Deficiencies per Year
20
15
10
5
0
Unclassified
Inspection Report
Kitchen
Capacity: 27
Deficiencies: 6
Jun 18, 2025
Visit Reason
Facility failed to maintain kitchen in good repair and sanitary manner with multiple areas of food spills, debris, and poor infection control practices. Multiple kitchen items required repair or replacement. Staff failed to perform hand hygiene consistently and other infection control lapses observed.
Findings
Facility failed to maintain kitchen in good repair and sanitary manner with multiple areas of food spills, debris, and poor infection control practices. Multiple kitchen items required repair or replacement. Staff failed to perform hand hygiene consistently and other infection control lapses observed.
Deficiencies (6)
| Description |
|---|
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0070 — Staffing Requirements and Training – Pre-service |
| OAR 411-054-0105 — Inspections and Investigations |
| OAR 411-054-0105 — Inspections and Investigation: Insp Interval |
| OAR 411-057-0140 — Administration Compliance |
| OAR 411-057-0155 — Staff Training Requirements |
Inspection Report
Complaint Investigation
Capacity: 27
Deficiencies: 5
May 23, 2025
Visit Reason
Complaint investigation identified deficiencies related to staffing, acuity based staffing tool, inspections and investigations, and other compliance issues. All deficiencies were not corrected at the time of inspection.
Findings
Complaint investigation identified deficiencies related to staffing, acuity based staffing tool, inspections and investigations, and other compliance issues. All deficiencies were not corrected at the time of inspection.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0010 — Licensing Complaint Investigation |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0362 — Acuity Based Staffing Tool - Abst Time |
| OAR 411-054-0363 — Acuity Based Staffing Tool - Updates & Plan |
| OAR 411-054-0450 — Inspections and Investigations |
Inspection Report
Re-licensure
Capacity: 27
Deficiencies: 20
Aug 13, 2024
Visit Reason
Re-licensure survey found multiple deficiencies including reporting abuse, resident services activities and ADLs, resident evaluations, service plans, change of condition monitoring, resident health services, infection prevention, psychotropic medication use, restraints, staffing, fire and life safety, and administration compliance. Some deficiencies were corrected on revisit while others remained not corrected.
Findings
Re-licensure survey found multiple deficiencies including reporting abuse, resident services activities and ADLs, resident evaluations, service plans, change of condition monitoring, resident health services, infection prevention, psychotropic medication use, restraints, staffing, fire and life safety, and administration compliance. Some deficiencies were corrected on revisit while others remained not corrected.
Deficiencies (20)
| Description |
|---|
| OAR 411-054-0000 — Comment |
| OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0242 — Resident Services: Activities |
| OAR 411-054-0243 — Resident Services: Adls |
| OAR 411-054-0252 — Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0270 — Change of Condition and Monitoring |
| OAR 411-054-0280 — Resident Health Services |
| OAR 411-054-0295 — Infection Prevention & Control |
| OAR 411-054-0330 — Systems: Psychotropic Medication |
| OAR 411-054-0340 — Restraints and Supportive Devices |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
| OAR 411-054-0422 — Fire and Life Safety: Training For Residents |
| OAR 411-054-0455 — Inspections and Investigation: Insp Interval |
| OAR 411-054-0513 — Doors, Walls, Elevators, Odors |
| OAR 411-054-H1518 — Individual Door Locks: Key Access |
| OAR 411-057-0142 — Administration Compliance |
| OAR 411-057-0155 — Staff Training Requirements |
| OAR 411-057-0162 — Compliance With Rules Health Care |
Inspection Report
State Licensure Other
Capacity: 27
Deficiencies: 3
Apr 9, 2024
Visit Reason
Kitchen inspection found initial deficiencies related to food sanitation and administration compliance. Re-visit found substantial compliance with corrections made.
Findings
Kitchen inspection found initial deficiencies related to food sanitation and administration compliance. Re-visit found substantial compliance with corrections made.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0000 — Comment |
| OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-057-0142 — Administration Compliance |
Inspection Report
State Licensure Other
Capacity: 27
Deficiencies: 3
Apr 25, 2023
Visit Reason
Kitchen inspection identified deficiencies in kitchen cleanliness and administration compliance. Re-visit found substantial compliance with corrections made.
Findings
Kitchen inspection identified deficiencies in kitchen cleanliness and administration compliance. Re-visit found substantial compliance with corrections made.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0000 — Comment |
| OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-057-0142 — Administration Compliance |
Inspection Report
Complaint Investigation
Capacity: 27
Deficiencies: 5
Oct 26, 2022
Visit Reason
Complaint investigation identified deficiencies related to reporting abuse, resident services activities, staffing, and annual inservice training. Facility acknowledged findings and provided plans of correction.
Findings
Complaint investigation identified deficiencies related to reporting abuse, resident services activities, staffing, and annual inservice training. Facility acknowledged findings and provided plans of correction.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0010 — Licensing Complaint Investigation |
| OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0242 — Resident Services: Activities |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0374 — Annual and Biennial Inservice For All Staff |
Inspection Report
Validation Re-licensure
Capacity: 27
Deficiencies: 19
May 10, 2021
Visit Reason
Re-licensure survey found multiple deficiencies including infection control, resident services activities, resident move-in evaluations, service plans, change of condition monitoring, resident health services, medication administration, restraints, staffing, fire and life safety, and administration compliance. Some deficiencies were corrected on revisit while others remained not corrected.
Findings
Re-licensure survey found multiple deficiencies including infection control, resident services activities, resident move-in evaluations, service plans, change of condition monitoring, resident health services, medication administration, restraints, staffing, fire and life safety, and administration compliance. Some deficiencies were corrected on revisit while others remained not corrected.
Deficiencies (19)
| Description |
|---|
| OAR 411-054-0000 — Comment |
| OAR 411-054-0160 — Reasonable Precautions |
| OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0242 — Resident Services: Activities |
| OAR 411-054-0252 — Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0270 — Change of Condition and Monitoring |
| OAR 411-054-0280 — Resident Health Services |
| OAR 411-054-0290 — Res Hlth Srvc: On- and Off-Site Health Srvc |
| OAR 411-054-0305 — Systems: Resident Right to Refuse |
| OAR 411-054-0310 — Systems: Medication Administration |
| OAR 411-054-0340 — Restraints and Supportive Devices |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0420 — Fire and Life Safety: Safety |
| OAR 411-054-0455 — Inspections and Investigation: Insp Interval |
| OAR 411-057-0142 — Administration Compliance |
| OAR 411-057-0155 — Staff Training Requirements |
| OAR 411-057-0162 — Compliance With Rules Health Care |
Inspection Report
State Licensure
Capacity: 27
Deficiencies: 1
May 10, 2021
Visit Reason
COVID-19 Preparedness Follow up Questionnaire completed with no deficiencies.
Findings
COVID-19 Preparedness Follow up Questionnaire completed with no deficiencies.
Deficiencies (1)
| Description |
|---|
| OAR 411-057-0000 — General Comments |
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