Inspection Reports for Better Living RCF
15855 Southeast Powell Boulevard Portland, OR 97236, United States, OR, 97236
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Inspection Report
Re-Inspection
Census: 17
Capacity: 19
Deficiencies: 30
Aug 4, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2022-2025 with deficiency history and enforcement notices
Findings
Across multiple inspections from 2022 to 2025, the facility demonstrated numerous deficiencies including failure to maintain required postings, incomplete resident evaluations, inadequate staffing, improper use and documentation of restraints, failure to conduct required fire drills and training, and issues with emergency preparedness and building maintenance.
Complaint Details
Complaint investigation conducted on 2024-09-16 related to acuity-based staffing tool deficiencies; findings acknowledged by facility staff.
Deficiencies (30)
| Description |
|---|
| C0152 - Facility Administration: Required Postings: Failed to ensure required postings were posted in a routinely accessible and conspicuous location to residents and visitors and were available for inspection |
| C0155 - Facility Administration: Records: Failed to take appropriate steps to minimize the likelihood of inadvertent or accidental disclosure of a resident’s human immunodeficiency virus status |
| C0160 - Reasonable Precautions: Failed to ensure reasonable precautions were exercised against any condition that could threaten the health, safety, or welfare of residents |
| C0252 - Resident Move-in & Evaluation: Res Evaluation: Failed to ensure resident move-in evaluation addressed all required components |
| C0260 - Service Plan: General: Failed to ensure resident service plans were reflective of residents' needs, provided clear direction to staff, were updated quarterly and with significant changes, and were followed |
| C0270 - Change of Condition and Monitoring: Failed to ensure changes of condition had determined actions or interventions, interventions documented and communicated to staff, and conditions monitored weekly through resolution |
| C0280 - Resident Health Services: Failed to ensure an RN completed a significant change of condition assessment for a resident who experienced significant weight gain |
| C0340 - Restraints and Supportive Devices: Failed to ensure supportive devices with restraining qualities had thorough assessment, documentation of less restrictive alternatives, caregiver instruction, and inclusion in service plan |
| C0360 - Staffing Requirements and Training: Staffing: Failed to have qualified awake direct care staff sufficient in number to meet 24-hour scheduled and unscheduled needs and fire evacuation standards |
| C0362 - Acuity Based Staffing Tool - ABST Time: Failed to complete an acuity-based staffing tool that accurately captured care time and care elements and develop appropriate staffing plans |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan: Failed to ensure posted staffing plan and ABST met staffing requirements and were updated before move-in and quarterly |
| C0420 - Fire and Life Safety: Safety: Failed to conduct and record fire drills per Oregon Fire Code and provide fire and life safety instruction to staff on alternate months |
| C0422 - Fire and Life Safety: Training for Residents: Failed to ensure residents were instructed in fire and life safety procedures at least annually |
| C0435 - Emergency and Disaster Planning: Failed to conduct a drill of the emergency preparedness plan at least twice a year |
| C0510 - General Building Exterior: Failed to maintain building free of drop-offs, properly store toxic chemicals, and maintain entry and exit drive for vehicle access without backing up |
| C0513 - Doors, Walls, Elevators, Odors: Failed to keep all interior and exterior materials and surfaces clean and in good repair |
| H1511 - Individual Rights Settings Right to Freedom: Failed to ensure all individuals had the right to freedom from restraints |
| H1518 - Individual Door Locks: Key Access: Failed to ensure residents were provided a key to their units |
| H1580 - Limitations: Threats To Health And Safety: Failed to apply individually-based limitations when assessing resident use of device with restraining qualities |
| L0152 - Facility Administration: Required Postings: Failed to ensure required postings were posted in a routinely accessible and conspicuous location |
| L0155 - Facility Administration: Records: Failed to take appropriate steps to minimize inadvertent or accidental disclosure of resident’s HIV status |
| L0252 - Resident Move-in & Evaluation: Res Evaluation: Failed to ensure initial evaluation addressed all required elements including pronouns and gender identity |
| C0361 - Acuity-Based Staffing Tool: Failed to fully implement and update an Acuity Based Staffing Tool for all residents |
| C0000 - Comment (2024-05-24): Kitchen inspection findings documented; facility was in substantial compliance on revisit |
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen in good repair and sanitary manner |
| C0303 - Systems: Treatment Orders: Failed to ensure all medication and treatment orders were carried out as prescribed |
| C0310 - Systems: Medication Administration: Failed to ensure MARs were accurate and included clear parameters for PRN medications |
| C0420 - Fire and Life Safety: Safety (2022): Failed to provide fire and life safety instruction to staff on alternating months |
| C0422 - Fire and Life Safety: Training For Residents (2022): Failed to provide fire and life safety instruction to residents at least annually |
| C0510 - General Building Exterior (2022): Failed to ensure courtyard pathways were free of drop-offs to prevent tripping hazards |
Report Facts
Inspections on page: 5
Total deficiencies: 29
Total surveys: 5
Abuse violations: 0
Licensing violations: 4
Notices: 2
Licensed beds: 19
Resident census: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple findings and interviews related to deficiencies and acknowledgements |
| Staff 4 | RN | Named in findings related to resident health services, staffing, and documentation |
| Staff 5 | RN | Named in findings related to resident health services and documentation |
| Staff 6 | Resident Care Coordinator (RCC) | Named in findings related to service plans and staffing |
| Staff 2 | Program and HR Director | Named in staffing deficiency discussions and plan of correction |
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