Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M098 Yes Capacity: 14 Units: 14 Other Services: Aaren Brooke Place Administrator: Malynda Reanier 995 N Oregon St Facility Phone: (541) 881-1188 Orig Lic. Date: 1980-01-01 Ontario, OR 97914 Facility Fax: (541) 881-9082 Renewal Date :2020-04-30 0 County: Malheur Owner: Ashley Manor, L.L.C. Ontario MSO Management: Ashley Manor, L.L.C. Email: [email protected] 70A325 Non Medicaid Capacity: 65 Units: 46 Other Services: Ackerly at Timberland, The Administrator: Shannon Lang 11795 NW Cedar Falls Drive Facility Phone: (503) 350-3400 Orig Lic. Date: 2016-08-30 Portland, OR 97229 Facility Fax: (503) 350-3401 Renewal Date :2020-08-31 0 County: Washington Owner: Ackerly at Timberland, LLC WCDAVS Management: Leisure Care, LLC Email: [email protected] 50R438 Non Medicaid Capacity: 23 Units: 17 Other Services: MC, ACU 23 Ackerly Memory Care, The Administrator: Juniper Riddle 11795 NW Cedar Falls Drive Facility Phone: (503) 350-3400 Orig Lic. Date: 2016-08-30 Portland, OR 97229 Facility Fax: (503) 350-3401 Renewal Date :2020-08-31 0 County: Washington Owner: Ackerly at Timberland, LLC WCDAVS Management: Leisure Care, LLC Email: [email protected] 70M001 Yes Capacity: 40 Units: 34 Other Services: Adams House Assisted Living Administrator: Tamera Schmall 121 Cordelia Drive Facility Phone: (541) 863-4444 Orig Lic. Date: 1996-04-01 Myrtle Creek, OR 97457 Facility Fax: (541) 863-7978 Renewal Date :2020-07-31 0 County: Douglas Owner: Myrtle Creek ALF, LLC Roseburg Management: Concepts in Community Living, Inc. Email: [email protected] 50R378 Yes Capacity: 60 Units: 42 Other Services: Adara Oaks Manor Administrator: Megan Andersen 931 NE Linden Avenue Facility Phone: (503) 912-3211 Orig Lic. Date: 2011-06-30 Gresham, OR 97030 Facility Fax: (503) 512-7477 Renewal Date :2018-11-30 0 County: Multnomah Owner: Adara Oaks Manor, LLC E Mult ADS Management: Aidan Health Services, Inc. Email: [email protected] 50R417 Yes Capacity: 34 Units: 34 Other Services: Advocate Care Administrator: Leah Pedigo 13033 South East Holgate Blvd Facility Phone: (971) 271-8547 Orig Lic. Date: 2015-04-27 Portland, OR 97236 Facility Fax: (971) 271-8602 Renewal Date :2019-04-30 0 County: Multnomah Owner: Advocate Care, LLC Multnomah Management: Advocate Care, LLC Email: [email protected]

Monday, October 1, 2018 Page 1 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R315 Yes Capacity: 16 Units: 16 Other Services: All Comfort Residential Care Facility Administrator: Anne Arlynn Sarapio-Elieisar 9347 SW 35th St. Facility Phone: (503) 977-0606 Orig Lic. Date: 2003-04-24 Portland, OR 97219 Facility Fax: (503) 977-1011 Renewal Date :2018-08-31 0 County: Multnomah Owner: Peaks and Valleys, LLC WCDAVS Management: Peaks and Valleys, LLC Email: [email protected] 70M003 Yes Capacity: 36 Units: 30 Other Services: Alpine House Assisted Living Administrator: Sarah Taylor 204 N Park St Facility Phone: (541) 432-7402 Orig Lic. Date: 1995-04-01 Joseph, OR 97846 Facility Fax: (541) 432-3301 Renewal Date :2019-04-30 0 County: Wallowa Owner: Joseph ALF, Inc. Enterprise MSO Management: Joseph ALF, Inc. Email: [email protected] 70A287 Yes Capacity: 40 Units: 32 Other Services: Amber Assisted Living, The Administrator: Jamie Gray 365 SW Bel Air Drive- PO Box 308 Facility Phone: (503) 728-2744 Orig Lic. Date: 2003-03-21 Clatskanie, OR 97016 Facility Fax: (503) 728-4038 Renewal Date :2018-08-31 0 County: Columbia Owner: Amber Investors, LLC St. Helens MSO Management: Ageia Health Services, LLC Email: [email protected] 50R339 Yes Capacity: 15 Units: 11 Other Services: Angeline Senior Living, LLC Administrator: Erica Gonzales 501 3rd St. Facility Phone: (541) 975-2418 Orig Lic. Date: 1999-10-04 La Grande, OR 97850 Facility Fax: (541) 962-0542 Renewal Date :2019-08-31 0 County: Union Owner: Angeline Senior Living, LLC La Grande MSO Management: Angeline Senior Living, LLC Email: [email protected] 50R371 Yes Capacity: 15 Units: 15 Other Services: MCC, ACU 15 Applegate House of Grants Pass Administrator: Linda Ayala 1635 Kellenbeck Avenue Facility Phone: (541) 474-6493 Orig Lic. Date: 2011-01-06 Grants Pass, OR 97528 Facility Fax: (541) 474-6742 Renewal Date :2019-01-31 0 County: Josephine Owner: Pacific Living Centers, Inc. Grants Pass DSO Management: Pacific Living Centers, Inc. Email: [email protected] 70M022 Yes Capacity: 36 Units: 30 Other Services: Applegate Place Administrator: Pamela Sessions 1465 East Central Facility Phone: (541) 459-6300 Orig Lic. Date: 1997-02-01 Sutherlin, OR 97479 Facility Fax: (541) 459-6302 Renewal Date :2019-01-31 0 County: Douglas Owner: Sutherlin ALF, LLC Roseburg Management: Concepts in Community Living, Inc. Email: [email protected]

Monday, October 1, 2018 Page 2 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R414 Yes Capacity: 49 Units: 48 Other Services: MC, ACU 48 Arbor at Avamere Court, The Administrator: Tammy Perez 450 Claggett Court N Facility Phone: (503) 856-7440 Orig Lic. Date: 2014-10-20 Keizer, OR 97303 Facility Fax: (503) 390-1271 Renewal Date :2018-10-31 0 County: Marion Owner: Keizer River Operations, LLC Salem NWSDS Management: Keizer River Operations, LLC Email: [email protected] 50R328 Yes Capacity: 15 Units: 11 Other Services: MC, ACU 15 Arbor House of Grants Pass Administrator: Dotsie Petty 820 Gold Court Facility Phone: (541) 474-7887 Orig Lic. Date: 2004-08-20 Grants Pass, OR 97527 Facility Fax: (541) 474-7005 Renewal Date :2020-08-31 0 County: Josephine Owner: Pacific Living Centers, Inc. Grants Pass AAA Management: Pacific Living Centers, Inc. Email: [email protected] 50R367 Yes Capacity: 48 Units: 48 Other Services: MC, ACU 48 Arbor Oaks Terrace Memory Care Administrator: Tia Woodall 317 Werth Blvd. Facility Phone: (503) 538-2288 Orig Lic. Date: 2010-04-14 Newberg, OR 97132 Facility Fax: (503) 538-2226 Renewal Date :2020-04-30 0 County: Yamhill Owner: Newberg Memory Associates, LLC McMinnville NWSDS Management: Frontier Management, LLC Email: [email protected] 70A330 Non Medicaid Capacity: 68 Units: 68 Other Services: Arcadia Senior Living Administrator: Ronda Lovely 13031 SE Foster Road Facility Phone: (503) 206-8930 Orig Lic. Date: 2017-08-02 Portland, OR 97236 Facility Fax: (971) 255-1837 Renewal Date :2019-07-31 0 County: Multnomah Owner: Arcadia Senior Living, LLC Multnomah APS Management: Avant Senior Housing and Consultants, LLC Email: [email protected] 5MA166 Yes Capacity: 14 Units: 14 Other Services: Ashley Manor - Alameda Administrator: Melissa Grimes 1310 SW 12th Ave Facility Phone: (541) 889-6280 Orig Lic. Date: 1998-04-24 Ontario, OR 97914 Facility Fax: (541) 889-6302 Renewal Date :2020-04-30 0 County: Malheur Owner: Ashley Manor, L.L.C. Ontario MSO Management: Ashley Manor, L.L.C. Email: [email protected] 50R295 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Anique Administrator: Jeff Payton 525 Anique Ln Facility Phone: (541) 474-4376 Orig Lic. Date: 2002-03-18 Grants Pass, OR 97526 Facility Fax: (541) 474-4598 Renewal Date :2019-05-31 0 County: Josephine Owner: Ashley Manor, L.L.C. Grants Pass MSO Management: Ashley Manor, L.L.C. Email: anique@ashleycares .com

Monday, October 1, 2018 Page 3 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R274 Non Medicaid Capacity: 11 Units: 11 Other Services: Ashley Manor - Arrowhead Administrator: Mikaela Elder 3853 Arrowhead Dr. Facility Phone: (541) 282-0467 Orig Lic. Date: 2001-04-16 Medford, OR 97504 Facility Fax: (541) 770-6545 Renewal Date :2019-05-31 0 County: Jackson Owner: Ashley Manor, L.L.C. Medford AAA Management: Ashley Manor, L.L.C. Email: [email protected] 50R288 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Athens Administrator: Barbara Copeland 1514 Athens Ave. Facility Phone: (541) 278-6776 Orig Lic. Date: 2001-10-01 Pendleton, OR 97801 Facility Fax: (541) 278-6776 Renewal Date :2019-04-30 0 County: Umatilla Owner: Ashley Manor, L.L.C. Pendleton MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA246 Yes Capacity: 14 Units: 14 Other Services: Ashley Manor - Brookhurst Administrator: Alva Kilpatrick 2146 Brookhurst Facility Phone: (541) 618-9050 Orig Lic. Date: 2000-05-01 Medford, OR 97504 Facility Fax: (541) 773-7438 Renewal Date :2019-05-31 0 County: Jackson Owner: Ashley Manor, L.L.C. Medford AAA Management: Ashley Manor, L.L.C. Email: [email protected] 50R281 Yes Capacity: 15 Units: 11 Other Services: Ashley Manor - Conners Administrator: Colleen Belmontes 2853 NE Conners Ave. Facility Phone: (541) 383-4400 Orig Lic. Date: 2001-07-26 Bend, OR 97701 Facility Fax: (541) 383-4984 Renewal Date :2019-04-30 0 County: Deschutes Owner: Ashley Manor, L.L.C. Bend MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA255 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Heidi Lane Administrator: Cory Bull 2144 NW Heidi Lane Facility Phone: (541) 955-1816 Orig Lic. Date: 2000-09-25 Grants Pass, OR 97526 Facility Fax: (541) 955-0774 Renewal Date :2019-05-31 0 County: Josephine Owner: Ashley Manor, L.L.C. Grants Pass MSO Management: Ashley Manor, L.L.C. Email: [email protected] 50R306 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Homedale Administrator: Susan Kohlleppel 44 North Homedale Rd. Facility Phone: (541) 850-3770 Orig Lic. Date: 2002-11-27 Klamath Falls, OR 97601 Facility Fax: (541) 273-1220 Renewal Date :2017-05-31 0 County: Klamath Owner: Ashley Manor, L.L.C. Klamath Falls Management: Ashley Manor, L.L.C. Email: [email protected]

Monday, October 1, 2018 Page 4 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M204 Yes Capacity: 9 Units: 9 Other Services: Ashley Manor - Lund Lane Administrator: Debbie Howerton 1040 Lund Lane Facility Phone: (541) 524-9880 Orig Lic. Date: 1999-08-13 Baker City, OR 97814 Facility Fax: (541) 523-3091 Renewal Date :2019-08-31 0 County: Baker Owner: Ashley Manor, L.L.C. Baker City MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA238 Yes Capacity: 15 Units: 11 Other Services: Ashley Manor - Meadow Lakes Administrator: Kim Sprengel 228 SW Meadow Lakes Drive Facility Phone: (541) 447-5816 Orig Lic. Date: 2000-03-03 Prineville, OR 97754 Facility Fax: (541) 447-1546 Renewal Date :2019-04-30 0 County: Crook Owner: Ashley Manor, L.L.C. Prineville MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA241 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Oak Administrator: Renee Davidson 572 NE Oak Street Facility Phone: (541) 475-7635 Orig Lic. Date: 2000-03-29 Madras, OR 97741 Facility Fax: (541) 475-3981 Renewal Date :2019-04-30 0 County: Jefferson Owner: Ashley Manor, L.L.C. Madras MSO Management: Ashley Manor, L.L.C. Email: [email protected] 50M267 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Pacific Heights Administrator: Kassandra LaGrander 1995 8th St. Facility Phone: (541) 387-4514 Orig Lic. Date: 2001-03-08 Hood River, OR 97031 Facility Fax: (541) 387-0249 Renewal Date :2019-04-30 0 County: Hood River Owner: Ashley Manor, L.L.C. The Dalles MSO Management: Ashley Manor, L.L.C. Email: [email protected] 50M265 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Rimrock Administrator: Jennifer Oney 1600 SW Rimrock Way Facility Phone: (541) 504-8855 Orig Lic. Date: 2001-02-20 Redmond, OR 97756 Facility Fax: (541) 504-8510 Renewal Date :2017-04-30 0 County: Deschutes Owner: Ashley Manor, L.L.C. Bend MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA233 Yes Capacity: 30 Units: 30 Other Services: Ashley Manor - Roseburg Administrator: Robin Gress 427 SE Ramp St. Facility Phone: (541) 464-0961 Orig Lic. Date: 2000-02-07 Roseburg, OR 97470 Facility Fax: (541) 672-2713 Renewal Date :2019-11-30 0 County: Douglas Owner: Ashley Manor LLC Roseburg AAA Management: Ashley Manor LLC Email: [email protected]

Monday, October 1, 2018 Page 5 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

5MA003 Yes Capacity: 40 Units: 30 Other Services: Ashley Manor - Sage Administrator: Kathleen Baity 1325 SW Sage Facility Phone: (541) 567-1991 Orig Lic. Date: 1992-12-01 Hermiston, OR 97838 Facility Fax: (541) 567-3252 Renewal Date :2019-02-28 0 County: Umatilla Owner: Ashley Manor, LLC Pendleton MSO Management: Ashley Manor, L.L.C. Email: [email protected] 50M220 Yes Capacity: 15 Units: 15 Other Services: Ashley Manor - Shasta Administrator: Renee Davidson 475 S Shasta Pl. Longview Div. Facility Phone: (541) 573-3029 Orig Lic. Date: 1999-03-24 Burns, OR 97720 Facility Fax: (541) 573-3049 Renewal Date :2019-03-31 0 County: Harney Owner: Ashley Manor, L.L.C. Burns MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA206 Non Medicaid Capacity: 10 Units: 10 Other Services: Ashley Manor - Well Springs Administrator: Lindsay Wilson 2110 SW 2nd Avenue Facility Phone: (541) 881-9136 Orig Lic. Date: 1999-08-13 Ontario, OR 97914 Facility Fax: (541) 881-9165 Renewal Date :2019-08-31 0 County: Malheur Owner: Ashley Manor, L.L.C. Ontario MSO Management: Ashley Manor, L.L.C. Email: [email protected] 5MA221 Yes Capacity: 43 Units: 42 Other Services: MC, ACU 42 Aspen Ridge Memory Care Administrator: Simeon Purkey 1025 NE Purcell Blvd Facility Phone: (541) 385-8500 Orig Lic. Date: 1999-05-26 Bend, OR 97701 Facility Fax: (541) 312-6674 Renewal Date :2019-01-31 0 County: Deschutes Owner: FM Aspen MC, LLC Bend MSO Management: Frontier Management, LLC Email: [email protected] 70M217 Yes Capacity: 95 Units: 65 Other Services: Aspen Ridge Retirement Community Administrator: Bryan Carnahan 1010 NE Purcell Facility Phone: (541) 385-8500 Orig Lic. Date: 1999-09-13 Bend, OR 97701 Facility Fax: (541) 330-6687 Renewal Date :2019-01-31 0 County: Deschutes Owner: FM Aspen Ret, LLC Bend MSO Management: Frontier Management, LLC Email: [email protected] 70M005 Yes Capacity: 48 Units: 40 Other Services: Aspens (The) Administrator: Ryan Dupuy 210 Roe Davis Ave Facility Phone: (541) 573-2222 Orig Lic. Date: 1996-03-07 Hines, OR 97738 Facility Fax: (541) 573-2224 Renewal Date :2020-02-28 0 County: Harney Owner: Harney Pioneer Homes, Inc Burns MSO Management: Concepts in Community Living, Inc. Email: [email protected]

Monday, October 1, 2018 Page 6 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A278 Yes Capacity: 84 Units: 77 Other Services: Assumption Village Administrator: Stacey Munsell 9121 N. Burr Avenue Facility Phone: (503) 283-5644 Orig Lic. Date: 2002-05-29 Portland, OR 97203 Facility Fax: (503) 283-5692 Renewal Date :2018-05-31 0 County: Multnomah Owner: Assumption Village LLC NE Portland ASO/DSO Management: S.A.G.E. Email: [email protected] 70M007 Non Medicaid Capacity: 34 Units: 28 Other Services: Astor Place Administrator: Rosie Ojala 999 Klaskanine Ave Facility Phone: (503) 325-6970 Orig Lic. Date: 1996-08-20 Astoria, OR 97103 Facility Fax: (503) 325-9555 Renewal Date :2019-07-31 0 County: Clatsop Owner: ASTOR AID OPCO, LLC Warrenton NWSDS Management: Enlivant AID (KB) Mgmt, LLC Email: [email protected] 50R327 Yes Capacity: 33 Units: 17 Other Services: MC, ACU 33 Atrium at Flagstone, The Administrator: Karen Wilson 3325 Columbia View Dr. Facility Phone: (541) 298-5656 Orig Lic. Date: 2004-08-13 The Dalles, OR 97058 Facility Fax: (541) 298-1535 Renewal Date :2018-10-31 0 County: Wasco Owner: Flagstone Operations, LLC. The Dalles Management: Milestone Retirement Communities, LLC Email: [email protected] 5MA162 Yes Capacity: 50 Units: 25 Other Services: MC, ACU 50 Atrium at McLoughlin Place, The Administrator: Jonathon Lobley 1153 Molalla Ave Facility Phone: (503) 655-3337 Orig Lic. Date: 1997-03-01 Oregon City, OR 97045 Facility Fax: (503) 656-6939 Renewal Date :2018-10-31 0 County: Clackamas Owner: McLoughlin Place Operations, LLC Clackamas AAA Management: Milestone Retirement Communities, LLC Email: [email protected] 50M006 Yes Capacity: 10 Units: 10 Other Services: ACU 10 Autumn Garden Home RCF, LLC Administrator: Silviu Bumb 6215 SE Hazel Ave. Facility Phone: (503) 771-5305 Orig Lic. Date: 1980-01-01 Portland, OR 97206 Facility Fax: (503) 771-5305 Renewal Date :2020-03-31 0 County: Clackamas Owner: Autumn Garden Home RCF, LLC Milwaukie SPD Management: Autumn Garden Home RCF, LLC Email: [email protected] 50R343 Yes Capacity: 15 Units: 11 Other Services: MC, ACU 15 Autumn House of Grants Pass Administrator: Robyn Vierra PO Bx 1419 2268 Williams Hwy Facility Phone: (541) 474-6399 Orig Lic. Date: 2006-09-22 Grants Pass, OR 97528 Facility Fax: (541) 474-6736 Renewal Date :2018-09-30 0 County: Josephine Owner: Pacific Living Centers, Inc. Grants Pass SDS Management: Pacific Living Centers, Inc. Email: [email protected]

Monday, October 1, 2018 Page 7 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M247 Yes Capacity: 60 Units: 50 Other Services: Avamere at Albany Administrator: McKenzie Worden 2800 14th Ave. SE Facility Phone: (541) 928-9494 Orig Lic. Date: 2000-10-06 Albany, OR 97321 Facility Fax: (541) 812-9198 Renewal Date :2019-02-28 0 County: Linn Owner: NorthWest HC Cambridge Terrace (OR) Operator NT- Albany SSO Management: Albany Operations, LLC Email: [email protected] 50R320 Yes Capacity: 26 Units: 13 Other Services: MC, ACU 26 Avamere at Bethany Administrator: Matthew Williams 16360 NW Avamere Court Facility Phone: (503) 690-2402 Orig Lic. Date: 2003-08-29 Portland, OR 97229 Facility Fax: (503) 690-2134 Renewal Date :2019-09-30 0 County: Washington Owner: Avamere Bethany Operations, LLC WCDAVS Management: Avamere Bethany Operations, LLC Email: [email protected] 70A291 Yes Capacity: 90 Units: 71 Other Services: Avamere at Bethany Assisted Living Facility Administrator: Alex McVay 16360 NW Avamere Court Facility Phone: (503) 690-2402 Orig Lic. Date: 2003-08-08 Portland, OR 97229 Facility Fax: (503) 690-2134 Renewal Date :2019-08-31 0 County: Washington Owner: Avamere Bethany Operations, LLC Hillsboro Management: Avamere-Bethany Operations, LLC Email: [email protected] 70M228 Yes Capacity: 55 Units: 50 Other Services: Avamere at Cascadia Village Administrator: Terry Braun 39495 Cascadia Village Drive Facility Phone: (503) 668-0300 Orig Lic. Date: 2000-02-04 Sandy, OR 97055 Facility Fax: (503) 668-1154 Renewal Date :2019-02-28 0 County: Clackamas Owner: NorthWest HC Cascadia Village (OR) Operator NT-H Clackamas AAA Management: Cascadia Village Operations, LLC Email: [email protected] 70A290 Yes Capacity: 78 Units: 70 Other Services: Avamere at Chestnut Lane Administrator: Renee Vairora 1219 NE 6th Street Facility Phone: (503) 674-0364 Orig Lic. Date: 2003-08-11 Gresham, OR 97030 Facility Fax: (503) 674-9904 Renewal Date :2020-06-30 0 County: Multnomah Owner: Chestnut Lane Operations, LLC Mid-Mult ASD Management: Chestnut Lane Operations, LLC Email: [email protected] 70M040 Yes Capacity: 63 Units: 57 Other Services: Avamere at Hermiston Administrator: Lori Scheel 980 W Highland Ave Facility Phone: (541) 237-0973 Orig Lic. Date: 1996-05-16 Hermiston, OR 97838 Facility Fax: (541) 567-7863 Renewal Date :2020-06-30 0 County: Umatilla Owner: Hermiston Highland Operations, LLC Hermiston MSO Management: Hermiston Highland Operations, LLC Email: [email protected]

Monday, October 1, 2018 Page 8 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

5MA261 Yes Capacity: 24 Units: 12 Other Services: MC, ACU 24 Avamere at Hillsboro Administrator: Yeymi Avalos 2000 SE 30th Avenue Facility Phone: (503) 693-9944 Orig Lic. Date: 2000-11-06 Hillsboro, OR 97123 Facility Fax: (503) 640-6654 Renewal Date :2018-11-30 0 County: Washington Owner: Avamere-Hillsboro Operations, LLC WCDAVS Management: Avamere-Hillsboro Operations, LLC Email: [email protected] 70M245 Yes Capacity: 75 Units: 65 Other Services: Avamere at Hillsboro Assisted Living Facility Administrator: Mark Bruhns 2000 SE 30th Ave. Facility Phone: (503) 693-9944 Orig Lic. Date: 2000-09-26 Hillsboro, OR 97123 Facility Fax: (503) 640-6654 Renewal Date :2020-09-30 0 County: Washington Owner: Avamere Hillsboro Operations, LLC WCDAVS Management: Avamere-Hillsboro Operations, LLC Email: [email protected] 5MA259 Yes Capacity: 22 Units: 22 Other Services: MC, ACU 22 Avamere at Newberg Administrator: Colby Strunk 730 Foothills Dr. Facility Phone: (503) 554-0767 Orig Lic. Date: 2000-10-02 Newberg, OR 97132 Facility Fax: (503) 554-0436 Renewal Date :2020-10-31 0 County: Yamhill Owner: Genesis Newberg Operation Company, LLC McMinnville NWSDS Management: Genesis Newberg Operation Company, LLC Email: [email protected] 70M225 Yes Capacity: 76 Units: 63 Other Services: Avamere at Oak Park Administrator: Tricia Radford 1400 NE Rocky Ridge Dr. Facility Phone: (541) 464-5656 Orig Lic. Date: 2000-01-05 Roseburg, OR 97470 Facility Fax: (541) 677-7063 Renewal Date :2019-02-28 0 County: Douglas Owner: NorthWest HC Oak Park (OR) Operator NT-HCI, LLC Roseburg AAA Management: Roseburg Operations, LLC Email: [email protected] 70M070 Yes Capacity: 130 Units: 112 Other Services: Avamere at Park Place Administrator: Ryan Duve 8445 SW Hemlock St Facility Phone: (503) 376-0785 Orig Lic. Date: 1990-02-01 Portland, OR 97223 Facility Fax: (503) 246-2689 Renewal Date :2020-06-30 0 County: Washington Owner: Tigard Operations, LLC WCDAVS Management: Tigard Operations, LLC Email: [email protected] 5MA249 Yes Capacity: 24 Units: 20 Other Services: MC, ACU 24 Avamere at Sandy Administrator: Cathi Davenport 17727 SE Langensand Rd Facility Phone: (503) 668-4199 Orig Lic. Date: 2000-07-05 Sandy, OR 97055 Facility Fax: (503) 668-7758 Renewal Date :2020-07-31 0 County: Clackamas Owner: Avamere-Sandy Operations, LLC Estacada SPD Management: Avamere Sandy Operations, LLC Email: [email protected]

Monday, October 1, 2018 Page 9 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M231 Yes Capacity: 65 Units: 55 Other Services: Avamere at Sandy Assisted Living Facility Administrator: Alex Vinokurov 17727 SE Langensand Facility Phone: (503) 668-4199 Orig Lic. Date: 2000-03-31 Sandy, OR 97055 Facility Fax: (503) 668-7758 Renewal Date :2020-03-31 0 County: Clackamas Owner: Avamere-Sandy Operations, LLC Estacada SPD Management: Avamere-Sandy Operations, LLC Email: [email protected] 70A275 Yes Capacity: 64 Units: 41 Other Services: Avamere at Seaside Administrator: Lovella Burchfield 2500 S. Roosevelt Dr. Facility Phone: (503) 738-0900 Orig Lic. Date: 2002-04-25 Seaside, OR 97138 Facility Fax: (503) 738-0903 Renewal Date :2019-04-30 0 County: Clatsop Owner: Necanicum Operations, LLC Warrenton NWSDS Management: Necanicum Operations, LLC Email: [email protected] 50R296 Yes Capacity: 40 Units: 27 Other Services: MC, ACU 40 Avamere at Seaside Residential Care Facility Administrator: Jessica Riches 2500 S. Roosevelt Dr. Facility Phone: (503) 738-0900 Orig Lic. Date: 2002-04-25 Seaside, OR 97138 Facility Fax: (503) 738-0903 Renewal Date :2019-04-30 0 County: Clatsop Owner: Necanicum Operations, LLC Warrenton NWSDS Management: Necanicum Operations, LLC Email: [email protected] 5MA245 Yes Capacity: 24 Units: 12 Other Services: MC, ACU 24 Avamere at Sherwood Administrator: Kristi Luce 16500 SW Century Drive Facility Phone: (503) 625-7333 Orig Lic. Date: 2000-04-25 Sherwood, OR 97140 Facility Fax: (503) 625-6565 Renewal Date :2020-02-28 0 County: Washington Owner: Avamere Sherwood Operations, LLC WCDAVS Management: Avamere-Sherwood Operations, LLC Email: [email protected] 70M227 Yes Capacity: 65 Units: 55 Other Services: Avamere at Sherwood Assisted Living Facility Administrator: Patty Odenborg 16500 SW Century Dr. Facility Phone: (503) 625-7333 Orig Lic. Date: 2000-01-28 Sherwood, OR 97140 Facility Fax: (503) 625-6565 Renewal Date :2020-02-28 0 County: Washington Owner: Avamere Sherwood Operations, LLC WCDAVS Management: Avamere-Sherwood Operations, LLC Email: [email protected] 50R275 Yes Capacity: 28 Units: 14 Other Services: MCC, ACU 28 Avamere at St. Helens Administrator: Shaundel Chong-Martinez 2400 Gable Rd. Facility Phone: (503) 366-8070 Orig Lic. Date: 2001-04-09 St. Helens, OR 97051 Facility Fax: (503) 366-8088 Renewal Date :2019-04-30 0 County: Columbia Owner: Avamere - St. Helens Operations, LLC St. Helens MSO Management: Avamere-St. Helens Operations, LLC Email: [email protected]

Monday, October 1, 2018 Page 10 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50A235 Non Medicaid Capacity: 20 Units: 15 Other Services: MC, ACU 20 Avamere at Waterford Administrator: Alicia Reedy 760 Spring Street Facility Phone: (541) 773-7718 Orig Lic. Date: 2000-02-14 Medford, OR 97504 Facility Fax: (541) 773-7719 Renewal Date :2018-10-31 0 County: Jackson Owner: Waterford Operations, LLC Medford Management: Waterford Operations, LLC Email: [email protected] 70M218 Yes Capacity: 85 Units: 68 Other Services: Avamere at Waterford Assisted Living Facility Administrator: Alicia Reedy 760 Spring Street Facility Phone: (541) 773-7718 Orig Lic. Date: 1999-06-23 Medford, OR 97504 Facility Fax: (541) 857-5139 Renewal Date :2018-10-31 0 County: Jackson Owner: Waterford Operations, LLC Medford SSO Management: Waterford Operations, LLC Email: [email protected] 50R068 Yes Capacity: 63 Units: 53 Other Services: Avamere Court at Keizer RCF Administrator: Rebecca Tlusty 5210 River Road N Facility Phone: (503) 393-3624 Orig Lic. Date: 1992-07-31 Keizer, OR 97307 Facility Fax: (503) 393-0108 Renewal Date :2019-03-31 0 County: Marion Owner: Keizer Campus Operations, LLC Salem NWSDS Management: Keizer Campus Operations, LLC Email: [email protected] 70M208 Yes Capacity: 70 Units: 54 Other Services: Avamere Living at Newberg Administrator: Colby Strunk 730 Foothills Drive Facility Phone: (503) 554-0767 Orig Lic. Date: 1999-04-08 Newberg, OR 97132 Facility Fax: (503) 554-0436 Renewal Date :2019-04-30 0 County: Yamhill Owner: Genesis Newberg Operation Company, LLC McMinnville NWSDS Management: Genesis Newberg Operation Company, LLC Email: [email protected] 70M258 Yes Capacity: 70 Units: 52 Other Services: Avamere Living at St. Helens Administrator: Brett Woodyard 2400 Gable Rd. Facility Phone: (503) 366-8070 Orig Lic. Date: 2001-03-12 St. Helens, OR 97051 Facility Fax: (503) 366-8088 Renewal Date :2019-03-31 0 County: Columbia Owner: Avamere - St. Helens Operations, LLC St. Helens MSO Management: Avamere-St.Helens Operations, LLC Email: [email protected] 70M008 Non Medicaid Capacity: 49 Units: 46 Other Services: Awbrey Place Administrator: Bryan Rees 2825 Neff Rd Facility Phone: (541) 317-8464 Orig Lic. Date: 1995-11-18 Bend, OR 97701 Facility Fax: (541) 317-4147 Renewal Date :2019-07-31 0 County: Deschutes Owner: AWBREY AID OPCO, LLC Bend MSO Management: Enlivant AID (Oregon) Mgmt, LLC Email: [email protected]

Monday, October 1, 2018 Page 11 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M055 Yes Capacity: 42 Units: 36 Other Services: Azalea Gardens Senior Living Administrator: Kimberley Jensen 755 Elk Drive Facility Phone: (541) 469-7182 Orig Lic. Date: 1996-08-08 Brookings, OR 97415 Facility Fax: (541) 469-5672 Renewal Date :2020-06-30 0 County: Curry Owner: Brookings Senior Living, LLC Gold Beach MSO Management: Mosaic Management, Inc. Email: [email protected] 50R439 Non Medicaid Capacity: 16 Units: 14 Other Services: Barbur Vista Administrator: Alma Fernandez 9451 SW Barbur Boulevard Facility Phone: (503) 977-0606 Orig Lic. Date: 2016-09-28 Portland, OR 97219 Facility Fax: Renewal Date :2020-09-30 0 County: Multnomah Owner: Peaks and Valleys, LLC Multnomah Management: Peaks and Valleys, LLC Email: [email protected] 50R407 Non Medicaid Capacity: 15 Units: 15 Other Services: MC, ACU 15 Bartlett House of Medford Memory Care Community Administrator: Christina Stanley 3465 Lone Pine Rd Facility Phone: (541) 245-9814 Orig Lic. Date: 2014-03-31 Medford, OR 97504 Facility Fax: (541) 245-9819 Renewal Date :2020-03-31 0 County: Jackson Owner: Pacific Living Centers, Inc. Medford SSO Management: Pacific Living Centers, Inc. Email: [email protected] 70A307 Yes Capacity: 62 Units: 48 Other Services: Bayberry Commons Assisted Living Administrator: Patty Neuman 2211 Laura Street Facility Phone: (541) 744-7000 Orig Lic. Date: 2007-04-06 Springfield, OR 97477 Facility Fax: (541) 744-7999 Renewal Date :2019-04-30 0 County: Lane Owner: Bayberry Commons, Inc. Eugene AAA Management: Ridgeline Management Co. Email: [email protected] 50R347 Yes Capacity: 14 Units: 14 Other Services: MCC, ACU 14 Bayberry Commons Memory Care Administrator: Patty Neuman 2211 Laura Street Facility Phone: (541) 744-7000 Orig Lic. Date: 2007-04-06 Springfield, OR 97477 Facility Fax: (541) 744-7999 Renewal Date :2019-04-30 0 County: Lane Owner: Bayberry Commons, Inc. Eugene AAA Management: Ridgeline Management Co. Email: [email protected] 50M138 Yes Capacity: 36 Units: 30 Other Services: Baycrest Assisted Care Administrator: Kathleen Silveira 3959 Sheridan Ave Facility Phone: (541) 756-4151 Orig Lic. Date: 1995-03-31 North Bend, OR 97459 Facility Fax: (541) 751-7715 Renewal Date :2018-12-31 0 County: Coos Owner: Bay Area Properties, LLC Coos Bay MSO Management: Radiant Senior Living, Inc. Email: [email protected]

Monday, October 1, 2018 Page 12 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M067 Yes Capacity: 57 Units: 47 Other Services: Bayside Terrace Assisted Living Administrator: Marilyn Lawson 192 Norman Ave Facility Phone: (541) 888-2255 Orig Lic. Date: 1996-09-23 Coos Bay, OR 97420 Facility Fax: (541) 888-5908 Renewal Date :2019-07-31 0 County: Coos Owner: Bayside Terrace AL MC GR, LLC Coos Bay MSO Management: Frontier Management, LLC Email: [email protected] 50M440 Yes Capacity: 22 Units: 11 Other Services: MCC, ACU 22 Bayside Terrace Memory Care Administrator: Valarie Zito 192 Norman Avenue Facility Phone: (541) 888-2255 Orig Lic. Date: 2016-10-01 Coos Bay, OR 97420 Facility Fax: (541) 888-5908 Renewal Date :2019-07-31 0 County: Coos Owner: Bayside Terrace AL MC GR, LLC Coos Bay Management: Frontier Management, LLC Email: [email protected] 50R408 Yes Capacity: 15 Units: 15 Other Services: Bee Hive Homes of Baker City Administrator: Nicole Howerton 3078 Resort St. Facility Phone: (541) 403-3445 Orig Lic. Date: 2014-04-11 Baker City, OR 97814 Facility Fax: (541) 523-1508 Renewal Date :2018-04-30 0 County: Baker Owner: The Home Place in Baker, LLC Baker City APD Management: Bee Hive Homes of Baker City Email: [email protected] 50M124 Yes Capacity: 30 Units: 30 Other Services: Blue Diamond Estates Administrator: Ligia Pop 87326 McTimmons Lane Facility Phone: (541) 347-9631 Orig Lic. Date: 1985-01-09 Bandon, OR 97411 Facility Fax: (541) 347-9631 Renewal Date :2020-05-31 0 County: Coos Owner: Blue Diamond Estates Corp Coos Bay MSO Management: Blue Diamond Estates Corp Email: [email protected] 50M227 Yes Capacity: 16 Units: 16 Other Services: ACU 16 Blue Haven Memory Care - Dallas Administrator: Tonya Axford-Smith 280 SE Uglow St Facility Phone: (503) 623-0300 Orig Lic. Date: 1997-11-01 Dallas, OR 97338 Facility Fax: (503) 588-7125 Renewal Date :2019-07-31 0 County: Polk Owner: Blue Haven Residential Care Facilities, Inc. Dallas NWSDS Management: Blue Haven Residential Care Facilities, Inc. Email: [email protected] 50M225 Yes Capacity: 16 Units: 16 Other Services: MCC, ACU 16 Blue Haven Memory Care - Independence Administrator: David Wilson 202 South 9th Street Facility Phone: (503) 910-5700 Orig Lic. Date: 1999-10-20 Independence, OR 97351 Facility Fax: (503) 390-5485 Renewal Date :2019-03-31 0 County: Polk Owner: Blue Haven Residential Care Facilities, Inc. Dallas NWSDS Management: Blue Haven Residential Care Facilities, Inc. Email: [email protected]

Monday, October 1, 2018 Page 13 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A235 Non Medicaid Capacity: 60 Units: 54 Other Services: Bonaventure of Albany Assisted Living Administrator: Luis Gonzalez Collazo 420 Geri Street Facility Phone: (541) 497-5600 Orig Lic. Date: 2015-12-07 Albany, OR 97321 Facility Fax: (541) 497-5601 Renewal Date :2017-12-31 0 County: Linn Owner: Mountain West Retirement Corporation Albany Management: Bonaventure Senior Living Email: [email protected] 50R430 Non Medicaid Capacity: 23 Units: 22 Other Services: MC, ACU 23 Bonaventure of Albany Memory Care Administrator: Jessica Robinson 420 Geri Street Facility Phone: (541) 497-5600 Orig Lic. Date: 2015-12-07 Albany, OR 97321 Facility Fax: (541) 497-5601 Renewal Date :2017-12-31 0 County: Linn Owner: Mountain West Retirement Corporation Albany Management: Bonaventure Senior Living Email: [email protected] 70A327 Non Medicaid Capacity: 72 Units: 57 Other Services: Bonaventure of Gresham Assisted Living Administrator: Christina Carney 22514 SE Stark Facility Phone: (503) 328-0010 Orig Lic. Date: 2016-11-04 Gresham, OR 97030 Facility Fax: (503) 328-0011 Renewal Date :2018-11-30 0 County: Multnomah Owner: Bonaventure of Gresham, LLC Multnomah Management: Bonaventure Senior Living Email: [email protected] 50R442 Non Medicaid Capacity: 27 Units: 24 Other Services: MC, ACU 27 Bonaventure of Gresham Memory Care Administrator: Danielle Raichel 22514 SE Stark Street Facility Phone: (503) 328-0010 Orig Lic. Date: 2016-11-04 Gresham, OR 97030 Facility Fax: (503) 328-0011 Renewal Date :2018-11-30 0 County: Multnomah Owner: Bonaventure of Gresham, LLC Multnomah Management: Bonaventure Senior Living Email: [email protected] 70A328 Non Medicaid Capacity: 69 Units: 59 Other Services: Bonaventure of Keizer Assisted Living Administrator: Chloe Gray 5525 McLeod Lane NE Facility Phone: (503) 689-8084 Orig Lic. Date: 2017-03-30 Keizer, OR 97303 Facility Fax: (503) 689-8078 Renewal Date :2019-03-31 0 County: Marion Owner: Bonaventure of Keizer, LLC NWSDS Management: Bonaventure Senior Living Email: [email protected] 50R447 Non Medicaid Capacity: 27 Units: 23 Other Services: MCC, ACU 27 Bonaventure of Keizer Memory Care Administrator: Trista Bush 5525 McLeod Lane NE Facility Phone: (503) 689-8084 Orig Lic. Date: 2017-03-30 Keizer, OR 97303 Facility Fax: (503) 689-8078 Renewal Date :2019-03-31 0 County: Marion Owner: Bonaventure of Keizer, LLC NWSDS Management: Bonaventure Senior Living Email: [email protected]

Monday, October 1, 2018 Page 14 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A332 Non Medicaid Capacity: 69 Units: 57 Other Services: Bonaventure of Medford Assisted Living Administrator: Mandy Shelton 2530 East McAndrews Road Facility Phone: (503) 930-8750 Orig Lic. Date: 2017-11-27 Medford, OR 97504 Facility Fax: (503) 930-8751 Renewal Date :2019-11-30 0 County: Jackson Owner: Bonaventure of Medford, LLC Medford Management: Bonaventure Senior Living Email: [email protected] 50R453 Non Medicaid Capacity: 25 Units: 23 Other Services: ACU 25 Bonaventure of Medford Memory Care Administrator: Theresa (Becky) McCoy 2530 East McAndrews Road Facility Phone: (541) 930-8750 Orig Lic. Date: 2017-11-27 Medford, OR 97504 Facility Fax: (541) 930-8751 Renewal Date :2019-11-30 0 County: Jackson Owner: Bonaventure of Medford, LLC Medford Management: Bonaventure Senior Living Email: [email protected] 70A320 Non Medicaid Capacity: 65 Units: 52 Other Services: Bonaventure of Salem Assisted Living Administrator: Mckenzie Owens 3411 Boone Rd SE Facility Phone: (503) 480-0004 Orig Lic. Date: 2012-08-22 Salem, OR 97317 Facility Fax: (503) 480-0104 Renewal Date :2018-08-31 0 County: Marion Owner: Bonaventure of Salem, LLC Woodburn ADS Management: Bonaventure Senior Living Email: [email protected] 50R385 Non Medicaid Capacity: 24 Units: 24 Other Services: MC, ACU 24 Bonaventure of Salem Memory Care Administrator: Michelle O'Neil 3411 Boone Rd SE Facility Phone: (503) 480-0004 Orig Lic. Date: 2012-08-22 Salem, OR 97317 Facility Fax: (503) 480-0104 Renewal Date :2018-08-31 0 County: Marion Owner: Bonaventure of Salem, LLC Woodburn ADS Management: Bonaventure Senior Living Email: [email protected] 70A301 Non Medicaid Capacity: 69 Units: 59 Other Services: Bonaventure of Tigard Assisted Living Administrator: Danielle Richardson 15000 SW Hall Blvd Facility Phone: (503) 214-4200 Orig Lic. Date: 2016-02-17 Tigard, OR 97224 Facility Fax: (503) 214-4201 Renewal Date :2020-02-28 0 County: Washington Owner: Bonaventure of Tigard, LLC Tigard Management: Bonaventure Senior Living Email: [email protected] 50R432 Non Medicaid Capacity: 23 Units: 23 Other Services: ACU 23 Bonaventure of Tigard Memory Care Administrator: Tonya Harrington 15000 SW Hall Blvd Facility Phone: (503) 214-4200 Orig Lic. Date: 2016-02-17 Tigard, OR 97224 Facility Fax: (503) 214-4201 Renewal Date :2020-02-28 0 County: Washington Owner: Bonaventure of Tigard, LLC Tigard Management: Bonaventure Senior Living Email: [email protected]

Monday, October 1, 2018 Page 15 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A266 Yes Capacity: 77 Units: 63 Other Services: Bridge Assisted Living, The Administrator: Matt Tartaglio 201 SW Bridge St. Facility Phone: (541) 956-2110 Orig Lic. Date: 2001-09-18 Grants Pass, OR 97526 Facility Fax: (541) 956-2109 Renewal Date :2019-04-30 0 County: Josephine Owner: Grants Pass Assisted Living, LLC Grants Pass MSO Management: Woollard Ipsen Management, LLC Email: [email protected] 50A253 Yes Capacity: 58 Units: 31 Other Services: MC, ACU 58 Bridgecreek Memory Care Community Administrator: Kim Jensen 1401 S 12th St Facility Phone: (541) 259-1779 Orig Lic. Date: 2000-09-07 Lebanon, OR 97355 Facility Fax: (541) 259-2012 Renewal Date :2020-02-28 0 County: Linn Owner: Bridgecreek Investors, LLC Albany SSO Management: Aidan Health Services, Inc. Email: [email protected] 70M009 Yes Capacity: 50 Units: 40 Other Services: Bridgewood Rivers Assisted Living Administrator: Teresa Courtney 1901 NW Hughwood Drive Facility Phone: (541) 440-1914 Orig Lic. Date: 1990-06-01 Roseburg, OR 97471 Facility Fax: (541) 440-9009 Renewal Date :2019-05-31 0 County: Douglas Owner: Cascade Living Group - Oregon, LLC Roseburg Management: Cascade Living Group - Oregon, LLC Email: [email protected] 50R368 Yes Capacity: 35 Units: 19 Other Services: MC, ACU 35 Brightcreek at Sea View Administrator: Audrey Sims 98059 Gerlach Lane Facility Phone: (541) 469-4500 Orig Lic. Date: 2010-06-01 Brookings, OR 97415 Facility Fax: (541) 469-4522 Renewal Date :2018-10-31 0 County: Curry Owner: Sea View Assisted Living Community, LLC Brookings/Harbor SPD Management: Seasons Management, LLC Email: [email protected] 70A062 Yes Capacity: 45 Units: 38 Other Services: Brookdale Ashland Administrator: Amanda Randolph 548 North Main Street Facility Phone: (541) 482-3292 Orig Lic. Date: 1997-07-16 Ashland, OR 97520 Facility Fax: (541) 488-6988 Renewal Date :2020-08-31 0 County: Jackson Owner: Emeritus Corporation Medford Management: Emeritus Corporation Email: [email protected] 50A232 Yes Capacity: 60 Units: 52 Other Services: MC, ACU 60 Brookdale Beaverton Administrator: JoAnne Gange 16655 NW Walker Rd Facility Phone: (503) 439-1653 Orig Lic. Date: 2000-01-25 Beaverton, OR 97006 Facility Fax: (503) 439-1654 Renewal Date :2019-11-30 0 County: Washington Owner: Brookdale Senior Living Communities, Inc. WCDAVS Management: Brookdale Senior Living Communities, Inc. Email: [email protected]

Monday, October 1, 2018 Page 16 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50A263 Yes Capacity: 59 Units: 46 Other Services: MC, ACU 59 Brookdale Bend Administrator: Jonnie Becker 1099 NE Watt Way Facility Phone: (541) 385-4717 Orig Lic. Date: 2000-11-30 Bend, OR 97701 Facility Fax: (541) 385-5232 Renewal Date :2019-11-30 0 County: Deschutes Owner: Brookdale Senior Living Communities, Inc. Bend MSO Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 70M234 Yes Capacity: 70 Units: 62 Other Services: Brookdale Eagle Point Administrator: Ashley Pine 261 Loto Street Facility Phone: (541) 830-0355 Orig Lic. Date: 2000-04-21 Eagle Point, OR 97524 Facility Fax: (541) 830-0524 Renewal Date :2020-08-31 0 County: Jackson Owner: Emeritus Corporation Medford AAA Management: Emeritus Corporation Email: [email protected] 50R279 Yes Capacity: 64 Units: 64 Other Services: MC, ACU 64 Brookdale Eugene Alpine Court Memory Care Administrator: Dara Luras 3720 N. Clarey St Facility Phone: (541) 689-3900 Orig Lic. Date: 2001-06-13 Eugene, OR 97402 Facility Fax: (541) 689-5622 Renewal Date :2018-08-31 0 County: Lane Owner: Emeritus Corporation Eugene SSO Management: Premier Senior Living, LLC Email: [email protected] 70M202 Yes Capacity: 80 Units: 70 Other Services: Brookdale Eugene Alpine Springs Administrator: Heather Martinez 3760 N. Clarey St. Facility Phone: (541) 607-9525 Orig Lic. Date: 1999-06-25 Eugene, OR 97402 Facility Fax: (541) 607-5589 Renewal Date :2018-08-31 0 County: Lane Owner: Emeritus Corporation Eugene SSO Management: Premier Senior Living, LLC Email: [email protected] 5MA146 Yes Capacity: 110 Units: 88 Other Services: Brookdale Forest Grove Administrator: Bradley Flynn 3110 19th Ave Facility Phone: (503) 357-3288 Orig Lic. Date: 1980-01-01 Forest Grove, OR 97116 Facility Fax: (503) 359-1407 Renewal Date :2019-11-30 0 County: Washington Owner: Brookdale Senior Living Communities, Inc. WCDAVS Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 70M016 Yes Capacity: 80 Units: 70 Other Services: Brookdale Geary Street Administrator: Racheal Catt 2445 Geary St SE Facility Phone: (541) 926-8200 Orig Lic. Date: 1997-07-01 Albany, OR 97321 Facility Fax: (541) 926-8300 Renewal Date :2019-11-30 0 County: Linn Owner: Brookdale Senior Living Communities, Inc. Albany SSO Management: Brookdale Senior Living Communities, Inc. Email: [email protected]

Monday, October 1, 2018 Page 17 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R403 Yes Capacity: 44 Units: 32 Other Services: MC, ACU 44 Brookdale Geary Street Memory Care Administrator: Allison Smith-Goodwin 2445 Geary St SE Facility Phone: (541) 926-8200 Orig Lic. Date: 2014-04-10 Albany, OR 97321 Facility Fax: (541) 926-8300 Renewal Date :2020-04-30 0 County: Linn Owner: Brookdale Senior Living Communities, Inc. Albany APD Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 5MA269 Yes Capacity: 64 Units: 56 Other Services: MC, ACU 64 Brookdale Grants Pass Pointe Administrator: Shyrlee Stagner 1400 Redwood Circle Facility Phone: (541) 474-2838 Orig Lic. Date: 2001-03-15 Grants Pass, OR 97527 Facility Fax: (541) 956-0190 Renewal Date :2018-08-31 0 County: Josephine Owner: S-H OpCo Spring Pointe, LLC Grants Pass MSO Management: BKD Twenty-One Management, Inc. Email: [email protected] 70M254 Yes Capacity: 90 Units: 83 Other Services: Brookdale Grants Pass Village Administrator: Eunice Silva 1420 Redwood Circle Facility Phone: (541) 474-0200 Orig Lic. Date: 2001-02-01 Grants Pass, OR 97527 Facility Fax: (541) 474-5012 Renewal Date :2018-08-31 0 County: Josephine Owner: S-H OpCO Spring Village, LLC Grants Pass MSO Management: BKD Twenty-One Management, Inc. Email: [email protected] 70A297 Yes Capacity: 95 Units: 83 Other Services: Brookdale Lebanon Administrator: Travis Rice 181 South 5th Street Facility Phone: (541) 258-7706 Orig Lic. Date: 2005-12-09 Lebanon, OR 97355 Facility Fax: (541) 258-2233 Renewal Date :2020-08-31 0 County: Linn Owner: Emeritus Corporation Albany SSO Management: Emeritus Corporation Email: [email protected] 70M017 Yes Capacity: 50 Units: 41 Other Services: Brookdale McMinnville City Center Administrator: Diane Lugar 721 NE 27th St. Facility Phone: (503) 435-0100 Orig Lic. Date: 1998-05-19 McMinnville, OR 97128 Facility Fax: (503) 435-0200 Renewal Date :2019-11-30 0 County: Yamhill Owner: Brookdale Senior Living Communities, Inc. McMinnville NWSDS Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 5MA130 Yes Capacity: 15 Units: 15 Other Services: ACU 15 Brookdale McMinnville City Center Memory Care Administrator: Kayla Pierson 721 NE 27th St. Facility Phone: (503) 435-0100 Orig Lic. Date: 1998-06-11 McMinnville, OR 97128 Facility Fax: (503) 435-0200 Renewal Date :2019-11-30 0 County: Yamhill Owner: Brookdale Senior Living Communities, Inc. McMinnville NWSDS Management: Brookdale Senior Living Communities, Inc. Email: [email protected]

Monday, October 1, 2018 Page 18 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R078 Non Medicaid Capacity: 35 Units: 27 Other Services: Brookdale McMinnville Town Center Administrator: Doug Swaim 775 East 27th Facility Phone: (503) 472-3130 Orig Lic. Date: 1991-07-01 McMinnville, OR 97128 Facility Fax: (503) 434-5199 Renewal Date :2019-11-30 0 County: Yamhill Owner: Brookdale Senior Living Communities, Inc. McMinnville NWSDS Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 50M056 Yes Capacity: 95 Units: 78 Other Services: Brookdale Medford Administrator: Donna Buick 3033 Barnett Rd Facility Phone: (541) 776-7600 Orig Lic. Date: 1980-01-01 Medford, OR 97504 Facility Fax: (541) 776-0745 Renewal Date :2019-11-30 0 County: Jackson Owner: Brookdale Senior Living Communities, Inc. Medford AAA Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 70M201 Yes Capacity: 74 Units: 61 Other Services: Brookdale Monmouth Administrator: Amy Hynes 504 Gwinn St E Facility Phone: (503) 838-6850 Orig Lic. Date: 1999-06-04 Monmouth, OR 97361 Facility Fax: (503) 838-6443 Renewal Date :2020-08-31 0 County: Polk Owner: Emeritus Corporation Dallas NWSDS Management: Emeritus Corporation Email: [email protected] 50M055 Yes Capacity: 88 Units: 78 Other Services: Brookdale Mt. Hood Administrator: Nicholas Minch 25200 SE Stark St Facility Phone: (503) 665-4300 Orig Lic. Date: 1991-06-19 Gresham, OR 97030 Facility Fax: (503) 674-7487 Renewal Date :2019-11-30 0 County: Multnomah Owner: Brookdale Senior Living Communities, Inc. E Mult ADS Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 70A308 Yes Capacity: 110 Units: 83 Other Services: Brookdale Newberg Administrator: Brodey DeBorde 3802 Hayes St. Facility Phone: (503) 538-1705 Orig Lic. Date: 2007-06-29 Newberg, OR 97132 Facility Fax: (503) 538-1905 Renewal Date :2020-08-31 0 County: Yamhill Owner: Emeritus Corporation McMinnville NWSDS Management: Emeritus Corporation Email: [email protected] 50M142 Yes Capacity: 82 Units: 53 Other Services: Brookdale Ontario Administrator: Nancy Hollis 1372 SW 8th Ave Facility Phone: (541) 889-4600 Orig Lic. Date: 1995-05-11 Ontario, OR 97914 Facility Fax: (541) 889-3291 Renewal Date :2019-09-30 0 County: Malheur Owner: Emeritus Corporation Ontario MSO Management: Emeritus Corporation Email: [email protected]

Monday, October 1, 2018 Page 19 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A303 Yes Capacity: 82 Units: 75 Other Services: Brookdale Oswego Springs - Portland Administrator: Amanda Gogas 11552 SW Lesser Rd. Facility Phone: (503) 542-4747 Orig Lic. Date: 2006-04-12 Portland, OR 97219 Facility Fax: (503) 542-4848 Renewal Date :2020-08-31 0 County: Multnomah Owner: Emeritus Corporation W Portland AAA Management: Emeritus Corporation Email: [email protected] 70A305 Yes Capacity: 77 Units: 62 Other Services: Brookdale Redmond Assisted Living Administrator: Cindy Devore 1942 SW Canyon Drive Facility Phone: (541) 316-4400 Orig Lic. Date: 2006-11-09 Redmond, OR 97756 Facility Fax: (541) 316-4401 Renewal Date :2018-08-31 0 County: Deschutes Owner: Emeritus Corporation Redmond SPD Management: Emeritus Corporation Email: [email protected] 50R344 Yes Capacity: 32 Units: 24 Other Services: ACU 32 Brookdale Redmond Clare Bridge Administrator: Lindsey Keller 1942 SW Canyon Drive Facility Phone: (541) 316-4400 Orig Lic. Date: 2006-11-20 Redmond, OR 97756 Facility Fax: (541) 316-4401 Renewal Date :2018-08-31 0 County: Deschutes Owner: Emeritus Corporation Redmond SPD Management: Emeritus Corporation Email: [email protected] 70M078 Yes Capacity: 56 Units: 49 Other Services: Brookdale River Road Administrator: Alicia Sykes 592 Bever Dr NE Facility Phone: (503) 463-4060 Orig Lic. Date: 1998-07-17 Keizer, OR 97303 Facility Fax: (503) 304-3090 Renewal Date :2020-09-30 0 County: Marion Owner: Emeritus Corporation Salem NWSDS Management: Emeritus Corporation Email: [email protected] 50M054 Yes Capacity: 120 Units: 114 Other Services: MC, ACU 26 Brookdale River Valley - Tualatin Administrator: Salina Martinez 19200 SW 65th Ave Facility Phone: (503) 692-3192 Orig Lic. Date: 1989-03-01 Tualatin, OR 97062 Facility Fax: (503) 691-9836 Renewal Date :2020-08-31 0 County: Clackamas Owner: Emeritus Corporation Canby SPD Management: Emeritus Corporation Email: [email protected] 70M236 Yes Capacity: 79 Units: 64 Other Services: Brookdale Rose Valley Scappoose Administrator: Steven Matthews 33800 SE Frederick Street Facility Phone: (503) 543-4646 Orig Lic. Date: 2000-05-15 Scappoose, OR 97056 Facility Fax: (503) 543-4648 Renewal Date :2018-08-31 0 County: Columbia Owner: Emeritus Corporation St. Helens MSO Management: Emeritus Corporation Email: [email protected]

Monday, October 1, 2018 Page 20 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

5MA254 Yes Capacity: 60 Units: 56 Other Services: MC, ACU 60 Brookdale Roseburg Administrator: Sarah Calvert 3400 NW Edenbower Blvd. Facility Phone: (541) 464-5600 Orig Lic. Date: 2000-09-07 Roseburg, OR 97470 Facility Fax: (541) 464-5858 Renewal Date :2020-08-31 0 County: Douglas Owner: Emeritus Corporation Roseburg AAA Management: Emeritus Corporation Email: [email protected] 5MA205 Yes Capacity: 60 Units: 52 Other Services: MC, ACU 60 Brookdale Salem Administrator: Belinda Hamilton 1355 Boone Rd SE Facility Phone: (503) 365-7500 Orig Lic. Date: 1999-05-19 Salem, OR 97302 Facility Fax: (503) 365-7600 Renewal Date :2019-11-30 0 County: Marion Owner: Brookdale Senior Living Communities, Inc. Salem NWSDS Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 70A299 Yes Capacity: 150 Units: 122 Other Services: Brookdale Springfield Briarwood Administrator: Tammy Tucker 4865 Main Street Facility Phone: (541) 284-2865 Orig Lic. Date: 2006-03-01 Springfield, OR 97478 Facility Fax: (541) 284-2864 Renewal Date :2020-08-31 0 County: Lane Owner: Emeritus Corporation Eugene AAA Management: Emeritus Corporation Email: [email protected] 70M226 Yes Capacity: 62 Units: 53 Other Services: Brookdale Springfield Woodside Administrator: Quinn Cardwell 4851 Main Street Facility Phone: (541) 747-1887 Orig Lic. Date: 2000-01-21 Springfield, OR 97478 Facility Fax: (541) 747-0181 Renewal Date :2018-08-31 0 County: Lane Owner: Emeritus Corporation Eugene SSO Management: Emeritus Corporation Email: [email protected] 50A236 Yes Capacity: 61 Units: 52 Other Services: MC, ACU 61 Brookdale Troutdale Administrator: Ann-Marie Segarra 1201 SW Cherry Park Rd. Facility Phone: (503) 465-8104 Orig Lic. Date: 2000-03-01 Troutdale, OR 97060 Facility Fax: (503) 465-8204 Renewal Date :2019-11-30 0 County: Multnomah Owner: Brookdale Senior Living Communities, Inc. E. County ASD Management: Brookdale Senior Living Communities, Inc. Email: [email protected] 50M228 Yes Capacity: 32 Units: 27 Other Services: Brookdale Wilsonville Administrator: Kathy White 8170 Vlahos Drive Facility Phone: (503) 682-0653 Orig Lic. Date: 1999-10-21 Wilsonville, OR 97070 Facility Fax: (503) 570-1034 Renewal Date :2018-08-31 0 County: Clackamas Owner: Emeritus Corporation Milwaukie SPD Management: Emeritus Corporation Email: [email protected]

Monday, October 1, 2018 Page 21 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M010 Yes Capacity: 45 Units: 37 Other Services: Brookside Place Administrator: Deanna Boire 3550 SW Canal Blvd Facility Phone: (541) 504-1600 Orig Lic. Date: 1995-03-03 Redmond, OR 97756 Facility Fax: (541) 504-1602 Renewal Date :2019-01-31 0 County: Deschutes Owner: Redmond ALF, LLC Bend MSO Management: Concepts in Community Living, Inc. Email: [email protected] 5MA151 Yes Capacity: 57 Units: 39 Other Services: MC, ACU 57 Brookstone Alzheimer's Special Care Center Administrator: Brandy Khlystov 5881 Woodside Dr SE Facility Phone: (503) 316-0687 Orig Lic. Date: 1996-08-10 Salem, OR 97301 Facility Fax: (503) 589-1753 Renewal Date :2018-08-31 0 County: Marion Owner: Salem Associates LLC Salem NWSDS Management: Jerry Erwin Associates, Inc. Email: [email protected] 5MA240 Yes Capacity: 48 Units: 48 Other Services: MCC, ACU 48 Callahan Court Memory Care Comm. Administrator: Kim Jordan 1770 NW Valley View Drive Facility Phone: (541) 673-3900 Orig Lic. Date: 2000-03-23 Roseburg, OR 97470 Facility Fax: (541) 673-3105 Renewal Date :2019-01-31 0 County: Douglas Owner: LSREF Golden Ops 14(OR) LLC Roseburg AAA Management: Frontier Management, LLC Email: [email protected] 70M229 Yes Capacity: 86 Units: 71 Other Services: Callahan Village Administrator: Tammy Huntley 1801 Garden Valley Blvd. Facility Phone: (541) 673-4500 Orig Lic. Date: 2000-02-04 Roseburg, OR 97470 Facility Fax: (541) 672-1346 Renewal Date :2019-01-31 0 County: Douglas Owner: LSREF Golden Ops UE (OR) LLC Roseburg Management: Frontier Management, LLC Email: [email protected] 70A011 Non Medicaid Capacity: 105 Units: 88 Other Services: Canfield Place Retirement Community Administrator: Jennifer Carty 14570 SW Hart Rd Facility Phone: (503) 626-5100 Orig Lic. Date: 1996-08-06 Beaverton, OR 97005 Facility Fax: (503) 526-3803 Renewal Date :2020-07-31 0 County: Washington Owner: Canfield Place Rtrmt Comm LLC WCDAVS Management: Leisure Care, LLC Email: [email protected] 70A296 Yes Capacity: 35 Units: 27 Other Services: Canyon Rim Manor Administrator: Virginia Cortez 1701 George Jackson Rd. Facility Phone: (541) 395-2515 Orig Lic. Date: 2005-11-18 Maupin, OR 97037 Facility Fax: (541) 395-0937 Renewal Date :2019-07-31 0 County: Wasco Owner: Maupin Senior Living, LLC The Dalles AAA Management: Mosaic Management, Inc. Email: [email protected]

Monday, October 1, 2018 Page 22 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R216 Non Medicaid Capacity: 102 Units: 73 Other Services: MCC, ACU 21 Capital Manor Retirement Community Administrator: Patty Kidd 1955 Salem Dallas Hwy NW Facility Phone: (503) 362-4101 Orig Lic. Date: 1999-01-19 Salem, OR 97304 Facility Fax: (503) 371-9021 Renewal Date :2019-05-31 0 County: Polk Owner: Capital Manor, Inc. Salem NWSDS Management: Life Care Services, LLC Email: [email protected] 70M013 Non Medicaid Capacity: 34 Units: 30 Other Services: Carriage Place Administrator: Stephanie Wilson 150 S Williamson Dr Facility Phone: (541) 416-0500 Orig Lic. Date: 1995-10-27 Prineville, OR 97754 Facility Fax: (541) 416-1445 Renewal Date :2019-07-31 0 County: Crook Owner: CARRIAGE AID OPCO, LLC Prineville MSO Management: Enlivant AID (Oregon) Mgmt, LLC Email: [email protected] 50M012 Non Medicaid Capacity: 32 Units: 28 Other Services: Cascade Park Retirement Center Administrator: Todd Whitehead 950 N Cascade Dr Facility Phone: (503) 981-0033 Orig Lic. Date: 1991-06-09 Woodburn, OR 97071 Facility Fax: (503) 982-2707 Renewal Date :2019-08-31 0 County: Marion Owner: Woodburn Investment Associates, Ltd. Woodburn NWSDS Management: Century Park Associates, LLC Email: [email protected] 70M027 Yes Capacity: 59 Units: 47 Other Services: Cascade Valley Assisted Living Administrator: Nicole Boudreau 1010 NE 3rd Facility Phone: (541) 938-5693 Orig Lic. Date: 1993-09-10 Milton-Freewater, OR 97862 Facility Fax: (541) 938-4490 Renewal Date :2019-04-30 0 County: Umatilla Owner: Evergreen Oregon Healthcare Orchards Retirement, Pendleton MSO Management: EmpRes Healthcare Management, LLC Email: [email protected] 50R448 Yes Capacity: 23 Units: 23 Other Services: MCC, ACU 23 Cascade Valley Memory Care Administrator: Amanda Wilkins 1010 NE Third Avenue Facility Phone: (541) 938-5693 Orig Lic. Date: 2017-04-01 Milton Freewater, OR 97862 Facility Fax: (541) 938-4490 Renewal Date :2019-04-30 0 County: Umatilla Owner: Evergreen Oregon Healthcare Orchards Retirement, Pendleton Management: EmpRes Healthcare Management, LLC Email: [email protected] 50R128 Yes Capacity: 70 Units: 35 Other Services: Cascades of Bend Retirement Community Administrator: Jamie Maul 1801 NE Lotus Dr Facility Phone: (541) 389-0046 Orig Lic. Date: 1982-01-01 Bend, OR 97701 Facility Fax: (541) 382-1239 Renewal Date :2019-05-31 0 County: Deschutes Owner: Cascade Living Group - Oregon, LLC Bend MSO Management: Cascade Living Group - Oregon, LLC Email: [email protected]

Monday, October 1, 2018 Page 23 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

5MA207 Yes Capacity: 56 Units: 30 Other Services: MC, ACU 56 Cedar Crest Alzheimer Special Care Administrator: Patty Odenborg 18325 SW Pacific HWY Facility Phone: (503) 925-0544 Orig Lic. Date: 1999-04-28 Tualatin, OR 97062 Facility Fax: (503) 625-2301 Renewal Date :2019-04-30 0 County: Washington Owner: Tualatin Associates, LLC WCDAVS Management: JEA Senior Living Email: [email protected] 70M222 Yes Capacity: 62 Units: 51 Other Services: Cedar Village Assisted Living Community Administrator: Mary Guzman 4452 Lancaster Dr. NE Facility Phone: (503) 390-9600 Orig Lic. Date: 1999-10-22 Salem, OR 97305 Facility Fax: (503) 390-9152 Renewal Date :2019-07-31 0 County: Marion Owner: Cedar Village AL MC GR, LLC Salem NWSDS Management: Frontier Management, LLC Email: [email protected] 50R353 Yes Capacity: 24 Units: 18 Other Services: MCC, ACU 24 Cedar Village Memory Care Community Administrator: Brianne Fowler 4452 Lancaster Drive NE Facility Phone: (503) 390-9600 Orig Lic. Date: 2008-01-15 Salem, OR 97301 Facility Fax: (503) 390-9152 Renewal Date :2019-07-31 0 County: Marion Owner: Cedar Village AL MC GR, LLC Salem NWSDS Management: Frontier Management, LLC Email: [email protected] 50R351 Yes Capacity: 45 Units: 39 Other Services: MC, ACU 45 Chantele's Loving Touch Memory Care Administrator: Chantele Bangs 1128 W. Central Avenue Facility Phone: (541) 459-4549 Orig Lic. Date: 2007-11-06 Sutherlin, OR 97479 Facility Fax: (541) 459-2187 Renewal Date :2019-11-30 0 County: Douglas Owner: Chantele's Loving Touch Memory Care, Inc. Roseburg AAA Management: Chantele's Loving Touch Memory Care, Inc. Email: [email protected] 50M172 Yes Capacity: 28 Units: 22 Other Services: MC, ACU 28 Chateau Gardens Memory Care Community Administrator: Kim Frederick 2669 S Cloverleaf Loop Facility Phone: (541) 746-9703 Orig Lic. Date: 1993-12-08 Springfield, OR 97477 Facility Fax: (541) 744-7017 Renewal Date :2019-12-31 0 County: Lane Owner: Cloverleaf Assisted Living, LLC Eugene SSO Management: Ridgeline Management Co. Email: [email protected] 50R014 Non Medicaid Capacity: 49 Units: 40 Other Services: Cherry Blossom Cottage Administrator: Rebecca Meadowcroft 11177 SE Cherry Blossom Dr Facility Phone: (503) 256-9777 Orig Lic. Date: 1989-05-28 Portland, OR 97216 Facility Fax: (503) 256-0047 Renewal Date :2019-05-31 0 County: Multnomah Owner: Sylvia's Legacy, Inc. Mid-County ASD Management: Sylvia's Legacy, Inc. Email: [email protected]

Monday, October 1, 2018 Page 24 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R389 Non Medicaid Capacity: 33 Units: 23 Other Services: MCC, ACU 14 Cherry Park Plaza Administrator: Roberta Bradfield 1323 SW Cherry Park Road Facility Phone: (503) 491-1661 Orig Lic. Date: 2013-04-12 Troutdale, OR 97060 Facility Fax: Renewal Date :2019-04-30 0 County: Multnomah Owner: CHGCXA Troutdale, LLC East ADS Management: Milestone Retirement Communities of Washingt Email: [email protected] 50R416 Yes Capacity: 56 Units: 35 Other Services: MC, ACU 56 Cherrywood Memory Care - Revere Court Administrator: Hugh Williams III 2750 NE Doran Drive Facility Phone: (503) 309-6202 Orig Lic. Date: 2015-04-10 McMinnville, OR 97128 Facility Fax: (503) 883-9462 Renewal Date :2018-09-30 0 County: Yamhill Owner: Chancellor Health Care of California XIII, Inc. McMinnville Management: Chancellor Health Care, Inc, Email: [email protected] 70M004 Non Medicaid Capacity: 16 Units: 12 Other Services: Chinook Place Administrator: Joanne Mohrland 470 NE Oak St Facility Phone: (541) 475-6425 Orig Lic. Date: 1991-02-01 Madras, OR 97741 Facility Fax: (541) 475-6001 Renewal Date :2019-07-31 0 County: Jefferson Owner: ASPEN COURT AID OPCO, LLC Bend MSO Management: Enlivant AID (Oregon) Mgmt, LLC Email: [email protected] 70M014 Yes Capacity: 48 Units: 44 Other Services: Churchill Estates Assisted Living Administrator: Tye Allen 1919 Bailey Hill Rd Facility Phone: (541) 485-8320 Orig Lic. Date: 1991-02-11 Eugene, OR 97405 Facility Fax: (541) 485-8405 Renewal Date :2020-07-31 0 County: Lane Owner: Churchill Management, Inc. Eugene SSO Management: Churchill Management, Inc. Email: [email protected] 70M351 Yes Capacity: 83 Units: 58 Other Services: ACU 44 Churchill Retirement Assisted Living Administrator: Deborah Hankins 3800 Westleigh Facility Phone: (541) 485-8320 Orig Lic. Date: 2000-01-01 Eugene, OR 97405 Facility Fax: (541) 344-0215 Renewal Date :2020-07-31 0 County: Lane Owner: Churchill Management, Inc. Eugene Management: Churchill Management, Inc. Email: [email protected] 50R139 Non Medicaid Capacity: 40 Units: 25 Other Services: Clackamas View Senior Living - Milwaukie Administrator: Shannon Allen 14550 SE Vista Ln Facility Phone: (503) 659-2325 Orig Lic. Date: 1995-04-01 Milwaukie, OR 97267 Facility Fax: (503) 652-4376 Renewal Date :2018-10-31 0 County: Clackamas Owner: Chancellor Health Care of California IX, Inc. Clackamas AAA Management: Chancellor Health Care, Inc, Email: [email protected]

Monday, October 1, 2018 Page 25 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

5MA016 Yes Capacity: 15 Units: 15 Other Services: MCC, ACU 15 Clarendon Court Alzheimer's Residence Administrator: Estera Gruia 5732 SE 122nd Ave Facility Phone: (503) 761-3434 Orig Lic. Date: 1984-03-01 Portland, OR 97236 Facility Fax: (503) 206-6950 Renewal Date :2019-01-31 0 County: Multnomah Owner: Clarendon Court Alzheimer's Residence, LLC E Portland ASD Management: Clarendon Court Alzheimer's Residence, LLC Email: [email protected] 50R421 Yes Capacity: 32 Units: 32 Other Services: MCC, ACU 32 Clatsop Care Memory Community Administrator: Jennifer Whitmyer 2219 SE Dolphin Road Facility Phone: (503) 994-2060 Orig Lic. Date: 2015-07-01 Warrenton, OR 97146 Facility Fax: (503) 861-4310 Renewal Date :2019-07-31 0 County: Clatsop Owner: Clatsop Care Center Health District NWSDS Management: Aidan Health Services, Inc. Email: [email protected] 70M203 Yes Capacity: 80 Units: 69 Other Services: Clatsop Retirement Village Administrator: Sharon Jackson 947 Olney Ave. Facility Phone: (503) 325-4676 Orig Lic. Date: 1999-07-19 Astoria, OR 97103 Facility Fax: (503) 325-4646 Renewal Date :2019-07-31 0 County: Clatsop Owner: Clatsop Care Center Health District Warrenton NWSDS Management: Aidan Health Services, Inc. Email: [email protected] 50M021 Yes Capacity: 16 Units: 8 Other Services: Comfort Care Administrator: Mary Sexton 1735 Kane St Facility Phone: (541) 883-2882 Orig Lic. Date: 1993-10-31 Klamath Falls, OR 97603 Facility Fax: (541) 884-1616 Renewal Date :2019-10-31 0 County: Klamath Owner: Come For Care, Inc. Klamath Falls MSO Management: Come for Care, Inc. Email: [email protected] 50R023 Yes Capacity: 51 Units: 32 Other Services: MC, ACU 32 Conifer House Residential Care & Memory Care Administrator: Jennifer Dunbar 145 NE Conifer Blvd Facility Phone: (541) 757-2444 Orig Lic. Date: 1987-08-01 Corvallis, OR 97330 Facility Fax: (541) 757-8621 Renewal Date :2018-08-31 0 County: Benton Owner: Conifer House Operating Company, LLC Albany SSO Management: Benicia Senior Living, LLC Email: [email protected] 50R404 Non Medicaid Capacity: 32 Units: 32 Other Services: Coral Springs Residential Care Administrator: Michele Dryden 2520 Coral Ave NE Facility Phone: (503) 362-5885 Orig Lic. Date: 2014-03-26 Salem, OR 97305 Facility Fax: (503) 362-8008 Renewal Date :2020-03-31 0 County: Marion Owner: Sweet Bye N Bye AFC & RCF Facilities, Inc. Salem NWSDS Management: Sweet Bye N Bye AFC & RCF Facilities, Inc. Email: [email protected]

Monday, October 1, 2018 Page 26 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M015 Yes Capacity: 75 Units: 59 Other Services: Cornell Estates Retirement and Assisted Living Residence Administrator: Charlene Torrey 1005 NE 17th Facility Phone: (503) 640-2884 Orig Lic. Date: 1991-06-01 Hillsboro, OR 97123 Facility Fax: (503) 681-2784 Renewal Date :2019-05-31 0 County: Washington Owner: Cornell Investors Group Inc. WCDAVS Management: Cornell Investors Group, Inc. Email: [email protected] 50R346 Yes Capacity: 16 Units: 16 Other Services: Cornerstone Residential Option Administrator: Milissa Wright 12640 SE Bush Facility Phone: (503) 761-6621 Orig Lic. Date: 2006-12-26 Portland, OR 97236 Facility Fax: (503) 761-6633 Renewal Date :2018-12-31 0 County: Multnomah Owner: Cornerstone Care Option, Inc E County AAA Management: Cornerstone Care Option, Inc. Email: [email protected] 70A280 Yes Capacity: 55 Units: 42 Other Services: Corvallis Caring Place Assisted Living Administrator: Crystal Well 750 NW 23rd St Facility Phone: (541) 753-2033 Orig Lic. Date: 2002-06-28 Corvallis, OR 97330 Facility Fax: (541) 753-2034 Renewal Date :2020-06-30 0 County: Benton Owner: Corvallis Caring Place, Inc. Albany SSO Management: Mennonite Management Services, Inc. Email: [email protected] 70A285 Yes Capacity: 50 Units: 40 Other Services: Country Meadows Village Administrator: Diane Matheny 155 S. Evergreen Facility Phone: (971) 983-1424 Orig Lic. Date: 2002-12-12 Woodburn, OR 97071 Facility Fax: (971) 983-3222 Renewal Date :2019-04-30 0 County: Marion Owner: Crown II Development, LLC Salem NWSDS Management: Crown Two Development, LLC Email: [email protected] 50R283 Yes Capacity: 35 Units: 21 Other Services: MC, ACU 35 Countryside Living of Canby Administrator: Tracie Flores 390 NW 2nd Facility Phone: (503) 266-3031 Orig Lic. Date: 2001-09-06 Canby, OR 97013 Facility Fax: (503) 266-4000 Renewal Date :2019-09-30 0 County: Clackamas Owner: Countryside Living of Canby, LLC Canby SPD Management: Countryside Living of Canby, LLC Email: [email protected] 50M426 Yes Capacity: 35 Units: 20 Other Services: MC, ACU 35 Countryside Living of Redmond Administrator: Rachael Shire 1350 NW Canal Blvd Facility Phone: (541) 548-3049 Orig Lic. Date: 2016-01-07 Redmond, OR 97756 Facility Fax: (541) 548-9984 Renewal Date :2020-01-31 0 County: Deschutes Owner: Countryside Living of Redmond, LLC Redmond Management: Countryside Living of Redmond, LLC Email: [email protected]

Monday, October 1, 2018 Page 27 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R380 Yes Capacity: 20 Units: 16 Other Services: MC, ACU 20 Countryside Living South Administrator: Jody Vega 406 NW 2nd Avenue Facility Phone: (503) 266-3031 Orig Lic. Date: 2011-09-13 Canby, OR 97013 Facility Fax: (503) 266-4000 Renewal Date :2019-09-30 0 County: Clackamas Owner: Countryside Living of Canby, LLC Canby SPD Management: Countryside Living of Canby, LLC Email: [email protected] 70A318 Yes Capacity: 22 Units: 16 Other Services: Countryside Village Administrator: Linda Griesser 1700 Kellenbeck Rd. Facility Phone: (541) 956-0999 Orig Lic. Date: 2011-09-02 Grants Pass, OR 97528 Facility Fax: (541) 471-1182 Renewal Date :2019-09-30 0 County: Josephine Owner: Lynn-Ann Development, LLC Grants Pass DSO Management: Lynn-Ann Development, LLC Email: [email protected] 50R277 Non Medicaid Capacity: 20 Units: 20 Other Services: MCC, ACU 20 Courtyard at Hillside Memory Care Administrator: Kelly Barrick 300 NW Hillside Park Way Facility Phone: (503) 472-9534 Orig Lic. Date: 2001-05-01 McMinnville, OR 97128 Facility Fax: (503) 888-7477 Renewal Date :2018-08-31 0 County: Yamhill Owner: Emeritus Corporation McMinnville NWSDS Management: Emeritus Corporation Email: [email protected] 70M239 Non Medicaid Capacity: 80 Units: 73 Other Services: Courtyard at Mt. Tabor Administrator: Gerald Koll 6323 SE Division Facility Phone: (503) 772-9795 Orig Lic. Date: 2000-08-07 Portland, OR 97206 Facility Fax: (503) 788-8711 Renewal Date :2020-08-31 0 County: Multnomah Owner: SSSHT OpCo SE Division Street, LLC SE Portland ASO Management: Integral Senior Living, LLC Email: [email protected] 5MA252 Non Medicaid Capacity: 24 Units: 20 Other Services: MC, ACU 20 Courtyard at Mt.Tabor Garden House Administrator: Gerald Koll, Jr. 6323 SE Division Facility Phone: (503) 772-9795 Orig Lic. Date: 2000-08-24 Portland, OR 97206 Facility Fax: (503) 788-8711 Renewal Date :2020-08-31 0 County: Multnomah Owner: SSSHT OpCo SE Division Street, LLC SE Portland ASO Management: Integral Senior Living, LLC Email: [email protected] 70A315 Non Medicaid Capacity: 49 Units: 44 Other Services: Courtyard Fountains Assisted Living Community Administrator: William Michaels 1537 SE 223rd Facility Phone: (503) 667-4500 Orig Lic. Date: 2010-05-17 Gresham, OR 97030 Facility Fax: (503) 667-3978 Renewal Date :2019-12-31 0 County: Multnomah Owner: ARHC CFGREOR01 TRS, LLC E Multnomah ADS Management: Courtyard Fountains Care Properties, LLC Email: administrator@courtyardfountainsseniorliving.

Monday, October 1, 2018 Page 28 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R292 Yes Capacity: 43 Units: 37 Other Services: Crystal Terrace Administrator: Pamela Hardesty 1000 Town Center Dr. Facility Phone: (541) 885-7250 Orig Lic. Date: 2001-12-05 Klamath Falls OR, OR 97601 Facility Fax: (541) 882-8882 Renewal Date :2019-12-31 0 County: Klamath Owner: Klamath Falls MSL, LLC Klamath Falls MSO Management: MSL Community Management, LLC Email: [email protected] 50M300 Yes Capacity: 44 Units: 28 Other Services: MC, ACU 44 Crystal Terrace Memory Care Administrator: Jean Ortiz 320 Jade Terrace Facility Phone: (541) 273-7336 Orig Lic. Date: 2015-04-01 Klamath Falls, OR 97601 Facility Fax: (541) 884-1020 Renewal Date :2019-04-30 0 County: Klamath Owner: Klamath Falls MSL, LLC Klamath Falls Management: MSL Community Management, LLC Email: [email protected] 5MA024 Yes Capacity: 62 Units: 62 Other Services: MC, ACU 47 Curry Manor Administrator: Jan Sullivan 1458 Quail Lane Facility Phone: (541) 673-3999 Orig Lic. Date: 1982-11-01 Roseburg, OR 97470 Facility Fax: (541) 440-9684 Renewal Date :2019-11-30 0 County: Douglas Owner: TSL Curry Manor, LLC Roseburg AAA Management: Tierra Senior Living, LLC Email: [email protected] 70M018 Yes Capacity: 53 Units: 45 Other Services: Dallas Retirement Village Assisted Living Administrator: Denise Olson 340 NW Brentwood St Facility Phone: (503) 831-0214 Orig Lic. Date: 1996-09-30 Dallas, OR 97338 Facility Fax: (503) 831-0278 Renewal Date :2018-09-30 0 County: Polk Owner: Dallas Mennonite Retirement Community, Inc. Dallas NWSDS Management: Life Care Services Email: [email protected] 70A321 Yes Capacity: 25 Units: 20 Other Services: Dallas Retirement Village Assisted Living HUD Administrator: Elizabeth "Karri" Key 377 NW Jasper St Facility Phone: (503) 623-5581 Orig Lic. Date: 2013-01-01 Dallas, OR 97338 Facility Fax: (503) 623-2901 Renewal Date :2019-01-31 0 County: Polk Owner: Dallas Health Care Center, LLC Dallas NWSDS Management: Life Care Services Email: [email protected] 50R331 Yes Capacity: 20 Units: 20 Other Services: MC, ACU 20 Dallas Retirement Village Memory Care Center Administrator: Shanena Perez 340 NW Brentwood Avenue Facility Phone: (503) 623-5581 Orig Lic. Date: 2004-10-11 Dallas, OR 97338 Facility Fax: (503) 623-2901 Renewal Date :2019-01-31 0 County: Polk Owner: Dallas Health Care Center, LLC Dallas NWSDS Management: Life Care Services Email: [email protected]

Monday, October 1, 2018 Page 29 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M019 Non Medicaid Capacity: 36 Units: 30 Other Services: Davenport Place Administrator: Tammy O'Rourke 930 Oak St Facility Phone: (503) 873-7162 Orig Lic. Date: 1995-07-25 Silverton, OR 97381 Facility Fax: (503) 873-6672 Renewal Date :2019-07-31 0 County: Marion Owner: DAVENPORT AID OPCO, LLC Woodburn NWSDS Management: Enlivant AID (Oregon) Mgmt, LLC Email: [email protected] 70M250 Yes Capacity: 68 Units: 53 Other Services: Deer Meadow Assisted Living Community Administrator: Jennifer Sproull 1350 W Main St Facility Phone: (503) 843-7799 Orig Lic. Date: 2000-11-06 Sheridan, OR 97378 Facility Fax: (503) 843-2112 Renewal Date :2018-11-30 0 County: Yamhill Owner: Aspen Foundation III McMinnville NWSDS Management: Aspen Foundation III Email: [email protected] 70M020 Yes Capacity: 48 Units: 40 Other Services: Deerfield Village Assisted Living Administrator: Scott Page 5770 SE Kellogg Cr Dr Facility Phone: (503) 653-4064 Orig Lic. Date: 1991-11-04 Milwaukie, OR 97222 Facility Fax: (503) 659-4525 Renewal Date :2019-05-31 0 County: Clackamas Owner: Cascade Living Group - Oregon, LLC Milwaukie SPD Management: Cascade Living Group - Oregon, LLC Email: [email protected] 50M048 Yes Capacity: 13 Units: 13 Other Services: Donham Place Administrator: John Varner 5833 N Lombard St Facility Phone: (503) 283-2852 Orig Lic. Date: 1974-01-01 Portland, OR 97203 Facility Fax: (503) 283-4868 Renewal Date :2019-10-31 0 County: Multnomah Owner: Donham Place, LLC NE Portland ASO/DSO Management: Donham Place, LLC Email: [email protected] 70M021 Yes Capacity: 50 Units: 45 Other Services: Dorian Place Assisted Living Facility Administrator: Christine Grothaus 375 N Dorian Dr Facility Phone: (541) 889-8545 Orig Lic. Date: 1995-07-19 Ontario, OR 97914 Facility Fax: (541) 889-7340 Renewal Date :2018-12-31 0 County: Malheur Owner: Dorian Place Operations, LLC Ontario MSO Management: Milestone Retirement Communities, LLC Email: [email protected] 50R334 Yes Capacity: 16 Units: 12 Other Services: MC, ACU 16 East Cascade Memory Care Community Administrator: Yvonne Powell 175 NE 16th Street Facility Phone: (541) 475-2273 Orig Lic. Date: 2005-09-23 Madras, OR 97741 Facility Fax: (541) 475-4289 Renewal Date :2019-01-31 0 County: Jefferson Owner: East Cascade Retirement Community, LLC Madras SPD Management: Senior Housing Managers, LLC Email: [email protected]

Monday, October 1, 2018 Page 30 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M212 Yes Capacity: 48 Units: 48 Other Services: East Cascade Retirement Community Administrator: Shantel Vasquez 175 NE 16th Street Facility Phone: (541) 475-2273 Orig Lic. Date: 1999-04-06 Madras, OR 97741 Facility Fax: (541) 475-4289 Renewal Date :2019-01-31 0 County: Jefferson Owner: East Cascade Retirement Community, LLC Madras MSO Management: Senior Housing Managers, LLC Email: [email protected] 50R276 Yes Capacity: 27 Units: 16 Other Services: MCC 27, ACU 27 Edgewood Arbor Memory Care Administrator: Gerardo Lopez-Meza 7733 SW Scholls Ferry Rd. Facility Phone: (503) 671-9474 Orig Lic. Date: 2001-05-01 Beaverton, OR 97008 Facility Fax: (503) 671-9245 Renewal Date :2019-09-30 0 County: Washington Owner: Beaverton Assisted Living Opco, LLC WCDAVS Management: Hawthorn Senior Living, LLC Email: [email protected] 70A261 Yes Capacity: 59 Units: 49 Other Services: Edgewood Point Assisted Living Administrator: Elizabeth Conrad 7733 SW Scholls Ferry Rd Facility Phone: (503) 671-9474 Orig Lic. Date: 2001-04-13 Beaverton, OR 97008 Facility Fax: (503) 671-9245 Renewal Date :2019-09-30 0 County: Washington Owner: Beaverton Assisted Living Opco, LLC WCDAVS Management: Hawthorn Senior Living, LLC Email: [email protected] 50R280 Yes Capacity: 48 Units: 48 Other Services: MC, ACU 32 Elderberry Square Administrator: Jeanette Ivan 3321 Oak St Facility Phone: (541) 902-8821 Orig Lic. Date: 2001-06-28 Florence, OR 97439 Facility Fax: (541) 902-8615 Renewal Date :2018-11-30 0 County: Lane Owner: Elderberry Square Community, LLC Florence AAA Management: Senior Housing Managers, LLC Email: [email protected] 5ME119 Yes Capacity: 95 Units: 58 Other Services: MC, ACU 95 ElderHealth & Living Administrator: Amee Hughey 382-B South 58th St Facility Phone: (541) 747-4858 Orig Lic. Date: 1991-08-01 Springfield, OR 97478 Facility Fax: (541) 747-5322 Renewal Date :2018-08-31 0 County: Lane Owner: ElderHealth & Living Corporation Eugene SSO Management: ElderHealth & Living Corporation Email: [email protected] 50M025 Yes Capacity: 15 Units: 10 Other Services: Elderly Care Home Administrator: Sarah Mahinay 12435 SW 121st Facility Phone: (503) 590-9854 Orig Lic. Date: 1993-06-22 Tigard, OR 97223 Facility Fax: (503) 590-4659 Renewal Date :2020-03-31 0 County: Washington Owner: Elderly Care Home, Inc. WCDAVS Management: Elderly Care Home, Inc. Email: [email protected]

Monday, October 1, 2018 Page 31 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R405 Non Medicaid Capacity: 30 Units: 24 Other Services: Elite Care Larch-Tabor Administrator: Misty Whitmore 4425 SE Oatfield Hill Rd Facility Phone: (971) 517-8219 Orig Lic. Date: 2014-04-25 Milwaukie, OR 97267 Facility Fax: (503) 905-0410 Renewal Date :2020-04-30 0 County: Clackamas Owner: Elite Care OE2, LLC Oregon City APD Management: Elite Care Management Group, LLC Email: [email protected] 50R282 Non Medicaid Capacity: 30 Units: 24 Other Services: Elite Care Oatfield Estates-Adam's House Administrator: Jennifer Williams 4483 SE Oatfield Hill Rd Facility Phone: (971) 312-7396 Orig Lic. Date: 2001-08-10 Milwaukie, OR 97267 Facility Fax: (503) 213-6185 Renewal Date :2018-10-31 0 County: Clackamas Owner: Elite Care Oatfield Estates, LLC Milwaukie SPD Management: Elite Care Management Group, LLC Email: [email protected] 50R330 Non Medicaid Capacity: 15 Units: 12 Other Services: Elite Care Oatfield Estates-Ashland House Administrator: Amanda Darting 4398 SE Oatfield Hill Rd. Facility Phone: (971) 267-4918 Orig Lic. Date: 2004-09-15 Milwaukie, OR 97267 Facility Fax: (503) 213-6196 Renewal Date :2018-10-31 0 County: Clackamas Owner: Elite Care Oatfield Estates, LLC Milwaukie SPD Management: Elite Care Management Group, LLC Email: [email protected] 50R289 Non Medicaid Capacity: 15 Units: 12 Other Services: Elite Care Oatfield Estates-Helen's House Administrator: Maegen Kintz 4469 SE Oatfield Hill Rd. Facility Phone: (971) 517-7217 Orig Lic. Date: 2001-10-22 Milwaukie, OR 97267 Facility Fax: (503) 213-6188 Renewal Date :2018-10-31 0 County: Clackamas Owner: Elite Care Oatfield Estates, LLC Milwaukie SPD Management: Elite Care Management Group, LLC Email: [email protected] 50R256 Non Medicaid Capacity: 15 Units: 12 Other Services: Elite Care Oatfield Estates-Hood House Administrator: Jennifer Williams 4499 SE Oatfield Hill Rd. Facility Phone: (971) 261-8639 Orig Lic. Date: 2000-09-15 Milwaukie, OR 97267 Facility Fax: (503) 213-6170 Renewal Date :2018-10-31 0 County: Clackamas Owner: Elite Care Oatfield Estates, LLC MilwauKie SPD Management: Elite Care Management Group, LLC Email: [email protected] 50R318 Non Medicaid Capacity: 15 Units: 12 Other Services: Elite Care Oatfield Estates-Jefferson House Administrator: Jennifer McClure 4422 SE Oatfield Hill Rd. Facility Phone: (971) 312-6817 Orig Lic. Date: 2003-06-25 Milwaukie, OR 97267 Facility Fax: (503) 213-6190 Renewal Date :2018-10-31 0 County: Clackamas Owner: Elite Care Oatfield Estates, LLC Milwaukie SPD Management: Elite Care Management Group, LLC Email: [email protected]

Monday, October 1, 2018 Page 32 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R308 Non Medicaid Capacity: 15 Units: 12 Other Services: Elite Care Oatfield Estates-Rainier House Administrator: Maegan Kintz 4457 SE Oatfield Hill Rd. Facility Phone: (971) 261-8409 Orig Lic. Date: 2003-02-04 Milwaukie, OR 97267 Facility Fax: (503) 213-6189 Renewal Date :2018-10-31 0 County: Clackamas Owner: Elite Care Oatfield Estates, LLC Milwaukie SPD Management: Elite Care Management Group, LLC Email: [email protected] 50M144 Yes Capacity: 50 Units: 33 Other Services: Elizabethan Manor Administrator: Jessica Raphael 44882 Mission Road Facility Phone: (541) 276-7157 Orig Lic. Date: 1995-08-28 Pendleton, OR 97801 Facility Fax: (541) 276-3093 Renewal Date :2020-03-31 0 County: Umatilla Owner: Prestige Residential Community, L.L.C Pendleton Management: Prestige Senior Living, L.L.C Email: [email protected] 50M026 Yes Capacity: 34 Units: 34 Other Services: Ellendale Residential Care Center Administrator: Teresa Kuykendall 511 E Ellendale Ave Facility Phone: (503) 623-3709 Orig Lic. Date: 1972-01-01 Dallas, OR 97338 Facility Fax: (503) 623-7029 Renewal Date :2018-07-31 0 County: Polk Owner: RazKuy Investments, inc. Dallas NWSDS Management: RazKuy Investments, Inc. Email: [email protected] 70M025 Yes Capacity: 60 Units: 50 Other Services: Elliott Residence Administrator: Mary Ziebert 390 Church St Facility Phone: (503) 769-8313 Orig Lic. Date: 1996-06-24 Sublimity, OR 97385 Facility Fax: (503) 769-8318 Renewal Date :2018-05-31 0 County: Marion Owner: Janmaur I, L.L.C. Salem NWSDS Management: Marian Estates Support Services Email: [email protected] 70A295 Yes Capacity: 100 Units: 85 Other Services: Elmcroft of Sellwood Administrator: Jamy DePew 8517 SE 17th Avenue Facility Phone: (503) 542-4800 Orig Lic. Date: 2005-06-16 Portland, OR 97202 Facility Fax: (503) 542-4801 Renewal Date :2020-06-30 0 County: Multnomah Owner: HCP ESL Portland OR OpCo, LLC SE Portland ASO Management: Eclipse Portfolio Operations II LLC Email: [email protected] 70M251 Yes Capacity: 75 Units: 62 Other Services: Elmcroft of Stayton Administrator: Jennifer Coker 2201 3rd Ave. Facility Phone: (503) 769-3200 Orig Lic. Date: 2000-11-15 Stayton, OR 97383 Facility Fax: (503) 769-1286 Renewal Date :2020-09-30 0 County: Marion Owner: Bishop Stayton Lessee LLC Salem NWSDS Management: Eclipse Portfolio Operations II LLC Email: [email protected]

Monday, October 1, 2018 Page 33 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M019 Yes Capacity: 59 Units: 44 Other Services: MCC, ACU 20 Emerald Gardens Administrator: Jessica Penland 1890 N Newberg Hwy Facility Phone: (503) 982-4000 Orig Lic. Date: 1987-10-01 Woodburn, OR 97071 Facility Fax: (503) 980-2049 Renewal Date :2019-05-31 0 County: Marion Owner: RSL Woodburn, LLC Woodburn NWSDS Management: Radiant Senior Living, Inc. Email: [email protected] 70M026 Yes Capacity: 48 Units: 40 Other Services: Emerald Valley Assisted Living Administrator: Lori Ann Hubbard 4550 W Amazon Dr Facility Phone: (541) 345-9668 Orig Lic. Date: 1990-08-15 Eugene, OR 97405 Facility Fax: (541) 345-1190 Renewal Date :2019-05-31 0 County: Lane Owner: Cascade Living Group - Oregon, LLC Eugene SSO Management: Cascade Living Group - Oregon, LLC Email: LoriH@cascadeliving,com 50R301 Yes Capacity: 55 Units: 55 Other Services: MC, ACU 55 Emerson House Administrator: Erin Jones 3577 SE Division Facility Phone: (503) 234-8585 Orig Lic. Date: 2000-01-10 Portland, OR 97202 Facility Fax: (503) 234-8535 Renewal Date :2018-12-31 0 County: Multnomah Owner: Emerson House, LLC Portland SE ASO Management: Northstar Senior Living, Inc. Email: [email protected] 50R305 Yes Capacity: 52 Units: 34 Other Services: MC, ACU 27 Evergreen Court of Molalla Administrator: Dane Jensen 250 Kennel St. Facility Phone: (503) 829-2424 Orig Lic. Date: 2002-10-25 Molalla, OR 97038 Facility Fax: (503) 829-2425 Renewal Date :2020-04-30 0 County: Clackamas Owner: Assisted Living of Molalla, LLC Canby SPD Management: Vitalita, LLC Email: [email protected] 50A219 Non Medicaid Capacity: 20 Units: 16 Other Services: MC, ACU 20 Expressions at Summerplace Administrator: Helen Peterson 15727 NE Russell Street Facility Phone: (503) 252-9361 Orig Lic. Date: 1999-07-31 Portland, OR 97230 Facility Fax: (503) 252-9405 Renewal Date :2019-07-31 0 County: Multnomah Owner: Summervent, LLC Mid-County ASD Management: Prestige Senior Living, L.L.C Email: [email protected] 50R340 Non Medicaid Capacity: 30 Units: 24 Other Services: Fanno Creek by Elite Care Administrator: Amy Rippetoe 12353 SW Grant St Facility Phone: (971) 506-2359 Orig Lic. Date: 2008-05-09 Tigard, OR 97223 Facility Fax: (503) 653-5705 Renewal Date :2020-04-30 0 County: Washington Owner: Elite Care Grant, LLC WCDAVS Management: Elite Care Management Group, LLC Email: [email protected]

Monday, October 1, 2018 Page 34 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50A028 Yes Capacity: 70 Units: 59 Other Services: MCC, ACU 44 Farmington Square - Beaverton Administrator: Teddi Neilson 14420 SW Farmington Rd Facility Phone: (503) 626-2273 Orig Lic. Date: 1993-05-10 Beaverton, OR 97005 Facility Fax: (503) 627-0262 Renewal Date :2019-07-31 0 County: Washington Owner: RSL Beaverton, LLC WCDAVS Management: Radiant Senior Living, Inc. Email: [email protected] 50A149 Non Medicaid Capacity: 66 Units: 66 Other Services: MC, ACU 24 Farmington Square - Eugene Administrator: Jill Maher 2730 Bailey Lane Facility Phone: (541) 344-7902 Orig Lic. Date: 1996-06-30 Eugene, OR 97401 Facility Fax: (541) 344-5627 Renewal Date :2019-07-31 0 County: Lane Owner: RSL Eugene, LLC Eugene AAA Management: Radiant Senior Living, Inc. Email: [email protected] 5MA031 Yes Capacity: 102 Units: 79 Other Services: MCC, ACU 64 Farmington Square - Gresham Administrator: Betty Aberg 1655 NE 18th Facility Phone: (503) 665-1994 Orig Lic. Date: 1992-06-01 Gresham, OR 97030 Facility Fax: (503) 492-2172 Renewal Date :2019-07-31 0 County: Multnomah Owner: RSL Gresham, LLC Mid-County ASD Management: Radiant Senior Living, Inc. Email: [email protected] 50A083 Yes Capacity: 81 Units: 52 Other Services: MC, ACU 81 Farmington Square - Medford Administrator: Samantha Hamilton 1530 Poplar Dr Facility Phone: (541) 770-9080 Orig Lic. Date: 1994-01-31 Medford, OR 97504 Facility Fax: (541) 857-0272 Renewal Date :2018-09-30 0 County: Jackson Owner: RSL Medford, LLC Medford AAA Management: Radiant Senior Living, Inc. Email: [email protected] 50A034 Yes Capacity: 122 Units: 102 Other Services: MC, ACU 70 Farmington Square - Salem Administrator: Margo Garibay 910 Boone Rd SE Facility Phone: (503) 363-2273 Orig Lic. Date: 1994-08-24 Salem, OR 97306 Facility Fax: (503) 363-4991 Renewal Date :2019-07-31 0 County: Marion Owner: RSL Salem, LLC Salem NWSDS Management: Radiant Senior Living, Inc. Email: [email protected] 50A143 Yes Capacity: 64 Units: 60 Other Services: MCC, ACU 46 Farmington Square - Tualatin Administrator: Chris Budke 17950 SW 115th Ave Facility Phone: (503) 692-1748 Orig Lic. Date: 1995-08-28 Tualatin, OR 97062 Facility Fax: (503) 691-2759 Renewal Date :2019-07-31 0 County: Washington Owner: RSL Tualatin, LLC WCDAVS Management: Radiant Senior Living, Inc. Email: [email protected]

Monday, October 1, 2018 Page 35 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A311 Yes Capacity: 29 Units: 29 Other Services: Fircrest Assisted Living Administrator: Amanda Killinger 213 NE Fircrest Drive Facility Phone: (503) 472-2200 Orig Lic. Date: 2009-04-01 McMinnville, OR 97128 Facility Fax: (503) 883-9462 Renewal Date :2018-09-30 0 County: Yamhill Owner: Chancellor Health Care of California XI, Inc. McMinnville NWSDS Management: Chancellor Health Care, Inc, Email: [email protected] 50R358 Yes Capacity: 52 Units: 26 Other Services: MC, ACU 52 Fircrest Senior Living Administrator: Elisabeth Jones 213 NE Fircrest Drive Facility Phone: (503) 472-2200 Orig Lic. Date: 2009-04-01 McMinnville, OR 97128 Facility Fax: (503) 883-9462 Renewal Date :2018-09-30 0 County: Yamhill Owner: Chancellor Health Care of California XI, Inc. McMinnville NWSDS Management: Chancellor Health Care, Inc, Email: [email protected] 50M037 Yes Capacity: 85 Units: 80 Other Services: MCC, ACU 30 Firwood Gardens RCF Administrator: Nick Bales 819 NE 122nd Ave Facility Phone: (503) 252-0086 Orig Lic. Date: 1980-12-01 Portland, OR 97230 Facility Fax: (503) 252-2327 Renewal Date :2019-11-30 0 County: Multnomah Owner: Sapphire at Firwood, LLC Multnomah County Management: Sapphire at Firwood, LLC Email: [email protected] 70M028 Yes Capacity: 60 Units: 50 Other Services: Flagstone Retirement & Assisted Living Administrator: Sharla Mosqueda 3325 Columbia View Dr. Facility Phone: (541) 298-5656 Orig Lic. Date: 1992-02-15 The Dalles, OR 97058 Facility Fax: (541) 298-1685 Renewal Date :2018-10-31 0 County: Wasco Owner: Flagstone Operations, LLC. Mid-Columbia AAA Management: Milestone Retirement Communities, LLC Email: [email protected] 50R398 Non Medicaid Capacity: 16 Units: 12 Other Services: MC, ACU 16 Footsteps at Carman Oaks Administrator: Curchelle Ensign 3900 SW Carman Drive Facility Phone: (503) 636-4700 Orig Lic. Date: 2013-09-04 Lake Oswego, OR 97035 Facility Fax: Renewal Date :2019-09-30 0 County: Washington Owner: HSRE-Springs II at Lake Oswego Sub-TRS, LLC Milwaukie APD Management: The Springs Living, LLC Email: [email protected] 50R377 Yes Capacity: 32 Units: 24 Other Services: MC, ACU 32 Footsteps at Clackamas Woods Administrator: Jennifer McClure 14314 SE Webster Road Facility Phone: (503) 654-3413 Orig Lic. Date: 2011-06-01 Milwaukie, OR 97267 Facility Fax: (503) 653-3425 Renewal Date :2018-10-31 0 County: Clackamas Owner: TSL Clack OPS, LLC Milwaukie SPD Management: The Springs Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 36 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R449 Non Medicaid Capacity: 32 Units: 32 Other Services: MCC, ACU 32 Footsteps at Greer Gardens Administrator: Stephanie Dennis 1282 Good Pasture Island Road Facility Phone: (541) 246-2828 Orig Lic. Date: 2017-07-25 Eugene, OR 97401 Facility Fax: Renewal Date :2019-07-31 0 County: Lane Owner: HSRE Springs IV TRS, LLC Eugene Management: The Springs Living, LLC Email: [email protected] 50R399 Yes Capacity: 25 Units: 19 Other Services: MC, ACU 25 Footsteps at Mill Creek Administrator: Toni Sly 1201 W 10th Street Facility Phone: (541) 296-1303 Orig Lic. Date: 2013-10-09 The Dalles, OR 97058 Facility Fax: Renewal Date :2019-10-31 0 County: Wasco Owner: Springs at Mill Creek Operator, LLC The Dalles ADS Management: The Springs Living, LLC Email: [email protected] 50R397 Yes Capacity: 31 Units: 21 Other Services: MC, ACU 21 Footsteps at Sherwood Administrator: Angela Jones 15677 SW Oregon Facility Phone: (503) 625-9481 Orig Lic. Date: 2013-09-04 Sherwood, OR 97140 Facility Fax: (503) 625-1372 Renewal Date :2019-09-30 0 County: Washington Owner: Springs Sherwood Operator, LLC Tigard APD Management: The Springs Living, LLC Email: [email protected] 50R361 Non Medicaid Capacity: 12 Units: 12 Other Services: MC, ACU 12 Footsteps at Tanasbourne Administrator: Victor Lanna 1950 NW 192nd Avenue Facility Phone: (503) 629-5500 Orig Lic. Date: 2009-08-01 Hillsboro, OR 97006 Facility Fax: (503) 629-1515 Renewal Date :2018-12-31 0 County: Washington Owner: Springs at Tanasbourne II, LLC Hillsboro WCDAVS Management: The Springs Living, LLC Email: [email protected] 5MA217 Yes Capacity: 51 Units: 51 Other Services: MC, ACU 51 Footsteps at The Wilsonville Administrator: Tonya Harrington 7600 Vlahos Drive Facility Phone: (503) 582-9414 Orig Lic. Date: 1999-06-24 Wilsonville, OR 97070 Facility Fax: (503) 582-9236 Renewal Date :2018-11-30 0 County: Clackamas Owner: HSRE-Springs at Wilsonville Sub-TRS, LLC Canby SPD Management: The Springs Living, LLC Email: [email protected] 70M029 Yes Capacity: 44 Units: 44 Other Services: Forest Grove Beehive Administrator: Joel Redwine 2122 Hawthorne Facility Phone: (503) 357-6409 Orig Lic. Date: 1991-08-28 Forest Grove, OR 97116 Facility Fax: (503) 357-9046 Renewal Date :2019-08-31 0 County: Washington Owner: Forest Grove Beehive, LLC WCDAVS Management: Caring Places Management, LLC Email: [email protected]

Monday, October 1, 2018 Page 37 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M209 Yes Capacity: 36 Units: 19 Other Services: Forest Hill Manor Senior Living Administrator: Louise Cousins 200 SW Frontage Rd / PO Box 726 Facility Phone: (541) 839-4266 Orig Lic. Date: 1993-09-01 Canyonville, OR 97417 Facility Fax: (541) 839-4857 Renewal Date :2019-12-31 0 County: Douglas Owner: Star SL, LLC Roseburg AAA Management: Star SL, LLC Email: [email protected] 50M154 Yes Capacity: 15 Units: 15 Other Services: Forest Meadows RCF, Inc. Administrator: Kathy Romano-Burns 625 Barbara Dr Facility Phone: (541) 479-8865 Orig Lic. Date: 1997-01-16 Grants Pass, OR 97526 Facility Fax: (541) 955-9820 Renewal Date :2020-08-31 0 County: Josephine Owner: Forest Meadows RCF, Inc. Grants Pass MSO Management: Forest Meadows RCF, Inc. Email: [email protected] 50R038 Non Medicaid Capacity: 19 Units: 19 Other Services: Fountain Plaza Administrator: Charmagne Manlulu 1441 Morrow Rd Facility Phone: (541) 772-6005 Orig Lic. Date: 1991-06-01 Medford, OR 97504 Facility Fax: (541) 734-5000 Renewal Date :2019-12-31 0 County: Jackson Owner: Fountain Plaza, L.L.C. Medford SSO Management: Dharma Healthcare Management, Inc. Email: [email protected] 70M094 Yes Capacity: 87 Units: 77 Other Services: Fountains At Town Center Village, The Administrator: Renee Kibbee 8607 SE Causey Ave Facility Phone: (503) 654-4500 Orig Lic. Date: 1991-02-01 Happy Valley, OR 97086 Facility Fax: (503) 786-1232 Renewal Date :2019-05-31 0 County: Clackamas Owner: TCV Employees, LLC Milwaukie SPD Management: Generations, LLC Email: [email protected] 50R395 Yes Capacity: 28 Units: 28 Other Services: MC, ACU 28 Four Seasons Memory Care Administrator: Marisela Cruz-Vega 2855 Evergreen Ave NE Facility Phone: (503) 999-1135 Orig Lic. Date: 2013-08-15 Salem, OR 97301 Facility Fax: (503) 371-7355 Renewal Date :2019-08-31 0 County: Marion Owner: Four Seasons RCF Evergreen Salem NWSDS Management: Four Seasons RCF Evergreen Email: [email protected] 50M268 Yes Capacity: 32 Units: 32 Other Services: Four Seasons RCF - Fairgrounds Administrator: Kim Brooks 2850 Evergreen Ave NE Facility Phone: (503) 566-5876 Orig Lic. Date: 2001-03-15 Salem, OR 97303 Facility Fax: (503) 588-7125 Renewal Date :2019-07-31 0 County: Marion Owner: Four Seasons RCF Fairgrounds Salem NWSDS Management: Four Seasons RCF Fairgrounds Email: [email protected]

Monday, October 1, 2018 Page 38 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A294 Yes Capacity: 86 Units: 71 Other Services: Fox Hollow Independent & Assisted Living Community Administrator: Erin Crow 2599 NE Studio Rd Facility Phone: (541) 383-2030 Orig Lic. Date: 2005-02-23 Bend, OR 97701 Facility Fax: (541) 383-4979 Renewal Date :2020-04-30 0 County: Deschutes Owner: Fox Hollow Bend, LLC Bend SPD Management: Regency Pacific Management, LLC Email: [email protected] 50R046 Non Medicaid Capacity: 54 Units: 51 Other Services: Fox Hollow Residential Care Community Administrator: Billie Wingfield 5320 Fox Hollow Rd Facility Phone: (541) 343-8439 Orig Lic. Date: 1988-01-01 Eugene, OR 97405 Facility Fax: (541) 683-9427 Renewal Date :2018-07-31 0 County: Lane Owner: Regency At Fox Hollow, Inc. Eugene SSO Management: Avalon Senior Living - Fox Hollow, LLC Email: [email protected] 50R040 Non Medicaid Capacity: 155 Units: 89 Other Services: MC, ACU 18 Friendsview Retirement Community Administrator: Kathleen Watson 1301 E Fulton St Facility Phone: (503) 538-3144 Orig Lic. Date: 1993-10-26 Newberg, OR 97132 Facility Fax: (503) 538-6371 Renewal Date :2020-08-31 0 County: Yamhill Owner: Friendsview Manor, Inc. McMinnville NWSDS Management: Friendsview Manor, Inc. Email: [email protected] 70M063 Yes Capacity: 25 Units: 25 Other Services: Gardens at Laurelhurst Village, The Administrator: Angela Newsom 3060 SE Stark St Facility Phone: (503) 535-4932 Orig Lic. Date: 1997-09-04 Portland, OR 97214 Facility Fax: (503) 535-4951 Renewal Date :2019-06-30 0 County: Multnomah Owner: Laurelhurst Operations, LLC SE Portland ASO Management: Laurelhurst Operations, LLC Email: [email protected] 5MA242 Yes Capacity: 56 Units: 28 Other Services: MCC 56, ACU 56 Gardens Enhanced Care Community, The Administrator: Victoria Garcia Pantoja 3334 22nd Ave Facility Phone: (503) 357-9780 Orig Lic. Date: 2000-04-07 Forest Grove, OR 97116 Facility Fax: (503) 357-6996 Renewal Date :2019-08-31 0 County: Washington Owner: The Grove Assisted Living, L.L.C. WCDAVS Management: Heights Management, Inc. Email: [email protected] 50R311 Yes Capacity: 43 Units: 31 Other Services: MC, ACU 43 Gardens, The Administrator: Donna Tweed 2690 NE Yacht Facility Phone: (541) 994-7400 Orig Lic. Date: 2003-03-21 Lincoln City, OR 97367 Facility Fax: (541) 994-5678 Renewal Date :2018-09-30 0 County: Lincoln Owner: Lakeview Operations, LLC Toledo/Lincoln SSO Management: Premier Senior Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 39 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R388 Yes Capacity: 10 Units: 10 Other Services: ECU 10 Gateway 2 Healthier Living Administrator: Mark Kinkade 608 N Cloverleaf Loop Facility Phone: (541) 744-9817 Orig Lic. Date: 2013-03-05 Springfield, OR 97477 Facility Fax: (541) 744-0220 Renewal Date :2019-03-31 0 County: Lane Owner: Gateway Assisted Living, Inc Eugene Management: Gateway Assisted Living, Inc. Email: [email protected] 50R304 Yes Capacity: 90 Units: 75 Other Services: MCC, ACU 90 Gateway Gardens Administrator: Sherri Borth 178 Commons Dr. Facility Phone: (541) 302-1283 Orig Lic. Date: 2002-11-01 Eugene, OR 97401 Facility Fax: (541) 485-8978 Renewal Date :2019-11-30 0 County: Lane Owner: Gateway Gardens Assisted Living, Inc. Eugene AAA Management: Gateway Gardens Assisted Living, Inc. Email: [email protected] 5MA042 Yes Capacity: 128 Units: 105 Other Services: MCC, ACU 100 Gateway Living Administrator: Jessica Knox 611 N Cloverleaf Loop Facility Phone: (541) 744-9817 Orig Lic. Date: 1991-02-01 Springfield, OR 97477 Facility Fax: (541) 744-0220 Renewal Date :2019-04-30 0 County: Lane Owner: Gateway Assisted Living, Inc Eugene Management: Gateway Assisted Living, Inc. Email: [email protected] 70M030 Yes Capacity: 65 Units: 50 Other Services: Gibson Creek Retirement & Assisted Living Residence Administrator: Carissa Stoneberg 1615 Brush College Rd NW Facility Phone: (503) 361-8599 Orig Lic. Date: 1997-09-30 Salem, OR 97304 Facility Fax: (503) 371-1160 Renewal Date :2019-09-30 0 County: Polk Owner: TLC West, L.L.C. Salem NWSDS Management: Bonaventure Senior Living Email: [email protected] 70M031 Yes Capacity: 101 Units: 101 Other Services: Gilman Park Assisted Living Administrator: Heather Lilly 2205 Gilman Drive Facility Phone: (503) 657-5700 Orig Lic. Date: 1995-02-01 Oregon City, OR 97045 Facility Fax: (503) 657-1183 Renewal Date :2019-01-31 0 County: Clackamas Owner: FM Gilman, LLC Milwaukie SPD Management: Frontier Management, LLC Email: [email protected] 50M044 Yes Capacity: 50 Units: 32 Other Services: Golden Acres Retirement Center Administrator: Sandi Tidwell 12711 SE Holgate Blvd Facility Phone: (503) 761-6421 Orig Lic. Date: 1960-01-01 Portland, OR 97236 Facility Fax: (503) 762-2423 Renewal Date :2018-08-31 0 County: Multnomah Owner: Sandra Tidwell East County ASD Management: Sandra Tidwell Email: [email protected]

Monday, October 1, 2018 Page 40 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R319 Non Medicaid Capacity: 15 Units: 12 Other Services: Golden Age Living, LLC Administrator: Persida Stana 3484 SE Hill Rd. Facility Phone: (503) 652-8000 Orig Lic. Date: 2003-07-17 Milwaukie, OR 97267 Facility Fax: (503) 652-8902 Renewal Date :2020-04-30 0 County: Clackamas Owner: Golden Age Living LLC Milwaukie Spd Management: Golden Age Living LLC Email: [email protected] 50R402 Non Medicaid Capacity: 21 Units: 18 Other Services: Grad Withdrawal 6/17 Grace Manor Residential Care Community Administrator: Daniel Vlaciu 2811 Bailey Lane Facility Phone: (541) 686-2721 Orig Lic. Date: 2014-03-14 Eugene, OR 97401 Facility Fax: (541) 338-9003 Renewal Date :2018-12-31 0 County: Lane Owner: Grace Manor Senior Living, LLC Eugene APD Management: D & M Management, Inc. Email: [email protected] 70M033 Yes Capacity: 76 Units: 66 Other Services: Grande Ronde Retirement Residence Administrator: Melody Johnson 1809 Gekeler Lane Facility Phone: (541) 963-4700 Orig Lic. Date: 1990-07-01 La Grande, OR 97850 Facility Fax: (541) 963-6519 Renewal Date :2019-01-31 0 County: Union Owner: FM Grande, LLC La Grande MSO Management: Frontier Management, LLC Email: [email protected] 70M034 Yes Capacity: 79 Units: 71 Other Services: Greenridge Estates Administrator: Rebecca Rhineheimer 4 Greenridge Dr Facility Phone: (503) 635-8818 Orig Lic. Date: 1992-06-03 Lake Oswego, OR 97035 Facility Fax: (503) 635-6857 Renewal Date :2018-10-31 0 County: Clackamas Owner: Greenridge Estates Operating, LLC Milwaukie SPD Management: Greenridge Estates Operating, LLC Email: [email protected] 50R387 Yes Capacity: 28 Units: 13 Other Services: Griffin House, LLC The Administrator: Sharon Griffin 6630 Alderbrook Road Facility Phone: (503) 801-0418 Orig Lic. Date: 2012-10-25 Tillamook, OR 97141 Facility Fax: Renewal Date :2018-10-31 0 County: Tillamook Owner: The Griffin House LLC Tillamook NWSDS Management: The Griffin House LLC Email: [email protected] 70M035 Yes Capacity: 78 Units: 64 Other Services: Grove Assisted Living, The Administrator: Amy Wolff 2112 Oak St Facility Phone: (503) 359-1002 Orig Lic. Date: 1996-08-01 Forest Grove, OR 97116 Facility Fax: (503) 359-0615 Renewal Date :2019-08-31 0 County: Washington Owner: The Grove Assisted Living, L.L.C. WCDAVS Management: Heights Management, Inc. Email: [email protected]

Monday, October 1, 2018 Page 41 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M079 Yes Capacity: 40 Units: 32 Other Services: Guardian Angel Homes Administrator: Juanita Muhlbeier 540 NW 12th St Facility Phone: (541) 564-9070 Orig Lic. Date: 1995-09-07 Hermiston, OR 97838 Facility Fax: (541) 564-8178 Renewal Date :2019-06-30 0 County: Umatilla Owner: Hermiston Healthcare LLC Hermiston MSO Management: Tailored Management Services, LLC Email: [email protected] 50M428 Yes Capacity: 32 Units: 32 Other Services: MC, ACU 32 Guardian Angel Homes Memory Care Administrator: Corrina Herrera 540 N.W. 12th Street Facility Phone: (541) 564-9070 Orig Lic. Date: 2016-04-25 Hermiston, OR 97838 Facility Fax: (541) 567-6421 Renewal Date :2020-04-30 0 County: Umatilla Owner: Hermiston Healthcare LLC Hermiston Management: Tailored Management Services, LLC Email: [email protected] 50M049 Yes Capacity: 62 Units: 42 Other Services: MC, ACU 32 Harmony Guest Home, Inc. Administrator: Lucy Gallarde 351 SE Fifth St Facility Phone: (503) 648-3413 Orig Lic. Date: 1990-05-01 Hillsboro, OR 97123 Facility Fax: (503) 693-6695 Renewal Date :2019-05-31 0 County: Washington Owner: Harmony Guest Home, Inc. Hillsboro Management: Harmony Guest Home, Inc. Email: [email protected] or Lug55@Ya 50R356 Yes Capacity: 15 Units: 15 Other Services: MCC, ACU 15 Harmony House of Salem Administrator: Michele Nixon 3062 Hyacinth St. NE Facility Phone: (503) 588-0722 Orig Lic. Date: 2009-01-16 Salem, OR 97301 Facility Fax: (503) 588-0755 Renewal Date :2019-01-31 0 County: Marion Owner: Pacific Living Centers, Inc. Salem NWSDS Management: Pacific Living Centers, Inc. Email: [email protected] 5ME248 Yes Capacity: 16 Units: 9 Other Services: ECU 16 Harmony Living Administrator: Dagny Sprayberry 1535 SW Shirley Ann Drive Facility Phone: (503) 472-9997 Orig Lic. Date: 2000-05-15 McMinnville, OR 97128 Facility Fax: (503) 472-9986 Renewal Date :2020-05-31 0 County: Yamhill Owner: Harmony Living, Inc. McMinnville NWSDS Management: Harmony Living, Inc. Email: [email protected] 5MA051 Yes Capacity: 40 Units: 39 Other Services: MC, ACU 20 Harvest Homes RCF Administrator: Lyndel Brown 6921 N Roberts Facility Phone: (503) 286-2423 Orig Lic. Date: 1971-01-01 Portland, OR 97203 Facility Fax: (503) 286-1110 Renewal Date :2018-02-28 0 County: Multnomah Owner: Harvest Homes, Inc. NE Portland ASO/DSO Management: Harvest Homes, Inc. Email: [email protected]

Monday, October 1, 2018 Page 42 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M036 Yes Capacity: 49 Units: 42 Other Services: Harvest Homes, Inc. Administrator: Michelle Westwood 6921 N Roberts Ave Facility Phone: (503) 286-2423 Orig Lic. Date: 1998-05-29 Portland, OR 97203 Facility Fax: (503) 289-6473 Renewal Date :2020-05-31 0 County: Multnomah Owner: Harvest Homes, Inc. NE Portland ASO/DSO Management: Harvest Homes, Inc. Email: [email protected] 50M201 Yes Capacity: 19 Units: 19 Other Services: Haven House Retirement Center Administrator: Marjorie Sharp 714 Main Street PO Box 386 Facility Phone: (541) 763-4651 Orig Lic. Date: 1999-07-01 Fossil, OR 97830 Facility Fax: (541) 763-2129 Renewal Date :2019-07-31 0 County: Wheeler Owner: Fossil Elderly Housing Committee, Inc. The Dalles AAA Management: Fossil Elderly Housing Committee, Inc. Email: [email protected] 70A269 Yes Capacity: 85 Units: 70 Other Services: Hawks Ridge Senior Assisted Living Community Administrator: Tobias Kemper 1795 8th St Facility Phone: (541) 387-4087 Orig Lic. Date: 2001-10-19 Hood River, OR 97031 Facility Fax: (541) 387-2697 Renewal Date :2019-01-31 0 County: Hood River Owner: LSREF Golden Ops 26 (OR) LLC The Dalles MSO Management: Frontier Management, LLC Email: [email protected] 50R350 Yes Capacity: 35 Units: 22 Other Services: MCC, ACU 35 Hawthorne Gardens Memory Care Community Administrator: Emily Taghon 2828 SE Taylor Street Facility Phone: (971) 222-0396 Orig Lic. Date: 2007-07-30 Portland, OR 97214 Facility Fax: (971) 222-0397 Renewal Date :2019-09-30 0 County: Multnomah Owner: GF Hawthorne Tenant, LLC E Cty ASD Management: Artegan at Hawthorne Gardens, LLC Email: [email protected] 70A309 Yes Capacity: 42 Units: 36 Other Services: Hawthorne Gardens Senior Living Community Administrator: Elizabeth Ullom 2828 SE Taylor Street Facility Phone: (971) 222-0396 Orig Lic. Date: 2007-07-30 Portland, OR 97214 Facility Fax: (971) 222-0397 Renewal Date :2019-09-30 0 County: Multnomah Owner: GF Hawthorne Tenant, LLC E Cty ASD Management: Artegan at Hawthorne Gardens, LLC Email: [email protected] 50R300 Yes Capacity: 15 Units: 11 Other Services: MC, ACU 15 Hawthorne House of Salem Administrator: Krishanna Jaramillo 3042 Hyacinth St. NE Facility Phone: (503) 763-2722 Orig Lic. Date: 2002-08-30 Salem, OR 97303 Facility Fax: (503) 763-2677 Renewal Date :2018-08-31 0 County: Marion Owner: Pacific Living Centers, Inc. Salem NWSDS Management: Pacific Living Centers, Inc. Email: [email protected]

Monday, October 1, 2018 Page 43 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R376 Yes Capacity: 22 Units: 22 Other Services: MCC, ACU 22 Hawthorne House, The Administrator: Dawn Pratt 2635 21st Avenue Facility Phone: (503) 357-6409 Orig Lic. Date: 2011-05-26 Forest Grove, OR 97116 Facility Fax: (503) 357-9046 Renewal Date :2019-05-31 0 County: Washington Owner: Hawthorne House, LLC Hillsboro SPD Management: Caring Places Management, LLC Email: [email protected] 50R294 Non Medicaid Capacity: 142 Units: 119 Other Services: MC, ACU 32 Hearthstone at Murrayhill Administrator: Tom Freitag 10880 SW Davies Rd. Facility Phone: (503) 520-0911 Orig Lic. Date: 2002-02-28 Beaverton, OR 97008 Facility Fax: (503) 641-4944 Renewal Date :2020-02-28 0 County: Washington Owner: Hearthstone at Murrayhill, LLC Hillsboro WCDAVS Management: Hearthstone Management Services, LLC Email: [email protected] 70A273 Non Medicaid Capacity: 80 Units: 64 Other Services: Hearthstone at Murrayhill Assisted Living Administrator: Pamela Howatt 10880 SW Davies Rd Facility Phone: (503) 520-0911 Orig Lic. Date: 2002-02-28 Beaverton, OR 97008 Facility Fax: (503) 641-4944 Renewal Date :2020-02-28 0 County: Washington Owner: Hearthstone at Murrayhill, LLC Hillsboro WCDAVS Management: Hearthstone Management Services, LLC Email: [email protected] 70M037 Non Medicaid Capacity: 75 Units: 58 Other Services: Hearthstone Of Beaverton Administrator: Grace Hall 12520 SW Hart Rd Facility Phone: (503) 641-0911 Orig Lic. Date: 1996-11-01 Beaverton, OR 97008 Facility Fax: (503) 641-1118 Renewal Date :2018-10-31 0 County: Washington Owner: Hearthstone of Beaverton Operations, LLC WCDAVS Management: Hearthstone Management Services, LLC Email: [email protected] 50R409 Yes Capacity: 48 Units: 48 Other Services: MC, ACU 48 Heartwood Place Administrator: Laurie Pomeroy 2325 Boones Ferry Road Facility Phone: (503) 980-9990 Orig Lic. Date: 2014-05-02 Woodburn, OR 97071 Facility Fax: (503) 980-9995 Renewal Date :2020-05-31 0 County: Marion Owner: WMC Operating Company LLC woodburn NWSDS Management: Benicia Senior Living, LLC Email: [email protected] 50R332 Yes Capacity: 15 Units: 15 Other Services: MC, ACU 15 Heritage House of Woodburn Administrator: Shannon Souza 943 N. Cascade Dr. Facility Phone: (503) 982-1506 Orig Lic. Date: 2004-12-15 Woodburn, OR 97071 Facility Fax: (503) 982-1175 Renewal Date :2018-12-31 0 County: Marion Owner: Pacific Living Centers, Inc. Woodburn NWSDS Management: Pacific Living Centers, Inc. Email: [email protected]

Monday, October 1, 2018 Page 44 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M241 Yes Capacity: 53 Units: 36 Other Services: High Lookee Lodge Administrator: Jolene Greene 2321 Ollallie Lane PO Box 6 Facility Phone: (541) 553-1182 Orig Lic. Date: 2000-04-17 Warm Springs, OR 97761 Facility Fax: (541) 553-1186 Renewal Date :2017-10-31 0 County: Jefferson Owner: Confederated Tribes of Warm Springs Reservation of Madras MSO Management: Confederated Tribes of Warm Springs Reservat Email: [email protected] 50M211 Yes Capacity: 28 Units: 20 Other Services: Hill House Company Administrator: Sharleen Moschella 1325 SW Gibbs Street Facility Phone: (503) 274-0000 Orig Lic. Date: 1998-05-28 Portland, OR 97239 Facility Fax: (503) 243-3427 Renewal Date :2019-08-31 0 County: Multnomah Owner: Peaks and Valleys, LLC WCDAVS Management: Peaks and Valleys, LLC Email: [email protected] 50R369 Yes Capacity: 40 Units: 24 Other Services: MC, ACU 25 Hillside Care Manor Administrator: Sara Lincoln 800 NW 25th Avenue Facility Phone: (503) 688-5080 Orig Lic. Date: 2010-07-16 Portland, OR 97210 Facility Fax: (503) 688-5096 Renewal Date :2019-10-31 0 County: Multnomah Owner: Peaks and Valleys, LLC West ADS Management: Peaks and Valleys, LLC Email: [email protected] 70M041 Non Medicaid Capacity: 37 Units: 33 Other Services: Hillside Place Administrator: Tabatha Walker 1400 SE 19th Facility Phone: (541) 994-8028 Orig Lic. Date: 1992-07-08 Lincoln City, OR 97367 Facility Fax: (541) 994-8331 Renewal Date :2019-07-31 0 County: Lincoln Owner: HILLSIDE AID OPCO, LLC Toledo/Lincoln SSO Management: Enlivant AID (Oregon) Mgmt, LLC Email: [email protected] 50R230 Non Medicaid Capacity: 44 Units: 36 Other Services: Holladay Park Plaza Administrator: Netalya Pavlik 1300 NE 16th Facility Phone: (503) 288-6671 Orig Lic. Date: 2000-01-06 Portland, OR 97232 Facility Fax: (503) 331-4853 Renewal Date :2018-12-31 0 County: Multnomah Owner: Holladay Park Plaza, Inc. NE Portland ASO/DSO Management: Pacific Retirement Services, Inc. Email: [email protected] 50A074 Yes Capacity: 42 Units: 38 Other Services: Holly Residential Care Center Administrator: Jeffrey Laramee 1075 Irvington Drive Facility Phone: (541) 607-8587 Orig Lic. Date: 1999-10-15 Eugene, OR 97404 Facility Fax: (541) 607-8595 Renewal Date :2019-05-31 0 County: Lane Owner: The Maren Corporation Eugene AAA Management: The Maren Corporation Email: [email protected]

Monday, October 1, 2018 Page 45 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R458 Yes Capacity: 12 Units: 12 Other Services: Holmes Park House Administrator: Randal Rieb 217 S Modoc Ave Facility Phone: (541) 500-8911 Orig Lic. Date: 2018-05-09 Medford, OR 97504 Facility Fax: (541) 500-8907 Renewal Date :2020-05-31 0 County: Jackson Owner: Southern Oregon Friends of Hospice Medford Management: Southern Oregon Friends of Hospice Email: [email protected] 70M042 Yes Capacity: 52 Units: 44 Other Services: Homewood Heights Assisted Living Administrator: Weldon Wood 17999 SE River Rd Facility Phone: (503) 659-6600 Orig Lic. Date: 1996-03-01 Milwaukie, OR 97267 Facility Fax: (503) 659-8193 Renewal Date :2020-02-28 0 County: Clackamas Owner: Homewoods Heights LLC Milwaukie SPD Management: Prestige Senior Living, L.L.C Email: [email protected] 50R316 Yes Capacity: 64 Units: 64 Other Services: Hope N Care Administrator: Rosalinda Asa 12045 SE Pardee St. Facility Phone: (503) 761-6939 Orig Lic. Date: 2003-04-25 Portland, OR 97266 Facility Fax: (503) 761-5909 Renewal Date :2019-04-30 0 County: Multnomah Owner: Asa Care, Inc. Mid-Mult ASD Management: Asa Care, Inc. Email: [email protected] 50R145 Non Medicaid Capacity: 18 Units: 16 Other Services: Horton Plaza Administrator: Danielle Stovall 1122 Spring St Facility Phone: (541) 770-1122 Orig Lic. Date: 1995-08-14 Medford, OR 97504 Facility Fax: (541) 770-9576 Renewal Date :2019-08-31 0 County: Jackson Owner: Horton Plaza, LLC Medford AAA Management: Dharma Healthcare Management, Inc. Email: [email protected] 50R062 Yes Capacity: 7 Units: 7 Other Services: Hubbard Residential Care Facility Administrator: Ann Hubbard 647 Junction Rd Facility Phone: (541) 832-3282 Orig Lic. Date: 1972-11-01 Glendale, OR 97442 Facility Fax: (541) 832-2676 Renewal Date :2019-08-31 0 County: Douglas Owner: Norma Ann Hubbard Roseburg AAA Management: Norma Ann Hubbard Email: [email protected] 70M044 Yes Capacity: 60 Units: 50 Other Services: Inland Point Retirement Community Administrator: Susan Cain 2290 Inland Dr Facility Phone: (541) 756-0176 Orig Lic. Date: 1995-11-22 North Bend, OR 97459 Facility Fax: (541) 756-8405 Renewal Date :2019-05-31 0 County: Coos Owner: Cascade Living Group - Oregon, LLC Coos Bay MSO Management: Cascade Living Group - Oregon, LLC Email: [email protected]

Monday, October 1, 2018 Page 46 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R251 Non Medicaid Capacity: 16 Units: 16 Other Services: Ivy Court Senior Living Administrator: Kelly Chancellor 18265 SE River Road Facility Phone: (503) 786-3443 Orig Lic. Date: 2000-08-15 Milwaukie, OR 97222 Facility Fax: (503) 786-9650 Renewal Date :2019-04-30 0 County: Clackamas Owner: Kelly Kare, Inc. Milwaukie SPD Management: Kelly Kare, Inc. Email: [email protected] 50M065 Yes Capacity: 50 Units: 44 Other Services: MCC, ACU 50 Jefferson Lodge Memory Care Community Administrator: Aaron Hill 664 SE Jefferson St Facility Phone: (503) 623-8104 Orig Lic. Date: 1994-07-18 Dallas, OR 97338 Facility Fax: (503) 588-8653 Renewal Date :2019-05-31 0 County: Polk Owner: Cascade Living Group - Oregon, LLC Dallas NWSDS Management: Cascade Living Group - Oregon, LLC Email: [email protected] 70A214 Yes Capacity: 147 Units: 121 Other Services: Jennings - McCall Center Administrator: Crystale Harding 2221 Oak Street Facility Phone: (503) 359-4465 Orig Lic. Date: 1991-12-12 Forest Grove, OR 97116 Facility Fax: (503) 359-4468 Renewal Date :2019-11-30 0 County: Washington Owner: Masonic & Eastern Star Home of Oregon, Inc. WCDAVS Management: Aidan Health Services, Inc. Email: [email protected] 50R393 Yes Capacity: 27 Units: 27 Other Services: MCC, ACU 27 Jennings McCall RCF Administrator: Olivia Garcia 2221 Oak Street Facility Phone: (503) 359-4465 Orig Lic. Date: 2013-06-18 Forest Grove, OR 97116 Facility Fax: (503) 359-8552 Renewal Date :2019-06-30 0 County: Washington Owner: Masonic & Eastern Star Home of Oregon, Inc. WCDAVS Management: Aidan Health Services, Inc. Email: [email protected] 70M048 Yes Capacity: 36 Units: 26 Other Services: Junction City Retirement & Assisted Living Residence Administrator: Beverly Ferren 500 E 6th St Facility Phone: (541) 998-6060 Orig Lic. Date: 1998-06-16 Junction City, OR 97448 Facility Fax: (541) 998-3747 Renewal Date :2019-06-30 0 County: Lane Owner: FC Ranger OPS Junction City (OR), LLC Eugene SSO Management: Frontier Management, LLC Email: [email protected] 70M049 Yes Capacity: 31 Units: 25 Other Services: Juniper House Administrator: Johnnie McQuilken 301 SW 28th Dr Facility Phone: (541) 278-0666 Orig Lic. Date: 1991-04-03 Pendleton, OR 97801 Facility Fax: (541) 278-1578 Renewal Date :2020-07-31 0 County: Umatilla Owner: Pendleton ALF, LLC Pendleton MSO Management: Concepts in Community Living, Inc. Email: [email protected]

Monday, October 1, 2018 Page 47 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M422 Yes Capacity: 16 Units: 13 Other Services: MCC, ACU 16 Juniper House Memory Care Administrator: Johnnie McQuilkin 301 SW 28th Drive Facility Phone: (541) 278-0666 Orig Lic. Date: 2015-07-24 Pendleton, OR 97801 Facility Fax: (541) 278-1578 Renewal Date :2020-07-31 0 County: Umatilla Owner: Pendleton ALF, LLC Umatilla Management: Concepts in Community Living, Inc. Email: [email protected] 50R454 Yes Capacity: 50 Units: 41 Other Services: Kellyville RCF Administrator: Maricel Asa 12221 SE Kelly Street Facility Phone: (503) 954-2561 Orig Lic. Date: 2017-12-12 Portland, OR 97236 Facility Fax: (503) 954-3792 Renewal Date :2019-12-31 0 County: Multnomah Owner: YSA Group Operating Company, LLC Multnomah Management: Integrated Care Management, LLC Email: [email protected] 70M050 Yes Capacity: 36 Units: 30 Other Services: Kilchis House Administrator: Debbie Meier 4212 Marolf Place Facility Phone: (503) 842-2204 Orig Lic. Date: 1994-12-19 Tillamook, OR 97141 Facility Fax: (503) 815-1694 Renewal Date :2019-09-30 0 County: Tillamook Owner: Kilchis House, LLC Tillamook NWSDS Management: Kilchis House, LLC Email: [email protected] 50M424 Yes Capacity: 30 Units: 30 Other Services: MC, ACU 30 Kinsington at Redwood Park Administrator: Alison Andrews 1390 Dowell Road Facility Phone: (541) 476-2536 Orig Lic. Date: 2015-11-12 Grants Pass, OR 97527 Facility Fax: (541) 476-2456 Renewal Date :2019-11-30 0 County: Josephine Owner: Heirloom Living Centers, LLC Medford Management: Cameo Care Management, LLC Email: [email protected] 50R372 Yes Capacity: 16 Units: 15 Other Services: MCC, ACU 16 Kinsington Place Administrator: Misti Gunn 827 SW Kinsington Court Facility Phone: (541) 955-9866 Orig Lic. Date: 2011-01-17 Grants Pass, OR 97526 Facility Fax: (541) 955-9865 Renewal Date :2019-01-31 0 County: Josephine Owner: Heirloom Living Centers, LLC Grants Pass DSO Management: Heirloom Living Centers, LLC Email: [email protected] 70A331 Yes Capacity: 12 Units: 12 Other Services: Lakeview Gardens Assisted Living Facility Administrator: Larry Coulter 1250 South 9th Street Facility Phone: (541) 947-2114 Orig Lic. Date: 2017-10-09 Lakeview, OR 97630 Facility Fax: (541) 947-3840 Renewal Date :2019-10-31 0 County: Lake Owner: Lakeview Gardens, LLC Klamath Falls Management: Lakeview Gardens, LLC Email: [email protected]

Monday, October 1, 2018 Page 48 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M053 Yes Capacity: 67 Units: 56 Other Services: Lakeview Senior Living Administrator: Jillian Nelson 2690 NE Yacht Facility Phone: (541) 994-7400 Orig Lic. Date: 1995-11-01 Lincoln City, OR 97367 Facility Fax: (541) 994-5678 Renewal Date :2018-09-30 0 County: Lincoln Owner: Lakeview Operations, LLC Toledo/Lincoln SSO Management: Premier Senior Living, LLC Email: [email protected] 70M051 Yes Capacity: 50 Units: 42 Other Services: Lancaster Assisted Living Administrator: Peggy Cruz 4156 Market St NE Facility Phone: (503) 364-3383 Orig Lic. Date: 1997-03-21 Salem, OR 97301 Facility Fax: (503) 371-0498 Renewal Date :2019-03-31 0 County: Marion Owner: Lancaster Assisted Living LLC Salem NWSDS Management: Senior Living Management, Inc. Email: [email protected] 70M052 Yes Capacity: 36 Units: 32 Other Services: Lancaster Village Administrator: Judy Belt 4138 Market St NE Facility Phone: (503) 364-3383 Orig Lic. Date: 1990-02-01 Salem, OR 97301 Facility Fax: (503) 364-6433 Renewal Date :2019-01-31 0 County: Marion Owner: Lancaster Village, LLC Salem NWSDS Management: Senior Living Services, Inc. Email: [email protected] 70A312 Non Medicaid Capacity: 153 Units: 102 Other Services: MCC, ACU 23 Laurel Parc at Bethany Administrator: Tina Tittle 15850 NW Central Drive Facility Phone: (503) 533-7979 Orig Lic. Date: 2009-04-01 Portland, OR 97229 Facility Fax: (503) 906-5796 Renewal Date :2019-04-30 0 County: Washington Owner: Laurel Parc AL at Bethany, LLC Beaverton SPD Management: Laurel Parc AL at Bethany, LLC Email: [email protected] 50R333 Yes Capacity: 56 Units: 28 Other Services: Laurel Pines Retirement Lodge Administrator: Brian Catchings 3100 Avenue A Facility Phone: (541) 830-7800 Orig Lic. Date: 2005-06-15 White City, OR 97503 Facility Fax: (541) 830-7802 Renewal Date :2018-12-31 0 County: Jackson Owner: Laurel Pines, Inc. Medford AAA Management: Dakavia Management, Corp. Email: [email protected] 70M252 Yes Capacity: 38 Units: 38 Other Services: Laurelhurst House Administrator: Terry Brandt 15 SE 55th Ave Facility Phone: (503) 234-5050 Orig Lic. Date: 2000-11-17 Portland, OR 97215 Facility Fax: (503) 234-9090 Renewal Date :2018-11-30 0 County: Multnomah Owner: Laurelhurst House, LLC E County ASD Management: Touchstone Communities, LLC Email: [email protected]

Monday, October 1, 2018 Page 49 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R463 Yes Capacity: 55 Units: 45 Other Services: ACU 20 Liberty Pointe Administrator: Allen James 1241 NE 6th St Facility Phone: (503) 446-2877 Orig Lic. Date: 2018-10-01 Gresham, OR 97030 Facility Fax: (971) 230-5846 Renewal Date :2020-09-30 0 County: Multnomah Owner: Sapphire at Liberty Pointe, LLC Multnomah Management: Sapphire at Liberty Pointe, LLC Email: [email protected] 70M242 Yes Capacity: 85 Units: 70 Other Services: Lone Oak Assisted Living Facility Administrator: Amanda Boehlke 2615 Lone Oak Way Facility Phone: (541) 463-7700 Orig Lic. Date: 2000-09-15 Eugene, OR 97402 Facility Fax: (541) 461-0539 Renewal Date :2019-01-31 0 County: Lane Owner: LSREF Golden Ops 14 (OR) LLC Eugene SSO Management: Frontier Management, LLC Email: [email protected] 5MA080 Yes Capacity: 28 Units: 24 Other Services: MC, ACU 28 Lydia's House Administrator: Mary Scott 5353 Columbus St SE Facility Phone: (541) 928-4728 Orig Lic. Date: 1980-01-01 Albany, OR 97321 Facility Fax: (541) 917-1399 Renewal Date :2018-08-31 0 County: Linn Owner: Mennonite Home Of Albany, Inc. Albany SSO Management: Mennonite Home Of Albany, Inc. Email: [email protected] 70M216 Yes Capacity: 54 Units: 54 Other Services: Macdonald Residence Administrator: Monique Mills 605 NW Couch Street Facility Phone: (503) 241-7374 Orig Lic. Date: 1999-09-01 Portland, OR 97209 Facility Fax: (503) 241-7375 Renewal Date :2019-08-31 0 County: Multnomah Owner: Macdonald Center W Portland Management: Mennonite Management Services, Inc. Email: [email protected] 70M056 Yes Capacity: 56 Units: 51 Other Services: Magnolia Gardens Assisted Living Administrator: Deborah Johannes 1425 Daugherty Facility Phone: (541) 942-0054 Orig Lic. Date: 1996-07-08 Cottage Grove, OR 97424 Facility Fax: (541) 942-3994 Renewal Date :2020-06-30 0 County: Lane Owner: Magnolia Gardens Assisted Retirement Living LLC Eugene SSO Management: Compass Senior Living, LLC Email: [email protected] 50R314 Yes Capacity: 15 Units: 15 Other Services: MC, ACU 15 Magnolia Village Memory Care Community Administrator: Tara Blount 1355 Daugherty Facility Phone: (541) 942-8966 Orig Lic. Date: 2003-04-04 Cottage Grove, OR 97424 Facility Fax: (541) 942-8915 Renewal Date :2019-04-30 0 County: Lane Owner: Magnolia Village, LLC Eugene SSO Management: Compass Senior Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 50 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R363 Non Medicaid Capacity: 30 Units: 28 Other Services: Manor Terrace Care Suites Administrator: Jill Howard 1250 Mira Mar Avenue Facility Phone: (541) 857-7777 Orig Lic. Date: 2009-10-21 Medford, OR 97504 Facility Fax: (541) 857-7599 Renewal Date :2019-10-31 0 County: Jackson Owner: Rogue Valley Manor Medford SSO Management: Pacific Retirement Services, Inc. Email: [email protected] 50M425 Yes Capacity: 28 Units: 28 Other Services: MC, ACU 28 Maple Valley Memory Care Administrator: Dagny Sprayberry 219 NE Fircrest Drive Facility Phone: (503) 883-9385 Orig Lic. Date: 2015-11-19 McMinnville, OR 97128 Facility Fax: (360) 891-7162 Renewal Date :2018-09-30 0 County: Yamhill Owner: Chancellor Health Care of California XII, Inc. NWSDS Management: Chancellor Health Care, Inc, Email: [email protected] 70M257 Yes Capacity: 79 Units: 70 Other Services: MC, ACU 23 Marie Rose Center Assisted Living Administrator: Lynn Hyde 17360 Holy Names Drive Facility Phone: (503) 675-2475 Orig Lic. Date: 2001-02-22 Lake Oswego, OR 97034 Facility Fax: (503) 675-2458 Renewal Date :2019-02-28 0 County: Clackamas Owner: Mary's Woods at Marylhurst, Inc. Milwaukie SPD Management: Mary's Woods at Marylhurst, Inc. Email: [email protected] 50R401 Yes Capacity: 26 Units: 26 Other Services: Marie Rose Residential Care Administrator: Lynn Hyde 17360 Holy Names Drive Facility Phone: (503) 675-2475 Orig Lic. Date: 2014-01-01 Lake Oswego, OR 97034 Facility Fax: (503) 534-3937 Renewal Date :2020-01-31 0 County: Clackamas Owner: Mary's Woods at Marylhurst, Inc. Milwaukie SPD Management: Mary's Woods at Marylhurst, Inc. Email: [email protected] 50M423 Yes Capacity: 45 Units: 45 Other Services: ACU 45 Marjorie House Memory Care Community Administrator: Ashley Latham 2855 NE Cumulus Avenue Facility Phone: (503) 474-4222 Orig Lic. Date: 2015-11-01 McMinnville, OR 97128 Facility Fax: (503) 474-4220 Renewal Date :2019-11-30 0 County: Yamhill Owner: Marjorie House McMinnville, LLC NWSDS Management: Marjorie House McMinnville, LLC Email: [email protected] 70A057 Non Medicaid Capacity: 63 Units: 54 Other Services: Markham House Retirement Community Administrator: Zohreh Jamshidi 10606 SW Capitol Hwy Facility Phone: (503) 244-9500 Orig Lic. Date: 1994-03-01 Portland, OR 97219 Facility Fax: (503) 244-1022 Renewal Date :2020-06-30 0 County: Multnomah Owner: PORTMH, LLC W Portland Management: Leisure Care, LLC Email: [email protected]

Monday, October 1, 2018 Page 51 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50A244 Non Medicaid Capacity: 22 Units: 15 Other Services: MC, ACU 22 Marquis Autumn Hills Residential Memory Care Administrator: Julie Kresl 6630 SW Beaverton-Hillsdale Hwy. Facility Phone: (503) 292-7874 Orig Lic. Date: 2000-04-07 Portland, OR 97225 Facility Fax: (503) 292-2359 Renewal Date :2019-04-30 0 County: Washington Owner: Marquis Companies II, Inc. WCDAVS Management: Marquis Companies I, Inc. Email: [email protected] 70M100 Yes Capacity: 70 Units: 58 Other Services: Marquis Forest Grove Assisted Living Administrator: Shehani Fernando 3336 19th Ave Facility Phone: (503) 359-1129 Orig Lic. Date: 1996-08-09 Forest Grove, OR 97116 Facility Fax: (503) 357-4449 Renewal Date :2019-04-30 0 County: Washington Owner: Marquis Companies II, Inc. WCDAVS Management: Marquis Companies I, Inc. Email: [email protected] 70M099 Yes Capacity: 92 Units: 80 Other Services: Marquis Hope Village ALF Administrator: Marci Bird 1589 S Ivy Facility Phone: (503) 266-2444 Orig Lic. Date: 1998-03-04 Canby, OR 97013 Facility Fax: (503) 266-6725 Renewal Date :2020-02-28 0 County: Clackamas Owner: Marquis Companies I, Inc. Canby SPD Management: Marquis Companies I, Inc. Email: [email protected] 70A288 Yes Capacity: 80 Units: 80 Other Services: Marquis Piedmont Assisted Living Administrator: Erika Walters 319 NE Russet St. Facility Phone: (503) 289-5571 Orig Lic. Date: 2003-05-19 Portland, OR 97211 Facility Fax: (503) 286-0635 Renewal Date :2019-04-30 0 County: Multnomah Owner: Marquis Companies II, Inc. NE Portland ASO/DSO Management: Marquis Companies I, Inc. Email: [email protected] 70A324 Yes Capacity: 87 Units: 80 Other Services: Marquis Tualatin Assisted Living Administrator: Kylie Evenhus 19945 SW Boones Ferry Road Facility Phone: (503) 612-5500 Orig Lic. Date: 2014-07-21 Tualatin, OR 97062 Facility Fax: (503) 612-5501 Renewal Date :2020-07-31 0 County: Washington Owner: Marquis Companies II, Inc. WCDAVS Management: Marquis Companies I, Inc. Email: [email protected] 70A286 Yes Capacity: 72 Units: 60 Other Services: Marquis Wilsonville Assisted Living Administrator: Katherine Olsen 30900 SW Parkway Ave Facility Phone: (503) 682-2330 Orig Lic. Date: 2003-02-07 Wilsonville, OR 97070 Facility Fax: (503) 682-2208 Renewal Date :2019-04-30 0 County: Clackamas Owner: Marquis Companies II, Inc. Canby SPD Management: Marquis Companies I, Inc. Email: [email protected]

Monday, October 1, 2018 Page 52 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R381 Non Medicaid Capacity: 16 Units: 15 Other Services: MC, ACU 16 Maryville Memory Care Administrator: Candy Smith-Kimani 14645 SW Farmington Road Facility Phone: (503) 643-8626 Orig Lic. Date: 2011-10-13 Beaverton, OR 97007 Facility Fax: (503) 520-1435 Renewal Date :2019-10-31 0 County: Washington Owner: Sisters of St. Mary of Oregon Maryville Corp. Beaverton SPD Management: Sisters of St. Mary of Oregon Maryville Corp. Email: [email protected] 70M238 Yes Capacity: 60 Units: 44 Other Services: McKay Creek Estates Administrator: Terri Henry 1601 Southgate Place Facility Phone: (541) 276-1987 Orig Lic. Date: 2000-07-12 Pendleton, OR 97801 Facility Fax: (541) 278-4788 Renewal Date :2020-06-30 0 County: Umatilla Owner: Pendleton Ventures, L.L.C. Pendleton MSO Management: Prestige Senior Living, L.L.C. Email: [email protected] 50R410 Yes Capacity: 21 Units: 21 Other Services: McKenzie Living Administrator: Yvonne Starr 6452 A Street Facility Phone: (541) 744-9817 Orig Lic. Date: 2014-05-21 Springfield, OR 97478 Facility Fax: (541) 744-0220 Renewal Date :2020-05-31 0 County: Lane Owner: McKenzie Living, Inc. Eugene LCOG Management: McKenzie Living, Inc. Email: [email protected] 50R451 Yes Capacity: 58 Units: 58 Other Services: ECU 11 McKenzie Living Eugene Administrator: Tina Becker 2621 Lone Oak Drive Facility Phone: (541) 744-9817 Orig Lic. Date: 2017-11-09 Eugene, OR 97404 Facility Fax: (541) 744-0220 Renewal Date :2019-11-30 0 County: Lane Owner: McKenzie Living, Inc. Eugene Management: McKenzie Living, Inc. Email: [email protected] 70M058 Yes Capacity: 60 Units: 50 Other Services: McKillop Residence Administrator: Shauna Garza 500 Conifer Circle Facility Phone: (503) 769-8900 Orig Lic. Date: 1998-04-16 Sublimity, OR 97385 Facility Fax: (503) 769-0950 Renewal Date :2020-03-31 0 County: Marion Owner: Janmaur II, L.L.C. Salem NWSDS Management: Marian Estates Support Services Email: [email protected] 50R357 Non Medicaid Capacity: 28 Units: 24 Other Services: MC, ACU 28 McLoughlin Memory Care Administrator: Christina McLaughlin 1145 Molalla Avenue Facility Phone: (503) 655-3337 Orig Lic. Date: 2009-02-01 Oregon City, OR 97045 Facility Fax: (503) 656-6939 Renewal Date :2018-10-31 0 County: Clackamas Owner: McLoughlin Place Operations, LLC Milwaukie SPD Management: Milestone Retirement Communities, LLC Email: [email protected]

Monday, October 1, 2018 Page 53 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M059 Yes Capacity: 74 Units: 70 Other Services: McLoughlin Place Senior Living Administrator: Stacey Terry 1153 Molalla Ave Facility Phone: (503) 655-3337 Orig Lic. Date: 1997-03-30 Oregon City, OR 97045 Facility Fax: (503) 656-6939 Renewal Date :2018-10-31 0 County: Clackamas Owner: McLoughlin Place Operations, LLC Milwaukie SPD Management: Milestone Retirement Communities, LLC Email: [email protected] 50M441 Yes Capacity: 24 Units: 24 Other Services: MC, ACU 24 Meadow at Mt. Bachelor Memory Care, The Administrator: Ulysses Vargas 20215 Powers Road Facility Phone: (541) 388-9800 Orig Lic. Date: 2016-09-30 Bend, OR 97702 Facility Fax: (541) 388-9005 Renewal Date :2020-09-30 0 County: Deschutes Owner: MBALMC Bend Care Properties, LLC Bend Management: MBALMC Bend Care Properties, LLC Email: [email protected] 70M060 Yes Capacity: 52 Units: 44 Other Services: Meadow Creek Village Assisted Living Administrator: Sarah Stuart 3988 12th St SE Facility Phone: (503) 375-9732 Orig Lic. Date: 1992-07-08 Salem, OR 97302 Facility Fax: (503) 375-2144 Renewal Date :2019-05-31 0 County: Marion Owner: Cascade Living Group - Oregon, LLC Salem NWSDS Management: Cascade Living Group - Oregon, LLC Email: [email protected] 70M061 Yes Capacity: 60 Units: 50 Other Services: Meadowbrook Place Administrator: Suzanne Miller 4000 Cedar St Facility Phone: (541) 523-6333 Orig Lic. Date: 1992-12-02 Baker City, OR 97814 Facility Fax: (541) 523-7820 Renewal Date :2018-10-31 0 County: Baker Owner: Meadowbrook Place Operations, LLC Baker City Management: Concepts in Community Living, Inc. Email: [email protected] 50M218 Yes Capacity: 42 Units: 37 Other Services: Meadows Courtyard Administrator: Pamalynn Richardson 13637 Garden Meadow Drive Facility Phone: (503) 656-8113 Orig Lic. Date: 1999-02-17 Oregon City, OR 97045 Facility Fax: (503) 650-7486 Renewal Date :2019-02-28 0 County: Clackamas Owner: Meadows Courtyard, Inc. Milwaukie SPD Management: Meadows Courtyard, Inc. Email: [email protected] 50R464 Non Medicaid Capacity: 40 Units: 40 Other Services: ACU 40 Memory Support Center at Rogue Valley Manor Administrator: Laura Herman 1550 Malama Way Facility Phone: (541) 857-7715 Orig Lic. Date: 2018-10-01 Medford, OR 97504 Facility Fax: (541) 857-7719 Renewal Date :2020-09-30 0 County: Jackson Owner: Rogue Valley Manor Medford Management: Pacific Retirement Services, Inc. Email: [email protected]

Monday, October 1, 2018 Page 54 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A306 Yes Capacity: 85 Units: 62 Other Services: Middlefield Oaks Assisted Living Community Administrator: Wendy McGrorty 1500 Village Drive Facility Phone: (541) 767-0080 Orig Lic. Date: 2006-11-17 Cottage Grove, OR 97424 Facility Fax: (541) 767-1181 Renewal Date :2019-07-31 0 County: Lane Owner: Middlefield Oaks Assisted Living, LLC Eugene AAA Management: Frontier Management, Inc., A Corporation of Col Email: [email protected] 50R345 Yes Capacity: 36 Units: 24 Other Services: MC, ACU 36 Middlefield Oaks Memory Care Community Administrator: Tesla Thoms 1500 Village Drive Facility Phone: (541) 767-0080 Orig Lic. Date: 2006-11-17 Cottage Grove, OR 97424 Facility Fax: (541) 767-1181 Renewal Date :2019-07-31 0 County: Lane Owner: Middlefield Oaks Assisted Living, LLC Eugene AAA Management: Frontier Management, Inc., A Corporation of Col Email: [email protected] 50R452 Yes Capacity: 15 Units: 15 Other Services: Midway RCF Administrator: Charlotte White 2566 SE 109th Avenue Facility Phone: (503) 954-1676 Orig Lic. Date: 2017-11-16 Portland, OR 97266 Facility Fax: (503) 477-9741 Renewal Date :2019-11-30 0 County: Multnomah Owner: A & I Investments, LLC Multnomah Management: A & I Investments, LLC Email: [email protected] 50R455 Yes Capacity: 36 Units: 24 Other Services: MCC, ACU 36 Mill View Memory Care Community Administrator: Angela Hunter 1290 SW Silver Lake Boulevard Facility Phone: (458) 202-7020 Orig Lic. Date: 2017-12-12 Bend, OR 97702 Facility Fax: (458) 202-7019 Renewal Date :2019-12-31 0 County: Deschutes Owner: Mill View Memory Care, LLC Bend Management: Vitalita, LLC Email: [email protected] 50M081 Yes Capacity: 23 Units: 15 Other Services: Milwaukie Care Center Administrator: Jannice Steeves 14107 SE Redwood Ave Facility Phone: (503) 659-1077 Orig Lic. Date: 1992-08-30 Milwaukie, OR 97222 Facility Fax: (503) 659-7370 Renewal Date :2018-08-31 0 County: Clackamas Owner: Milwaukie Care Center, Inc. Milwaukie SPD Management: Milwaukie Care Center, Inc. Email: [email protected] 70A317 Non Medicaid Capacity: 24 Units: 16 Other Services: Mirabella at South Waterfront Administrator: Mary Ann Lagazon 3550 SW Bond Ave. Facility Phone: (503) 688-6514 Orig Lic. Date: 2010-10-07 Portland, OR 97239 Facility Fax: (503) 688-6555 Renewal Date :2018-10-31 0 County: Multnomah Owner: Mirabella at South Waterfront Milwaukie SPD Management: Pacific Retirement Services, Inc. Email: [email protected]

Monday, October 1, 2018 Page 55 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R293 Non Medicaid Capacity: 186 Units: 143 Other Services: MC, ACU 21 Miramont Pointe Administrator: Julie Campbell-Taylor 11520 SE Sunnyside Rd Facility Phone: (503) 698-1600 Orig Lic. Date: 2002-01-10 Clackamas, OR 97015 Facility Fax: (503) 652-0168 Renewal Date :2019-03-31 0 County: Clackamas Owner: MP, LLC Milwaukie SPD Management: MP, LLC Email: [email protected] 50A214 Yes Capacity: 48 Units: 24 Other Services: MC, ACU 48 Monterey Court Memory Care Administrator: Diana Mote 8915 SE Monterey Facility Phone: (503) 654-3200 Orig Lic. Date: 1999-08-13 Happy Valley, OR 97086 Facility Fax: (503) 654-3800 Renewal Date :2019-03-31 0 County: Clackamas Owner: Monterey Court Ventures, LLC Milwaukie SPD Management: Frontier Management, LLC Email: [email protected] 70M233 Yes Capacity: 53 Units: 43 Other Services: Morrow Heights Retirement & Assisted Living Community Administrator: Terry O'Donnell 176 Wards Creek Road Facility Phone: (541) 582-8200 Orig Lic. Date: 2000-04-14 Rogue River, OR 97537 Facility Fax: (541) 582-6818 Renewal Date :2019-01-31 0 County: Jackson Owner: LSREF Golden Ops 14 (OR) LLC Medford AAA Management: Frontier Management, LLC Email: [email protected] 50R322 Yes Capacity: 23 Units: 21 Other Services: Mountain View Residential Care Facility Administrator: Sandra Vargas 1220 SE 282nd Ave. Facility Phone: (503) 666-9309 Orig Lic. Date: 2003-11-06 Gresham, OR 97080 Facility Fax: (503) 667-6894 Renewal Date :2019-11-30 0 County: Multnomah Owner: BME Enterprises, Inc. Mid-Mult Management: BME Enterprises, Inc. Email: Sandra.RCF50@@yahoo.com 50R085 Non Medicaid Capacity: 32 Units: 29 Other Services: Mt. Angel Towers Administrator: Carina Torres One Towers Lane Box 2120 Facility Phone: (503) 845-7211 Orig Lic. Date: 1994-07-18 Mt. Angel, OR 97362 Facility Fax: (503) 845-7210 Renewal Date :2020-06-30 0 County: Marion Owner: Mt. Angel Towers, Oregon, Ltd. Woodburn NWSDS Management: Mt. Angel Towers, Oregon, Ltd. Email: [email protected] 70M352 Yes Capacity: 92 Units: 76 Other Services: Mt. Bachelor Assisted Living Administrator: Donald Seaton 20215 Powers Road Facility Phone: (541) 388-9800 Orig Lic. Date: 2016-09-30 Bend, OR 97702 Facility Fax: (541) 388-9005 Renewal Date :2020-09-30 0 County: Deschutes Owner: MBALMC Bend Care Properties, LLC Bend Management: MBALMC Bend Care Properties, LLC Email: [email protected]

Monday, October 1, 2018 Page 56 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R390 Yes Capacity: 56 Units: 56 Other Services: MCC, ACU 56 Mt. Bachelor Memory Care Administrator: Jennifer Sutterfield 20225 Powers Road Facility Phone: (541) 318-3322 Orig Lic. Date: 2013-05-13 Bend, OR 97702 Facility Fax: (541) 318-3348 Renewal Date :2020-09-30 0 County: Deschutes Owner: Bend Memory Care, LLC Bend APD Management: Bend Memory Care, LLC Email: [email protected] 50M086 Yes Capacity: 46 Units: 26 Other Services: Mt. Scott Residential Care Home Administrator: Dennis Murphy 8014 SE Lambert St Facility Phone: (503) 774-1329 Orig Lic. Date: 1981-01-01 Portland, OR 97206 Facility Fax: (503) 774-3037 Renewal Date :2019-09-30 0 County: Multnomah Owner: Sistere, Inc. SE Portland ASO Management: Sistere, Inc. Email: [email protected] 50R460 Non Medicaid Capacity: 24 Units: 18 Other Services: ACU 24 Murray Highland Memory Care, LLC Administrator: Sylvia Crisan 4900 SW Murray Blvd Facility Phone: (503) 520-1112 Orig Lic. Date: 2018-06-14 Beaverton, OR 97005 Facility Fax: Renewal Date :2020-06-30 0 County: Washington Owner: Murray Highland Memory Care LLC Hillsboro Management: Murray Highland Memory Care, LLC Email: [email protected] 50M088 Yes Capacity: 20 Units: 20 Other Services: Myrtle Point Care Center RCF Administrator: Fritzie Vader 637 Ash St Facility Phone: (541) 572-2066 Orig Lic. Date: 1992-02-01 Myrtle Point, OR 97458 Facility Fax: (541) 572-5477 Renewal Date :2020-01-31 0 County: Coos Owner: Care Centers Management, Inc. Coos Bay MSO Management: Dakavia Management, Corp. Email: [email protected] 70M064 Yes Capacity: 48 Units: 40 Other Services: Neawanna By The Sea Administrator: Ann Rubino 20 North Wahanna Rd Facility Phone: (503) 738-5526 Orig Lic. Date: 1990-11-06 Seaside, OR 97138 Facility Fax: (503) 738-5569 Renewal Date :2019-06-30 0 County: Clatsop Owner: FC Ranger OPS Neawanna (OR), LLC Warrenton NWSDS Management: Neawanna Care Properties, LLC Email: [email protected] 70M065 Yes Capacity: 44 Units: 34 Other Services: Nehalem Bay House Administrator: Blanca Turrieta 35385 Tohl Ave Facility Phone: (503) 368-6445 Orig Lic. Date: 1998-08-06 Nehalem, OR 97131 Facility Fax: (503) 368-6468 Renewal Date :2019-09-30 0 County: Tillamook Owner: Nehalem Bay House, LLC Tillamook NWSDS Management: Nehalem Bay House, LLC Email: [email protected]

Monday, October 1, 2018 Page 57 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M066 Yes Capacity: 61 Units: 55 Other Services: Northridge Center Administrator: Memory Dent 3737 S Pacific Hwy Facility Phone: (541) 535-5497 Orig Lic. Date: 1994-06-04 Medford, OR 97501 Facility Fax: (541) 535-1221 Renewal Date :2020-05-31 0 County: Jackson Owner: Northridge Center, Inc. Medford Management: Northridge Center, Inc. Email: [email protected] 70M237 Yes Capacity: 36 Units: 32 Other Services: Nyssa Gardens Assisted Living Facility Administrator: April Aldred 1101 Park Avenue Facility Phone: (541) 372-4024 Orig Lic. Date: 2000-05-22 Nyssa, OR 97913 Facility Fax: (541) 372-0126 Renewal Date :2020-05-31 0 County: Malheur Owner: Malheur Memorial Hospital District Ontario MSO Management: Malheur Memorial Health District Email: [email protected] 50M133 Yes Capacity: 74 Units: 59 Other Services: Oak Lane Retirement Administrator: Dorie Reid 727 SW Rogue River Ave Facility Phone: (541) 476-7727 Orig Lic. Date: 1994-04-25 Grants Pass, OR 97526 Facility Fax: (541) 479-1362 Renewal Date :2020-02-28 0 County: Josephine Owner: TSL Oak Lane, LLC Grants Pass MSO Management: Tierra Senior Living, LLC Email: [email protected] 70M095 Yes Capacity: 70 Units: 62 Other Services: Oaks At Lebanon, The Administrator: Angelic Kutsch 621 West Oak Facility Phone: (541) 258-7777 Orig Lic. Date: 1992-04-01 Lebanon, OR 97355 Facility Fax: (541) 258-7255 Renewal Date :2019-01-31 0 County: Linn Owner: FM Oaks, LLC Albany SSO Management: Frontier Management, LLC Email: [email protected] 50R171 Yes Capacity: 16 Units: 16 Other Services: Oaktree Residential Living Administrator: Elkhan Babayev 5030 West Port St PO Box 22636 Facility Phone: (541) 607-0688 Orig Lic. Date: 1998-08-28 Eugene, OR 97402 Facility Fax: (541) 688-6404 Renewal Date :2018-11-30 0 County: Lane Owner: Elman's House Corp. Eugene SSO Management: Elman's House Corp. Email: [email protected] 5MA222 Yes Capacity: 55 Units: 40 Other Services: MC, ACU 55 Ocean Park Administrator: Esperanza Ureno 984 Parkview Drive Facility Phone: (541) 469-6817 Orig Lic. Date: 1999-08-25 Brookings, OR 97415 Facility Fax: (541) 469-3768 Renewal Date :2019-09-30 0 County: Curry Owner: ARHC OPBROOR01 TRS, LLC Gold Beach MSO Management: Ocean Park Care Properties Email: [email protected]

Monday, October 1, 2018 Page 58 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A302 Yes Capacity: 100 Units: 81 Other Services: Ocean Ridge Retirement and Assisted Living Community Administrator: Diane Mason 1855 SE Ocean Blvd. Facility Phone: (541) 267-4000 Orig Lic. Date: 2006-03-31 Coos Bay, OR 97420 Facility Fax: (541) 267-4411 Renewal Date :2019-07-31 0 County: Coos Owner: Ocean Ridge AL GR, LLC Coos Bay SPD Management: Frontier Management, LLC Email: [email protected] 70M068 Yes Capacity: 84 Units: 71 Other Services: Oceanview Assisted Living Residence Administrator: Rebecca Donaldson 525 NE 71st Facility Phone: (541) 574-0550 Orig Lic. Date: 1997-11-28 Newport, OR 97365 Facility Fax: (541) 574-7713 Renewal Date :2019-11-30 0 County: Lincoln Owner: Newport Assisted Living, LLC Toledo/Lincoln SSO Management: Westmont Living, Inc. Email: [email protected] 50R091 Yes Capacity: 115 Units: 93 Other Services: Odd Fellows Home Of Oregon Administrator: Kim Williams 3102 SE Holgate Blvd Facility Phone: (503) 872-1239 Orig Lic. Date: 1978-02-01 Portland, OR 97202 Facility Fax: (503) 872-1277 Renewal Date :2020-03-31 0 County: Multnomah Owner: Odd Fellows Home of Oregon SE Ptld ADS Management: Odd Fellows Home of Oregon Email: [email protected] 50M092 Non Medicaid Capacity: 32 Units: 30 Other Services: O'Hara's Manor, Inc. Administrator: Cynthia Mares 1250 SE Roberts Facility Phone: (503) 667-5430 Orig Lic. Date: 1979-12-15 Gresham, OR 97080 Facility Fax: (503) 492-0359 Renewal Date :2018-12-31 0 County: Multnomah Owner: O'Hara's Manor, Inc. Mid-County ASD Management: O'Hara's Manor, Inc. Email: [email protected] 70M210 Yes Capacity: 72 Units: 61 Other Services: Orchards Assisted Living Administrator: Nicole Cruz 1018 Royal Court Facility Phone: (541) 776-5255 Orig Lic. Date: 1999-02-05 Medford, OR 97504 Facility Fax: (541) 776-5227 Renewal Date :2019-04-30 0 County: Jackson Owner: Medford Assisted Living, LLC Medford AAA Management: Woollard Ipsen Management, LLC Email: [email protected] 50M094 Yes Capacity: 50 Units: 40 Other Services: Oregon City Residential Care Administrator: Arthur Johnson 515 10th St Facility Phone: (503) 656-0855 Orig Lic. Date: 1978-04-01 Oregon City, OR 97045 Facility Fax: (503) 657-4212 Renewal Date :2019-01-31 0 County: Clackamas Owner: Valley View Care Centers, Inc. Milwaukie SPD Management: Valley View Care Centers, Inc. Email: [email protected]

Monday, October 1, 2018 Page 59 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R336 Yes Capacity: 31 Units: 31 Other Services: MC, ACU 31 Oswego Grove Administrator: Jason Wart 4550 SW Carman Drive Facility Phone: (503) 675-6055 Orig Lic. Date: 2005-12-27 Lake Oswego, OR 97035 Facility Fax: (503) 675-6077 Renewal Date :2019-12-31 0 County: Clackamas Owner: Avamere Lake Oswego Operations Investors, LLC Milwaukie SPD Management: Avamere Lake Oswego Operations Investors, L Email: [email protected] 70A304 Non Medicaid Capacity: 79 Units: 72 Other Services: Oswego Place Assisted Living Community Administrator: Askol Saieedi 17450 Pilkington Rd. Facility Phone: (503) 697-1025 Orig Lic. Date: 2006-06-02 Lake Oswego, OR 97035 Facility Fax: (503) 697-1026 Renewal Date :2020-06-30 0 County: Clackamas Owner: Oswego Place Assisted Living Community, LLC Milwaukie SPD Management: Bonaventure Senior Living Email: [email protected] 50M096 Yes Capacity: 14 Units: 14 Other Services: Our House Administrator: Mary Rita Hurley 2727 SE Alder St Facility Phone: (503) 234-0175 Orig Lic. Date: 1990-03-01 Portland, OR 97214 Facility Fax: (503) 236-7129 Renewal Date :2018-10-31 0 County: Multnomah Owner: Our House Of Portland, Inc E County ASD Management: Our House of Portland, Inc. Email: [email protected] 5MA223 Yes Capacity: 60 Units: 40 Other Services: MC, ACU 60 Pacific Gardens Alzheimer's Special Care Center Administrator: Elicia Paquette 17309 NE Glisan Facility Phone: (503) 253-4920 Orig Lic. Date: 1996-11-01 Portland, OR 97230 Facility Fax: (503) 253-4819 Renewal Date :2020-06-30 0 County: Multnomah Owner: Erwin Family Properties II, LLC NE Portland ASO/DSO Management: JEA Senior Living Email: [email protected] 70M039 Yes Capacity: 85 Units: 68 Other Services: Pacific View Assisted Living Community Administrator: Leslie Davis 1000 6th Ave West Facility Phone: (541) 347-7502 Orig Lic. Date: 1995-02-07 Bandon, OR 97411 Facility Fax: (541) 347-7802 Renewal Date :2019-12-31 0 County: Coos Owner: Bandon Senior Living, LLC Coos Bay MSO Management: Seasons Management, LLC Email: [email protected] 5MA137 Yes Capacity: 30 Units: 30 Other Services: MC, ACU 30 Pacific View Memory Care Community Administrator: Tyanna Handy 1000 6th Ave West Facility Phone: (541) 347-7502 Orig Lic. Date: 1994-11-01 Bandon, OR 97411 Facility Fax: (541) 347-7802 Renewal Date :2019-12-31 0 County: Coos Owner: Bandon Senior Living, LLC Coos Bay MSO Management: Seasons Management, LLC Email: [email protected]

Monday, October 1, 2018 Page 60 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R009 Yes Capacity: 105 Units: 83 Other Services: Pacifica Senior Living Calaroga Terrace Administrator: Howard Dunkley 1400 NE Second Ave Facility Phone: (503) 234-8271 Orig Lic. Date: 1991-06-01 Portland, OR 97232 Facility Fax: (503) 239-3399 Renewal Date :2019-02-28 0 County: Multnomah Owner: Pacifica Senior Living, LLC Portland SE ASO Management: Pacifica Senior Living, LLC Email: [email protected] 70M024 Yes Capacity: 70 Units: 60 Other Services: Pacifica Senior Living Klamath Falls Administrator: Stephanie Shaffer 2130 N Eldorado Ave Facility Phone: (541) 882-4830 Orig Lic. Date: 1997-04-08 Klamath Falls, OR 97601 Facility Fax: (541) 882-8308 Renewal Date :2020-05-31 0 County: Klamath Owner: Pacifica SL Klamath Falls, LLC Klamath Falls MSO Management: Pacifica Senior Living, LLC Email: [email protected] 5MA170 Yes Capacity: 37 Units: 37 Other Services: MC, ACU 37 Pacifica Senior Living McMinnville Administrator: Jennifer Abraham 320 SW Hill Road Facility Phone: (503) 472-3509 Orig Lic. Date: 1998-09-01 McMinnville, OR 97128 Facility Fax: (503) 472-3929 Renewal Date :2018-05-31 0 County: Yamhill Owner: Pacifica SL McMinnville, LLC McMinnville NWSDS Management: Pacifica Senior Living, LLC Email: [email protected] 5MA160 Yes Capacity: 114 Units: 98 Other Services: MC, ACU 114 Pacifica Senior Living Portland Administrator: Dana Bando 1808 SE 182nd Ave Facility Phone: (503) 492-6942 Orig Lic. Date: 1997-08-01 Portland, OR 97233 Facility Fax: (503) 492-2810 Renewal Date :2020-03-31 0 County: Multnomah Owner: Pacifica Senior Living, LLC Mid-County ASD Management: Pacifica Senior Living, LLC Email: [email protected] 70M071 Non Medicaid Capacity: 35 Units: 30 Other Services: Parkhurst Place Administrator: Timothy Dufour 2450 May St Facility Phone: (541) 387-4600 Orig Lic. Date: 1995-10-26 Hood River, OR 97031 Facility Fax: (541) 387-4472 Renewal Date :2019-07-31 0 County: Hood River Owner: PARKHURST AID OPCO, LLC The Dalles MSO Management: Enlivant AID (Oregon) Mgmt, LLC Email: [email protected] 70M072 Yes Capacity: 60 Units: 50 Other Services: Parkland Village Retirement Community Administrator: Laura Lindberg 3121 NE Cumulus Avenue Facility Phone: (503) 435-1499 Orig Lic. Date: 1996-09-24 McMinnville, OR 97128 Facility Fax: (503) 434-5190 Renewal Date :2019-05-31 0 County: Yamhill Owner: Cascade Living Group - Oregon, LLC McMinnville NWSDS Management: Cascade Living Group - Oregon, LLC Email: [email protected]

Monday, October 1, 2018 Page 61 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M023 Yes Capacity: 77 Units: 63 Other Services: Parkview Assisted Living Administrator: Karen Nettrouer 10801 NE Weidler Facility Phone: (503) 255-0685 Orig Lic. Date: 1996-08-12 Portland, OR 97220 Facility Fax: (503) 256-1140 Renewal Date :2020-07-31 0 County: Multnomah Owner: Oregon Baptist Retirement Home NE Portland ASO/DSO Management: Oregon Baptist Retirement Homes Email: [email protected] 50R413 Non Medicaid Capacity: 38 Units: 38 Other Services: MC, ACU 38 Parkview Memory Care at Cherrywood Village Administrator: Nicole Livingstone 10721 SE Cherry Blossom Dr. Facility Phone: (503) 408-0404 Orig Lic. Date: 2014-08-07 Portland, OR 97216 Facility Fax: (503) 946-0215 Renewal Date :2018-08-31 0 County: Multnomah Owner: PAR, LLC Mid-Mult ADS Management: Generations, LLC Email: [email protected] 70M230 Yes Capacity: 75 Units: 64 Other Services: Pelican Pointe Assisted Living Community Administrator: Clinton Garner 615 Washburn Way Facility Phone: (541) 882-8900 Orig Lic. Date: 2000-03-03 Klamath Falls, OR 97603 Facility Fax: (541) 850-2459 Renewal Date :2019-03-31 0 County: Klamath Owner: Pelican Pointe AL MC GR, LLC Klamath Falls MSO Management: Frontier Management, LLC Email: [email protected] 5MA131 Yes Capacity: 48 Units: 24 Other Services: MC, ACU 48 Pelican Pointe Memory Care Community Administrator: Kristina Eads 615 Washburn Way Facility Phone: (541) 882-8900 Orig Lic. Date: 2000-03-03 Klamath Falls, OR 97603 Facility Fax: (541) 850-2459 Renewal Date :2019-03-31 0 County: Klamath Owner: Pelican Pointe AL MC GR, LLC Klamath Falls MSO Management: FM Pelican, LLC Email: [email protected] 70M206 Yes Capacity: 61 Units: 45 Other Services: Pheasant Pointe Assisted Living Community Administrator: Kayla Lopez-Hansen 835 E. Main Street Facility Phone: (503) 829-3777 Orig Lic. Date: 1998-12-17 Molalla, OR 97038 Facility Fax: (503) 829-7392 Renewal Date :2019-07-31 0 County: Clackamas Owner: Pheasant Pointe AL MC GR, LLC Canby SPD Management: Frontier Management, LLC Email: [email protected] 50R352 Yes Capacity: 12 Units: 7 Other Services: MCC, ACU 12 Pheasant Pointe Memory Care Community Administrator: Kayla Lopez-Hansen 835 E. Main Street Facility Phone: (503) 829-3777 Orig Lic. Date: 2007-12-21 Molalla, OR 97038 Facility Fax: (503) 829-7392 Renewal Date :2019-07-31 0 County: Clackamas Owner: Pheasant Pointe AL MC GR, LLC Canby SPD Management: Frontier Management, LLC Email: [email protected]

Monday, October 1, 2018 Page 62 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A293 Yes Capacity: 31 Units: 28 Other Services: Pioneer Place Assisted Living Administrator: Betsy Bates 1060 D Street W Facility Phone: (541) 473-3131 Orig Lic. Date: 2004-04-16 Vale, OR 97918 Facility Fax: (541) 473-2842 Renewal Date :2020-04-30 0 County: Malheur Owner: Pioneer Nursing Home Health District Ontario MSO Management: Pioneer Nursing Home Health District Email: [email protected] 70A298 Non Medicaid Capacity: 60 Units: 51 Other Services: Pioneer Village Administrator: Dora Howard 805 N. 5th St. Facility Phone: (541) 899-6825 Orig Lic. Date: 2005-12-30 Jacksonville, OR 97530 Facility Fax: (541) 899-4848 Renewal Date :2019-07-31 0 County: Jackson Owner: RSL Pioneer, LLC Medford AAA Management: Radiant Senior Living, Inc. Email: [email protected] 50M247 Yes Capacity: 11 Units: 10 Other Services: Pleasant Valley RCF Administrator: Karina Uribe Meza 18857 SE Giese Rd. Facility Phone: (503) 328-8486 Orig Lic. Date: 2000-05-03 Gresham, OR 97080 Facility Fax: (503) 328-9613 Renewal Date :2019-03-31 0 County: Multnomah Owner: BME Enterprises, Inc. Mid-County ADS Management: BME Enterprises, Inc. Email: [email protected] 70M073 Yes Capacity: 115 Units: 105 Other Services: Powell Valley Assisted Living Community Administrator: Pam Arvidson 4001 SE 182nd Ave Facility Phone: (503) 665-2496 Orig Lic. Date: 1989-10-01 Gresham, OR 97030 Facility Fax: (503) 661-8720 Renewal Date :2020-07-31 0 County: Multnomah Owner: PVALC-LLC Mid County ASD Management: Care Wise Management, Inc. Email: [email protected] 5MA213 Yes Capacity: 42 Units: 36 Other Services: MCC, ACU 42 Powell Valley Memory Care Community Administrator: Laureen Manibusan 4001 SE 182nd Ave Facility Phone: (503) 665-2496 Orig Lic. Date: 1998-08-30 Gresham, OR 97030 Facility Fax: (503) 661-8720 Renewal Date :2019-08-31 0 County: Multnomah Owner: PVALC-LLC Mid County ASD Management: Care Wise Management, Inc. Email: [email protected] 70M221 Yes Capacity: 46 Units: 43 Other Services: Prairie House Assisted Living Community Administrator: Love Pearson 51485 Morson Street Facility Phone: (541) 536-8559 Orig Lic. Date: 1999-10-22 La Pine, OR 97739 Facility Fax: (541) 536-1373 Renewal Date :2020-07-31 0 County: Deschutes Owner: La Pine ALF, LLC Bend MSO Management: Concepts in Community Living, Inc. Email: [email protected]

Monday, October 1, 2018 Page 63 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R313 Yes Capacity: 18 Units: 10 Other Services: MCC, ACU 18 Prairie House Memory Care Community Administrator: Love Pearson 51485 Morson St. Facility Phone: (541) 536-8559 Orig Lic. Date: 2003-04-08 La Pine, OR 97739 Facility Fax: (541) 536-1373 Renewal Date :2020-07-31 0 County: Deschutes Owner: La Pine ALF, LLC Bend MSO Management: Concepts in Community Living, Inc. Email: [email protected] 5ME175 Yes Capacity: 16 Units: 12 Other Services: ECU 16 Premier Living Center Administrator: Gelissa Crichton 5120 SE 118th Ave Facility Phone: (503) 762-3413 Orig Lic. Date: 1998-09-04 Portland, OR 97266 Facility Fax: (503) 762-3428 Renewal Date :2018-09-30 0 County: Multnomah Owner: Premier Living Center, Inc. Mid-Multnomah ASD Management: Premier Living Center, Inc. Email: [email protected] 70A292 Yes Capacity: 64 Units: 54 Other Services: Prestige Senior Living Arbor Place Administrator: Darren Penquite 3150 Juanipero Way Facility Phone: (541) 773-5380 Orig Lic. Date: 2003-11-10 Medford, OR 97504 Facility Fax: (541) 773-5378 Renewal Date :2019-12-31 0 County: Jackson Owner: CHP Medford -Arbor Place OR Tenant Corp. Medford AAA Management: Prestige Senior Living, LLC Email: [email protected] 50R323 Yes Capacity: 18 Units: 12 Other Services: MCC, ACU 18 Prestige Senior Living Arbor Place Memory Care Administrator: Avasha Gonzalez 3150 Juanipero Way Facility Phone: (541) 773-5380 Orig Lic. Date: 2003-11-10 Medford, OR 97504 Facility Fax: (541) 773-5378 Renewal Date :2019-12-31 0 County: Jackson Owner: CHP Medford -Arbor Place OR Tenant Corp. Medford AAA Management: Prestige Senior Living, L.L.C Email: [email protected] 70M243 Yes Capacity: 75 Units: 60 Other Services: Prestige Senior Living Beaverton Hills Administrator: Dean Storm 4525 SW 99th Avenue Facility Phone: (503) 520-1350 Orig Lic. Date: 2000-09-15 Beaverton, OR 97005 Facility Fax: (503) 671-0511 Renewal Date :2019-12-31 0 County: Washington Owner: CHP Beaverton OR Tenant Corp WCDAVS Management: Prestige Senior Living, LLC Email: [email protected] 70A279 Yes Capacity: 82 Units: 64 Other Services: Prestige Senior Living Five Rivers Administrator: Melissa Lawrence 3500 12th St Facility Phone: (503) 842-0918 Orig Lic. Date: 2002-06-13 Tillamook, OR 97141 Facility Fax: (503) 842-7077 Renewal Date :2019-12-31 0 County: Tillamook Owner: CHP Tillamook-Five Rivers OR Tenant Corp Tillamook NWSDS Management: Prestige Senior Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 64 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A289 Yes Capacity: 75 Units: 68 Other Services: Prestige Senior Living High Desert Administrator: James McNama 2660 NE Mary Rose Place Facility Phone: (541) 312-2003 Orig Lic. Date: 2003-07-22 Bend, OR 97701 Facility Fax: (541) 312-2011 Renewal Date :2019-12-31 0 County: Deschutes Owner: CHP Bend-High Desert OR Tenant Corp. Bend MSO Management: Prestige Senior Living, LLC Email: [email protected] 70M240 Yes Capacity: 75 Units: 66 Other Services: Prestige Senior Living Huntington Terrace Administrator: Jeremy Zimmerman 1410 NE Cleveland Facility Phone: (503) 465-1404 Orig Lic. Date: 2000-08-21 Gresham, OR 97030 Facility Fax: (503) 669-8896 Renewal Date :2019-12-31 0 County: Multnomah Owner: CHP-Gresham-Huntington Terrace OR Tenant Corp. Mid-County Management: Prestige Senior Living, L.L.C Email: [email protected] 70A277 Yes Capacity: 67 Units: 61 Other Services: Prestige Senior Living Orchard Heights Administrator: Sarah Stuart 695 Orchard Heights Rd NW Facility Phone: (503) 566-9052 Orig Lic. Date: 2002-05-09 Salem, OR 97304 Facility Fax: (503) 485-2112 Renewal Date :2019-12-31 0 County: Polk Owner: CHP Salem -Orchard Heights OR Tenant Corp Salem NWSDS Management: Prestige Senior Living, LLC Email: [email protected] 50R297 Yes Capacity: 18 Units: 18 Other Services: MC, ACU 18 Prestige Senior Living Orchard Heights Memory Care Administrator: Kyler DeVore 695 Orchard Heights Rd. NW Facility Phone: (503) 566-9052 Orig Lic. Date: 2002-05-09 Salem, OR 97304 Facility Fax: (503) 485-2112 Renewal Date :2019-12-31 0 County: Polk Owner: CHP Salem-Orchard Heights OR Tenant Corp. Salem NWSDS Management: Prestige Senior Living, LLC Email: [email protected] 70M211 Yes Capacity: 74 Units: 60 Other Services: Prestige Senior Living Riverwood Administrator: Jerri Gray 18321 SW Pacific Hwy Facility Phone: (503) 925-9310 Orig Lic. Date: 1999-04-09 Tualatin, OR 97062 Facility Fax: (503) 925-0211 Renewal Date :2019-12-31 0 County: Washington Owner: CHP Tualatin-Riverwood OR Tenant Corp WCDAVS Management: Prestige Senior Living, LLC Email: [email protected] 70A260 Yes Capacity: 72 Units: 66 Other Services: Prestige Senior Living Southern Hills Administrator: Carolyn Creighton 4795 Skyline Rd. S. Facility Phone: (503) 378-7499 Orig Lic. Date: 2001-04-06 Salem, OR 97306 Facility Fax: (503) 378-1481 Renewal Date :2019-12-31 0 County: Marion Owner: CHP Salem-Southern Hills OR Tenant Corp. Salem NWSDS Management: Prestige Senior Living, L.L.C Email: [email protected]

Monday, October 1, 2018 Page 65 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A281 Yes Capacity: 72 Units: 66 Other Services: Prestige Senior Living West Hills Administrator: Robin Davis 5595 SW West Hills Rd. Facility Phone: (541) 753-7136 Orig Lic. Date: 2002-08-16 Corvallis, OR 97333 Facility Fax: (541) 257-2008 Renewal Date :2020-03-31 0 County: Benton Owner: CHP-Corvallis-West Hills OR Tenant, Inc. Albany Management: Prestige Senior Living Email: [email protected] 70M213 Yes Capacity: 68 Units: 53 Other Services: Princeton Village Assisted Living Residence Administrator: Doug Rusch 14370 SE Oregon Trail Drive Facility Phone: (503) 558-1215 Orig Lic. Date: 1999-08-16 Clackamas, OR 97015 Facility Fax: (503) 558-8437 Renewal Date :2019-03-31 0 County: Clackamas Owner: ARHC PVCLAOR01 TRS, LLC Milwaukie SPD Management: FM Princeton, LLC Email: administrator@princetonvillageassistedliving. 70M205 Yes Capacity: 54 Units: 50 Other Services: Providence Benedictine Orchard House Administrator: Deana Wentworth 550 S Main St. Facility Phone: (503) 845-2757 Orig Lic. Date: 1998-10-23 Mt. Angel, OR 97362 Facility Fax: (503) 845-2560 Renewal Date :2019-10-31 0 County: Marion Owner: Providence Health & Services - Oregon Woodburn NWSDS Management: Providence Health & Services - Oregon Email: [email protected] 70A249 Non Medicaid Capacity: 20 Units: 17 Other Services: Providence Brookside Manor Administrator: Jamie Hanshaw 1550 Brookside Dr. Facility Phone: (541) 387-6370 Orig Lic. Date: 2000-11-08 Hood River, OR 97031 Facility Fax: (541) 387-2728 Renewal Date :2018-11-30 0 County: Hood River Owner: Providence Health & Services - Oregon The Dalles MSO Management: Providence Health System - Oregon Email: [email protected] 50A262 Non Medicaid Capacity: 24 Units: 23 Other Services: MC, ACU 24 Providence Brookside Memory Care Administrator: Jamie Hanshaw 1550 Brookside Dr. Facility Phone: (541) 387-6370 Orig Lic. Date: 2000-11-15 Hood River, OR 97031 Facility Fax: (541) 387-2728 Renewal Date :2018-11-30 0 County: Hood River Owner: Providence Health & Services - Oregon The Dalles MSO Management: Providence Health System - Oregon Email: [email protected] 50R321 Non Medicaid Capacity: 42 Units: 42 Other Services: Providence ElderPlace in Cully Administrator: John Donahue 5119 NE 57th Ave. Facility Phone: (503) 215-8050 Orig Lic. Date: 2003-10-07 Portland, OR 97218 Facility Fax: (503) 215-8082 Renewal Date :2019-10-31 0 County: Multnomah Owner: Providence Health & Services - Oregon NE Portland ASO/DSO Management: Providence Health & Services - Oregon Email: [email protected]

Monday, October 1, 2018 Page 66 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

5MA043 Yes Capacity: 102 Units: 85 Other Services: Providence ElderPlace in Glendoveer Administrator: Nancy Ferris 13007 NE Glisan St Facility Phone: (503) 215-7850 Orig Lic. Date: 1960-01-01 Portland, OR 97230 Facility Fax: (503) 215-7851 Renewal Date :2019-05-31 0 County: Multnomah Owner: Providence Health & Services - Oregon Mid-County ASD Management: Providence Health & Services - Oregon Email: [email protected] 70A271 Yes Capacity: 130 Units: 104 Other Services: Providence ElderPlace in Irvington Village Administrator: Darrin Buckner 420 NE Mason Facility Phone: (503) 546-9292 Orig Lic. Date: 2002-01-03 Portland, OR 97211 Facility Fax: (503) 335-6280 Renewal Date :2019-08-31 0 County: Multnomah Owner: Providence Health & Services - Oregon NE Portland ASO/DSO Management: Providence Health & Services - Oregon Email: [email protected] 5MA243 Yes Capacity: 79 Units: 79 Other Services: MCC, ACU 79 Quail Park Memory Care Residences Administrator: Robert Moore 2630 Lone Oak Way Facility Phone: (541) 607-5025 Orig Lic. Date: 2000-04-10 Eugene, OR 97404 Facility Fax: (541) 607-5025 Renewal Date :2019-03-31 0 County: Lane Owner: Laurel Court of Eugene, LLC Eugene SSO Management: Millenium Advisors, Inc. Email: [email protected] 70M074 Yes Capacity: 137 Units: 98 Other Services: Quail Run Assisted Living Administrator: Abigail Grimps 2525 47th Ave SE Facility Phone: (541) 928-1122 Orig Lic. Date: 1995-04-14 Albany, OR 97321 Facility Fax: (541) 917-1393 Renewal Date :2019-04-30 0 County: Linn Owner: Mennonite Home Of Albany, Inc. Albany SSO Management: Mennonite Home Of Albany, Inc. Email: [email protected] 70M075 Yes Capacity: 29 Units: 25 Other Services: Rackleff Place Administrator: Lori Jarvis 655 SW 13th Ave Facility Phone: (503) 266-9555 Orig Lic. Date: 1990-06-18 Canby, OR 97013 Facility Fax: (503) 266-9556 Renewal Date :2019-01-31 0 County: Clackamas Owner: Canby ALF, LLC. Canby SPD Management: Concepts in Community Living, Inc. Email: [email protected] 70A268 Yes Capacity: 90 Units: 79 Other Services: Raleigh Hills Assisted Living Community Administrator: Lynda Brown 4815 SW Dogwood Ln Facility Phone: (503) 297-3200 Orig Lic. Date: 2001-09-24 Portland, OR 97225 Facility Fax: (503) 297-5739 Renewal Date :2019-09-30 0 County: Washington Owner: Raleigh Hills Management, LLC WCDAVS Management: Raleigh Hills Management, LLC Email: [email protected]

Monday, October 1, 2018 Page 67 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R287 Yes Capacity: 21 Units: 21 Other Services: MC, ACU 21 Raleigh Hills Enhanced Care Community Administrator: Lynda Brown 4815 SW Dogwood Ln Facility Phone: (503) 297-3200 Orig Lic. Date: 2001-09-24 Portland, OR 97225 Facility Fax: (503) 297-5739 Renewal Date :2019-09-30 0 County: Washington Owner: Raleigh Hills Management, LLC WCDAVS Management: Raleigh Hills Management, LLC Email: [email protected] 50R445 Yes Capacity: 72 Units: 52 Other Services: MCC, ACU 72 Rawlin at Riverbend, The Administrator: Natalie Nelson 3491 Game Farm Road Facility Phone: (541) 515-6032 Orig Lic. Date: 2017-03-20 Springfield, OR 97477 Facility Fax: (541) 844-1662 Renewal Date :2019-03-31 0 County: Lane Owner: Riverbend Memory Care Community, LLC Eugene Management: Frontier Management, Inc., A Corporation of Col Email: [email protected] 70M076 Yes Capacity: 95 Units: 80 Other Services: Redwood Heights Retirement & Assisted Living Community Administrator: Amy Buchanan 4050 12th St Cutoff SE Facility Phone: (503) 540-0822 Orig Lic. Date: 1997-11-21 Salem, OR 97302 Facility Fax: (503) 361-2237 Renewal Date :2019-07-31 0 County: Marion Owner: Redwood Heights AL GR, LLC Salem NWSDS Management: Frontier Management, LLC Email: [email protected] 70M220 Yes Capacity: 49 Units: 45 Other Services: Redwood Terrace Administrator: Jim Thompson 3111 Canal Ave Facility Phone: (541) 471-9543 Orig Lic. Date: 1996-11-18 Grants Pass, OR 97527 Facility Fax: (541) 479-1928 Renewal Date :2018-12-31 0 County: Josephine Owner: Oregon Heights, LLC Grants Pass MSO Management: Concepts in Community Living, Inc. Email: [email protected] 50R298 Non Medicaid Capacity: 16 Units: 16 Other Services: MC, ACU 16 Reflections Memory Care Administrator: Amanda Zavala 2480 Coral Ave NE Facility Phone: (503) 362-5885 Orig Lic. Date: 2002-05-31 Salem, OR 97305 Facility Fax: (503) 362-8808 Renewal Date :2018-10-31 0 County: Marion Owner: Sweet Bye N Bye AFC & RCF Facilities, Inc. Salem NWSDS Management: Sweet Bye N Bye AFC & RCF Facilities, Inc. Email: [email protected] 50A070 Non Medicaid Capacity: 49 Units: 30 Other Services: MC, ACU 49 Regency Park Alzheimer's Care Administrator: Amanda Sanchez 8300 SW Barnes Rd Facility Phone: (503) 292-8444 Orig Lic. Date: 1994-02-28 Portland, OR 97225 Facility Fax: (503) 292-8409 Renewal Date :2019-09-30 0 County: Washington Owner: Regency Park Apartments Ltd Part. WCDAVS Management: BPM Senior Living Company Email: [email protected]

Monday, October 1, 2018 Page 68 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M077 Non Medicaid Capacity: 118 Units: 99 Other Services: Regency Park Assisted Living Administrator: Glen Lewis 8300 SW Barnes Rd Facility Phone: (503) 292-8444 Orig Lic. Date: 1986-09-10 Portland, OR 97225 Facility Fax: (503) 292-8409 Renewal Date :2019-09-30 0 County: Washington Owner: Regency Park Apartments Ltd Part. WCDAVS Management: BPM Senior Living Company Email: [email protected] 70A069 Yes Capacity: 55 Units: 46 Other Services: Regency Park Place at Corvallis Administrator: Rochelle Collett 2595 Jack London St Facility Phone: (541) 754-5808 Orig Lic. Date: 1995-06-26 Corvallis, OR 97330 Facility Fax: (541) 752-8684 Renewal Date :2020-04-30 0 County: Benton Owner: BD Corvallis I, LLC Albany SSO Management: Regency Pacific Management, LLC Email: [email protected] 70M096 Yes Capacity: 88 Units: 65 Other Services: Regency Village at Bend Administrator: Deanna Bettesworth 127 SE Wilson Ave Facility Phone: (541) 317-3544 Orig Lic. Date: 1995-12-08 Bend, OR 97702 Facility Fax: (541) 330-0121 Renewal Date :2018-04-30 0 County: Deschutes Owner: BD Bend I, LLC Bend MSO Management: Regency Pacific Management, LLC Email: [email protected] 70M207 Yes Capacity: 57 Units: 47 Other Services: Regency Village at Prineville Administrator: Terri Seifert 830 North Elm Street Facility Phone: (541) 416-3600 Orig Lic. Date: 1999-03-22 Prineville, OR 97754 Facility Fax: (541) 416-9293 Renewal Date :2020-04-30 0 County: Crook Owner: BD Prineville I, LLC Prineville MSO Management: Regency Pacific Management, LLC Email: [email protected] 70M038 Yes Capacity: 55 Units: 45 Other Services: Regency Village at Redmond Administrator: Cary Shire 3000 SW 32nd St Facility Phone: (541) 923-5452 Orig Lic. Date: 1995-02-03 Redmond, OR 97756 Facility Fax: (541) 923-0280 Renewal Date :2020-04-30 0 County: Deschutes Owner: BD Redmond I, LLC Bend MSO Management: Regency Pacific Management, LLC Email: [email protected] 50R126 Yes Capacity: 40 Units: 36 Other Services: Regency Woodland Administrator: Mary Guzman 4710 Sunnyside Rd SE Facility Phone: (503) 364-1355 Orig Lic. Date: 1988-08-01 Salem, OR 97302 Facility Fax: (503) 364-3666 Renewal Date :2018-04-30 0 County: Marion Owner: BD Salem I, LLC Salem NWSDS Management: Regency Pacific Management, LLC Email: [email protected]

Monday, October 1, 2018 Page 69 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50A165 Non Medicaid Capacity: 32 Units: 16 Other Services: MC, ACU 32 Regent at Sheldon Park, a Blue Harbor Senior Living Comm Administrator: Jennifer Bodine 2440 Willakenzie Road Facility Phone: (541) 344-1078 Orig Lic. Date: 1997-11-25 Eugene, OR 97401 Facility Fax: (541) 344-1370 Renewal Date :2020-07-31 0 County: Lane Owner: Sheldon Park Management LLC Eugene AAA Management: Sheldon Park Management LLC Email: [email protected] 50A239 Yes Capacity: 48 Units: 24 Other Services: MCC, ACU 48 Regent Court Senior Living Administrator: Rebecca Hosner 400 NW Elks Drive Facility Phone: (541) 758-8000 Orig Lic. Date: 2000-03-15 Corvallis, OR 97330 Facility Fax: (541) 738-6543 Renewal Date :2018-11-30 0 County: Benton Owner: CSL - Corvallis, LLC Albany SSO Management: Compass Senior Living, LLC Email: [email protected] 50R374 Yes Capacity: 40 Units: 29 Other Services: MC, ACU 40 Revere Court of Portland Administrator: Gelissa Crichton 11547 NE Glisan Street Facility Phone: (503) 255-0070 Orig Lic. Date: 2011-03-01 Portland, OR 97220 Facility Fax: (503) 257-3127 Renewal Date :2019-09-30 0 County: Multnomah Owner: Chancellor Health Care of California X, Inc. Mid-Mult Management: Chancellor Health Care, Inc, Email: [email protected] 70M253 Yes Capacity: 52 Units: 52 Other Services: Ridgeview Assisted Living Facility Administrator: Ingrid Johansen 872 Golfview Drive Facility Phone: (541) 779-2208 Orig Lic. Date: 2000-11-09 Medford, OR 97504 Facility Fax: (541) 779-2384 Renewal Date :2018-11-30 0 County: Jackson Owner: Sapphire at Ridgeview, LLC Medford AAA Management: Sapphire at Ridgeview, LLC Email: [email protected] 50M132 Yes Capacity: 60 Units: 60 Other Services: MC, ACU 60 River Grove Memory Care Administrator: Samantha Borden 140 Green Lane Facility Phone: (541) 461-4898 Orig Lic. Date: 1994-04-21 Eugene, OR 97404 Facility Fax: (541) 461-0256 Renewal Date :2019-04-30 0 County: Lane Owner: River Grove Operating Company Eugene SSO Management: Benicia Senior Living, LLC Email: [email protected] 70M082 Non Medicaid Capacity: 56 Units: 47 Other Services: River Run Place Administrator: Luke Wilkenfeldt 1155 Darlene Lane Facility Phone: (541) 338-8780 Orig Lic. Date: 1997-08-21 Eugene, OR 97401 Facility Fax: (541) 338-0387 Renewal Date :2019-07-31 0 County: Lane Owner: River Run AID OPCO, LLC Eugene SSO Management: Enlivant AID (Non-CMBS) Mgmt, LLC Email: [email protected]

Monday, October 1, 2018 Page 70 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M429 Yes Capacity: 28 Units: 28 Other Services: Rivera Mansions RCF Administrator: Airene Keppel 2220 SE 174th Avenue Facility Phone: (503) 333-2711 Orig Lic. Date: 2016-05-10 Portland, OR 97233 Facility Fax: (971) 244-5392 Renewal Date :2018-05-31 0 County: Multnomah Owner: Rivera Mansions, LLC Multnomah Management: Rivera Mansions, LLC Email: [email protected] 50R355 Yes Capacity: 16 Units: 16 Other Services: ECU 16 Riverside Living, Inc. Administrator: Kelly Thomas 23500 NE Halsey St. Facility Phone: (503) 328-9285 Orig Lic. Date: 2008-11-24 Wood Village, OR 97060 Facility Fax: (360) 891-7162 Renewal Date :2018-11-30 0 County: Multnomah Owner: Riverside Living, Inc. E Multnomah Management: Riverside Living, Inc. Email: [email protected] 50R202 Non Medicaid Capacity: 20 Units: 15 Other Services: Riverview Terrace Administrator: Shari Bagshaw 1970 West Harvard Avenue Facility Phone: (541) 672-2500 Orig Lic. Date: 1998-10-23 Roseburg, OR 97470 Facility Fax: (541) 677-0489 Renewal Date :2019-06-30 0 County: Douglas Owner: Crown One Development LLC Roseburg Management: Crown Two Development, LLC Email: [email protected] 50R375 Yes Capacity: 45 Units: 45 Other Services: RN Villa Care Center, LLC. Administrator: Allison Fitch 401 NE 139th Avenue Facility Phone: (503) 719-6944 Orig Lic. Date: 2011-05-23 Portland, OR 97230 Facility Fax: (503) 206-5442 Renewal Date :2019-05-31 0 County: Multnomah Owner: RN Villa Care Center, LLC East ADS Management: RN Villa Care Center, LLC Email: [email protected] 50R348 Yes Capacity: 22 Units: 17 Other Services: MC, ACU 22 Rock of Ages Mennonite Home Administrator: Truman Byler 15600 SW Rock of Ages Rd. Facility Phone: (503) 472-6212 Orig Lic. Date: 2007-05-12 McMinnville, OR 97128 Facility Fax: (503) 472-4797 Renewal Date :2020-03-31 0 County: Yamhill Owner: Bible Mennonite Fellowship, Inc. McMinnville NWSDS Management: Bible Mennonite Fellowship, Inc. Email: [email protected] 70M054 Non Medicaid Capacity: 43 Units: 36 Other Services: Rogue River Place Administrator: Rudy Esparza 2437 Kane St Facility Phone: (541) 882-0440 Orig Lic. Date: 1996-10-23 Klamath Falls, OR 97603 Facility Fax: (541) 884-8576 Renewal Date :2019-07-31 0 County: Klamath Owner: Sage AID OPCO, LLC Klamath Falls MSO Management: Enlivant AID (KB) Mgmt, LLC Email: [email protected]

Monday, October 1, 2018 Page 71 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R270 Yes Capacity: 70 Units: 44 Other Services: MC, ACU 40 Rose Linn Vintage Place Administrator: Vivian Villegas 2330 Debok Rd Facility Phone: (503) 655-0474 Orig Lic. Date: 2001-03-19 West Linn, OR 97068 Facility Fax: (503) 655-2850 Renewal Date :2020-07-31 0 County: Clackamas Owner: West Linn Care Center Operating Co LLC Milwaukie SPD Management: Benicia Senior Living, LLC Email: [email protected] 70M080 Yes Capacity: 180 Units: 156 Other Services: Rose Schnitzer Manor Administrator: Irit Mandelsberg 6140 SW Boundary St Facility Phone: (503) 535-4000 Orig Lic. Date: 1998-02-28 Portland, OR 97221 Facility Fax: (503) 535-4214 Renewal Date :2020-02-28 0 County: Multnomah Owner: Robison Jewish Home W Portland Management: Robison Jewish Home Email: [email protected] 50R310 Yes Capacity: 50 Units: 50 Other Services: MC, ACU 50 Rosewood Court Residential Care Administrator: Brian Henderson 4254 Weathers Street NE Facility Phone: (503) 585-4602 Orig Lic. Date: 2003-02-13 Salem, OR 97301 Facility Fax: (503) 585-6002 Renewal Date :2019-02-28 0 County: Marion Owner: Capri Senior Living, LLC Salem NWSDS Management: Capri Senior Living , LLC Email: [email protected] 70M081 Yes Capacity: 95 Units: 82 Other Services: Rosewood Park Retirement & Assisted Living Residence Administrator: Doug Edington 2405 SE Century Blvd. Facility Phone: (503) 642-2100 Orig Lic. Date: 1996-01-12 Hillsboro, OR 97123 Facility Fax: (503) 642-1480 Renewal Date :2019-12-31 0 County: Washington Owner: Rosewood Investors Group, L.L.C. WCDAVS Management: Rosewood ALF, LLC Email: [email protected] 50R290 Yes Capacity: 48 Units: 48 Other Services: MC, ACU 48 Rosewood Specialty Care Administrator: Angela Hernandez 2550 SE Century Blvd. Facility Phone: (503) 259-8999 Orig Lic. Date: 2001-11-09 Hillsboro, OR 97123 Facility Fax: (503) 259-9509 Renewal Date :2020-04-30 0 County: Washington Owner: Rosewood Master Tenant, LLC WCDAVS Management: Hillsboro Care Properties, LLC Email: [email protected] 50R370 Yes Capacity: 16 Units: 16 Other Services: MC, ACU 16 Roxy Ann Memory Community Administrator: Tina Duncan 2530 Lone Pine Road Facility Phone: (541) 608-7699 Orig Lic. Date: 2010-10-25 Medford, OR 97504 Facility Fax: (541) 858-7992 Renewal Date :2018-10-31 0 County: Jackson Owner: Roxy Ann Memory Community, LLC Medford SSO Management: Roxy Ann Memory Community, LLC Email: [email protected]

Monday, October 1, 2018 Page 72 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A264 Yes Capacity: 110 Units: 91 Other Services: Royal Anne Assisted Living Facility Administrator: Christy Bomberry 10610 SE Clay St. Facility Phone: (503) 408-0404 Orig Lic. Date: 2001-06-29 Portland, OR 97216 Facility Fax: (503) 946-0208 Renewal Date :2020-02-28 0 County: Multnomah Owner: PAR, LLC Mid-County ADS Management: Generations, LLC Email: [email protected] 70A319 Non Medicaid Capacity: 64 Units: 40 Other Services: Royalton Place Assisted Living Administrator: Holly Hildenbrand 5555 SE King Rd Facility Phone: (503) 653-1854 Orig Lic. Date: 2012-05-01 Milwaukie, OR 97222 Facility Fax: (503) 786-1670 Renewal Date :2020-05-31 0 County: Clackamas Owner: BDC/Milwaukie, LLC Milwaukie APD Management: BPM Senior Living Company Email: [email protected] 50R383 Non Medicaid Capacity: 28 Units: 19 Other Services: MCC, ACU 28 Royalton Place Memory Care Administrator: Debra Vice 5555 SE King Rd Facility Phone: (503) 653-1854 Orig Lic. Date: 2012-05-01 Milwaukie, OR 97222 Facility Fax: (503) 786-1670 Renewal Date :2020-05-31 0 County: Clackamas Owner: BDC/Milwaukie, LLC Milwaukie SPD Management: BPM Senior Living Company Email: [email protected] 70A314 Non Medicaid Capacity: 120 Units: 95 Other Services: Russellville Park West Administrator: Caitlin VanDerSchaaf 23 SE 103rd Facility Phone: (503) 254-5900 Orig Lic. Date: 2009-05-01 Portland, OR 97216 Facility Fax: (503) 255-7098 Renewal Date :2019-05-31 0 County: Multnomah Owner: Russellvillle III, LLC NE Portland ASO Management: Leisure Care, LLC Email: [email protected] 50R360 Non Medicaid Capacity: 20 Units: 16 Other Services: MC, ACU 20 Russellville Park West Memory Care Administrator: Patty Glines 23 SE 103rd Facility Phone: (503) 254-5900 Orig Lic. Date: 2009-05-01 Portland, OR 97216 Facility Fax: (503) 255-7098 Renewal Date :2019-05-31 0 County: Multnomah Owner: Russellvillle III, LLC NE Portland ASO Management: Leisure Care, LLC Email: [email protected] 70A265 Yes Capacity: 50 Units: 44 Other Services: Sea Aire Assisted Living Administrator: Robin Allen 1882 N Hwy 101 Facility Phone: (541) 547-5500 Orig Lic. Date: 2001-07-31 Yachats, OR 97498 Facility Fax: (541) 547-5503 Renewal Date :2019-12-31 0 County: Lincoln Owner: Sea Aire Assisted Living, LLC Toledo/Lincoln SSO Management: Sea Aire Assisted Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 73 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A316 Yes Capacity: 99 Units: 78 Other Services: Sea View Senior Living Community Administrator: Sandy Hicks 98059 Gerlach Lane Facility Phone: (541) 469-4500 Orig Lic. Date: 2010-06-01 Brookings, OR 97415 Facility Fax: (541) 469-4522 Renewal Date :2018-10-31 0 County: Curry Owner: Sea View Assisted Living Community, LLC Brookings/Harbor Management: Seasons Management, LLC Email: [email protected] 50R384 Yes Capacity: 50 Units: 47 Other Services: Senior Haven Residential Care Facility Administrator: Sabrina Anhaack 12140 SE Foster Road Facility Phone: (971) 271-8975 Orig Lic. Date: 2012-08-16 Portland, OR 97266 Facility Fax: (503) 254-3607 Renewal Date :2020-08-31 0 County: Multnomah Owner: Senior Haven RCF, LLC Milwaukie APD Management: Senior Haven RCF, LLC Email: [email protected] 70M223 Yes Capacity: 56 Units: 44 Other Services: Settler's Park Assisted Living Community Administrator: Jackie Wirth 2895 17th St. Facility Phone: (541) 523-0200 Orig Lic. Date: 1999-11-05 Baker City, OR 97814 Facility Fax: (541) 523-0268 Renewal Date :2019-01-31 0 County: Baker Owner: LSREF Golden Ops 26 (OR) LLC Baker City MSO Management: SLH Rainier Manager, LLC Email: [email protected] 50A226 Yes Capacity: 30 Units: 30 Other Services: MC, ACU 30 Settler's Park Memory Care Community Administrator: Deborah Culley 2895 17th Street Facility Phone: (541) 523-0200 Orig Lic. Date: 1999-11-05 Baker City, OR 97814 Facility Fax: (541) 523-0268 Renewal Date :2019-01-31 0 County: Baker Owner: LSREF Golden Ops 26 (OR) LLC Baker City Management: SLH Rainier Manager, LLC Email: [email protected] 70A083 Non Medicaid Capacity: 108 Units: 92 Other Services: Sheldon Park Assisted Living, a Blue Harbor Senior Living Administrator: Charisa Coxen 2440 Willakenzie Road Facility Phone: (541) 344-1078 Orig Lic. Date: 1998-01-16 Eugene, OR 97401 Facility Fax: (541) 344-1370 Renewal Date :2020-07-31 0 County: Lane Owner: Sheldon Park Management LLC Eugene SSO Management: Sheldon Park Management LLC Email: [email protected] 50M264 Yes Capacity: 16 Units: 12 Other Services: MCC, ACU 16 Sherwood Pines Residential Care Administrator: Danielle Evans 87986 Sherwood Facility Phone: (541) 935-0653 Orig Lic. Date: 2001-02-14 Veneta, OR 97487 Facility Fax: (541) 935-4328 Renewal Date :2019-06-30 0 County: Lane Owner: Sherwood Pines Residential Care, Inc. Eugene AAA Management: Sherwood Pines Residential Care, Inc. Email: [email protected]

Monday, October 1, 2018 Page 74 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A263 Yes Capacity: 54 Units: 42 Other Services: MCC, ACU 8 Shore Pines Senior Living Community Administrator: Jenny Shields 93975 Ocean Way Facility Phone: (541) 247-0333 Orig Lic. Date: 2001-05-02 Gold Beach, OR 97444 Facility Fax: (541) 247-3198 Renewal Date :2019-05-31 0 County: Curry Owner: Gold Beach Senior Living, LLC Gold Beach MSO Management: Mosaic Management, Inc. Email: [email protected] 70M084 Yes Capacity: 41 Units: 32 Other Services: Silver Creek Assisted Living Facility Administrator: Felicity Harvey 703 Evergreen Rd Facility Phone: (503) 981-4142 Orig Lic. Date: 1995-06-01 Woodburn, OR 97071 Facility Fax: (503) 982-0172 Renewal Date :2019-06-30 0 County: Marion Owner: FC Ranger OPS Silver Creek (OR), LLC Woodburn NWSDS Management: Silver Creek Care Properties, LLC Email: [email protected] 50R373 Yes Capacity: 20 Units: 17 Other Services: MCC, ACU 20 Silver Creek Memory Care Community Administrator: Carrie Main 703 Evergreen Rd. Facility Phone: (503) 981-4142 Orig Lic. Date: 2011-02-14 Woodburn, OR 97071 Facility Fax: (503) 982-0172 Renewal Date :2019-06-30 0 County: Marion Owner: FC Ranger OPS Silver Creek(OR), LLC Woodburn NWSDS Management: Silver Creek Care Properties, LLC Email: [email protected] 50R309 Non Medicaid Capacity: 16 Units: 16 Other Services: Silvia & John's Residential Care Administrator: Silvia Pribeagu 19909 SE Stark St. Facility Phone: (503) 665-8195 Orig Lic. Date: 2003-02-04 Portland, OR 97233 Facility Fax: (503) 661-2567 Renewal Date :2019-02-28 0 County: Multnomah Owner: Silvia & John's Residential Care, Inc. E. Mult. ADS Management: Silvia & John's Residential Care, Inc. Email: silviajohnsrcf@gmailcom 70M085 Yes Capacity: 87 Units: 75 Other Services: Skylark Assisted Living Administrator: Teresa Selby 900 Skylark Pl Facility Phone: (541) 552-1713 Orig Lic. Date: 1997-10-24 Ashland, OR 97520 Facility Fax: (541) 552-1058 Renewal Date :2019-09-30 0 County: Jackson Owner: Ashland Assisted Living, LLC Medford Management: Mission Senior Living, LLC Email: [email protected] 5MA161 Yes Capacity: 32 Units: 20 Other Services: MC, ACU 32 Skylark Memory Care Administrator: Rylee Tellez 950 Skylark Place Facility Phone: (541) 552-1713 Orig Lic. Date: 1997-09-23 Ashland, OR 97520 Facility Fax: (541) 552-1058 Renewal Date :2019-09-30 0 County: Jackson Owner: Ashland Assisted Living, LLC Medford AAA Management: Mission Senior Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 75 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A270 Yes Capacity: 100 Units: 86 Other Services: Somerset Assisted Living Administrator: Alexander Bernal 8360 Cason Rd Facility Phone: (503) 723-7868 Orig Lic. Date: 2001-11-30 Gladstone, OR 97027 Facility Fax: (503) 655-1543 Renewal Date :2019-11-30 0 County: Clackamas Owner: Gladstone Assisted Living LLC Milwaukie SPD Management: Hawthorn Senior Living, LLC Email: [email protected] 5MA106 Yes Capacity: 65 Units: 29 Other Services: MC, ACU 65 Southtowne Living Center Administrator: Victoria Greenly 360 W 28th Facility Phone: (541) 683-3618 Orig Lic. Date: 1991-07-01 Eugene, OR 97405 Facility Fax: (541) 312-0077 Renewal Date :2019-01-31 0 County: Lane Owner: Eugene Southtowne Living Center, LLC Eugene AAA Management: Aidan Health Services, Inc. Email: [email protected] 70M087 Yes Capacity: 44 Units: 35 Other Services: Spring Meadows Assisted Living Facility Administrator: Nina Wendelschafer 36070 Pittsburg Rd Facility Phone: (503) 397-0401 Orig Lic. Date: 1995-10-10 St Helens, OR 97051 Facility Fax: (503) 397-2116 Renewal Date :2019-09-30 0 County: Columbia Owner: Elderserv St Helens MSO Management: Concepts in Community Living, Inc. Email: [email protected] 70M088 Yes Capacity: 63 Units: 51 Other Services: Spring Valley Assisted Living Administrator: Tracy Nelson 770 Harlow Rd Facility Phone: (541) 744-2116 Orig Lic. Date: 1993-04-01 Springfield, OR 97477 Facility Fax: (541) 744-0103 Renewal Date :2019-05-31 0 County: Lane Owner: Cascade Living Group - Oregon, LLC Eugene SSO Management: Cascade Living Group - Oregon, LLC Email: [email protected] 70A284 Non Medicaid Capacity: 85 Units: 70 Other Services: SpringRidge Court Assisted Living Administrator: Garth Hallman 32100 SW French Prairie Rd. Facility Phone: (503) 694-2800 Orig Lic. Date: 2002-10-31 Wilsonville, OR 97070 Facility Fax: (503) 694-5124 Renewal Date :2020-04-30 0 County: Clackamas Owner: Spring Ridge Subtenant LLC Milwaukie SPD Management: SRG Management, LLC Email: [email protected] 50R303 Non Medicaid Capacity: 16 Units: 0 Other Services: MC, ACU 16 SpringRidge Court Memory Care Administrator: Garth Hallman 32100 SW French Prairie Rd Facility Phone: (503) 694-2800 Orig Lic. Date: 2002-10-31 Wilsonville, OR 97070 Facility Fax: (503) 694-5124 Renewal Date :2020-04-30 0 County: Clackamas Owner: Spring Ridge Subtenant LLC Milwaukie SPD Management: SRG Management, LLC Email: [email protected]

Monday, October 1, 2018 Page 76 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R234 Non Medicaid Capacity: 38 Units: 29 Other Services: Springs at Anna Maria, The Administrator: Megan Hamilton 822 Golf View Drive Facility Phone: (541) 774-1822 Orig Lic. Date: 2000-02-14 Medford, OR 97504 Facility Fax: (541) 857-0994 Renewal Date :2020-05-31 0 County: Jackson Owner: HSRE-Springs III at Medford AM sub-TRS, LLC Medford Management: The Springs Living, LLC Email: [email protected] 70A012 Non Medicaid Capacity: 21 Units: 17 Other Services: Springs at Carman Oaks, The Administrator: Curchelle Ensign 3900 SW Carman Dr Facility Phone: (503) 636-4700 Orig Lic. Date: 1996-05-24 Lake Oswego, OR 97035 Facility Fax: (503) 636-9545 Renewal Date :2018-11-30 0 County: Clackamas Owner: HSRE-Springs II at Lake Oswego Sub-TRS, LLC Milwaukie SPD Management: The Springs Living, LLC Email: [email protected] 70M204 Yes Capacity: 56 Units: 48 Other Services: Springs at Clackamas Woods ALF Administrator: Joleen Murphy 14314 SE Webster Rd. Facility Phone: (503) 654-3413 Orig Lic. Date: 1999-07-19 Milwaukie, OR 97267 Facility Fax: (503) 652-5191 Renewal Date :2018-10-31 0 County: Clackamas Owner: TSL Clack OPS, LLC Milwaukie SPD Management: The Springs Living, LLC Email: [email protected] 70A329 Non Medicaid Capacity: 100 Units: 75 Other Services: Springs at Greer Gardens, The Administrator: Jules Foster 1282 Good Pasture Island Road Facility Phone: (541) 246-2828 Orig Lic. Date: 2017-07-07 Eugene, OR 97401 Facility Fax: Renewal Date :2019-07-31 0 County: Lane Owner: HSRE Springs IV TRS, LLC Eugene Management: The Springs Living, LLC Email: [email protected] 70M219 Yes Capacity: 75 Units: 59 Other Services: Springs at Mill Creek, The Administrator: Naomi Ma'ae 1201 W 10th Street Facility Phone: (541) 296-1303 Orig Lic. Date: 1999-10-12 The Dalles, OR 97058 Facility Fax: (541) 296-4051 Renewal Date :2018-11-30 0 County: Wasco Owner: Springs at Mill Creek Operator, LLC Mid-Columbia AAA Management: The Springs Living, LLC Email: [email protected] 70A276 Yes Capacity: 57 Units: 36 Other Services: Springs at Sherwood, The Administrator: Judy Lara 15677 SW Oregon Facility Phone: (503) 625-9481 Orig Lic. Date: 2002-05-03 Sherwood, OR 97140 Facility Fax: (503) 625-1372 Renewal Date :2018-11-30 0 County: Washington Owner: Springs Sherwood Operator, LLC WCDAVS Management: The Springs Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 77 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M313 Non Medicaid Capacity: 84 Units: 70 Other Services: Springs at Tanasbourne Administrator: Victor Lanna 1950 NW 192nd Avenue Facility Phone: (503) 629-5500 Orig Lic. Date: 2009-04-01 Hillsboro, OR 97124 Facility Fax: (503) 629-1515 Renewal Date :2018-12-31 0 County: Washington Owner: Springs at Tanasbourne II, LLC Hillsboro WCDAVS Management: The Springs Living, LLC Email: [email protected] 70A300 Non Medicaid Capacity: 65 Units: 51 Other Services: Springs at Veranda Park, The Administrator: Travis Staples 1641 Veranda Park Drive Facility Phone: (541) 494-5000 Orig Lic. Date: 2016-02-09 Medford, OR 97504 Facility Fax: Renewal Date :2020-02-28 0 County: Jackson Owner: HSRE-Springs III at Medford VP Sub TRS, LLC Medford Management: The Springs Living, LLC Email: [email protected] 70A200 Yes Capacity: 85 Units: 65 Other Services: Springs at Wilsonville, The Administrator: Elaine Rust 7600 Vlahos Drive Facility Phone: (503) 582-9414 Orig Lic. Date: 1999-06-24 Wilsonville, OR 97070 Facility Fax: (503) 582-9236 Renewal Date :2018-11-30 0 County: Clackamas Owner: HSRE-Springs II at Lake Oswego Sub-TRS, LLC Milwaukie SPD Management: The Springs Living, LLC Email: [email protected] 70M089 Yes Capacity: 72 Units: 65 Other Services: Spruce Point Assisted Living Administrator: Janet Engel 375 9th St Facility Phone: (541) 997-6111 Orig Lic. Date: 1995-08-01 Florence, OR 97439 Facility Fax: (541) 997-5747 Renewal Date :2019-07-31 0 County: Lane Owner: Spruce Point, Inc. Florence AAA Management: Avalon Senior Living - Spruce Point, LLC Email: [email protected] 50R359 Yes Capacity: 25 Units: 25 Other Services: MCC 25, ACU 25 Spruce Point Memory Care Administrator: Katherine Poe 375 9th Street Facility Phone: (541) 997-6111 Orig Lic. Date: 2009-04-08 Florence, OR 97439 Facility Fax: (541) 997-5747 Renewal Date :2019-04-30 0 County: Lane Owner: Spruce Point, Inc. Florence AAA Management: Avalon Senior Living - Spruce Point, LLC Email: [email protected] 5MA107 Yes Capacity: 85 Units: 60 Other Services: MC, ACU 85 St. Andrews Memory Care Administrator: Kyrstal Bryan 7617 SE Main St Facility Phone: (503) 257-7946 Orig Lic. Date: 1988-09-01 Portland, OR 97215 Facility Fax: (503) 257-9221 Renewal Date :2018-03-31 0 County: Multnomah Owner: Pacifica Senior Living, LLC E County ASD Management: Pacifica Senior Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 78 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

7MU215 Yes Capacity: 126 Units: 110 Other Services: MC, ACU 24 St. Anthony Village Administrator: E'lan Calise 3560 SE 79th Avenue Facility Phone: (503) 775-4414 Orig Lic. Date: 1999-08-11 Portland, OR 97206 Facility Fax: (503) 771-9189 Renewal Date :2019-08-31 0 County: Multnomah Owner: St. Anthony Village Associates LP Mid-Mult ASD. Management: SAGE Email: [email protected] 70A310 Non Medicaid Capacity: 16 Units: 12 Other Services: Stafford Assisted Living Facility, The Administrator: Todd Pile 1200 Overlook Dr Facility Phone: (503) 636-4589 Orig Lic. Date: 2008-05-01 Lake Oswego, OR 97034 Facility Fax: (503) 636-4583 Renewal Date :2020-04-30 0 County: Clackamas Owner: Avamere Stafford Operations, LLC Milwaukie SPD Management: Avamere Stafford Operations, LLC Email: [email protected] 70A274 Yes Capacity: 95 Units: 85 Other Services: Stoneybrook Assisted Living Administrator: Stephanie Deatherage 4650 SW Hollyhock Circle Facility Phone: (541) 758-2026 Orig Lic. Date: 2002-04-19 Corvallis, OR 97333 Facility Fax: (541) 758-2862 Renewal Date :2019-09-30 0 County: Benton Owner: Corvallis Assisted Living OpCo, LLC Albany SSO Management: Hawthorn Senior Living, LLC Email: [email protected] 70M101 Yes Capacity: 75 Units: 65 Other Services: Suites Assisted Living Community, The Administrator: Jennifer Ambeau 1301 SE Parkdale Dr Facility Phone: (541) 955-9115 Orig Lic. Date: 1997-01-10 Grants Pass, OR 97527 Facility Fax: (541) 955-9591 Renewal Date :2019-01-31 0 County: Josephine Owner: LSREF Golden Ops 26 (OR) LLC Grants Pass MSO Management: Frontier Management, LLC Email: [email protected] 50R462 Yes Capacity: 28 Units: 15 Other Services: ACU 28 Suites Memory Care Community, The Administrator: Angel Robertson 1301 SE Parkdale Dr Facility Phone: (541) 955-9115 Orig Lic. Date: 2018-07-30 Grants Pass, OR 97527 Facility Fax: (541) 955-9591 Renewal Date :2020-07-31 0 County: Josephine Owner: LSREF Golden Ops 26 (OR) LLC Grants Pass Management: Frontier Management, LLC Email: [email protected] 70M006 Yes Capacity: 96 Units: 86 Other Services: Summerplace Assisted Living Community Administrator: Katie Gaffney 15727 NE Russell St Facility Phone: (503) 252-9361 Orig Lic. Date: 1997-07-21 Portland, OR 97230 Facility Fax: (503) 252-9405 Renewal Date :2019-07-31 0 County: Multnomah Owner: Summervent, LLC NE Portland ASO/DSO Management: Prestige Senior Living, LLC Email: [email protected]

Monday, October 1, 2018 Page 79 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M091 Yes Capacity: 38 Units: 29 Other Services: Summit Springs Village ALF Administrator: Sara Riney 133 S Church Street - PO Bx 687 Facility Phone: (541) 384-2101 Orig Lic. Date: 1994-10-28 Condon, OR 97823 Facility Fax: (541) 384-2102 Renewal Date :2018-10-31 0 County: Gilliam Owner: Summit Springs Village Corporation The Dalles SPD Management: Summit Springs Village Corporation Email: [email protected] 50R364 Yes Capacity: 8 Units: 8 Other Services: MC, ACU 8 Summit Springs Village MCU Administrator: Cynthia Hess 120 S. Church St. Facility Phone: (541) 384-2101 Orig Lic. Date: 2009-12-03 Condon, OR 97823 Facility Fax: (541) 384-2102 Renewal Date :2019-12-31 0 County: Gilliam Owner: Summit Springs Village Corporation The Dalles AAA Management: Summit Springs Village Corporation Email: [email protected] 70M248 Yes Capacity: 97 Units: 80 Other Services: Sun Terrace Hermiston Administrator: John Krise 1550 NW 11th St. Facility Phone: (541) 564-2595 Orig Lic. Date: 2000-10-24 Hermiston, OR 97838 Facility Fax: (541) 564-3087 Renewal Date :2018-10-31 0 County: Umatilla Owner: Clay Davis Stroud - Oregon LLC Hermiston MSO Management: Regency Pacific Management, LLC Email: [email protected] 70M045 Non Medicaid Capacity: 40 Units: 36 Other Services: Suncrest Place Administrator: Lynn Rawlins 300 Suncrest Rd Facility Phone: (541) 512-9474 Orig Lic. Date: 1996-11-08 Talent, OR 97540 Facility Fax: (541) 512-0321 Renewal Date :2019-07-31 0 County: Jackson Owner: JACKSON AID OPCO, LLC Medford Management: Enlivant AID (Non-CMBS) Mgmt, LLC Email: [email protected] 50R443 Non Medicaid Capacity: 72 Units: 56 Other Services: ACU 72 Sunnyside Meadows Administrator: Carolina Gerhard 12195 SE 117th Avenue Facility Phone: (503) 563-6734 Orig Lic. Date: 2016-12-14 Happy Valley, OR 97086 Facility Fax: Renewal Date :2018-12-31 0 County: Clackamas Owner: Oregon MC Operations, LLC Clackamas Management: HT Industrial Properties, LLC Email: [email protected] 50R412 Yes Capacity: 16 Units: 16 Other Services: MC, ACU 16 Sunset Estates Administrator: Christina Reed 281 Sunset Dr. Facility Phone: (541) 889-1115 Orig Lic. Date: 2014-07-30 Ontario, OR 97914 Facility Fax: (541) 889-6662 Renewal Date :2020-07-31 0 County: Malheur Owner: CARE 3, LLC Ontario Management: CARE 3, LLC Email: [email protected]

Monday, October 1, 2018 Page 80 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R273 Yes Capacity: 27 Units: 21 Other Services: Suttle Care & Retirement Administrator: Saundra Suttle 1601 SW 24th St. Facility Phone: (541) 278-0174 Orig Lic. Date: 2001-04-09 Pendleton, OR 97801 Facility Fax: (541) 276-0340 Renewal Date :2019-04-30 0 County: Umatilla Owner: Suttle Care & Retirement, Inc. Pendleton MSO Management: Suttle Care & Retirement, Inc. Email: [email protected] 70M092 Yes Capacity: 90 Units: 79 Other Services: Suzanne Elise Assisted Living Facility Administrator: Pamela Baldridge 101 Forest Drive Facility Phone: (503) 738-0307 Orig Lic. Date: 1997-10-30 Seaside, OR 97138 Facility Fax: (503) 717-8102 Renewal Date :2019-11-30 0 County: Clatsop Owner: Forest Drive Operations, LLC Warrenton NWSDS Management: Forest Drive Operations, LLC Email: [email protected] 50R108 Yes Capacity: 39 Units: 30 Other Services: MCC, ACU 9 Sweetbriar Villa Administrator: Ivy Lizsow 6135 E St. Facility Phone: (541) 225-0200 Orig Lic. Date: 1987-12-01 Springfield, OR 97478 Facility Fax: (541) 726-1173 Renewal Date :2019-05-31 0 County: Lane Owner: RSL Springfield, LLC Eugene SSO Management: Radiant Senior Living, Inc. Email: [email protected] 50R379 Yes Capacity: 84 Units: 44 Other Services: MCC, ACU 84 Table Rock Memory Care Community Administrator: Christy Kruse 2636 Table Rock Rd Facility Phone: (541) 779-3368 Orig Lic. Date: 2011-08-26 Medford, OR 97504 Facility Fax: (541) 773-5724 Renewal Date :2019-08-31 0 County: Jackson Owner: Fern Gardens Memory Care, LLC Medford SSO Management: Avamere Skilled Advisors, LLC Email: [email protected] 50M434 Yes Capacity: 30 Units: 30 Other Services: MCC, ACU 30 Tabor Crest II Memory Care Administrator: Olguta Iuhasz 16050 NE Halsey Facility Phone: (503) 254-6003 Orig Lic. Date: 2016-05-11 Portland, OR 97230 Facility Fax: (503) 254-6003 Renewal Date :2019-07-31 0 County: Multnomah Owner: Tabor Crest OpCo II, LLC Multnomah Management: Avalon Senior LIving - Tabor Crest II, LLC Email: [email protected] 50M109 Yes Capacity: 30 Units: 27 Other Services: MC, ACU 30 Tabor Crest Residential Care Administrator: Lacramioara Radulescu 7430 SE Division St Facility Phone: (503) 771-8058 Orig Lic. Date: 1980-05-07 Portland, OR 97206 Facility Fax: (503) 771-8058 Renewal Date :2019-05-31 0 County: Multnomah Owner: Tabor Crest OpCo I, LLC SE Portland ASO Management: Avalon Senior Living - Tabor Crest, LLC Email: [email protected]

Monday, October 1, 2018 Page 81 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M110 Yes Capacity: 80 Units: 80 Other Services: Taft Home, The Administrator: Karen Shenefelt 1337 SW Washington St Facility Phone: (503) 223-2144 Orig Lic. Date: 1992-09-01 Portland, OR 97205 Facility Fax: (503) 241-9553 Renewal Date :2019-07-31 0 County: Multnomah Owner: Concepts in Community Living, Inc. W Portland AAA Management: Concepts in Community Living, Inc. Email: [email protected] 70M093 Yes Capacity: 72 Units: 62 Other Services: Tanner Spring Assisted Living Administrator: Sarah Cleesen 23000 Horizon Dr Facility Phone: (503) 655-4373 Orig Lic. Date: 1998-08-14 West Linn, OR 97068 Facility Fax: (503) 655-4175 Renewal Date :2020-07-31 0 County: Clackamas Owner: Sequoia Heights Capital Partners Milwaukie SPD Management: TS Management, LLC Email: [email protected] 50R366 Yes Capacity: 52 Units: 26 Other Services: MCC, ACU 52 Tanner Spring Memory Care Administrator: June Kareen Soderquist 23000 Horizon Drive Facility Phone: (503) 655-4373 Orig Lic. Date: 2010-01-21 West Linn, OR 97068 Facility Fax: (503) 655-4175 Renewal Date :2020-07-31 0 County: Clackamas Owner: Sequoia Heights Capital Partners Milwaukie SPD Management: TS Management, LLC Email: [email protected] 70A262 Non Medicaid Capacity: 68 Units: 68 Other Services: Terrace at Hillside Assisted Living Administrator: James Villa 440 NW Hillside Park Way Facility Phone: (503) 472-9534 Orig Lic. Date: 2001-05-01 McMinnville, OR 97128 Facility Fax: (503) 883-7499 Renewal Date :2018-08-31 0 County: Yamhill Owner: Emeritus Corporation McMinnville NWSDS Management: Emeritus Corporation Email: [email protected] 70A209 Non Medicaid Capacity: 64 Units: 60 Other Services: Terrace at Laurelhurst Village, The Administrator: Angela Newsom 3120 SE Stark Facility Phone: (503) 535-4700 Orig Lic. Date: 1999-03-05 Portland, OR 97214 Facility Fax: (503) 797-6702 Renewal Date :2019-06-30 0 County: Multnomah Owner: Laurelhurst Operations, LLC E Co. ASD Management: Laurelhurst Operations, LLC Email: [email protected] 50M157 Yes Capacity: 29 Units: 29 Other Services: Terwilliger Plaza - Metcalf Unit Administrator: Heather Lucas 2545 SW Terwilliger Blvd Facility Phone: (503) 808-7876 Orig Lic. Date: 1997-04-30 Portland, OR 97201 Facility Fax: (503) 299-4803 Renewal Date :2019-04-30 0 County: Multnomah Owner: Terwilliger Plaza, Inc. W Portland AAA Management: Terwilliger Plaza, Inc. Email: [email protected]

Monday, October 1, 2018 Page 82 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A246 Yes Capacity: 64 Units: 44 Other Services: Terwilliger Terrace Assisted Living Facility Administrator: Heather Lucas 2425 SW 6th Ave. Facility Phone: (503) 299-4911 Orig Lic. Date: 2000-05-17 Portland, OR 97201 Facility Fax: (503) 299-4803 Renewal Date :2018-09-30 0 County: Multnomah Owner: Terwilliger Plaza, Inc. West Portland AAA Management: Terwilliger Plaza, Inc. Email: [email protected] 50R386 Non Medicaid Capacity: 7 Units: 5 Other Services: Thanksgiving House Administrator: Dawn Nelson 184 N 2nd St Facility Phone: (503) 366-1233 Orig Lic. Date: 2012-08-26 St. Helens, OR 97051 Facility Fax: (971) 228-2291 Renewal Date :2020-08-31 0 County: Columbia Owner: Cecile Molden St Helens APD Management: Cecile Molden Email: [email protected] 50R457 Yes Capacity: 47 Units: 47 Other Services: Timber Town Living Administrator: Chantele Bangs 1116 W. Central Avenue Facility Phone: (541) 459-4549 Orig Lic. Date: 2018-01-11 Sutherlin, OR 97479 Facility Fax: (541) 459-2187 Renewal Date :2020-01-31 0 County: Douglas Owner: Timber Town Living, Inc. Roseburg Management: Timber Town Living, Inc. Email: [email protected] 70A097 Yes Capacity: 70 Units: 60 Other Services: Timberhill Place Administrator: Robin Bemrose 989 NW Spruce Ave Facility Phone: (541) 753-1488 Orig Lic. Date: 1995-06-28 Corvallis, OR 97330 Facility Fax: (541) 757-3528 Renewal Date :2019-06-30 0 County: Benton Owner: Vintage Investment Prop., Inc. Albany SSO Management: Vintage Investment Prop., Inc. Email: [email protected] 50R302 Yes Capacity: 48 Units: 44 Other Services: MC, ACU 48 Timberwood Court Specialty Care Community Administrator: Catherine Lewis 2875 SE 14th Ave Facility Phone: (541) 967-9700 Orig Lic. Date: 2002-10-01 Albany, OR 97321 Facility Fax: (541) 924-2949 Renewal Date :2019-01-31 0 County: Linn Owner: LSREF Golden Ops 26 (OR) LLC Albany SSO Management: Frontier Management, LLC Email: [email protected] 50R307 Yes Capacity: 13 Units: 8 Other Services: MC, ACU 13 Touch of Grace, A Administrator: Johnny Baglietto PO Box 165, 2156 Brookhurst St. Facility Phone: (541) 779-1159 Orig Lic. Date: 2003-01-16 Medford, OR 97504 Facility Fax: (541) 779-1210 Renewal Date :2018-09-30 0 County: Jackson Owner: A Touch of Grace, LLC Medford Management: A Touch of Grace, LLC Email: [email protected]

Monday, October 1, 2018 Page 83 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R349 Non Medicaid Capacity: 95 Units: 83 Other Services: MC, ACU 32 Touchmark at Mt. Bachelor Village Administrator: Angela Stewart 19800 SW Touchmark Way Facility Phone: (541) 383-1414 Orig Lic. Date: 2007-07-05 Bend, OR 97702 Facility Fax: (541) 383-3434 Renewal Date :2019-07-31 0 County: Deschutes Owner: Touchmark at Mt. Bachelor Village, LLC Bend SPD Management: Touchmark Living Centers, Inc. Email: [email protected] 50R461 Non Medicaid Capacity: 155 Units: 139 Other Services: ACU 34 Touchmark in the West Hills Administrator: Elizabeth Moore 840 SW Touchmark Way Facility Phone: (503) 954-1640 Orig Lic. Date: 2018-07-03 Portland, OR 97225 Facility Fax: (503) 520-8843 Renewal Date :2020-07-31 0 County: Washington Owner: Touchmark in the West Hills, LLC Multnomah Management: Touchmark in the West Hills, LLC Email: [email protected] 50R115 Yes Capacity: 48 Units: 46 Other Services: Turner Retirement Homes Administrator: Bruce Reed 5405 Boise Street Facility Phone: (503) 743-2490 Orig Lic. Date: 1982-01-01 Turner, OR 97392 Facility Fax: (503) 743-2803 Renewal Date :2020-01-31 0 County: Marion Owner: Turner Retirement Homes, Inc. Salem NWSDS Management: Turner Retirement Homes, Inc. Email: [email protected] 70M098 Yes Capacity: 42 Units: 35 Other Services: Valley View Assisted Living Administrator: Stephanie Rodriguez 112 Valley View Dr Facility Phone: (541) 575-3533 Orig Lic. Date: 1998-02-02 John Day, OR 97845 Facility Fax: (541) 575-2366 Renewal Date :2019-12-31 0 County: Grant Owner: Valley View Investors, LLC John Day MSO Management: Ageia Health Services, LLC Email: [email protected] 50R394 Yes Capacity: 10 Units: 5 Other Services: MC, ACU 10 Valley View Memory Care Administrator: Stephanie Rodriquez 112 Valley View Drive Facility Phone: (541) 575-3533 Orig Lic. Date: 2013-08-21 John Day, OR 97845 Facility Fax: (541) 575-5558 Renewal Date :2019-08-31 0 County: Grant Owner: Valley View Investors, LLC Bend MSO Management: Ageia Health Services, LLC Email: [email protected] 50M427 Yes Capacity: 23 Units: 22 Other Services: ACU 23 Village at Keizer Ridge Memory Care, The Administrator: Darryl Larson 1165 McGee Court Facility Phone: (503) 390-1300 Orig Lic. Date: 2016-02-18 Keizer, OR 97303 Facility Fax: (503) 390-1818 Renewal Date :2020-09-30 0 County: Marion Owner: Keizer Care Properties, LLC NWSDS Management: Keizer Care Properties, LLC Email: [email protected]

Monday, October 1, 2018 Page 84 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M350 Yes Capacity: 119 Units: 104 Other Services: Village at Keizer Ridge, The Administrator: Nancy Steers-Crist 1165 McGee Court Facility Phone: (503) 390-1300 Orig Lic. Date: 2016-02-18 Keizer, OR 97303 Facility Fax: (503) 390-1818 Renewal Date :2020-09-30 0 County: Marion Owner: Keizer Care Properties, LLC NWSDS Management: Keizer Care Properties, LLC Email: [email protected] 50R450 Yes Capacity: 48 Units: 48 Other Services: MCC, ACU 48 Village at Valley View Administrator: Margaret Schreiber-Wise 1071 W. Jackson Road Facility Phone: (541) 482-0888 Orig Lic. Date: 2017-07-31 Ashland, OR 97520 Facility Fax: (541) 482-2078 Renewal Date :2019-07-31 0 County: Jackson Owner: Ashland Care Associates, LLC Medford Management: Compass Senior Living, LLC Email: [email protected] 70A267 Yes Capacity: 96 Units: 81 Other Services: Vineyard Heights Assisted Living & Retirement Cottages Administrator: Janie Kellet 345 SW Hill Rd. Facility Phone: (503) 435-1000 Orig Lic. Date: 2001-09-18 McMinnville, OR 97128 Facility Fax: (503) 434-1599 Renewal Date :2019-01-31 0 County: Yamhill Owner: LSREF Golden Ops 26 (OR) LLC McMinnville NWSDS Management: Frontier Management, LLC Email: administrator@vineyardheightsassistedliving. 50R400 Yes Capacity: 15 Units: 15 Other Services: MC, ACU 15 Vista View Mood & Memory Care Administrator: Kathleen Howard 4439 Hamrick Rd Facility Phone: (541) 664-2133 Orig Lic. Date: 2013-12-23 Central Point, OR 97502 Facility Fax: (541) 664-1563 Renewal Date :2019-12-31 0 County: Jackson Owner: S & S Management, LLC Medford SSO Management: S & S Management, LLC Email: [email protected] 70A322 Yes Capacity: 19 Units: 19 Other Services: Wallowa Valley Senior Living Administrator: Jennifer Olson 605 Medical Parkway Facility Phone: (541) 426-5311 Orig Lic. Date: 2013-06-27 Enterprise, OR 97828 Facility Fax: (541) 426-0411 Renewal Date :2019-06-30 0 County: Wallowa Owner: Wallowa County Health Care District Enterprise APD Management: Vitalita Wallowa, LLC Email: [email protected] 50R391 Yes Capacity: 10 Units: 8 Other Services: MC, ACU 10 Wallowa Valley Senior Living Memory Care Administrator: Jennifer Olson 605 Medical Parkway Facility Phone: (541) 426-5311 Orig Lic. Date: 2013-06-27 Enterprise, OR 97828 Facility Fax: (541) 426-0411 Renewal Date :2019-06-30 0 County: Wallowa Owner: Wallowa County Health Care District Enterprise APD Management: Vitalita Wallowa, LLC Email: [email protected]

Monday, October 1, 2018 Page 85 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50R382 Yes Capacity: 48 Units: 48 Other Services: MC, ACU 48 Washington Gardens Memory Care Administrator: Landon Garrett 9000 SW 91st Avenue Facility Phone: (503) 445-4363 Orig Lic. Date: 2011-11-10 Tigard, OR 97223 Facility Fax: Renewal Date :2019-11-30 0 County: Washington Owner: Tigard Memory Associates, LLC Tigard SPD Management: Frontier Management, LLC Email: administrator@washingtongardensmemoryca 70A323 Non Medicaid Capacity: 101 Units: 86 Other Services: Waterford Grand Assisted Living Administrator: Charity Bobbitt 600 Waterford Way Facility Phone: (541) 636-3329 Orig Lic. Date: 2014-09-01 Eugene, OR 97401 Facility Fax: (541) 654-0112 Renewal Date :2020-09-30 0 County: Lane Owner: BDC/EUGENE, LLC Eugene APD Management: BPM Senior Living Company Email: [email protected] 50R411 Non Medicaid Capacity: 64 Units: 64 Other Services: MC, ACU 64 Waterford Grand Memory Care Administrator: Melissa Kozey 600 Waterford Way Facility Phone: (541) 636-3329 Orig Lic. Date: 2014-09-01 Eugene, OR 97401 Facility Fax: (541) 654-0112 Renewal Date :2018-09-30 0 County: Lane Owner: BDC/EUGENE, LLC Eugene Management: BPM Senior Living Company Email: [email protected] 50R433 Yes Capacity: 68 Units: 52 Other Services: ACU 68 Waterhouse Ridge Memory Care Community Administrator: Lana Buckles 1115 NW 158th Avenue Facility Phone: (503) 747-0648 Orig Lic. Date: 2016-03-03 Beaverton, OR 97006 Facility Fax: Renewal Date :2020-03-31 0 County: Washington Owner: Waterhouse Ridge Memory Care, LLC Beaverton APD Management: Frontier Management, Inc., A Corporation of Col Email: [email protected] 70A333 Non Medicaid Capacity: 71 Units: 71 Other Services: Waverly Place Assisted Living Administrator: Ryan Golze 2835 Salem Avenue SE Facility Phone: (541) 704-7789 Orig Lic. Date: 2017-12-28 Albany, OR 97321 Facility Fax: Renewal Date :2019-12-31 0 County: Linn Owner: Waverly Assisted Living, LLC Albany Management: Ridgeline Management Co. Email: [email protected] 50R456 Yes Capacity: 20 Units: 20 Other Services: ACU 20 Waverly Place Memory Care Administrator: Trina Schneider 2835 Salem Avenue SE Facility Phone: (541) 704-7789 Orig Lic. Date: 2017-12-28 Albany, OR 97321 Facility Fax: Renewal Date :2019-12-31 0 County: Linn Owner: Waverly Assisted Living, LLC Albany Management: Ridgeline Management Co. Email: [email protected]

Monday, October 1, 2018 Page 86 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A102 Yes Capacity: 38 Units: 32 Other Services: Well Springs Assisted Living Facility Administrator: Marlene Tinoco 2104 W Idaho Facility Phone: (541) 889-3020 Orig Lic. Date: 1993-05-03 Ontario, OR 97914 Facility Fax: (541) 889-4047 Renewal Date :2018-12-31 0 County: Malheur Owner: Wellsprings Operations, LLC Ontario MSO Management: Milestone Retirement Communities, LLC Email: [email protected] 50R121 Non Medicaid Capacity: 150 Units: 82 Other Services: West Hills Village Senior Residence Administrator: Lindsay Schroeder 5711 SW Multnomah Blvd Facility Phone: (503) 245-7621 Orig Lic. Date: 1988-04-30 Portland, OR 97219 Facility Fax: (503) 245-6863 Renewal Date :2019-04-30 0 County: Multnomah Owner: West Hills Village Limited Partnership Portland W ASO Management: West Hills Village, LP Email: [email protected] 50R285 Yes Capacity: 14 Units: 14 Other Services: West Wind Court Administrator: Dominique Palmer 465 4th St. SW Facility Phone: (541) 347-9497 Orig Lic. Date: 2001-09-20 Bandon, OR 97411 Facility Fax: (541) 347-5321 Renewal Date :2019-04-30 0 County: Coos Owner: West Wind Court Corporation Coos Bay MSO Management: West Wind Court Corporation Email: [email protected] 50R326 Yes Capacity: 16 Units: 16 Other Services: ECU 16, ECU 16 West Wind ECU Administrator: Faith Edison 3130 Juanipero St. Facility Phone: (541) 857-0700 Orig Lic. Date: 2004-03-01 Medford, OR 97504 Facility Fax: (541) 857-2887 Renewal Date :2020-03-31 0 County: Jackson Owner: Sapphire at West Wind, LLC Medford AAA Management: Sapphire at West Wind, LLC Email: [email protected] 50R396 Yes Capacity: 39 Units: 39 Other Services: Whitewood Gardens Administrator: Jordan Koch 2027 SE 174th Ave. Facility Phone: (503) 522-1765 Orig Lic. Date: 2013-07-12 Portland, OR 97233 Facility Fax: (503) 206-8912 Renewal Date :2019-07-31 0 County: Multnomah Owner: Whitewood Group, LLC E Mult ADS Management: Whitewood Group, LLC Email: [email protected] 5MA266 Yes Capacity: 30 Units: 30 Other Services: MC, ACU 30 Wildflower Lodge Administrator: Anthony Swales 508 16th St Facility Phone: (541) 663-1200 Orig Lic. Date: 2001-03-02 LaGrande, OR 97850 Facility Fax: (541) 962-0242 Renewal Date :2019-01-31 0 County: Union Owner: LSREF Golden Ops 14 (OR) LLC LaGrande MSO Management: SLH Rainier Manager, LLC Email: [email protected]

Monday, October 1, 2018 Page 87 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70M256 Yes Capacity: 55 Units: 44 Other Services: Wildflower Lodge Assisted Living Community Administrator: Anthony Swales 508 16th St. Facility Phone: (541) 663-1200 Orig Lic. Date: 2001-02-16 LaGrande, OR 97850 Facility Fax: (541) 663-0538 Renewal Date :2019-01-31 0 County: Union Owner: LSREF Golden Ops 14 (OR) LLC LaGrande MSO Management: SLH Rainier Manager, LLC Email: [email protected] 70M103 Yes Capacity: 60 Units: 44 Other Services: Wiley Creek Community Administrator: Marsha Blankenship 5050 Mountain Fir Street Facility Phone: (541) 367-1800 Orig Lic. Date: 1998-01-07 Sweet Home, OR 97386 Facility Fax: (541) 367-1700 Renewal Date :2020-01-31 0 County: Linn Owner: Mid-Valley Healthcare Albany SSO Management: Aidan Health Services, Inc. Email: [email protected] 50R200 Non Medicaid Capacity: 22 Units: 22 Other Services: Willamette Lutheran Retirement Community Administrator: Eric Abel 7693 Wheatland Rd Facility Phone: (503) 393-1491 Orig Lic. Date: 1995-10-31 Salem, OR 97308 Facility Fax: (503) 393-7242 Renewal Date :2020-01-31 0 County: Marion Owner: Willamette Lutheran Homes, Inc. Salem NWSDS Management: Willamette Lutheran Homes, Inc. Email: [email protected] 70M104 Yes Capacity: 46 Units: 42 Other Services: Willamette Manor Administrator: Jami Peterson 176 West C Street Facility Phone: (541) 258-8178 Orig Lic. Date: 1996-04-18 Lebanon, OR 97355 Facility Fax: (541) 258-8197 Renewal Date :2020-03-31 0 County: Linn Owner: Willamette Manor, Inc. Albany SSO Management: Willamette Manor, Inc. Email: [email protected] 50M436 Yes Capacity: 72 Units: 64 Other Services: MC, ACU 72 Willamette Springs Memory Care Administrator: Sue Miller 6000 SW Mosaic Drive Facility Phone: (541) 497-9707 Orig Lic. Date: 2016-08-16 Corvallis, OR 97333 Facility Fax: Renewal Date :2018-08-31 0 County: Benton Owner: Corvallis Memory Care, LLC Albany Management: Mosaic Management, Inc. Email: [email protected] 50R271 Non Medicaid Capacity: 21 Units: 15 Other Services: MC, ACU 21 Willamette View Memory Care Community Administrator: Matthew Hartley 13145 SE River Rd Facility Phone: (503) 353-7000 Orig Lic. Date: 2001-03-19 Portland, OR 97222 Facility Fax: (503) 652-6255 Renewal Date :2019-03-31 0 County: Clackamas Owner: Willamette View, Inc. Milwaukie SPD Management: Willamette View, Inc. Email: [email protected]

Monday, October 1, 2018 Page 88 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

70A259 Non Medicaid Capacity: 50 Units: 45 Other Services: Willamette View Neighborhoods Administrator: Matthew Hartley 13145 SE River Road Facility Phone: (503) 353-7000 Orig Lic. Date: 2001-03-19 Portland, OR 97222 Facility Fax: (503) 652-6255 Renewal Date :2019-03-31 0 County: Clackamas Owner: Willamette View, Inc. Milwaukie SPD Management: Willamette View, Inc. Email: [email protected] 50R229 Non Medicaid Capacity: 47 Units: 27 Other Services: Willamette View Terrace Administrator: Matthew Hartley 13169 SE River Road Facility Phone: (503) 652-6798 Orig Lic. Date: 1999-12-10 Portland, OR 97222 Facility Fax: (503) 652-6797 Renewal Date :2019-11-30 0 County: Clackamas Owner: Willamette View, Inc. Milwaukie SPD Management: Willamette View, Inc. Email: [email protected] 70A283 Yes Capacity: 18 Units: 16 Other Services: Willow Creek Terrace Administrator: Virginia Nairns 400 Frank Gilliam Dr. Facility Phone: (541) 676-0004 Orig Lic. Date: 2002-09-27 Heppner, OR 97836 Facility Fax: (541) 676-5702 Renewal Date :2020-09-30 0 County: Morrow Owner: Willow Creek Valley Assisted Living Corp. Pendleton MSO Management: Morrow County Health District Email: [email protected] 70M043 Yes Capacity: 30 Units: 26 Other Services: Willow Place Administrator: Becky Hollis 1307 N College Facility Phone: (503) 537-9100 Orig Lic. Date: 1992-11-01 Newberg, OR 97132 Facility Fax: (503) 537-9120 Renewal Date :2020-07-31 0 County: Yamhill Owner: Newberg ALF, LLC McMinnville NWSDS Management: Concepts in Community Living, Inc. Email: [email protected] 50R125 Yes Capacity: 60 Units: 50 Other Services: Willson House Residential Care Facility Administrator: Trisha Irwin 1625 Center St NE Facility Phone: (503) 585-6511 Orig Lic. Date: 1986-07-01 Salem, OR 97301 Facility Fax: (503) 585-8775 Renewal Date :2020-07-31 0 County: Marion Owner: Willson House Salem NWSDS Management: Concepts in Community Living, Inc. Email: [email protected] 70M255 Yes Capacity: 55 Units: 48 Other Services: Woodland Heights Assisted Living Administrator: Katie Webb 9355 SW McDonald St. Facility Phone: (503) 684-9696 Orig Lic. Date: 2001-02-06 Tigard, OR 97224 Facility Fax: (503) 684-9892 Renewal Date :2019-06-30 0 County: Washington Owner: Woodland Heights, LLC WCDAVS Management: Woodland Heights, LLC Email: [email protected]

Monday, October 1, 2018 Page 89 of 90 Safety, Oversight and Quality Unit Licensed Assisted Living and Residential Care Facilities

FACILITY, ADDRESS LICENSED CAPACITY COUNTY, LOCAL UNITS MEDICAID PROVIDER ADMINISTRATOR, PHONE

50M174 Yes Capacity: 85 Units: 76 Other Services: MC, ACU 64 Woods at Willowcreek, The Administrator: Trina Perkins 4398 Glencoe St NE Facility Phone: (503) 581-4239 Orig Lic. Date: 1998-08-01 Salem, OR 97301 Facility Fax: (503) 245-5052 Renewal Date :2019-08-31 0 County: Marion Owner: Lancaster Woods Operator, LLC Salem NWSDS Management: The Springs Living, LLC Email: [email protected] Total Number of ALF's: 535 Statewide Licensed Capacity: 27,332

Monday, October 1, 2018 Page 90 of 90