Inspection Reports for Azalea Gardens Senior Living
755 Elk Drive., Brookings, OR 97415, Brookings, OR, 97415
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 13, 2024, found deficiencies related to kitchen sanitation and repair issues, which were addressed over several revisits leading to substantial compliance. Earlier inspections showed a pattern of deficiencies involving medication and treatment orders, staffing tool implementation, resident evaluations, service plans, and complaint investigation processes. Inspectors cited recurring issues with food sanitation, administration compliance, and staff training, with some deficiencies corrected upon revisits. Complaint investigations in prior reports did not result in substantiated findings. The facility’s inspection history shows ongoing challenges in several operational areas, but efforts to correct deficiencies have been documented over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Capacity: 40
Deficiencies: 4
Date: May 13, 2024
Visit Reason
The kitchen inspection found multiple sanitation and repair issues repeatedly over four revisits from 5/14/2024 to 6/17/2025, with the final revisit documenting substantial compliance.
Findings
The kitchen inspection found multiple sanitation and repair issues repeatedly over four revisits from 5/14/2024 to 6/17/2025, with the final revisit documenting substantial compliance.
Deficiencies (4)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rules OAR 333-150-0000
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rules OAR 333-150-0000
OAR 411-054-0030 — Inspections and Investigation: Insp Interval
OAR 411-054-0030 — Administration Compliance
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 2
Date: Apr 22, 2024
Visit Reason
Investigation found failures in carrying out medication and treatment orders and incomplete implementation of Acuity Based Staffing Tool for sampled residents.
Findings
Investigation found failures in carrying out medication and treatment orders and incomplete implementation of Acuity Based Staffing Tool for sampled residents.
Deficiencies (2)
OAR 411-054-0030 — Systems: Treatment Orders
OAR 411-054-0030 — Acuity-Based Staffing Tool
Inspection Report
Capacity: 40
Deficiencies: 9
Date: Nov 27, 2023
Visit Reason
Re-licensure survey and revisit documented multiple deficiencies including resident evaluations, service plans, change of condition monitoring, medication orders, refusal notifications, staff training, and compliance with rules. Many deficiencies were corrected by the revisit.
Findings
Re-licensure survey and revisit documented multiple deficiencies including resident evaluations, service plans, change of condition monitoring, medication orders, refusal notifications, staff training, and compliance with rules. Many deficiencies were corrected by the revisit.
Deficiencies (9)
OAR 411-054-0030 — Comment
OAR 411-054-0030 — Resident Move-In and Eval: Res Evaluation
OAR 411-054-0030 — Service Plan: General
OAR 411-054-0030 — Change of Condition and Monitoring
OAR 411-054-0030 — Systems: Treatment Orders
OAR 411-054-0030 — Systems: Resident Right to Refuse
OAR 411-054-0030 — Staff Training Requirements
OAR 411-054-0030 — Compliance With Rules Health Care
OAR 411-054-0030 — Activities
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 1
Date: Oct 23, 2023
Visit Reason
Desk review investigation to determine compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Findings
Desk review investigation to determine compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities.
Deficiencies (1)
OAR 411-054-0030 — Systems: Medications and Treatments
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 3
Date: May 22, 2023
Visit Reason
On-site investigation found deficiencies related to licensing complaint investigation, reporting and investigating abuse, and acuity-based staffing tool implementation.
Findings
On-site investigation found deficiencies related to licensing complaint investigation, reporting and investigating abuse, and acuity-based staffing tool implementation.
Deficiencies (3)
OAR 411-054-0030 — Licensing Complaint Investigation
OAR 411-054-0030 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0030 — Acuity-Based Staffing Tool
Inspection Report
Routine
Capacity: 40
Deficiencies: 3
Date: Apr 4, 2023
Visit Reason
Kitchen inspection found issues with food sanitation and administration compliance, with some deficiencies corrected by revisit on 8/28/2023.
Findings
Kitchen inspection found issues with food sanitation and administration compliance, with some deficiencies corrected by revisit on 8/28/2023.
Deficiencies (3)
OAR 411-054-0030 — Comment
OAR 333-150-0000 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0030 — Administration Compliance
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