Deficiencies (last 3 years)
Deficiencies (over 3 years)
19 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
184% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 2
Date: Sep 11, 2025
Visit Reason
No deficiencies found during this Complaint, Re-Licensure survey.
Findings
No deficiencies found during this Complaint, Re-Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 5
Date: Jul 9, 2025
Visit Reason
Facility failed to ensure resident safety and care including accident hazards, bowel/bladder incontinence care, and catheter care. Deficiencies were corrected by 7/17/2025.
Findings
Facility failed to ensure resident safety and care including accident hazards, bowel/bladder incontinence care, and catheter care. Deficiencies were corrected by 7/17/2025.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0689 - Free of Accident Hazards/Supervision/Devices
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 19
Date: Oct 11, 2024
Visit Reason
Multiple deficiencies identified including failure to ensure resident rights, care planning, notification of changes, staffing, infection control, medication administration, and safety. Many deficiencies were partially corrected but several remained uncorrected as of last revisit.
Findings
Multiple deficiencies identified including failure to ensure resident rights, care planning, notification of changes, staffing, infection control, medication administration, and safety. Many deficiencies were partially corrected but several remained uncorrected as of last revisit.
Deficiencies (19)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
F0553 - Right to Participate in Planning Care
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0623 - Notice Requirements Before Transfer/Discharge
F0625 - Notice of Bed Hold Policy Before/Upon Trnsfr
F0657 - Care Plan Timing and Revision
F0658 - Services Provided Meet Professional Standards
F0679 - Activities Meet Interest/Needs Each Resident
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0689 - Free of Accident Hazards/Supervision/Devices
F0695 - Respiratory/Tracheostomy Care and Suctioning
F0725 - Sufficient Nursing Staff
F0760 - Residents are Free of Significant Med Errors
F0847 - Entering into Binding Arbitration Agreements
F0880 - Infection Prevention & Control
F0881 - Antibiotic Stewardship Program
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 2
Date: Sep 19, 2024
Visit Reason
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 2
Date: Apr 16, 2024
Visit Reason
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 4
Date: Mar 28, 2024
Visit Reason
Deficiencies identified related to failure to follow physician orders and care plans for medications and ADLs. Some deficiencies corrected on revisit but others remained uncorrected.
Findings
Deficiencies identified related to failure to follow physician orders and care plans for medications and ADLs. Some deficiencies corrected on revisit but others remained uncorrected.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 2
Date: Jan 5, 2024
Visit Reason
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 2
Date: Oct 6, 2023
Visit Reason
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Capacity: 119
Deficiencies: 1
Date: Aug 21, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during required period, potentially causing harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during required period, potentially causing harm to all residents.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Complaint Investigation
Capacity: 119
Deficiencies: 18
Date: Jun 30, 2023
Visit Reason
Multiple deficiencies including resident rights, care planning, medication management, infection control, staffing, and quality of care. Some deficiencies corrected on revisit but many remained uncorrected.
Findings
Multiple deficiencies including resident rights, care planning, medication management, infection control, staffing, and quality of care. Some deficiencies corrected on revisit but many remained uncorrected.
Deficiencies (18)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
F0552 - Right to be Informed/Make Treatment Decisions
F0553 - Right to Participate in Planning Care
F0554 - Resident Self-Admin Meds-Clinically Approp
F0641 - Accuracy of Assessments
F0657 - Care Plan Timing and Revision
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0689 - Free of Accident Hazards/Supervision/Devices
F0745 - Provision of Medically Related Social Service
F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0842 - Resident Records - Identifiable Information
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M0182 - Nursing Services:Minimum Licensed Nurse Staff
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
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