Inspection Reports for Brookdale Forest Grove
3110 19th Avenue, Forest Grove, OR 97116, Forest Grove, OR
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 27, 2025, identified deficiencies related to kitchen practices and food sanitation rules, including issues with cleaning and food storage. Earlier inspections showed a pattern of similar food sanitation deficiencies as well as broader issues involving facility administration, staffing, medication systems, service plans, and building conditions. Complaint investigations found multiple deficiencies across these areas, none of which were corrected at revisits, and no enforcement actions or fines were listed in the available reports. Most complaints were unsubstantiated or did not result in enforcement, but the facility consistently received citations for food sanitation and staffing-related issues. The inspection history shows ongoing challenges with food sanitation and operational compliance, with some issues persisting over multiple years.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
19.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
194% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Capacity: 110
Deficiencies: 1
Date: Aug 27, 2025
Visit Reason
Facility failed to ensure kitchen practices and protocols met Food Sanitation Rules. Multiple areas in kitchen needed cleaning and improper food storage was observed. Unsafe food storage and equipment issues were identified.
Findings
Facility failed to ensure kitchen practices and protocols met Food Sanitation Rules. Multiple areas in kitchen needed cleaning and improper food storage was observed. Unsafe food storage and equipment issues were identified.
Deficiencies (1)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
Inspection Report
Capacity: 110
Deficiencies: 1
Date: Sep 4, 2024
Visit Reason
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas needed cleaning and improper food storage was observed. Issues remained uncorrected after revisit.
Findings
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas needed cleaning and improper food storage was observed. Issues remained uncorrected after revisit.
Deficiencies (1)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 9
Date: Jan 29, 2024
Visit Reason
Multiple deficiencies including licensing complaint investigation, facility administration, service plans, medication systems, staffing, and abuse reporting. None of the deficiencies were corrected at revisit.
Findings
Multiple deficiencies including licensing complaint investigation, facility administration, service plans, medication systems, staffing, and abuse reporting. None of the deficiencies were corrected at revisit.
Deficiencies (9)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0155 Facility Administration: Records
OAR 411-054-0260 Service Plan: General
OAR 411-054-0300 Systems: Medications and Treatments
OAR 411-054-0301 Systems: Medication Administration
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0360 Staffing Requirements and Training: Staffing
Inspection Report
Capacity: 110
Deficiencies: 21
Date: Mar 21, 2023
Visit Reason
Re-licensure survey with multiple deficiencies including facility administration, service plans, infection control, staffing, resident health services, and fire and life safety. Some deficiencies were corrected over multiple revisits, others remained uncorrected until late 2024 or 2025.
Findings
Re-licensure survey with multiple deficiencies including facility administration, service plans, infection control, staffing, resident health services, and fire and life safety. Some deficiencies were corrected over multiple revisits, others remained uncorrected until late 2024 or 2025.
Deficiencies (21)
OAR 411-054-0000 Comment
OAR 411-054-0150 Facility Administration: Operation
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0231 Reporting & Investigating Abuse-Other Action
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation
OAR 411-054-0260 Service Plan: General
OAR 411-054-0262 Service Plan: Service Planning Team
OAR 411-054-0270 Change of Condition and Monitoring
OAR 411-054-0280 Resident Health Services
OAR 411-054-0295 Infection Prevention & Control
OAR 411-054-0325 Systems: Self-Administration of Meds
OAR 411-054-0361 Acuity-Based Staffing Tool
OAR 411-054-0370 Staffing Requirements and Training – Pre-Serv
OAR 411-054-0372 Training Within 30 Days: Direct Care Staff
OAR 411-054-0420 Fire and Life Safety: Safety
OAR 411-054-0422 Fire and Life Safety: Training For Residents
OAR 411-054-0455 Inspections and Investigation: Insp Interval
OAR 411-054-0510 General Building Exterior
OAR 411-054-0513 Doors, Walls, Elevators, Odors
OAR 411-054-0545 Plumbing Systems
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 8
Date: Mar 7, 2023
Visit Reason
Complaint investigation identified multiple deficiencies including licensing complaint investigation, facility administration, resident rights, treatment orders, staffing, acuity-based staffing tool, involuntary move-out criteria, and general building interior. None were corrected at revisit.
Findings
Complaint investigation identified multiple deficiencies including licensing complaint investigation, facility administration, resident rights, treatment orders, staffing, acuity-based staffing tool, involuntary move-out criteria, and general building interior. None were corrected at revisit.
Deficiencies (8)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0200 Resident Rights and Protection - General
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0361 Acuity-Based Staffing Tool
OAR 411-054-0380 Involuntary Move-Out Criteria
OAR 411-054-0511 General Building Interior
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 5
Date: Jan 17, 2023
Visit Reason
Complaint investigation found deficiencies in licensing complaint investigation, food sanitation, fire and life safety, training for residents, and building conditions. None corrected at revisit.
Findings
Complaint investigation found deficiencies in licensing complaint investigation, food sanitation, fire and life safety, training for residents, and building conditions. None corrected at revisit.
Deficiencies (5)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0420 Fire and Life Safety: Safety
OAR 411-054-0422 Fire and Life Safety: Training For Residents
OAR 411-054-0513 Doors, Walls, Elevators, Odors
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 4
Date: Jan 17, 2023
Visit Reason
Complaint investigation identified deficiencies in licensing complaint investigation, resident services ADLs, staffing, and acuity-based staffing tool. None corrected at revisit.
Findings
Complaint investigation identified deficiencies in licensing complaint investigation, resident services ADLs, staffing, and acuity-based staffing tool. None corrected at revisit.
Deficiencies (4)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0243 Resident Services: ADLs
OAR 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0361 Acuity-Based Staffing Tool
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 5
Date: Jan 17, 2023
Visit Reason
Complaint investigation found deficiencies in licensing complaint investigation, food sanitation, resident services ADLs, infection prevention and control, and staffing. None corrected at revisit.
Findings
Complaint investigation found deficiencies in licensing complaint investigation, food sanitation, resident services ADLs, infection prevention and control, and staffing. None corrected at revisit.
Deficiencies (5)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0243 Resident Services: ADLs
OAR 411-054-0295 Infection Prevention & Control
OAR 411-054-0360 Staffing Requirements and Training: Staffing
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 3
Date: Jan 17, 2023
Visit Reason
Complaint investigation identified deficiencies in licensing complaint investigation, food sanitation, and medication and treatment review. None corrected at revisit.
Findings
Complaint investigation identified deficiencies in licensing complaint investigation, food sanitation, and medication and treatment review. None corrected at revisit.
Deficiencies (3)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0304 Systems: Medication and Treatment Review
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Date: Jan 17, 2023
Visit Reason
Complaint investigation found deficiencies in licensing complaint investigation and treatment orders. None corrected at revisit.
Findings
Complaint investigation found deficiencies in licensing complaint investigation and treatment orders. None corrected at revisit.
Deficiencies (2)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0303 Systems: Treatment Orders
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