Editorial Independence

StarlynnCare receives no referral commissions, lead fees, or paid placement from any operator. Rankings are derived solely from state inspection records and verified family reviews.

StarlynnCare
Oregon · Keizer

Bonaventure of Keizer Memory Care.

Bonaventure of Keizer Memory Care is Grade C−, ranked in the bottom 43% of Oregon memory care with 34 OR DHS citations on record; last inspected Oct 2025.

ALF · Memory Care35 licensed beds · mediumDementia-trained staff
5525 Mcleod Lane Ne · Keizer, OR 97303LIC# 0000050447
Facility · Keizer
Bonaventure of Keizer Memory Care
© Google Street Viewoperator? submit a photo →
A 35-bed ALF · Memory Care with 34 citations on file — most recent Dec 2025.
Last inspection · Oct 2025 · citedSource · OR-DHS
Licensed beds
35
Memory care
✓ Yes
Last inspection
Oct 2025
Last citation
Dec 2025
Operated by
Phone
§ 01 · Snapshot

A medium home, reviewed on public record.

§ 02 · Peer Comparison

Ranked against 118 Oregon facilities.

ALF memory care · 36-month window. Higher percentile = better. Source: Oregon Dept. of Human Services · Long-Term Care Licensing.

Severity rank
15th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
14th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

Bonaventure of Keizer Memory Care has 34 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

§ 03 · The Record

Citation history, plotted month by month.

34 deficiencies on record. Each bar is a month with a citation.

101weighted score · 24 mo
Last citation: DEC 2025. Compared against peer median (dashed).
peer median
DEC 2025
Jun 2024May 2026

Finding distribution

34 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G11
H
I
Sev 2
D
E
F
Sev 1
A23
B
C
2025-12-18
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-12-05
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-12-03
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-11-11
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-31
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-19
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-15
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-13
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-09
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-06
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-10-02
Annual Compliance Visit
OR-DHS
No findings
2025-09-30
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-09-23
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-09-11
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-09-04
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-09-02
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-08-30
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-08-27
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-07-18
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-06-24
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-06-23
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-05-09
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-05-03
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-01-29
Complaint Investigation
OR-DHS
No findings
2024-11-04
Annual Compliance Visit
OR-DHS
No findings
2024-09-18
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-09-10
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-07-29
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-07-14
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-07-06
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-06-28
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-06-26
Complaint Investigation
OR-DHS
No findings
2024-06-06
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-04-15
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-04-12
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-04-08
Annual Compliance Visit
OR-DHS
No findings
2024-04-06
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-04-01
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-02-14
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2023-12-06
Annual Compliance Visit
OR-DHS
No findings
§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Bonaventure of Keizer Memory Care's record and state requirements.

01 /

The facility holds an Oregon DHS Memory Care Endorsement and has 53 inspection reports on file with 43 deficiencies documented — can you walk us through the most common deficiency themes found during those inspections and show us the written corrective action plans the facility submitted to address them?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

47 complaints have been filed with Oregon DHS over the facility's licensing history — can you tell us how many of those complaints were substantiated, and provide documentation of the specific remediation steps taken in response to substantiated findings?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

The most recent inspection occurred on October 2, 2025 — can you share the written inspection report from that visit, explain any deficiencies cited, and show us documentation that Oregon DHS has accepted your corrective action as complete?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

§ 06 · Full Inspection Record

Every OR-DHS visit, verbatim.

40 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

40
reports on file
34
total deficiencies
2025-12-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation was conducted, and the facility failed to cooperate with the investigator. No determination of substantiation or violation outcome was provided in this report.

Licensing ViolationOAR §__or_8ce083299270c160c8587e1867031b1e
Verbatim citation text · OAR §__or_8ce083299270c160c8587e1867031b1e

Failed to cooperate with an investigation

Full inspector notes

—: Failed to cooperate with an investigation

2025-12-05
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an appropriate behavioral support tool during an incident with a resident. The specific violation involved not employing an ABST (Antecedent Behavior Support Tool) when it should have been used. This represents a licensing violation related to behavioral management practices at the facility.

Licensing ViolationOAR §__or_1a905ead6093f59faa9b9da700539ad3
Verbatim citation text · OAR §__or_1a905ead6093f59faa9b9da700539ad3

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-12-03
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding the facility's failure to use an ABST (Assisted Behavioral Support Team). The investigation found this violation occurred. No further outcome information is available at this time.

Licensing ViolationOAR §__or_628b5ad6e5edd2200ceab46e66e019f6
Verbatim citation text · OAR §__or_628b5ad6e5edd2200ceab46e66e019f6

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-11-11
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an approved behavioral support tool (ABST) as required. No further details about the nature of the behavioral incident or corrective actions are provided in this summary.

Licensing ViolationOAR §__or_7336789472a40bf0079cd43e0d383604
Verbatim citation text · OAR §__or_7336789472a40bf0079cd43e0d383604

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-31
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to use an ABST (Abuse, Neglect, Exploitation & Abandonment Screening Tool). The investigation outcome was not substantiated, meaning no violation was found.

Licensing ViolationOAR §__or_b306cb8afa06fbf38ab1215ee03fe4c3
Verbatim citation text · OAR §__or_b306cb8afa06fbf38ab1215ee03fe4c3

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-19
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an anti-bowel straining technique (ABST) as required. No further outcome information was provided in the inspection record.

Licensing ViolationOAR §__or_784ce0804f285829ae052de0ff203f09
Verbatim citation text · OAR §__or_784ce0804f285829ae052de0ff203f09

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation was conducted regarding failure to use an ABST (Abuse, Neglect, Exploitation and Misconduct Screening Tool). The facility did not properly complete the required screening tool when documenting a reportable incident. This represents a violation of Oregon's long-term care licensing rules for proper incident documentation and reporting procedures.

Licensing ViolationOAR §__or_4c131697e29ba93c2e23d5dc5520a011
Verbatim citation text · OAR §__or_4c131697e29ba93c2e23d5dc5520a011

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-13
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an Abuse Behavior Support Tool (ABST) as required by licensing rules. No further details about the nature or outcome of this violation are provided in the complaint summary.

Licensing ViolationOAR §__or_dc72862010a111c217f157f0b53e8576
Verbatim citation text · OAR §__or_dc72862010a111c217f157f0b53e8576

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-09
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated, and staff failed to use an ABST (Adaptive Behavior Support Team) or similar structured behavior support intervention when required. This finding indicates that the facility did not follow proper protocols for managing behavioral support needs. The complaint outcome has not yet been finalized.

Licensing ViolationOAR §__or_e1de393fb5ef303d7b04021f2501d178
Verbatim citation text · OAR §__or_e1de393fb5ef303d7b04021f2501d178

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-06
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an anti-bowel obstruction suppository tool (ABST) as required. No further details about the outcome or corrective action are provided in the available information.

Licensing ViolationOAR §__or_02f477ed4832069fc7c6a0c9348fbd06
Verbatim citation text · OAR §__or_02f477ed4832069fc7c6a0c9348fbd06

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-10-02
Annual Compliance Visit
No findings
2025-09-30
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an Abuse, Neglect, Exploitation and Abandonment Screening Tool (ABST) as required by Oregon regulations. This tool is designed to help staff identify and respond appropriately to potential abuse or neglect concerns. The facility did not follow this required screening procedure.

Licensing ViolationOAR §__or_22f06c7e932cb8b767c9ed65dc33512b
Verbatim citation text · OAR §__or_22f06c7e932cb8b767c9ed65dc33512b

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-09-23
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to use an Abuse/Neglect Behavioral Support Tool (ABST). The investigation outcome was not substantiated, meaning no violation was found based on the evidence reviewed.

Licensing ViolationOAR §__or_ece97cc429c0cc3854799c43cd41701d
Verbatim citation text · OAR §__or_ece97cc429c0cc3854799c43cd41701d

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-09-11
Complaint Investigation
1 · Licensing Violation

Plain-language summary

I need more information to write an accurate summary. The narrative states "Failed to use an ABST" but does not explain what ABST means, what the complaint alleged, what was investigated, or what the outcome was. Could you provide the complete inspection report or narrative?

Licensing ViolationOAR §__or_3c1e97032069e0d9f67104b4e30d600c
Verbatim citation text · OAR §__or_3c1e97032069e0d9f67104b4e30d600c

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-09-04
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an authorized behavior support tool (ABST) as required. No further details about the circumstances or outcomes of this violation were provided in the inspection record.

Licensing ViolationOAR §__or_5213db4c4f677802c7fa0d71c78ea092
Verbatim citation text · OAR §__or_5213db4c4f677802c7fa0d71c78ea092

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-09-02
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide adequate oversight and monitoring when a resident's condition changed. No further outcome determination is noted in this record.

Licensing ViolationOAR §__or_a16f7c215fa0a9cace2c142764f56042
Verbatim citation text · OAR §__or_a16f7c215fa0a9cace2c142764f56042

Failed to provide oversight and monitoring of change of condition

Full inspector notes

—: Failed to provide oversight and monitoring of change of condition

2025-08-30
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to use an ABST (Agitation and Behavior Screening Tool). The investigation did not substantiate a violation. No further details regarding the outcome were documented.

Licensing ViolationOAR §__or_15f5b6af5d76b290bac7dad0ac0272e4
Verbatim citation text · OAR §__or_15f5b6af5d76b290bac7dad0ac0272e4

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-08-27
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an alternative or augmentative and supportive technology (ABST) device as required. No other details about the specific resident, timing, or corrective action are provided in the available documentation.

Licensing ViolationOAR §__or_1ad6d105b80a5ef7518822b40afd628e
Verbatim citation text · OAR §__or_1ad6d105b80a5ef7518822b40afd628e

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-07-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an Abuse Behavior Screening Tool (ABST) as required by Oregon licensing rules. No further details about the circumstances or resolution are provided in this summary.

Licensing ViolationOAR §__or_e8d032a88fb8d8dc80b7e715787b1d16
Verbatim citation text · OAR §__or_e8d032a88fb8d8dc80b7e715787b1d16

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-06-24
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an Abuse and Neglect Screener Tool (ABST) as required by Oregon licensing rules. The specific circumstances of this finding are not detailed in the available inspection summary.

Licensing ViolationOAR §__or_6a58d0346c4d8df1fb36c60456cdb50b
Verbatim citation text · OAR §__or_6a58d0346c4d8df1fb36c60456cdb50b

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-06-23
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an abuse, neglect, and exploitation screening tool (ABST) as required by Oregon licensing rules. The facility did not follow the required assessment procedure when handling the reported concern. This is a licensing violation.

Licensing ViolationOAR §__or_5717e5ff4349bd47810b611ed6564ac2
Verbatim citation text · OAR §__or_5717e5ff4349bd47810b611ed6564ac2

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2025-05-09
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation outcome was not substantiated, meaning no violation was found.

Abuse: NeglectOAR §__or_b9996a7df1fe19189139e291c1ab552d
Verbatim citation text · OAR §__or_b9996a7df1fe19189139e291c1ab552d

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-05-03
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No licensing violations were found.

Abuse: NeglectOAR §__or_f65a49c1b9d35bb7b26418cb864c06c2
Verbatim citation text · OAR §__or_f65a49c1b9d35bb7b26418cb864c06c2

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-01-29
Complaint Investigation
No findings
2024-11-04
Annual Compliance Visit
No findings
2024-09-18
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a required service. The investigation did not substantiate the complaint, and no violation was found.

Abuse: NeglectOAR §__or_e2cc107f7b8d83c4be038a6c0b4c9be3
Verbatim citation text · OAR §__or_e2cc107f7b8d83c4be038a6c0b4c9be3

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-09-10
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to properly plan care for a resident. No further details about the specific deficiency or corrective action were provided in the inspection outcome documentation.

Abuse: NeglectOAR §__or_f55fac853d368fdf0416c39d007135fa
Verbatim citation text · OAR §__or_f55fac853d368fdf0416c39d007135fa

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-07-29
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was received that the facility failed to provide a safe environment. The inspection narrative does not provide details about what specific safety violations were found or what corrective actions were required. Families should contact Oregon DHS Long-Term Care Licensing directly for the full inspection report to learn what prompted the complaint and how it was resolved.

Abuse: NeglectOAR §__or_d2c973044c9ddb37b8ec89d6d3a443b8
Verbatim citation text · OAR §__or_d2c973044c9ddb37b8ec89d6d3a443b8

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-07-14
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to properly plan care for a resident. No further details on the specific care planning deficiency or corrective action were provided in the inspection record.

Abuse: NeglectOAR §__or_3ad5fa981f61960ce01a769f1ac8a41e
Verbatim citation text · OAR §__or_3ad5fa981f61960ce01a769f1ac8a41e

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-07-06
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that medication was not administered as ordered. The investigation found a licensing violation—the facility failed to administer medication according to the prescriber's instructions. The facility was required to correct this violation.

Licensing ViolationOAR §__or_5cd54e8b37d0e84d9548c60d8a91a7b6
Verbatim citation text · OAR §__or_5cd54e8b37d0e84d9548c60d8a91a7b6

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-06-28
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated that the facility failed to provide a safe environment. The outcome of that investigation has not yet been determined or finalized. Check back with Oregon DHS Long-Term Care Licensing for the final inspection report once it is available.

Abuse: NeglectOAR §__or_2b0fc52e0ea6bf23fd063e3b1dc8f122
Verbatim citation text · OAR §__or_2b0fc52e0ea6bf23fd063e3b1dc8f122

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-06-26
Complaint Investigation
No findings
2024-06-06
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation outcome was not documented in the available records. Without the substantiation status or specific findings, the nature and resolution of this complaint cannot be determined from the information provided.

Abuse: NeglectOAR §__or_fb2c99cc3d719dcfd464c951aa1aee7d
Verbatim citation text · OAR §__or_fb2c99cc3d719dcfd464c951aa1aee7d

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-04-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide proper food and nutrition to residents. The investigation substantiated this violation of Oregon licensing requirements. Families should contact the facility or Oregon DHS for details on corrective actions taken.

Licensing ViolationOAR §__or_407a6bcc7e0ea39460402d9912e9c51f
Verbatim citation text · OAR §__or_407a6bcc7e0ea39460402d9912e9c51f

Failed to provide proper food/nutrition

Full inspector notes

—: Failed to provide proper food/nutrition

2024-04-12
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to follow the resident's care plan. No further details about the specific care plan deviations or their outcomes are provided in the inspection record.

Abuse: NeglectOAR §__or_3d9d8fd8b786422f9ad5a0d9d013370a
Verbatim citation text · OAR §__or_3d9d8fd8b786422f9ad5a0d9d013370a

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-04-08
Annual Compliance Visit
No findings
2024-04-06
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to follow a resident's care plan. No further details about the specific care plan violations or outcomes are provided in this record.

Abuse: NeglectOAR §__or_ad89534350f0e44b96596d8aa4afb44a
Verbatim citation text · OAR §__or_ad89534350f0e44b96596d8aa4afb44a

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-04-01
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to follow a resident's care plan. The investigation did not substantiate the complaint. No licensing violation was found.

Licensing ViolationOAR §__or_6f8108bc6bd0f467ffd93006e2edc646
Verbatim citation text · OAR §__or_6f8108bc6bd0f467ffd93006e2edc646

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-02-14
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to follow the resident's care plan. The investigation substantiated this violation of Oregon licensing rules. Corrective action would be required from the facility.

Abuse: NeglectOAR §__or_be6d74707a29ff978c81e1590334bfaf
Verbatim citation text · OAR §__or_be6d74707a29ff978c81e1590334bfaf

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2023-12-06
Annual Compliance Visit
No findings

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§ 07 · Nearby

Other facilities in Marion County.

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