Deficiencies (last 3 years)
Deficiencies (over 3 years)
28 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
318% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Capacity: 91
Deficiencies: 2
Dec 3, 2025
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 91
Deficiencies: 2
Nov 26, 2025
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 91
Deficiencies: 2
Nov 14, 2025
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 91
Deficiencies: 16
Aug 22, 2025
Visit Reason
Multiple deficiencies including safe/clean environment, reporting alleged violations, care plan timing, ADL care, activities, accident hazards, nutrition, pain management, drug storage, dental services, infection prevention, nursing services, and staffing. Many deficiencies were corrected by 9/22/2025.
Findings
Multiple deficiencies including safe/clean environment, reporting alleged violations, care plan timing, ADL care, activities, accident hazards, nutrition, pain management, drug storage, dental services, infection prevention, nursing services, and staffing. Many deficiencies were corrected by 9/22/2025.
Deficiencies (16)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0657 - Care Plan Timing and Revision |
| F0677 - ADL Care Provided for Dependent Residents |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0697 - Pain Management |
| F0761 - Label/Store Drugs and Biologicals |
| F0791 - Routine/Emergency Dental Srvcs in NFs |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 91
Deficiencies: 2
May 8, 2025
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 91
Deficiencies: 2
May 2, 2024
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 91
Deficiencies: 28
Apr 19, 2024
Visit Reason
Multiple deficiencies including resident rights, respect/dignity, resident/family group response, safe/clean environment, grievances, free from abuse, comprehensive assessment, care plan timing, quality of care, accident hazards, nutrition, dialysis, staffing, posted nurse staffing, pharmacy services, psychotropic meds, medication error rate, menus, assistive devices, food procurement, resident records, antibiotic stewardship, employee reference checks, criminal record checks, and minimum CNA staffing. Some deficiencies corrected on revisit, others not corrected.
Findings
Multiple deficiencies including resident rights, respect/dignity, resident/family group response, safe/clean environment, grievances, free from abuse, comprehensive assessment, care plan timing, quality of care, accident hazards, nutrition, dialysis, staffing, posted nurse staffing, pharmacy services, psychotropic meds, medication error rate, menus, assistive devices, food procurement, resident records, antibiotic stewardship, employee reference checks, criminal record checks, and minimum CNA staffing. Some deficiencies corrected on revisit, others not corrected.
Deficiencies (28)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0550 - Resident Rights/Exercise of Rights |
| F0557 - Respect, Dignity/Right to have Prsnl Property |
| F0565 - Resident/Family Group and Response |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0585 - Grievances |
| F0600 - Free from Abuse and Neglect |
| F0637 - Comprehensive Assessment After Signifcant Chg |
| F0657 - Care Plan Timing and Revision |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0698 - Dialysis |
| F0725 - Sufficient Nursing Staff |
| F0732 - Posted Nurse Staffing Information |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0803 - Menus Meet Resident Nds/Prep in Adv/Followed |
| F0810 - Assistive Devices - Eating Equipment/Utensils |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0842 - Resident Records - Identifiable Information |
| F0881 - Antibiotic Stewardship Program |
| M0000 - Initial Comments |
| M0141 - Employees Reference Checks and Verifications |
| M0143 - Employees: Criminal Record Checks |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 91
Deficiencies: 9
Aug 1, 2023
Visit Reason
Deficiencies related to grievances, abuse and neglect, reporting alleged violations, baseline care plan, care plan timing, quality of care, initial comments, and state administrative rules. Some deficiencies corrected on revisit, others not corrected.
Findings
Deficiencies related to grievances, abuse and neglect, reporting alleged violations, baseline care plan, care plan timing, quality of care, initial comments, and state administrative rules. Some deficiencies corrected on revisit, others not corrected.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0585 - Grievances |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0655 - Baseline Care Plan |
| F0657 - Care Plan Timing and Revision |
| F0684 - Quality of Care |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 91
Deficiencies: 3
Jun 7, 2023
Deficiencies (3)
| Description |
|---|
| E0000 - Initial Comments |
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 91
Deficiencies: 18
Feb 24, 2023
Visit Reason
Multiple deficiencies including abuse and neglect, care plan timing and revision, qualifications of activity professional, treatment to prevent pressure ulcers, accident hazards, nutrition/hydration, sufficient nursing staff, nurse aide performance review, food procurement and sanitation, resident records, resident call system, employee verification and background checks, and dietary services. Some deficiencies corrected on revisit, others not corrected.
Findings
Multiple deficiencies including abuse and neglect, care plan timing and revision, qualifications of activity professional, treatment to prevent pressure ulcers, accident hazards, nutrition/hydration, sufficient nursing staff, nurse aide performance review, food procurement and sanitation, resident records, resident call system, employee verification and background checks, and dietary services. Some deficiencies corrected on revisit, others not corrected.
Deficiencies (18)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0657 - Care Plan Timing and Revision |
| F0680 - Qualifications of Activity Professional |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0725 - Sufficient Nursing Staff |
| F0730 - Nurse Aide Peform Review-12 hr/yr In-Service |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0842 - Resident Records - Identifiable Information |
| F0919 - Resident Call System |
| M0000 - Initial Comments |
| M0110 - Public Postings |
| M0142 - Employees: Nursing Personnel Verification |
| M0143 - Employees: Criminal Record Checks |
| M0320 - Dietary Services: Diets and Menus |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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