Heron Pointe
The state lists 4 state inspections, 3 complaint visits, 8 deficiencies, 68 substantiated violations; last visit 2026-09-10. Listing last updated 2026-11-06.
Public record summary
About this facility — Heron Pointe
Heron Pointe is a licensed assisted living community in Monmouth, Oregon. It is licensed for 74 beds — well above the median for assisted living communities in Oregon (5 beds).
It is one of 7 senior care facilities in Monmouth and 2,184 assisted living communities across Oregon. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
This listing draws on the federal NPI registry (NPPES), and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
State inspection record
The state lists 4 state inspections, 3 complaint visits, 8 deficiencies, 68 substantiated violations.
Substantiated violations (68)
| Date | Type | Allegation |
|---|---|---|
| 06/05/2025 | Abuse: Neglect | Failed to protect resident from financial exploitation |
| 01/15/2025 | Licensing Violation | Failed to staff as indicated by ABST |
| 01/15/2025 | Licensing Violation | Failed to meet the scheduled and unscheduled needs of residents |
| 12/25/2024 | Licensing Violation | Failed to staff as indicated by ABST |
| 12/24/2024 | Abuse: Neglect | Failed to provide safe environment |
| 12/19/2024 | Abuse: Neglect | Failed to assure resident was safe |
| 11/21/2024 | Licensing Violation | Failed to provide proper food/nutrition |
| 11/03/2024 | Licensing Violation | Failed to provide service |
| 11/03/2024 | Licensing Violation | Failed to provide service |
| 09/20/2024 | Abuse: Neglect | Failed to assist with toileting |
| 09/11/2024 | Licensing Violation | Failed to administer medication as ordered |
| 07/26/2024 | Abuse: Neglect | Failed to provide service |
| 06/18/2024 | Abuse: Neglect | Failed to provide safe environment |
| 06/06/2024 | Abuse: Neglect | Failed to provide safe environment |
| 04/14/2024 | Licensing Violation | Failed to follow care plan |
| 03/31/2024 | Licensing Violation | Failed to follow care plan |
| 08/20/2023 | Abuse: Neglect | Failed to follow care plan |
| 07/15/2023 | Licensing Violation | Failed to meet the scheduled and unscheduled needs of residents |
| 06/28/2023 | Licensing Violation | Failed to protect resident from financial exploitation |
| 06/27/2023 | Abuse: Neglect | Failed to provide service |
| 06/27/2023 | Licensing Violation | Failed to follow care plan |
| 03/18/2023 | Abuse: Neglect | Failed to provide safe environment |
| 06/20/2022 | Abuse: Neglect | Failed to properly plan care |
| 05/18/2022 | Abuse: Neglect | Failed to properly plan care |
| 05/14/2022 | Abuse: Neglect | Failed to follow care plan |
| 05/01/2022 | Abuse: Neglect | Failed to properly plan care |
| 11/06/2021 | Abuse: Neglect | Failed to properly plan care |
| 08/17/2021 | Licensing Violation | Failed to protect resident from physical abuse |
| 07/01/2021 | Licensing Violation | Failed to protect resident from financial exploitation |
| 05/01/2021 | Licensing Violation | Failed to follow care plan |
| 03/16/2021 | Licensing Violation | Failed to provide service |
| 08/25/2020 | Abuse: Neglect | Failed to provide safe environment |
| 07/11/2020 | Abuse: Neglect | Failed to properly plan care |
| 02/22/2019 | Abuse: Neglect | Failed to adequately care plan related to falls |
| 12/26/2018 | Licensing Violation | Failed to provide or maintain resident care equipment |
| 10/29/2018 | Licensing Violation | Failed to protect resident from financial exploitation |
| 01/23/2018 | Abuse: Financial abuse | Failure to provide a system that prevents theft or misuse of medication |
| 12/11/2017 | Abuse: Neglect | Failed to administer medication as ordered |
| 02/07/2017 | Licensing Violation | Failed to provide safe environment |
| 09/12/2016 | Licensing Violation | Failed to provide appropriate staffing |
| 07/28/2016 | Licensing Violation | Failed to assure resident was safe |
| 07/06/2016 | Licensing Violation | Failed to provide a safe medication administration system |
| 07/04/2016 | Licensing Violation | Failed to administer medication as ordered |
| 05/31/2016 | Abuse: Neglect | Failed to administer medication as ordered |
| 05/06/2016 | Abuse: Neglect | Failed to administer medication as ordered |
| 11/25/2015 | Licensing Violation | Failed to provide a safe medication administration system |
| 09/09/2015 | Licensing Violation | Failed to provide a safe medication administration system |
| 09/29/2014 | Abuse: Neglect | Failed to provide a safe medication administration system |
| 09/08/2014 | Licensing Violation | Failed to provide a safe medication administration system |
| 08/13/2014 | Abuse: Neglect | Failed to provide a safe medication administration system |
| 07/23/2014 | Abuse: Financial abuse | Failed to provide safe environment |
| 07/16/2014 | Abuse: Neglect | Failed to provide safe environment |
| 07/08/2014 | Abuse: Financial abuse | Failed to provide safe environment |
| 06/23/2014 | Abuse: Financial abuse | Failed to provide safe environment |
| 06/19/2014 | Abuse: Financial abuse | Failed to provide safe environment |
| 05/01/2014 | Abuse: Financial abuse | Failed to provide safe environment |
| 01/07/2014 | Abuse: Neglect | Failed to assure resident was safe |
| 11/26/2013 | Abuse: Financial abuse | Failed to provide safe environment |
| 09/22/2013 | Licensing Violation | Failed to administer medication as ordered |
| 10/08/2012 | Licensing Violation | Failed to properly plan care |
| 09/20/2012 | Licensing Violation | Failed to assure resident rights |
| 08/08/2012 | Licensing Violation | Failed to properly plan care |
| 04/23/2012 | Abuse: Neglect | Failed to properly plan care |
| 12/11/2011 | Licensing Violation | Failed to notify family |
| 11/19/2011 | Abuse: Neglect | Failed to provide medical treatment as ordered |
| 10/27/2011 | Abuse: Neglect | Failed to follow care plan |
| 05/26/2010 | Abuse: Neglect | Failed to properly plan care |
| 04/02/2010 | Abuse: Neglect | Failed to perform adequate screening or assessment |
Complaints (3)
| State visit | Type | Findings |
|---|---|---|
| 02/11/2025 | Complaint Investig. | 1 |
| 08/20/2023 | Complaint Investig. | 1 |
| 06/28/2023 | Complaint Investig. | 3 |
Inspections (4)
| Date | Type | Findings |
|---|---|---|
| 09/10/2026 | Re-Licensure | 1 |
| 08/20/2026 | Kitchen | 1 |
| 02/23/2024 | State Licensure | 1 |
| 02/02/2023 | State Licensure | 0 |
Source: Oregon Department of Human Services, facility 70M201, read 2026-11-06. Oregon lists substantiated violations and five years of inspections. Open investigations and complaints under appeal aren't listed, so a short record isn't proof of a clean one. See the state's record.
Verify & compare
Who to contact in Oregon
- Licensing: Oregon Department of Human Services (ODHS) · Look up a license
- File a complaint: 844-503-4773 · Online
- Long-Term Care Ombudsman: 800-522-2602. A free advocate for residents and families.
- Adult Protective Services: 855-503-7233. Some states send facility cases to licensing instead. In an emergency, call 911.
- Eldercare Locator: 800-677-1116, a federal service for local aging help.
Nearest emergency hospitals
- Salem Health West Valley, about 6.6 miles.
- Salem Hospital, about 11 miles. CMS rating 3 of 5.
- Samaritan Albany General Hospital, about 16 miles. CMS rating 4 of 5.
Nearby facilities with inspection records
- Acumen Foster Homes, Monmouth, about 0.3 miles. 6 state visits on record.
- Ann W Njagi, Monmouth, about 0.4 miles. 5 state visits on record.
- Monmouth Residential Care, Monmouth, about 0.4 miles. 4 state visits on record.
- Independence Health and Rehabilitation, Independence, about 1.2 miles. CMS rating 2 of 5.
- Timothy Kinyanjui, Independence, about 1.4 miles. 8 state visits on record.
