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Gilman Grove Assisted Living

2205 GILMAN DRIVE, Oregon City, OR 97045 · Assisted living · 101 licensed beds · Open

79 abuse/neglect finding(s) on record199 state violations on recordAccepts Medicaid

What the licence record says about this community

Oregon licence type
Assisted living. One of 240 in Oregon with this licence.
Licensed beds
101 — a large community, usually with more services and more residents per caregiver at night. Larger than 93% of licensed communities in Oregon (state median 49).
Choices in this town
5 licensed communities in Oregon City, 2 with this same licence type. 2 with a memory-care designation.

Oregon publishes memory-care designations and this community does not carry one. If dementia is part of the picture, ask what happens as it progresses — and ask what behaviour triggers a discharge notice, in writing.

State inspection record

Assisted living is licensed and inspected by the state, not by Medicare/Medicaid — so there is no federal 5-star rating. Below is this community’s record from the state licensing agency.

199 findings from state inspections, most recent first.

  • Abuse: Neglect9/30/2020 · 00106070-AP-081078
    Failed to administer medication as ordered
  • Licensing Violation9/29/2024 · 00358253-AP-308595
    Failed to follow care plan
  • Abuse: Neglect9/27/2023 · 00289574-AP-243626
    Failed to provide safe environment
  • Abuse: Neglect9/25/2023 · 00287651-AP-241802
    Failed to properly plan care
  • Abuse: Neglect9/25/2019 · 00051773-AP-036012
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051775-AP-036014
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051780-AP-036017
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051783-AP-036021
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051786-AP-036024
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051788-AP-036026
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051790-AP-036028
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00051793-AP-036031
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/25/2019 · 00057560-AP-040680
    Failed to protect resident from financial exploitation
  • Abuse: Neglect9/22/2019 · 00056099-AP-039479
    Failed to assure a qualified caregiver was present
  • Abuse: Neglect9/22/2019 · 00056099-AP-039529
    Failed to provide or assist with hygiene
  • Licensing Violation9/21/2021 · OR0003222700
    Failed to provide appropriate staffing
  • Abuse: Neglect9/10/2020 · 00104248-AP-079545
    Failed to provide service
  • Abuse: Neglect9/10/2020 · 00104248-AP-081225
    Failed to administer medication as ordered
  • Abuse: Financial abuse9/10/2016 · BH168227
    Failed to provide safe environment
  • Abuse: Neglect9/08/2017 · BH173404
    Failed to provide a safe medication administration system
  • Licensing Violation9/08/2017 · OR0001362500
    Failed to provide medical treatment as ordered
  • Licensing Violation9/08/2017 · OR0001362501
    Failed to assure that a qualified caregiver was present
  • Licensing Violation9/04/2022 · 00221287-AP-180066
    Failed to protect resident from involuntary seclusion
  • Abuse: Neglect8/25/2023 · 00282975-AP-237410
    Failed to protect resident from financial exploitation
  • Abuse: Neglect8/21/2018 · CO18610
    Failed to provide safe environment
  • Licensing Violation8/20/2022 · OR0003741800
    Failed to provide service
  • Licensing Violation8/20/2022 · OR0003741801
    Failed to provide a homelike environment
  • Abuse: Neglect8/20/2020 · 00102123-AP-077840
    Failed to administer medication as ordered
  • Abuse: Neglect8/17/2022 · 00216099-AP-187410
    Failed to assist with dressing or grooming
  • Licensing Violation8/17/2016 · OR0001159100
    Failed to maintain functional door alarm or call system
  • Licensing Violation8/17/2016 · OR0001159102
    Failed to provide appropriate staffing
  • Licensing Violation8/16/2020 · OR0002603800
    Failed to provide a safe medication administration system
  • Licensing Violation8/12/2021 · OR0003161400
    Failed to provide appropriate staffing
  • Licensing Violation8/12/2021 · OR0003161401
    Failed to assist with toileting
  • Abuse: Neglect8/12/2020 · 00097651-AP-073958
    Failed to follow care plan
  • Abuse: Neglect8/12/2020 · 00097704-AP-074010
    Failed to provide a safe medication administration system
  • Licensing Violation8/12/2020 · OR0002596900
    Failed to provide appropriate staffing
  • Licensing Violation8/12/2020 · OR0002596901
    Failed to provide a safe medication administration system
  • Licensing Violation8/09/2022 · OR0003720401
    Failed to assure resident rights
  • Licensing Violation8/09/2020 · 00098275-AP-074472
    Failed to provide a safe medication administration system
  • Abuse: Neglect8/07/2023 · 00278382-AP-232952
    Failed to provide safe environment
  • Licensing Violation8/07/2021 · OR0003153200
    Failed to provide appropriate staffing
  • Abuse: Neglect8/05/2021 · 00156970-AP-124464
    Failed to provide safe environment
  • Licensing Violation8/05/2021 · OR0003148600
    Failed to provide appropriate staffing
  • Licensing Violation8/05/2021 · OR0003148601
    Failed to hire according to administrative rules
  • Abuse: Financial abuse8/05/2011 · BH117821
    Failed to provide safe environment
  • Licensing Violation8/02/2018 · OR0001556000
    Failed to provide appropriate staffing
  • Licensing Violation8/02/2018 · OR0001556003
    Failed to provide or maintain resident care equipment
  • Licensing Violation8/01/2019 · 00043272-AP-030328
    Failure to provide a system that prevents theft or misuse of medication
  • Licensing Violation7/31/2019 · 00043036-AP-030158
    Failed to protect resident from financial exploitation
  • Licensing Violation7/31/2016 · BH168548
    Failed to provide safe environment
  • Licensing Violation7/28/2020 · OR0002588300
    Failed to assure resident was safe
  • Licensing Violation7/28/2020 · OR0002588302
    Failed to provide appropriate staffing
  • Licensing Violation7/28/2020 · OR0002588303
    Failed to comply with nursing delegation requirement
  • Licensing Violation7/28/2020 · OR0002588304
    Failed to administer medication as ordered
  • Licensing Violation7/27/2023 · 00276421-AP-231149
    Failed to protect resident from financial exploitation
  • Licensing Violation7/22/2025 · CALMS - 00106666
    Failed to use an ABST
  • Licensing Violation7/20/2018 · OR0001546100
    Failed to provide appropriate staffing
  • Licensing Violation7/04/2025 · CALMS - 00106662
    Failed to use an ABST
  • Licensing Violation6/28/2021 · 00153913-AP-121928
    Failure to provide a system that prevents theft or misuse of medication
  • Licensing Violation6/21/2017 · OR0001316000
    Failed to provide appropriate staffing
  • Abuse: Neglect6/20/2022 · 00206541-AP-166650
    Failed to provide safe environment
  • Abuse: Neglect6/20/2020 · 00089591-AP-067277
    Failed to provide safe environment
  • Licensing Violation6/17/2022 · OR0003637300
    Failed to provide a homelike environment
  • Licensing Violation6/17/2022 · OR0003637301
    Failed to provide safe environment
  • Licensing Violation6/15/2023 · 00268939-AP-223879
    Failed to protect resident from financial exploitation
  • Licensing Violation6/15/2020 · OR0002513500
    Failed to provide appropriate staffing
  • Licensing Violation6/15/2020 · OR0002513502
    Failed to maintain a safe physical environment
  • Abuse: Neglect6/11/2019 · 00035233AP-024806
    Failed to follow care plan
  • Abuse: Neglect6/08/2018 · BH189090A
    Failed to follow care plan
  • Licensing Violation6/08/2018 · SR18065
    Failed to report potential or suspected abuse
  • Abuse: Neglect6/07/2021 · CALMS - 00014485
    Failed to provide infection control
  • Abuse: Neglect5/20/2016 · BH189270
    Failed to provide appropriate pain control
  • Licensing Violation5/19/2022 · OR0003593000
    Failed to communicate necessary information
  • Licensing Violation5/19/2022 · OR0003593001
    Failed to provide appropriate staffing
  • Licensing Violation5/17/2022 · OR0003590400
    Failed to provide appropriate staffing
  • Licensing Violation5/17/2022 · OR0003590401
    Failed to provide a safe medication administration system
  • Abuse: Neglect5/15/2015 · BH165014
    Failed to provide safe environment
  • Abuse: Neglect5/14/2020 · 00084341-AP-062920
    Failed to provide a safe medication administration system
  • Abuse: Financial abuse5/14/2016 · BH166416A
    Failed to provide safe environment
  • Abuse: Neglect5/12/2021 · 00141387-AP-111401
    Failed to provide service
  • Licensing Violation5/12/2021 · 00141387-AP-126583
    Failed to protect resident from financial exploitation
  • Licensing Violation5/11/2022 · OR0003581600
    Failed to provide safe environment
  • Licensing Violation5/10/2022 · OR0003578700
    Failed to provide appropriate staffing
  • Licensing Violation5/10/2022 · OR0003578701
    Failed to provide service
  • Licensing Violation5/10/2022 · OR0003578702
    Failed to provide a safe medication administration system
  • Abuse: Neglect5/09/2022 · 00200290-AP-161079
    Failed to provide safe environment
  • Licensing Violation5/09/2018 · OR0001501402
    Failed to provide appropriate staffing
  • Licensing Violation5/09/2018 · OR0001501405
    Failed to provide service
  • Licensing Violation5/07/2019 · OR0001889000
    Failed to provide safe environment
  • Licensing Violation5/02/2025 · 00399278-AP-349985
    Failed to protect resident from physical abuse
  • Licensing Violation5/02/2025 · CALMS - 00096934
    Failed to use an ABST
  • Licensing Violation5/02/2016 · OR0001102100
    Failed to provide appropriate staffing
  • Licensing Violation5/02/2016 · OR0001102101
    Failed to provide service
  • Licensing Violation5/02/2016 · OR0001102103
    Failed to assure adequate supply or equipment
  • Licensing Violation4/28/2022 · OR0003590100
    Failed to assure resident rights
  • Licensing Violation4/28/2022 · OR0003590102
    Failed to provide safe environment
  • Licensing Violation4/26/2021 · OR0002967100
    Failed to provide appropriate staffing
  • Abuse: Neglect4/25/2021 · 00137354-AP-107988
    Failed to have medication available
  • Licensing Violation4/23/2025 · CALMS - 00096932
    Failed to use an ABST
  • Abuse: Neglect4/16/2021 · 00135132-AP-106082
    Failed to provide service
  • Licensing Violation4/05/2025 · 00393804-AP-344486
    Failed to provide a safe medication administration system
  • Licensing Violation4/05/2025 · CALMS - 00096931
    Failed to use an ABST
  • Abuse: Neglect4/03/2025 · 00393431-AP-344073
    Failed to provide a safe medication administration system
  • Licensing Violation4/03/2025 · CALMS - 00096929
    Failed to use an ABST
  • Licensing Violation4/03/2018 · OR0001477200
    Failed to administer medication as ordered
  • Abuse: Neglect4/02/2024 · 00322437-AP-274128
    Failed to provide safe environment
  • Licensing Violation4/01/2025 · CALMS - 00096928
    Failed to use an ABST
  • Abuse: Neglect3/26/2023 · 00254109-AP-209698
    Failed to provide safe environment
  • Abuse: Neglect3/21/2023 · 00253521-AP-209202
    Failed to provide safe environment
  • Licensing Violation3/21/2016 · OR0001078406
    Failed to provide proper food/nutrition
  • Licensing Violation3/20/2025 · 00390488-AP-341086
    Failed to provide a safe medication administration system
  • Licensing Violation3/17/2023 · 00252546-AP-208303
    Failed to provide a safe medication administration system
  • Abuse: Neglect3/16/2019 · 00022829AP-016294
    Failed to administer medication as ordered
  • Abuse: Neglect3/13/2023 · 00256421-AP-211873
    Failed to provide appropriate skin care
  • Licensing Violation3/13/2020 · OR0002395900
    Failed to provide appropriate staffing
  • Licensing Violation3/10/2020 · OR0002389200
    Failed to provide appropriate staffing
  • Licensing Violation3/10/2020 · OR0002389202
    Failed to provide appropriate staffing
  • Licensing Violation3/09/2022 · OR0003541400
    Failed to provide a safe medication administration system
  • Licensing Violation3/09/2022 · OR0003541401
    Failed to properly plan care
  • Licensing Violation2/23/2020 · 00072492-AP-052985
    Failed to protect resident from physical abuse
  • Licensing Violation2/15/2018 · OR0001449000
    Failed to provide appropriate housekeeping services
  • Licensing Violation2/14/2018 · OR0001447800
    Failed to answer call light in a timely manner
  • Licensing Violation2/14/2018 · OR0001447803
    Failed to make facility or resident records accessible
  • Licensing Violation2/11/2020 · 00070792-AP-051602
    Failed to provide a safe medication administration system
  • Abuse: Neglect2/11/2019 · 00018461AP-013143
    Failed to provide safe environment
  • Licensing Violation2/11/2019 · SR19171
    Failed to report potential or suspected abuse
  • Abuse: Neglect2/09/2021 · 00124224-AP-096593
    Failed to properly plan care
  • Licensing Violation2/07/2023 · 00246130-AP-202300
    Failed to protect resident from financial exploitation
  • Abuse: Neglect2/05/2021 · 00123617-AP-096230
    Failed to provide a safe medication administration system
  • Licensing Violation2/04/2022 · 00184995-AP-147321
    Failed to protect resident from financial exploitation
  • Abuse: Neglect2/04/2021 · 00123617-AP-126672
    Failed to provide safe environment
  • Licensing Violation2/04/2020 · OR0002323700
    Failed to administer medication as ordered
  • Licensing Violation2/04/2020 · OR0002324200
    Failed to administer medication as ordered
  • Abuse: Neglect2/01/2023 · 00255196-AP-210710
    Failed to protect resident from inappropriate sexual contact
  • Abuse: Neglect12/27/2018 · 00011948AP-008566
    Failed to intervene when resident's condition changed
  • Licensing Violation12/27/2018 · SR19135
    Failed to report potential or suspected abuse
  • Licensing Violation12/25/2022 · 00238740-AP-195774
    Failed to provide a safe medication administration system
  • Licensing Violation12/24/2014 · BH150102
    Failed to provide a safe medication administration system
  • Licensing Violation12/22/2020 · OR0002776701
    Failed to provide proper food/nutrition
  • Licensing Violation12/22/2020 · OR0002776702
    Failed to assure resident rights
  • Licensing Violation12/22/2016 · OR0001218600
    Failed to provide or assist with hygiene
  • Abuse: Neglect12/18/2020 · 00116916-AP-090506
    Failed to provide a safe medication administration system
  • Abuse: Neglect12/16/2019 · 00062377-AP-044695
    Failed to answer call light in a timely manner
  • Abuse: Neglect12/16/2019 · 00062377-AP-050117
    Failed to provide a safe medication administration system
  • Abuse: Neglect12/14/2018 · 00012132AP-008701
    Failed to provide safe environment
  • Licensing Violation12/13/2018 · OR0001671700
    Failed to administer medication as ordered
  • Abuse: Neglect12/12/2020 · 00116279-AP-089913
    Failed to have medication available
  • Licensing Violation12/11/2019 · 00062421-AP-044729
    Failed to protect resident from financial exploitation
  • Licensing Violation12/09/2015 · OR0001037500
    Failed to comply with move-out, transfer or discharge requirements
  • Abuse: Financial abuse12/08/2018 · 00011152AP-008019
    Failed to protect resident from financial exploitation
  • Licensing Violation12/06/2018 · OR0001663500
    Failed to answer call light in a timely manner
  • Licensing Violation12/03/2016 · BH171134
    Failed to provide a safe medication administration system
  • Abuse: Neglect12/01/2017 · BH186336
    Failed to administer medication as ordered
  • Abuse: Neglect11/23/2021 · 00173547-AP-137764
    Failed to answer call light in a timely manner
  • Abuse: Neglect11/11/2018 · 00007508AP-005578
    Failed to provide service
  • Abuse: Neglect11/09/2018 · 00007418AP-005539
    Failed to answer call light in a timely manner
  • Licensing Violation11/09/2018 · SR19134
    Failed to report potential or suspected abuse
  • Abuse: Neglect11/07/2018 · 00007070AP-005338
    Failed to provide safe environment
  • Licensing Violation11/02/2020 · OR0002709200
    Failed to provide appropriate staffing
  • Licensing Violation11/01/2022 · CALMS - 00034351
    Failed to submit timely or adequate staffing documentation
  • Abuse: Neglect11/01/2018 · 00006786AP-005159
    Failed to administer ordered medication
  • Licensing Violation10/31/2022 · OR0003867800
    Failed to provide appropriate staffing
  • Licensing Violation10/31/2022 · OR0003867801
    Failed to meet the scheduled and unscheduled needs of residents
  • Licensing Violation10/25/2018 · OR0001613500
    Failed to answer call light in a timely manner
  • Licensing Violation10/23/2020 · OR0002700100
    Failed to provide appropriate staffing
  • Licensing Violation10/22/2021 · OR0003271200
    Failed to provide appropriate staffing
  • Licensing Violation10/22/2021 · OR0003271202
    Failed to provide infection control
  • Abuse: Neglect10/22/2020 · 00108534-AP-083268
    Failed to follow care plan
  • Abuse: Neglect10/21/2018 · 00008150AP-005985
    Failed to provide safe environment
  • Abuse: Financial abuse10/21/2016 · BH168117
    Failed to provide safe environment
  • Licensing Violation10/20/2020 · OR0002695300
    Failed to provide appropriate staffing
  • Abuse: Neglect10/16/2020 · 00108630-AP-083386
    Failed to assure timely medical treatment
  • Licensing Violation10/15/2022 · OR0003833502
    Failed to use an ABST
  • Licensing Violation10/15/2022 · OR0003833503
    Failed to provide a safe medication administration system
  • Abuse: Neglect10/13/2021 · 00167764-AP-133061
    Failed to provide appropriate staffing
  • Abuse: Physical Abuse10/11/2018 · BH180775
    Failed to protect resident from rough treatment
  • Licensing Violation10/08/2016 · BH173325
    Failed to assist with toileting
  • Abuse: Neglect10/07/2023 · 00289876-AP-243890
    Failed to provide safe environment
  • Licensing Violation10/01/2022 · CALMS - 00033050
    Failed to submit timely or adequate staffing documentation
  • Abuse: Neglect10/01/2020 · 00106808-AP-081705
    Failed to provide a safe medication administration system
  • Licensing Violation1/31/2018 · BH186137
    Failed to adequately care plan related to falls
  • Abuse: Neglect1/29/2020 · 00068652-AP-049839
    Failed to provide safe environment
  • Abuse: Neglect1/22/2014 · BH145905
    Failed to provide a safe medication administration system
  • Licensing Violation1/21/2020 · OR0002311200
  • Abuse: Neglect1/21/2019 · 00015726AP-011223
    Failed to assure timely medical treatment
  • Licensing Violation1/21/2019 · SR19139
    Failed to report potential or suspected abuse
  • Abuse: Neglect1/20/2020 · 00068246-AP-049468
    Failed to assure timely medical treatment
  • Abuse: Neglect1/18/2019 · 00015488AP-011047
    Failed to provide a safe medication administration system
  • Abuse: Neglect1/16/2019 · 00014719AP-010510
    Failed to provide safe environment
  • Licensing Violation1/13/2026 · CALMS - 00107158
    Failed to use an ABST
  • Licensing Violation1/12/2020 · 00066192-AP-047840
    Failed to provide safe environment
  • Abuse: Neglect1/11/2020 · 00065845-AP-047562
    Failed to provide safe environment
  • Licensing Violation1/09/2017 · OR0001226501
    Failed to provide appropriate staffing
  • Licensing Violation1/05/2018 · OR0001425101
    Failed to provide appropriate staffing
  • Licensing Violation1/05/2018 · OR0001425102
    Failed to provide a safe medication administration system
  • Licensing Violation1/05/2018 · OR0001425104
    Failed to provide a homelike environment
  • Licensing Violation1/05/2018 · OR0001425107
    Failed to communicate necessary information
  • Licensing Violation1/05/2018 · OR0001425108
    Failed to provide appropriate housekeeping services

Inspections

11 state inspections on record, citing 43 deficiencies in total.

What it costs around here

Typical monthly cost in Oregon
$6,875/mo
Assisted living
$8,075/mo
Memory care†our estimate — not surveyed

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.

Estimated cost range · regional

In Oregon, assisted living typically runs about $5,500–$8,250/month.

This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.

Does this community take Medicaid?

Yes — Oregon’s licensing record lists this community as accepting Medicaid. That is not the same as having a Medicaid place open now: ask whether one is available today, and what happens if a resident’s savings run out later.

Oregon Medicaid helps pay for assisted living only in limited circumstances. A waiver pays for care, never for room and board. Which Oregon waivers, waitlists and how to apply →

Cost

Assisted-living and memory-care prices are set by each community and not publicly disclosed — no state or federal source publishes them, and the “starting at” figures on referral sites are estimates, not this community’s real rate. Ask the community directly for its current monthly price and what it includes (base rent versus care-level add-ons and memory-care premiums).

Worried about someone here? How to report it

If you have seen something that concerns you — neglect, an injury, medication problems, or a resident who seems afraid — you do not need proof to report it. Reporting is what triggers an inspection, and inspections are what put a record on this page in the first place.

  • The state licensing agency — Oregon licenses this community and is the body that can inspect it and act on a complaint. Complaints can usually be made anonymously.
  • Your Long-Term Care Ombudsman — free, independent, and works for the resident, not the state or the company. They will visit and advocate. Find yours via the Eldercare Locator at 1-800-677-1116 or theconsumervoice.org/get_help ↗.
  • Adult Protective Services — for suspected abuse, neglect or financial exploitation of a vulnerable adult. The Eldercare Locator above routes you to your local APS office.
  • If someone is in immediate danger, call 911 first. Report to the agencies above afterwards — the two are separate, and one does not do the job of the other.

We are a data site, not a regulator: we cannot investigate or intervene, and there is no point reporting it to us. The three routes above are the ones with actual power.

Location & what’s nearby

Open in Google Maps ↗

Hospital
KAISER SUNNYSIDE MEDICAL CENTER5.6 mi
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Willamette Falls Emergency Room0.2 mi
 
Pharmacy
Rite Aid1.1 mi
1900 Mcloughlin Blvd · (503) 656-1020 · Call to confirm hours
Grocery
Steves Market0.9 mi
13927 Holcomb Blvd · (503) 656-4022 · Call to confirm hours
Park
Atkinson park0.6 mi
1612 Jackson St · (971) 204-4602 · Typically dawn to dusk
Place of worship
Ministerio Hispano en OC Iglesia del Nazareno0.5 mi
716 Taylor St

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Source: Oregon DHS Office of Licensing & Regulatory Oversight (public record), last pulled from the state 2026-07-15.

What to do next

Understand itQuestions to ask on a tourThe things staffing brochures leave out — what to ask and what to watch for.→Afford itCan you afford it, long-term?Assisted living runs private-pay. Model the years and taxes in My Plan — free, private.→DecideIs assisted living the right fit?A two-minute check: assisted living, memory care, home help, or skilled nursing.→