Inspection Reports for Brookdale Mt. Hood

25200 SE Stark St, Gresham, OR 97030, OR, 97030

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

10% better than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2023
2024
2025

Inspection Report

Routine
Capacity: 88 Deficiencies: 3 Date: Jun 9, 2025

Visit Reason
Facility failed to maintain kitchen in good repair and sanitary manner; multiple food spills, debris, and equipment issues observed. Staffing requirements not met with food handler certificates missing. Plan of correction implemented but deficiencies not corrected as of last revisit.

Findings
Facility failed to maintain kitchen in good repair and sanitary manner; multiple food spills, debris, and equipment issues observed. Staffing requirements not met with food handler certificates missing. Plan of correction implemented but deficiencies not corrected as of last revisit.

Deficiencies (3)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0070 (3-4) Staffing Requirements and Training – Pre-service
OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval

Inspection Report

Capacity: 88 Deficiencies: 2 Date: Mar 14, 2024

Visit Reason
Kitchen inspection found issues with food preparation, sanitation, and infection control. Some deficiencies corrected by revisit in May 2024. Other deficiencies related to staffing, service plans, resident rights, health services, medication administration, and safety were identified with mixed correction status.

Findings
Kitchen inspection found issues with food preparation, sanitation, and infection control. Some deficiencies corrected by revisit in May 2024. Other deficiencies related to staffing, service plans, resident rights, health services, medication administration, and safety were identified with mixed correction status.

Deficiencies (2)
OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0070 Staffing Requirements and Training – Pre-service

Inspection Report

Capacity: 88 Deficiencies: 6 Date: Oct 16, 2023

Visit Reason
Re-licensure survey identified numerous deficiencies including facility administration, resident rights, service plans, health services, medication administration, staffing, and safety. Multiple revisits showed partial corrections but many deficiencies remained uncorrected as of last revisit in March 2025.

Findings
Re-licensure survey identified numerous deficiencies including facility administration, resident rights, service plans, health services, medication administration, staffing, and safety. Multiple revisits showed partial corrections but many deficiencies remained uncorrected as of last revisit in March 2025.

Deficiencies (6)
OAR 411-054-0150 Facility Administration: Operation
OAR 411-054-0200 Resident Rights and Protection - General
OAR 411-054-0270 Change of Condition and Monitoring
OAR 411-054-0310 Medication Administration
OAR 411-054-0361 Acuity-Based Staffing Tool
OAR 411-054-0420 Fire and Life Safety: Safety

Inspection Report

Complaint Investigation
Capacity: 88 Deficiencies: 2 Date: Jul 28, 2023

Visit Reason
Complaint investigation found failures in medication administration observation and acuity-based staffing tool implementation. Deficiencies not corrected as of inspection date.

Findings
Complaint investigation found failures in medication administration observation and acuity-based staffing tool implementation. Deficiencies not corrected as of inspection date.

Deficiencies (2)
OAR 411-054-0325 Systems: Self-Administration of Meds
OAR 411-054-0361 Acuity-Based Staffing Tool

Inspection Report

Capacity: 88 Deficiencies: 1 Date: Apr 4, 2023

Visit Reason
Kitchen inspection found need for cleaning and repair in multiple areas. Facility was found in substantial compliance at revisit in July 2023.

Findings
Kitchen inspection found need for cleaning and repair in multiple areas. Facility was found in substantial compliance at revisit in July 2023.

Deficiencies (1)
OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule

Inspection Report

Capacity: 88 Deficiencies: 10 Date: Dec 13, 2021

Visit Reason
Re-licensure survey identified deficiencies in resident evaluations, abuse reporting, service plans, change of condition monitoring, health services coordination, medication administration, staffing, and safety. Some deficiencies corrected in revisits through 2022; others remained uncorrected at time of last revisit.

Findings
Re-licensure survey identified deficiencies in resident evaluations, abuse reporting, service plans, change of condition monitoring, health services coordination, medication administration, staffing, and safety. Some deficiencies corrected in revisits through 2022; others remained uncorrected at time of last revisit.

Deficiencies (10)
OAR 411-054-0231 Reporting & Investigating Abuse-Other Action
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 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0455 Inspections and Investigation: Insp Interval
OAR 411-054-0513 Doors, Walls, Elevators, Odors

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