Deficiencies (last 4 years)
Deficiencies (over 4 years)
13.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
99% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Re-licensure
Capacity: 69
Deficiencies: 5
Date: Sep 19, 2025
Visit Reason
Two deficiencies identified related to care plan timing and revision and nursing services minimum CNA staffing. All deficiencies were corrected by the second revisit on 11/18/2025.
Findings
Two deficiencies identified related to care plan timing and revision and nursing services minimum CNA staffing. All deficiencies were corrected by the second revisit on 11/18/2025.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0657 - Care Plan Timing and Revision
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 2
Date: Sep 10, 2025
Visit Reason
No deficiencies corrected; two initial comment citations remained not corrected.
Findings
No deficiencies corrected; two initial comment citations remained not corrected.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 2
Date: Jan 6, 2025
Visit Reason
No deficiencies corrected; two initial comment citations remained not corrected.
Findings
No deficiencies corrected; two initial comment citations remained not corrected.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 2
Date: Dec 18, 2024
Visit Reason
No deficiencies corrected; two initial comment citations remained not corrected.
Findings
No deficiencies corrected; two initial comment citations remained not corrected.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 17
Date: May 31, 2024
Visit Reason
Fourteen deficiencies identified including resident rights, care plan revisions, staffing, medication errors, infection control, and grievance processes. Some deficiencies were corrected by the first revisit on 6/20/2024, but many remained not corrected at second revisit on 7/16/2024.
Findings
Fourteen deficiencies identified including resident rights, care plan revisions, staffing, medication errors, infection control, and grievance processes. Some deficiencies were corrected by the first revisit on 6/20/2024, but many remained not corrected at second revisit on 7/16/2024.
Deficiencies (17)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
F0565 - Resident/Family Group and Response
F0572 - Notice of Rights and Rules
F0585 - Grievances
F0600 - Free from Abuse and Neglect
F0657 - Care Plan Timing and Revision
F0684 - Quality of Care
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0759 - Free of Medication Error Rts 5 Prcnt or More
F0761 - Label/Store Drugs and Biologicals
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 2
Date: Sep 13, 2023
Visit Reason
No deficiencies corrected; two initial comment citations remained not corrected.
Findings
No deficiencies corrected; two initial comment citations remained not corrected.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Re-licensure
Capacity: 69
Deficiencies: 5
Date: Apr 21, 2023
Visit Reason
Five deficiencies identified including comprehensive assessments, bowel/bladder incontinence, RN coverage, nutritive value of food, and drug regimen review. Some deficiencies were corrected by revisit on 5/2/2023, but others remained not corrected at second revisit on 6/1/2023.
Findings
Five deficiencies identified including comprehensive assessments, bowel/bladder incontinence, RN coverage, nutritive value of food, and drug regimen review. Some deficiencies were corrected by revisit on 5/2/2023, but others remained not corrected at second revisit on 6/1/2023.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0636 - Comprehensive Assessments & Timing
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
Inspection Report
Capacity: 69
Deficiencies: 3
Date: Aug 22, 2022
Visit Reason
Three initial comment citations identified; none corrected.
Findings
Three initial comment citations identified; none corrected.
Deficiencies (3)
E0000 - Initial Comments
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 8
Date: Apr 19, 2022
Visit Reason
Seven deficiencies identified including misappropriation of narcotics, services meeting professional standards, quality of care, nutrition/hydration, nurse aide performance review, and medication errors. Some deficiencies were corrected by revisit on 5/16/2022, others remained not corrected at second revisit on 6/23/2022.
Findings
Seven deficiencies identified including misappropriation of narcotics, services meeting professional standards, quality of care, nutrition/hydration, nurse aide performance review, and medication errors. Some deficiencies were corrected by revisit on 5/16/2022, others remained not corrected at second revisit on 6/23/2022.
Deficiencies (8)
F0000 - INITIAL COMMENTS
F0602 - Free from Misappropriation/Exploitation
F0658 - Services Provided Meet Professional Standards
F0684 - Quality of Care
F0692 - Nutrition/Hydration Status Maintenance
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 69
Deficiencies: 7
Date: Jan 10, 2022
Visit Reason
Four deficiencies identified including notification of changes, discharge planning, drug regimen review, and drug regimen free from unnecessary drugs. Some deficiencies were corrected by revisit on 2/1/2022, others remained not corrected at second revisit on 3/21/2022.
Findings
Four deficiencies identified including notification of changes, discharge planning, drug regimen review, and drug regimen free from unnecessary drugs. Some deficiencies were corrected by revisit on 2/1/2022, others remained not corrected at second revisit on 3/21/2022.
Deficiencies (7)
F0000 - INITIAL COMMENTS
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0660 - Discharge Planning Process
F0756 - Drug Regimen Review, Report Irregular, Act On
F0757 - Drug Regimen is Free from Unnecessary Drugs
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
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