Inspection Reports for Brookdale River Road
592 Bever Dr NE, Keizer, OR 97303, OR, 97303
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Inspection Report
Capacity: 56
Deficiencies: 23
Feb 5, 2025
Visit Reason
State-compiled facility profile showing 7 inspections from 2021 to 2025 with deficiency history and enforcement notices
Findings
Across multiple inspections from 2021 to 2025, the facility exhibited recurring deficiencies primarily related to kitchen sanitation, food service, staffing tools, medication administration, resident care plans, and complaint investigations. Several deficiencies were corrected over time, but some remained uncorrected at last visits.
Complaint Details
Complaint investigations conducted on 08/02/2023 and 10/6/2022 identified deficiencies related to staffing, acuity-based staffing tool implementation, and infection prevention.
Deficiencies (23)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen in good repair, sanitary manner, and required food inventory levels with multiple sanitation and repair issues noted |
| C0000 - Comment: Various general comments related to inspections and findings |
| C0361 - Acuity-Based Staffing Tool: Failed to implement an acuity-based staffing tool meeting regulation requirements |
| H1517 - Individual Privacy: Own Unit: Provider owned residential settings must ensure individual privacy in own unit |
| C0010 - Licensing Complaint Investigation: Findings documented from complaint investigations |
| C0360 - Staffing Requirements and Training: Staffing: Failed to provide qualified awake direct care staff sufficient in number to meet resident needs |
| C0295 - Infection Prevention & Control |
| C0245 - Resident Services: Auxilary Services: Failed to ensure ancillary services were obtained for a resident |
| C0260 - Service Plan: General: Failed to ensure service plans were reflective, clear, and updated for residents |
| C0270 - Change of Condition and Monitoring: Failed to evaluate and monitor significant changes of condition for residents |
| C0280 - Resident Health Services: Failed to ensure RN assessment and intervention for residents with significant change of condition |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate on-site health services with outside providers |
| C0300 - Systems: Medications and Treatments: Failed to ensure safe medication system and adequate professional oversight |
| C0301 - Systems: Medication Administration: Failed to ensure medications were documented by the person administering them |
| C0303 - Systems: Treatment Orders: Failed to ensure orders were carried out as prescribed and documented |
| C0304 - Systems: Medication and Treatment Review: Failed to ensure pharmacist or RN reviewed medications and treatments every 90 days |
| C0305 - Systems: Resident Right to Refuse: Failed to notify physician when resident refused medications or treatments |
| C0310 - Systems: Medication Administration: MARs/TARs were incomplete or inaccurate for residents |
| C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure newly hired caregiving staff demonstrated competency within 30 days |
| C0374 - Annual and Biennial Inservice For All Staff: Failed to have documented evidence of required dementia care in-service training |
| C0422 - Fire and Life Safety: Training For Residents: Failed to ensure residents received fire and life safety training within 24 hours of move in and annually |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-visit survey plan of correction was implemented and satisfied the Department |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to ensure environment was kept in good repair and free from unpleasant odors |
Report Facts
Inspections on page: 7
Total deficiencies: 25
Licensing violations: 10
Notices: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| KATHLEEN VERBOORT | Administrator | Named as Administrator in facility information |
| Staff 1 | Executive Director | Named in multiple findings and plan of correction responsibilities |
| Staff 2 | Dining Services Coordinator / RN | Named in kitchen sanitation and food service deficiencies and plan of correction |
| Staff 3 | Maintenance | Named in fire and life safety training and building repair findings |
| Staff 4 | Dining Services Manager | Named in kitchen sanitation findings |
| Staff 5 | Medication Technician | Named in medication administration findings |
| Staff 6 | Medication Technician | Named in medication administration findings |
| Staff 7 | Medication Technician | Named in training and medication administration findings |
| Staff 9 | Caregiver | Named in resident care and medication administration findings |
| Staff 10 | Cook | Named in kitchen sanitation findings |
| Staff 11 | Caregiver | Named in training findings |
| Staff 12 | Caregiver | Named in training findings |
| Staff 14 | Medication Technician | Named in medication administration findings |
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