Deficiencies (last 5 years)
Deficiencies (over 5 years)
7.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
10% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Deficiencies: 1
Aug 25, 2025
Visit Reason
Facility failed to update an Acuity-Based Staffing Tool (ABST) and was short-staffed for five shifts, lacking qualified awake direct care staff to meet residents' needs.
Findings
Facility failed to update an Acuity-Based Staffing Tool (ABST) and was short-staffed for five shifts, lacking qualified awake direct care staff to meet residents' needs.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing |
Inspection Report
Re-licensure
Deficiencies: 8
Feb 20, 2025
Visit Reason
Multiple deficiencies including failure to update resident evaluations timely, inadequate change of condition monitoring, insufficient staffing, inaccurate acuity-based staffing tool, and building maintenance issues. None of the deficiencies were corrected at revisit.
Findings
Multiple deficiencies including failure to update resident evaluations timely, inadequate change of condition monitoring, insufficient staffing, inaccurate acuity-based staffing tool, and building maintenance issues. None of the deficiencies were corrected at revisit.
Deficiencies (8)
| Description |
|---|
| OAR 411-054-0034 (1-6) Resident Move-in & Evaluation: Res Evaluation |
| OAR 411-054-0040 (1-2) Change of Condition and Monitoring |
| OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing |
| OAR 411-054-0037 (1)(b-g) Acuity Based Staffing Tool - ABST Time |
| OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan |
| OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable |
| OAR411-004-0020(2)(h) Individual Visitors: Any Time |
| OAR411-004-0040(1) Limitations: Threats To Health And Safety |
Inspection Report
Complaint Investigation
Deficiencies: 4
Jul 30, 2024
Visit Reason
Facility failed to provide daily social and recreational activities, had insufficient awake direct care staff, failed to update acuity-based staffing tool, and did not prevent entry of pests. Deficiencies were not corrected at revisit.
Findings
Facility failed to provide daily social and recreational activities, had insufficient awake direct care staff, failed to update acuity-based staffing tool, and did not prevent entry of pests. Deficiencies were not corrected at revisit.
Deficiencies (4)
| Description |
|---|
| OAR 411-054-0242 Resident Services: Activities |
| OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing |
| OAR 411-054-0037 Acuity-Based Staffing Tool |
| OAR 411-054-0610 General Building Exterior |
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 30, 2024
Visit Reason
Facility failed to prevent entry of pests including rodents, flies, mosquitoes, and bed bugs. Deficiency was not corrected at revisit.
Findings
Facility failed to prevent entry of pests including rodents, flies, mosquitoes, and bed bugs. Deficiency was not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0610 General Building Exterior |
Inspection Report
State Licensure
Deficiencies: 2
Nov 17, 2023
Visit Reason
Kitchen inspection found multiple sanitation and maintenance issues; some corrected by revisit. Failed to maintain kitchen in good repair and sanitary manner. One deficiency corrected at revisit, others not corrected.
Findings
Kitchen inspection found multiple sanitation and maintenance issues; some corrected by revisit. Failed to maintain kitchen in good repair and sanitary manner. One deficiency corrected at revisit, others not corrected.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0000 Comment |
| OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule |
Inspection Report
Complaint Investigation
Deficiencies: 3
Jul 6, 2023
Visit Reason
Multiple deficiencies including failure to implement service plans, coordinate care with outside providers, complete RN assessments for significant changes, maintain pest control, and ensure medication orders were followed. None corrected at revisit.
Findings
Multiple deficiencies including failure to implement service plans, coordinate care with outside providers, complete RN assessments for significant changes, maintain pest control, and ensure medication orders were followed. None corrected at revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0010 Licensing Complaint Investigation |
| OAR 411-054-0260 Service Plan: General |
| OAR 411-054-0610 General Building Exterior |
Inspection Report
Complaint Investigation
Deficiencies: 3
Apr 27, 2023
Visit Reason
Facility failed to implement service plans reflecting resident needs, failed to update acuity-based staffing tool, and failed to coordinate care with outside providers. Deficiencies not corrected at revisit.
Findings
Facility failed to implement service plans reflecting resident needs, failed to update acuity-based staffing tool, and failed to coordinate care with outside providers. Deficiencies not corrected at revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0010 Licensing Complaint Investigation |
| OAR 411-054-0260 Service Plan: General |
| OAR 411-054-0361 Acuity-Based Staffing Tool |
Inspection Report
State Licensure
Deficiencies: 2
Nov 30, 2022
Visit Reason
Kitchen sanitation and maintenance deficiencies identified; some corrected at revisit. Facility failed to maintain kitchen in accordance with Food Sanitation Rules. One deficiency corrected at revisit, others not corrected.
Findings
Kitchen sanitation and maintenance deficiencies identified; some corrected at revisit. Facility failed to maintain kitchen in accordance with Food Sanitation Rules. One deficiency corrected at revisit, others not corrected.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0000 Comment |
| OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule |
Inspection Report
Validation Re-licensure
Deficiencies: 13
Nov 1, 2021
Visit Reason
Numerous deficiencies including failure to complete resident move-in evaluations, service plans, change of condition monitoring, RN assessments, medication administration, psychotropic medication documentation, restraints assessments, staff training, and fire drill documentation. Some deficiencies corrected at revisit, many remained uncorrected.
Findings
Numerous deficiencies including failure to complete resident move-in evaluations, service plans, change of condition monitoring, RN assessments, medication administration, psychotropic medication documentation, restraints assessments, staff training, and fire drill documentation. Some deficiencies corrected at revisit, many remained uncorrected.
Deficiencies (13)
| Description |
|---|
| OAR 411-054-0000 Comment |
| OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0260 Service Plan: General |
| OAR 411-054-0270 Change of Condition and Monitoring |
| OAR 411-054-0280 Resident Health Services |
| OAR 411-054-0303 Systems: Treatment Orders |
| OAR 411-054-0310 Systems: Medication Administration |
| OAR 411-054-0330 Systems: Psychotropic Medication |
| OAR 411-054-0340 Restraints and Supportive Devices |
| OAR 411-054-0370 Staffing Requirements and Training – Pre-Serv |
| OAR 411-054-0372 Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0374 Annual and Biennial Inservice For All Staff |
| OAR 411-054-0420 Fire and Life Safety: Safety |
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