Deficiencies (last 5 years)
Deficiencies (over 5 years)
12.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Kitchen
Capacity: 27
Deficiencies: 6
Date: 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)
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
Date: 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)
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
Date: 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)
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
Date: 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)
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
Date: 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)
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
Date: 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)
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
Date: 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)
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
Date: 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)
OAR 411-057-0000 — General Comments
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