Inspection Reports for
Maple Ridge Senior Living
548 NORTH MAIN STREET, ASHLAND, OR, 97520
Back to Facility Profile15 Reports
Inspection Report — Dec 8, 2025
Complaint Investigation
Date: Dec 8, 2025
Visit Reason
Resident-to-resident verbal abuse incidents occurred involving multiple residents. The facility failed to prevent verbal abuse and did not fully investigate related incidents. Corrective actions included monitoring, staff education, and audits.
Findings
Resident-to-resident verbal abuse incidents occurred involving multiple residents. The facility failed to prevent verbal abuse and did not fully investigate related incidents. Corrective actions included monitoring, staff education, and audits.
Deficiencies (5)
OAR 411-054-0200 — Resident-to-resident verbal abuse occurred and was not prevented by the facility.
OAR 411-054-0200 — Facility failed to perform a thorough investigation regarding an injury involving catheter placement.
OAR 411-054-0200 — Facility failed to ensure supervision during meals, resulting in a verbal altercation between residents.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Oct 20, 2025
Kitchen
Date: Oct 20, 2025
Visit Reason
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas needed cleaning, repair, and proper food storage. Staff observed working without proper hair restraints. Plan of correction includes scheduled deep cleaning, staff training, and audits.
Findings
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas needed cleaning, repair, and proper food storage. Staff observed working without proper hair restraints. Plan of correction includes scheduled deep cleaning, staff training, and audits.
Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
Inspection Report — Jul 28, 2025
Complaint Investigation
Date: Jul 28, 2025
Visit Reason
Multiple deficiencies were identified including inaccurate assessments, failure to follow care plans, inadequate behavioral health services, medication errors, and infection control issues. Most deficiencies were corrected after follow-up visits.
Findings
Multiple deficiencies were identified including inaccurate assessments, failure to follow care plans, inadequate behavioral health services, medication errors, and infection control issues. Most deficiencies were corrected after follow-up visits.
Deficiencies (9)
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — Facility failed to ensure accuracy of assessments related to pressure ulcers and care planning.
OAR 411-054-0200 — Facility failed to follow care plan supervision requirements during meals, resulting in resident altercation.
OAR 411-054-0200 — Trauma informed care was not provided or monitored as required.
OAR 411-054-0200 — Behavioral health services were not comprehensively assessed or provided.
OAR 411-054-0200 — Medication error rate exceeded 5%, placing residents at risk.
OAR 411-054-0200 — Infection prevention and control practices were inadequate in laundry area.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Mar 25, 2025
Complaint Investigation
Date: Mar 25, 2025
Visit Reason
No deficiencies were identified during this complaint and licensure complaint survey.
Findings
No deficiencies were identified during this complaint and licensure complaint survey.
Deficiencies (2)
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — Initial comments deficiency noted.
Inspection Report — Mar 18, 2025
Complaint Investigation
Date: Mar 18, 2025
Visit Reason
No deficiencies were identified during this complaint and licensure complaint survey.
Findings
No deficiencies were identified during this complaint and licensure complaint survey.
Deficiencies (2)
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — Initial comments deficiency noted.
Inspection Report — Sep 11, 2024
Re-licensure
Date: Sep 11, 2024
Visit Reason
Facility failed to ensure accurate medication administration records, proper assessment and documentation of restraints and supportive devices, adequate staffing training, fire and life safety training for residents, and building maintenance. Multiple deficiencies remained not corrected at revisit.
Findings
Facility failed to ensure accurate medication administration records, proper assessment and documentation of restraints and supportive devices, adequate staffing training, fire and life safety training for residents, and building maintenance. Multiple deficiencies remained not corrected at revisit.
Deficiencies (6)
OAR 411-054-0055 — Systems: Medication Administration
OAR 411-054-0060 — Restraints and Supportive Devices
OAR 411-054-0070 — Staffing Requirements and Training – Pre-service
OAR 411-054-0070 — Annual and Biennial Inservice for All Staff
OAR 411-054-0090 — Fire and Life Safety: Training for Residents
OAR 411-054-0300 — General Building: Doors-Walls, Cleanable
Inspection Report — Jun 7, 2024
Complaint Investigation
Date: Jun 7, 2024
Visit Reason
The facility failed to prevent financial exploitation of a resident and failed to ensure residents were free from significant medication errors. Some deficiencies remained uncorrected after follow-up visits.
Findings
The facility failed to prevent financial exploitation of a resident and failed to ensure residents were free from significant medication errors. Some deficiencies remained uncorrected after follow-up visits.
Deficiencies (4)
OAR 411-054-0200 — Facility failed to prevent misappropriation of financial resources from a resident.
OAR 411-054-0200 — Facility failed to ensure residents were free from significant medication errors.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Apr 5, 2024
Complaint Investigation
Date: Apr 5, 2024
Visit Reason
Multiple deficiencies were identified including failure to assist with advance directives, unsafe environment, inadequate care planning, lack of supervision, insufficient RN coverage, medication errors, and failure to provide trauma-informed care. Some deficiencies were corrected while others remained uncorrected.
Findings
Multiple deficiencies were identified including failure to assist with advance directives, unsafe environment, inadequate care planning, lack of supervision, insufficient RN coverage, medication errors, and failure to provide trauma-informed care. Some deficiencies were corrected while others remained uncorrected.
Deficiencies (10)
OAR 411-054-0200 — Facility failed to assist resident with formulation of an advance directive.
OAR 411-054-0200 — Facility failed to ensure resident equipment was clean and in good repair.
OAR 411-054-0200 — Facility failed to update resident care plans timely related to head lice.
OAR 411-054-0200 — Facility failed to ensure supervision and safety interventions to prevent smoking related accidents.
OAR 411-054-0200 — Facility failed to ensure RN coverage for at least 8 consecutive hours, 7 days a week.
OAR 411-054-0200 — Facility failed to ensure appropriate medication storage temperatures were maintained.
OAR 411-054-0200 — Facility failed to store and handle food in a sanitary manner.
OAR 411-054-0200 — Facility failed to ensure appropriate infection control standards for head lice.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Mar 20, 2024
State Licensure
Date: Mar 20, 2024
Visit Reason
Kitchen inspection found failures in food preparation and kitchen maintenance. Follow-up visit determined substantial compliance after corrections including deep cleaning and staff training.
Findings
Kitchen inspection found failures in food preparation and kitchen maintenance. Follow-up visit determined substantial compliance after corrections including deep cleaning and staff training.
Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
Inspection Report — Feb 28, 2023
Complaint Investigation
Date: Feb 28, 2023
Visit Reason
The facility failed to update care plans and implement interventions to prevent elopement for a resident. Alarms and supervision were inadequate. Some deficiencies were corrected but others remained uncorrected after follow-up visits.
Findings
The facility failed to update care plans and implement interventions to prevent elopement for a resident. Alarms and supervision were inadequate. Some deficiencies were corrected but others remained uncorrected after follow-up visits.
Deficiencies (3)
OAR 411-054-0200 — Facility failed to update care plan and implement interventions to prevent resident elopement.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Jan 19, 2023
Complaint Investigation
Date: Jan 19, 2023
Visit Reason
Numerous deficiencies were identified including failure to involve residents in care planning, failure to prevent abuse and neglect, inadequate investigations and reporting, incomplete assessments, lack of comprehensive care plans, medication errors, insufficient RN coverage, inadequate social services, infection control lapses, and lack of antibiotic stewardship. Some deficiencies were corrected while others remained uncorrected.
Findings
Numerous deficiencies were identified including failure to involve residents in care planning, failure to prevent abuse and neglect, inadequate investigations and reporting, incomplete assessments, lack of comprehensive care plans, medication errors, insufficient RN coverage, inadequate social services, infection control lapses, and lack of antibiotic stewardship. Some deficiencies were corrected while others remained uncorrected.
Deficiencies (14)
OAR 411-054-0200 — Facility failed to ensure residents were included in care planning.
OAR 411-054-0200 — Facility failed to ensure residents were free from physical, verbal, and emotional abuse.
OAR 411-054-0200 — Facility failed to report allegations of abuse to the State Survey Agency.
OAR 411-054-0200 — Facility failed to investigate allegations of abuse.
OAR 411-054-0200 — Facility failed to complete comprehensive assessments timely and accurately.
OAR 411-054-0200 — Facility failed to develop comprehensive, person-centered care plans.
OAR 411-054-0200 — Facility failed to ensure professional standards for medication administration.
OAR 411-054-0200 — Facility failed to have RN coverage for at least 8 consecutive hours daily.
OAR 411-054-0200 — Facility failed to provide medically related social services adequately.
OAR 411-054-0200 — Facility failed to implement effective infection prevention and control practices.
OAR 411-054-0200 — Facility failed to implement an antibiotic stewardship program.
OAR 411-054-0200 — Facility failed to have a qualified infection preventionist in place.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Jan 17, 2023
State Licensure
Date: Jan 17, 2023
Visit Reason
Kitchen inspection revealed multiple sanitation and food storage issues. Follow-up visit found substantial compliance after professional cleaning and implementation of checklists and training.
Findings
Kitchen inspection revealed multiple sanitation and food storage issues. Follow-up visit found substantial compliance after professional cleaning and implementation of checklists and training.
Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
Inspection Report — Oct 25, 2022
Complaint Investigation
Date: Oct 25, 2022
Visit Reason
The facility failed to provide sufficient nurse staffing to meet resident needs, resulting in unwitnessed falls and lack of incident reporting. Some deficiencies were corrected while others remained uncorrected after follow-up visits.
Findings
The facility failed to provide sufficient nurse staffing to meet resident needs, resulting in unwitnessed falls and lack of incident reporting. Some deficiencies were corrected while others remained uncorrected after follow-up visits.
Deficiencies (4)
OAR 411-054-0200 — Facility failed to provide sufficient nurse staffing to meet resident needs.
OAR 411-054-0200 — Initial comments deficiency noted.
OAR 411-054-0200 — Facility failed to meet State minimum CNA staffing requirements.
OAR 411-054-0200 — State of Oregon administrative rules deficiency noted.
Inspection Report — Jun 16, 2021
State Licensure
Date: Jun 16, 2021
Visit Reason
Covid-19 Preparedness Follow-up Questionnaire completed with no deficiencies noted.
Findings
Covid-19 Preparedness Follow-up Questionnaire completed with no deficiencies noted.
Deficiencies (1)
C0000 - Comment
Inspection Report — Jun 14, 2021
Validation
Date: Jun 14, 2021
Visit Reason
Change of ownership survey identified multiple deficiencies including service plan inadequacies, treatment order failures, medication administration errors, fire and life safety training gaps, building exterior issues, and common area safety concerns. Follow-up visit found substantial compliance after corrections.
Findings
Change of ownership survey identified multiple deficiencies including service plan inadequacies, treatment order failures, medication administration errors, fire and life safety training gaps, building exterior issues, and common area safety concerns. Follow-up visit found substantial compliance after corrections.
Deficiencies (6)
OAR 411-054-0260 — Service Plan: General
OAR 411-054-0303 — Systems: Treatment Orders
OAR 411-054-0310 — Systems: Medication Administration
OAR 411-054-0420 — Fire and Life Safety: Safety
OAR 411-054-0610 — General Building Exterior
OAR 411-054-0622 — Common Use Areas: Social
Loading inspection reports...



