 12
Management: Avamere Stafford Operations, LLC
Non Medicaid
Email: [email protected]
Other Services:
70A274
Stoneybrook Assisted Living
4650 SW Hollyhock Circle
Benton
Albany SSO
Capacity: 95
Administrator: Adam Schreiber
Facility Phone: (541) 758-2026
Facility Fax: (541) 758-2862
Owner: Corvallis Assisted Living, LLCCounty
Orig Lic. Date: 2002-04-19 Corvallis, OR 97333
Renewal Date :2018-04-30 0
Units: 85
Management: Hawthorn Retirement Group, LLC
Yes
Email: [email protected]
Other Services:
70M101
Suites Assisted Living Community, The
1301 SE Parkdale Dr
Josephine
Grants Pass MSO
Capacity: 95
Administrator: Jennifer Ambeau
Facility Phone: (541) 955-9115
Facility Fax: (541) 955-9591
Owner: LSREF Golden Ops 26 (OR) LLCCounty
Orig Lic. Date: 1997-01-10 Grants Pass, OR 97526
Renewal Date :2017-01-31 0
Units: 81
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services:
70M006
Summerplace Assisted Living Community
15727 NE Russell St
Multnomah
NE Portland ASO/DSO
Capacity: 96
Administrator: Nancy Leifheit
Facility Phone: (503) 252-9361
Facility Fax: (503) 252-9405
Owner: Summerplace Assisted Living, LLCCounty
Orig Lic. Date: 1997-07-21 Portland, OR 97230
Renewal Date :2017-07-31 0
Units: 86
Management: Prestige Senior Living, LLC
Yes
Email: [email protected]
Other Services:
70M091
Summit Springs Village
133 S Church Street - PO Bx 687
Gilliam
The Dalles SPD
Capacity: 38
Administrator: Sara Riney
Facility Phone: (541) 384-2101
Facility Fax: (541) 384-2102
Owner: Summit Springs Village CorporationCounty
Orig Lic. Date: 1994-10-28 Condon, OR 97823
Renewal Date :2016-10-31 0
Units: 29
Management: Summit Springs Village Corporation
Yes
Email: [email protected]
Other Services:
50R364
Summit Springs Village MCU
120 S. Church St.
Gilliam
The Dalles AAA
Capacity: 8
Administrator: Cynthia Hess
Facility Phone: (541) 384-2101
Facility Fax: (541) 384-2102
Owner: Summit Springs Village CorporationCounty
Orig Lic. Date: 2009-12-03 Condon, OR 97823
Renewal Date :2017-12-31 0
Units: 8
Management: Summit Springs Village Corporation
Yes
Email: [email protected]
Other Services: MCC, ACU 8
Tuesday, July 05, 2016 Page 76 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M248
Sun Terrace Hermiston
1550 NW 11th St.
Umatilla
Hermiston MSO
Capacity: 97
Administrator: Matthew Joice
Facility Phone: (541) 564-2595
Facility Fax: (541) 564-3087
Owner: Clay Davis Stroud - Oregon LLCCounty
Orig Lic. Date: 2000-10-24 Hermiston, OR 97838
Renewal Date :2016-10-31 0
Units: 80
Management: Regency Pacific Management, LLC
Yes
Email: [email protected]
Other Services:
70M045
Suncrest Place
300 Suncrest Rd
Jackson
Medford
Capacity: 40
Administrator: Jennifer Daniels
Facility Phone: (541) 512-9474
Facility Fax: (541) 512-0321
Owner: JACKSON AID OPCO, LLCCounty
Orig Lic. Date: 1996-11-08 Talent, OR 97540
Renewal Date :2017-07-31 0
Units: 36
Management: JACKSON AID OPCO, LLC
Non Medicaid
Email: [email protected]
Other Services:
50R412
Sunset Estates
281 Sunset Dr.
Malheur
Ontario
Capacity: 16
Administrator: Susanne Miller
Facility Phone: (541) 889-1115
Facility Fax: (541) 889-6662
Owner: CARE 3, LLCCounty
Orig Lic. Date: 2014-07-30 Ontario, OR 97914
Renewal Date :2016-07-31 0
Units: 16
Management: CARE 3, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 16
50R273
Suttle Care & Retirement
1601 SW 24th St.
Umatilla
Pendleton MSO
Capacity: 27
Administrator: Sarah Taylor
Facility Phone: (541) 278-0174
Facility Fax: (541) 276-0340
Owner: Suttle Care & Retirement, Inc.County
Orig Lic. Date: 2001-04-09 Pendleton, OR 97801
Renewal Date :2017-04-30 0
Units: 21
Management: Suttle Care & Retirement, Inc.
Yes
Email: [email protected]
Other Services:
70M092
Suzanne Elise Assisted Living Facility
101 Forest Drive
Clatsop
Warrenton NWSDS
Capacity: 90
Administrator: Jeanne Devitt
Facility Phone: (503) 738-0307
Facility Fax: (503) 717-8102
Owner: Forest Drive Operations, LLCCounty
Orig Lic. Date: 1997-10-30 Seaside, OR 97138
Renewal Date :2017-11-30 0
Units: 79
Management: Forest Drive Operations, LLC
Yes
Email: [email protected]
Other Services:
50R298
Sweet Bye N Bye
2480 Coral Ave NE
Marion
Salem NWSDS
Capacity: 16
Administrator: Yori Johnson
Facility Phone: (503) 362-5885
Facility Fax: (503) 362-8808
Owner: Sweet Bye N Bye AFC & RCF Facilities, Inc.County
Orig Lic. Date: 2002-05-31 Salem, OR 97305
Renewal Date :2016-10-31 0
Units: 16
Management: Sweet Bye N Bye AFC & RCF Facilities, Inc.
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 77 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R108
Sweetbriar Villa
6135 E St.
Lane
Eugene SSO
Capacity: 39
Administrator: Jill Maher
Facility Phone: (541) 225-0200
Facility Fax: (541) 726-1173
Owner: RSL Springfield, LLCCounty
Orig Lic. Date: 1987-12-01 Springfield, OR 97478
Renewal Date :2017-05-31 0
Units: 30
Management: Radiant Senior Living, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 9
50M434
Tabor Crest II Memory Care
16050 NE Halsey
Multnomah
Multnomah
Capacity: 30
Administrator: Rodica Malos
Facility Phone: (503) 780-1112
Facility Fax:
Owner: Tabor Crest II Memory Care, LLCCounty
Orig Lic. Date: 2016-05-11 Portland, OR 97230
Renewal Date :2018-05-31 0
Units: 30
Management: Tabor Crest II Memory Care, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 30
50M109
Tabor Crest Residential Care
7430 SE Division St
Multnomah
SE Portland ASO
Capacity: 30
Administrator: Rodica Malos
Facility Phone: (503) 771-8058
Facility Fax: (503) 771-8058
Owner: Tabor Crest Residential Care, LLCCounty
Orig Lic. Date: 1980-05-07 Portland, OR 97206
Renewal Date :2016-08-31 0
Units: 27
Management: Tabor Crest Residential Care, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 30
50M110
Taft Home, The
1337 SW Washington St
Multnomah
W Portland AAA
Capacity: 80
Administrator: Karen Shenefelt
Facility Phone: (503) 223-2144
Facility Fax: (503) 241-9553
Owner: Concepts in Community Living, Inc.County
Orig Lic. Date: 1992-09-01 Portland, OR 97205
Renewal Date :2017-07-31 0
Units: 80
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
70M093
Tanner Spring Assisted Living
23000 Horizon Dr
Clackamas
Milwaukie SPD
Capacity: 72
Administrator: Jillian Bohrer
Facility Phone: (503) 655-4373
Facility Fax: (503) 655-4175
Owner: Sequoia Heights Capital PartnersCounty
Orig Lic. Date: 1998-08-14 West Linn, OR 97068
Renewal Date :2016-07-31 0
Units: 62
Management: TS Management, LLC
Yes
Email: [email protected]
Other Services:
50R366
Tanner Spring Memory Care
23000 Horizon Drive
Clackamas
Milwaukie SPD
Capacity: 44
Administrator: Anne Bardana
Facility Phone: (503) 655-4373
Facility Fax: (503) 655-4175
Owner: Sequoia Heights Capital PartnersCounty
Orig Lic. Date: 2010-01-21 West Linn, OR 97068
Renewal Date :2016-07-31 0
Units: 27
Management: TS Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 44
Tuesday, July 05, 2016 Page 78 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70A262
Terrace at Hillside Assisted Living
440 NW Hillside Park Way
Yamhill
McMinnville NWSDS
Capacity: 68
Administrator: Denise Olson
Facility Phone: (503) 472-9534
Facility Fax: (503) 883-7499
Owner: Emeritus CorporationCounty
Orig Lic. Date: 2001-05-01 McMinnville, OR 97128
Renewal Date :2016-08-31 0
Units: 68
Management: Emeritus Corporation
Non Medicaid
Email: [email protected]
Other Services:
70A209
Terrace at Laurelhurst Village, The
3120 SE Stark
Multnomah
E Co. ASD
Capacity: 64
Administrator: Chris Madewell
Facility Phone: (503) 535-4700
Facility Fax: (503) 797-6702
Owner: Laurelhurst Operations, LLCCounty
Orig Lic. Date: 1999-03-05 Portland, OR 97214
Renewal Date :2017-06-30 0
Units: 60
Management: Laurelhurst Operations, LLC
Non Medicaid
Email: [email protected]
Other Services:
50M157
Terwilliger Plaza - Metcalf Unit
2545 SW Terwilliger Blvd
Multnomah
W Portland AAA
Capacity: 29
Administrator: Raymond Harcus
Facility Phone: (503) 808-7876
Facility Fax: (503) 299-4803
Owner: Terwilliger Plaza, Inc.County
Orig Lic. Date: 1997-04-30 Portland, OR 97201
Renewal Date :2017-04-30 0
Units: 29
Management: Terwilliger Plaza, Inc.
Yes
Email: [email protected]
Other Services:
70A246
Terwilliger Terrace Assisted Living Facility
2425 SW 6th Ave.
Multnomah
West Portland AAA
Capacity: 64
Administrator: Raymond Harcus
Facility Phone: (503) 808-7876
Facility Fax: (503) 299-4803
Owner: Terwilliger Plaza, Inc.County
Orig Lic. Date: 2000-05-17 Portland, OR 97201
Renewal Date :2016-09-30 0
Units: 44
Management: Terwilliger Plaza, Inc.
Yes
Email: [email protected]
Other Services:
50R386
Thanksgiving House
184 N 2nd St
Columbia
St Helens APD
Capacity: 7
Administrator: Dawn Nelson
Facility Phone: (503) 366-1233
Facility Fax: (971) 228-2291
Owner: Cecile MoldenCounty
Orig Lic. Date: 2012-08-26 St. Helens, OR 97051
Renewal Date :2016-08-31 0
Units: 5
Management: Cecile Molden
Yes
Email: [email protected]
Other Services:
70A097
Timberhill Place
989 NW Spruce Ave
Benton
Albany SSO
Capacity: 70
Administrator: Robin Bemrose
Facility Phone: (541) 753-1488
Facility Fax: (541) 757-3528
Owner: Vintage Investment Prop., Inc.County
Orig Lic. Date: 1995-06-28 Corvallis, OR 97330
Renewal Date :2017-06-30 0
Units: 60
Management: Vintage Investment Prop., Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 79 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R302
Timberwood Court Specialty Care Community
2875 SE 14th Ave
Linn
Albany SSO
Capacity: 48
Administrator: Catherine Lewis
Facility Phone: (541) 967-9700
Facility Fax: (541) 924-2949
Owner: LSREF Golden Ops 26 (OR) LLCCounty
Orig Lic. Date: 2002-10-01 Albany, OR 97321
Renewal Date :2017-01-31 0
Units: 44
Management: Frontier Management, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 48
50R307
Touch of Grace, A
PO Box 165, 2156 Brookhurst St.
Jackson
Medford
Capacity: 13
Administrator: Johnny Baglietto
Facility Phone: (541) 779-1159
Facility Fax: (541) 779-1210
Owner: A Touch of Grace, LLCCounty
Orig Lic. Date: 2003-01-16 Medford, OR 97504
Renewal Date :2016-09-30 0
Units: 8
Management: A Touch of Grace, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 13
50R349
Touchmark at Mt. Bachelor Village
19800 SW Touchmark Way
Deschutes
Bend SPD
Capacity: 95
Administrator: Scott Neil
Facility Phone: (541) 383-1414
Facility Fax: (541) 383-3434
Owner: Touchmark at Mt. Bachelor Village, LLCCounty
Orig Lic. Date: 2007-07-05 Bend, OR 97702
Renewal Date :2017-07-31 0
Units: 83
Management: Touchmark Living Centers, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 32
50R115
Turner Retirement Homes
5405 Boise Street
Marion
Salem NWSDS
Capacity: 48
Administrator: Bruce Reed
Facility Phone: (503) 743-2490
Facility Fax: (503) 743-2803
Owner: Turner Retirement Homes, Inc.County
Orig Lic. Date: 1982-01-01 Turner, OR 97392
Renewal Date :2018-01-31 0
Units: 46
Management: Turner Retirement Homes, Inc.
Yes
Email: [email protected]
Other Services:
70M098
Valley View Assisted Living
112 Valley View Dr
Grant
John Day MSO
Capacity: 42
Administrator: Stephanie Rodriguez
Facility Phone: (541) 575-3533
Facility Fax: (541) 575-2366
Owner: Valley View Investors, LLCCounty
Orig Lic. Date: 1998-02-02 John Day, OR 97845
Renewal Date :2017-12-31 0
Units: 35
Management: Ageia Health Services, LLC
Yes
Email: [email protected]
Other Services:
50R394
Valley View Memory Care
112 Valley View Drive
Grant
Bend MSO
Capacity: 10
Administrator: Stephanie Rodriquez
Facility Phone: (541) 575-3533
Facility Fax: (541) 575-5558
Owner: Valley View Investors, LLCCounty
Orig Lic. Date: 2013-08-21 John Day, OR 97845
Renewal Date :2017-08-31 0
Units: 5
Management: Ageia Health Services, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 10
Tuesday, July 05, 2016 Page 80 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50M427
Village at Keizer Ridge Memory Care, The
1165 McGee Court
Marion
NWSDS
Capacity: 23
Administrator: Anna Palomar
Facility Phone: (503) 390-1300
Facility Fax: (503) 390-1818
Owner: VKR, LLCCounty
Orig Lic. Date: 2016-02-18 Keizer, OR 97303
Renewal Date :2018-02-28 0
Units: 22
Management: Keizer Care Properties, LLC
Yes
Email: [email protected]
Other Services: ACU 23
70M350
Village at Keizer Ridge, The
1165 McGee Court
Marion
NWSDS
Capacity: 119
Administrator: Sue Miller
Facility Phone: (503) 390-1300
Facility Fax: (503) 390-1818
Owner: VKR, LLCCounty
Orig Lic. Date: 2016-02-18 Keizer, OR 97303
Renewal Date :2018-02-28 0
Units: 104
Management: Keizer Care Properties, LLC
Yes
Email: [email protected]
Other Services:
70A267
Vineyard Heights Assisted Living & Retirement Cottages
345 SW Hill Rd.
Yamhill
McMinnville NWSDS
Capacity: 96
Administrator: Amanda Rinehart
Facility Phone: (503) 435-1000
Facility Fax: (503) 434-1599
Owner: LSREF Golden Ops 26 (OR) LLCCounty
Orig Lic. Date: 2001-09-18 McMinnville, OR 97128
Renewal Date :2017-01-31 0
Units: 80
Management: Frontier Management, LLC
Yes
Email: administrator@vineyardheightsassistedliving.
Other Services:
50R400
Vista View Mood & Memory Care
4439 Hamrick Rd
Jackson
Medford SSO
Capacity: 15
Administrator: Kathleen Howard
Facility Phone: (541) 664-2133
Facility Fax: (541) 664-1563
Owner: Kathleen HowardCounty
Orig Lic. Date: 2013-12-23 Central Point, OR 97502
Renewal Date :2017-12-31 0
Units: 15
Management: Kathleen Howard
Yes
Email: [email protected]
Other Services: MCC, ACU 15
70A322
Wallowa Valley Senior Living
605 Medical Parkway
Wallowa
Enterprise APD
Capacity: 19
Administrator: Jennifer Olson
Facility Phone: (541) 426-5311
Facility Fax: (541) 426-0411
Owner: Wallowa County Health Care DistrictCounty
Orig Lic. Date: 2013-06-27 Enterprise, OR 97828
Renewal Date :2017-06-30 0
Units: 19
Management: Marathon Enterprise, LLC
Yes
Email: [email protected]
Other Services:
50R391
Wallowa Valley Senior Living Memory Care
605 Medical Parkway
Wallowa
Enterprise APD
Capacity: 10
Administrator: Amy Ratliff
Facility Phone: (541) 426-5311
Facility Fax: (541) 426-0411
Owner: Wallowa County Health Care DistrictCounty
Orig Lic. Date: 2013-06-27 Enterprise, OR 97828
Renewal Date :2017-06-30 0
Units: 8
Management: Marathon Enterprise, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 10
Tuesday, July 05, 2016 Page 81 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R382
Washington Gardens Memory Care
9000 SW 91st Avenue
Washington
Tigard SPD
Capacity: 48
Administrator: Landon Miller
Facility Phone: (503) 445-4363
Facility Fax:
Owner: Tigard Memory Associates, LLCCounty
Orig Lic. Date: 2011-11-10 Tigard, OR 97223
Renewal Date :2017-11-30 0
Units: 48
Management: Frontier Management, LLC
Yes
Email: administrator@washingtongardensmemoryca
Other Services: MCC, ACU 48
70A323
Waterford Grand Assisted Living
600 Waterford Way
Lane
Eugene APD
Capacity: 101
Administrator: Jennifer Roberts
Facility Phone: (541) 636-3329
Facility Fax: (541) 654-0112
Owner: BDC/EUGENE, LLCCounty
Orig Lic. Date: 2014-09-01 Eugene, OR 97401
Renewal Date :2016-09-30 0
Units: 86
Management: BPM Senior Living Company
Non Medicaid
Email: [email protected]
Other Services:
50R411
Waterford Grand Memory Care
600 Waterford Way
Lane
Eugene
Capacity: 64
Administrator: Adele Tiberius
Facility Phone: (541) 636-3329
Facility Fax: (541) 654-0112
Owner: BDC/EUGENE, LLCCounty
Orig Lic. Date: 2014-09-01 Eugene, OR 97401
Renewal Date :2016-09-30 0
Units: 64
Management: BPM Senior Living Company
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 64
50R433
Waterhouse Ridge Memory Care Community
1115 NW 158th Avenue
Washington
Beaverton APD
Capacity: 68
Administrator: Chad Stewart
Facility Phone: (503) 791-0599
Facility Fax:
Owner: Waterhouse Ridge Memory Care, LLCCounty
Orig Lic. Date: 2016-03-03 Beaverton, OR 97006
Renewal Date :2018-03-31 0
Units: 52
Management: Frontier Management, Inc., A Corporation of Co
Non Medicaid
Email: [email protected]
Other Services: ACU 68
70A102
Well Springs Assisted Living Facility
2104 W Idaho
Malheur
Ontario MSO
Capacity: 38
Administrator: Christine Hinkley
Facility Phone: (541) 889-3020
Facility Fax: (541) 889-4047
Owner: Wellsprings Operations, LLCCounty
Orig Lic. Date: 1993-05-03 Ontario, OR 97914
Renewal Date :2016-12-31 0
Units: 32
Management: Milestone Retirement Communities, LLC
Yes
Email: [email protected]
Other Services:
50R121
West Hills Village Senior Residence
5711 SW Multnomah Blvd
Multnomah
Portland W ASO
Capacity: 150
Administrator: Lindsay Schroeder
Facility Phone: (503) 245-7621
Facility Fax: (503) 245-6863
Owner: West Hills Village Limited PartnershipCounty
Orig Lic. Date: 1988-04-30 Portland, OR 97219
Renewal Date :2017-04-30 0
Units: 82
Management: West Hills Village, LP
Non Medicaid
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 82 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R285
West Wind Court
465 4th St. SW
Coos
Coos Bay MSO
Capacity: 18
Administrator: Dominique Palmer
Facility Phone: (541) 347-9497
Facility Fax: (541) 347-5321
Owner: West Wind Court CorporationCounty
Orig Lic. Date: 2001-09-20 Bandon, OR 97411
Renewal Date :2017-04-30 0
Units: 17
Management: West Wind Court Corporation
Yes
Email: [email protected]
Other Services:
50R326
West Wind Enhanced Care
3130 Juanipero St.
Jackson
Medford AAA
Capacity: 16
Administrator: Hollie Merwin
Facility Phone: (541) 857-0700
Facility Fax: (541) 857-2887
Owner: Ashland View Manor, Inc.County
Orig Lic. Date: 2004-03-01 Medford, OR 97504
Renewal Date :2018-03-31 0
Units: 16
Management: Ashland View Manor, Inc.
Yes
Email: [email protected]
Other Services:
50R396
Whitewood Gardens
2027 SE 174th Ave.
Multnomah
E Mult ADS
Capacity: 39
Administrator: Molly McKain
Facility Phone: (503) 522-1765
Facility Fax: (503) 206-8912
Owner: Whitewood Group, LLCCounty
Orig Lic. Date: 2013-07-12 Portland, OR 97233
Renewal Date :2017-07-31 0
Units: 39
Management: Whitewood Group, LLC
Yes
Email: [email protected]
Other Services:
5MA266
Wildflower Lodge
508 16th St
Union
LaGrande MSO
Capacity: 30
Administrator: Anthony Swales
Facility Phone: (541) 663-1200
Facility Fax: (541) 962-0242
Owner: LSREF Golden Ops 14 (OR) LLCCounty
Orig Lic. Date: 2001-03-02 LaGrande, OR 97850
Renewal Date :2017-01-31 0
Units: 30
Management: SLH Rainier Manager, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 30
70M256
Wildflower Lodge Assisted Living Community
508 16th St.
Union
LaGrande MSO
Capacity: 55
Administrator: Anthony Swales
Facility Phone: (541) 663-1200
Facility Fax: (541) 663-0538
Owner: LSREF Golden Ops 14 (OR) LLCCounty
Orig Lic. Date: 2001-02-16 LaGrande, OR 97850
Renewal Date :2017-01-31 0
Units: 44
Management: SLH Rainier Manager, LLC
Yes
Email: [email protected]
Other Services:
70M103
Wiley Creek Community
5050 Mountain Fir Street
Linn
Albany SSO
Capacity: 60
Administrator: Marsha Blankenship
Facility Phone: (541) 367-1800
Facility Fax: (541) 367-1700
Owner: Mid-Valley HealthcareCounty
Orig Lic. Date: 1998-01-07 Sweet Home, OR 97386
Renewal Date :2018-01-31 0
Units: 44
Management: Aidan Health Services, Inc.
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 83 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
50R200
Willamette Lutheran Retirement Community
7693 Wheatland Rd
Marion
Salem NWSDS
Capacity: 22
Administrator: Michele Brownlee-Deck
Facility Phone: (503) 393-1491
Facility Fax: (503) 393-7242
Owner: Willamette Lutheran Homes, Inc.County
Orig Lic. Date: 1995-10-31 Salem, OR 97308
Renewal Date :2018-01-31 0
Units: 22
Management: Willamette Lutheran Homes, Inc.
Non Medicaid
Email: [email protected]
Other Services:
70M104
Willamette Manor
176 West C Street
Linn
Albany SSO
Capacity: 46
Administrator: Jami Peterson
Facility Phone: (541) 258-8178
Facility Fax: (541) 258-8197
Owner: Willamette Manor, Inc.County
Orig Lic. Date: 1996-04-18 Lebanon, OR 97355
Renewal Date :2018-03-31 0
Units: 42
Management: Willamette Manor, Inc.
Yes
Email: [email protected]
Other Services:
50R271
Willamette View Memory Care Community
13145 SE River Rd
Clackamas
Milwaukie SPD
Capacity: 21
Administrator: Mjere Simantel
Facility Phone: (503) 353-7000
Facility Fax: (503) 652-6255
Owner: Willamette View, Inc.County
Orig Lic. Date: 2001-03-19 Portland, OR 97222
Renewal Date :2017-03-31 0
Units: 15
Management: Willamette View, Inc.
Non Medicaid
Email: [email protected]
Other Services: MCC, ACU 21
70A259
Willamette View Neighborhoods
13145 SE River Road
Clackamas
Milwaukie SPD
Capacity: 50
Administrator: Mjere Simantel
Facility Phone: (503) 353-7000
Facility Fax: (503) 652-6255
Owner: Willamette View, Inc.County
Orig Lic. Date: 2001-03-19 Portland, OR 97222
Renewal Date :2017-03-31 0
Units: 45
Management: Willamette View, Inc.
Non Medicaid
Email: [email protected]
Other Services:
50R229
Willamette View Terrace
13169 SE River Road
Clackamas
Milwaukie SPD
Capacity: 96
Administrator: Mjere Simantel
Facility Phone: (503) 652-6798
Facility Fax: (503) 652-6797
Owner: Willamette View, Inc.County
Orig Lic. Date: 1999-12-10 Portland, OR 97222
Renewal Date :2017-11-30 0
Units: 78
Management: Willamette View, Inc.
Non Medicaid
Email: [email protected]
Other Services:
70A283
Willow Creek Terrace
400 Frank Gilliam Dr.
Morrow
Pendleton MSO
Capacity: 18
Administrator: Virginia Nairns
Facility Phone: (541) 676-0004
Facility Fax: (541) 676-2901
Owner: Willow Creek Valley Assisted Living Corp.County
Orig Lic. Date: 2002-09-27 Heppner, OR 97836
Renewal Date :2016-09-30 0
Units: 16
Management: Morrow County Health District
Yes
Email: [email protected]
Other Services:
Tuesday, July 05, 2016 Page 84 of 85
FACILITY, ADDRESS
Office of Licensing and Regulatory Oversight
Licensed
Assisted Living and Residential Care Facilities
LICENSED CAPACITY
ADMINISTRATOR, PHONECOUNTY, LOCAL UNITS MEDICAID PROVIDER
70M043
Willow Place
1307 N College
Yamhill
McMinnville NWSDS
Capacity: 30
Administrator: Becky Hollis
Facility Phone: (503) 537-9100
Facility Fax: (503) 537-9120
Owner: Assisted Living Facilities, Inc.County
Orig Lic. Date: 1992-11-01 Newberg, OR 97132
Renewal Date :2018-01-31 0
Units: 26
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
50R125
Willson House Residential Care Facility
1625 Center St NE
Marion
Salem NWSDS
Capacity: 60
Administrator: Laura Engle
Facility Phone: (503) 585-6511
Facility Fax: (503) 585-8775
Owner: United Methodist Retirement Center Inc.County
Orig Lic. Date: 1986-07-01 Salem, OR 97301
Renewal Date :2016-07-31 0
Units: 50
Management: Concepts in Community Living, Inc.
Yes
Email: [email protected]
Other Services:
50R418
Windsong at Eola Hills
2030 Wallace Road NW
Polk
NWSDS
Capacity: 64
Administrator: Jody Burton
Facility Phone: (503) 912-4551
Facility Fax: (503) 912-4535
Owner: West Salem Memory Care, LLCCounty
Orig Lic. Date: 2015-04-08 Salem, OR 97304
Renewal Date :2017-04-30 0
Units: 56
Management: Aidan Health Services, Inc.
Yes
Email: [email protected]
Other Services: MCC, ACU 64
70M255
Woodland Heights
9355 SW McDonald St.
Washington
WCDAVS
Capacity: 55
Administrator: Linda Elder
Facility Phone: (503) 684-9696
Facility Fax: (503) 684-9892
Owner: Woodland Heights, LLCCounty
Orig Lic. Date: 2001-02-06 Tigard, OR 97224
Renewal Date :2017-06-30 0
Units: 48
Management: Woodland Heights, LLC
Yes
Email: [email protected]
Other Services:
50M174
Woods at Willowcreek, The
4398 Glencoe St NE
Marion
Salem NWSDS
Capacity: 85
Administrator: Laarni Small
Facility Phone: (503) 581-4239
Facility Fax: (503) 245-5052
Owner: Lancaster Woods Operator, LLCCounty
Orig Lic. Date: 1998-08-01 Salem, OR 97301
Renewal Date :2017-08-31 0
Units: 76
Management: The Springs Living, LLC
Yes
Email: [email protected]
Other Services: MCC, ACU 64
Statewide Licensed Capacity: 25,885Total Number of ALF's: 509
Tuesday, July 05, 2016 Page 85 of 85