Inspection Reports for Avamere at Park Place
8445 SW Hemlock St, Portland, OR 97223, United States, OR, 97223
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Inspection Report
Kitchen
Capacity: 130
Deficiencies: 23
Aug 11, 2025
Visit Reason
State-compiled facility profile showing 9 inspections from 2022-2025 with deficiency history and enforcement actions
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited numerous deficiencies including failures in food sanitation, resident service plans, medication administration, abuse reporting, building maintenance, and staffing tools. Several deficiencies were repeated across inspections, with plans of correction documented for most.
Complaint Details
Multiple complaint investigations conducted on 9/12/2022, 1/10/2023, 9/12/2022, and 8/21/2023 identified deficiencies related to licensing compliance, policies, treatment orders, acuity-based staffing, and resident rights.
Deficiencies (23)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules including cleanliness and repair issues in kitchen equipment and environment |
| C0000 - Comment: General comments related to inspections |
| C0010 - Licensing Complaint Investigation: Deficiencies identified during complaint investigations |
| C0200 - Resident Rights and Protection - General |
| C0210 - Resident Rights and Protection: Personal Rela |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to immediately report abuse or suspected abuse and implement protective measures |
| C0260 - Service Plan: General: Failed to ensure service plans were reflective of residents' current care needs and reviewed quarterly |
| C0152 - Facility Administration: Required Postings: Failed to ensure required postings were displayed in accessible and conspicuous locations |
| C0262 - Service Plan: Service Planning Team: Failed to ensure service plans were developed by a Service Planning Team including required participants |
| C0270 - Change of Condition and Monitoring: Failed to develop interventions, communicate and monitor changes of condition for residents |
| C0280 - Resident Health Services: Failed to coordinate care with outside providers to ensure continuity of care |
| C0303 - Systems: Treatment Orders: Failed to ensure physician orders were carried out as prescribed and properly documented |
| C0305 - Systems: Resident Right to Refuse: Failed to notify physician or practitioner when residents refused medications or treatments |
| C0310 - Systems: Medication Administration: Failed to ensure MARs were accurate and had clear instructions and parameters |
| C0325 - Systems: Self-Administration of Meds: Failed to evaluate resident's ability to self-administer medications and obtain physician orders |
| C0330 - Systems: Psychotropic Medication: Failed to ensure non-pharmacological interventions were attempted and documented prior to administering PRN psychotropics |
| C0361 - Acuity-Based Staffing Tool: Failed to implement and maintain an acuity-based staffing tool meeting regulation requirements |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department |
| C0610 - General Building Exterior: Failed to maintain exterior walking surfaces in good repair creating tripping hazards |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to maintain environment clean and in good repair including exterior and interior areas |
| C0154 - Facility Administration: Policy & Procedure: Deficiencies related to facility administration policies and procedures |
| C0243 - Resident Services: Adls: Deficiencies related to activities of daily living services |
| C0511 - General Building Interior: Deficiencies related to interior building maintenance |
Report Facts
Inspections on page: 9
Total deficiencies: 38
Total licensing violations: 20
Total notices: 4
Total licensed beds: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Regional VP of Operations | Named in multiple findings related to service plans, abuse reporting, medication administration, and staffing tool |
| Staff 2 | Corporate Traveling RN | Named in multiple findings related to service plans, abuse reporting, medication administration, and staffing tool |
| Staff 3 | Resident Care Coordinator (RCC) | Named in findings related to service plans and medication administration |
| Staff 16 | Medication Technician (MT) | Named in medication administration findings |
| Staff 24 | Vice President of Operations | Named in abuse reporting and medication administration findings |
| Staff 8 | Director of Maintenance | Named in building maintenance findings |
| Staff 5 | Licensed Practical Nurse (LPN) | Named in change of condition and medication administration findings |
| Staff 19 | Licensed Practical Nurse (LPN) | Named in medication administration findings |
| Staff 23 | Resident Care Coordinator (RCC) | Named in medication administration and staffing tool findings |
| Staff 25 | President at Arete Living | Named in service plan findings |
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