Inspection Reports for Brookdale Rose Valley Scappoose
33800 Se Frederick,Scappoose, OR, OR
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Inspection Report
Kitchen
Census: 52
Capacity: 79
Deficiencies: 22
Oct 9, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2022-2025 with deficiency history and complaint investigations.
Findings
Across multiple inspections, the facility exhibited numerous deficiencies including failure to maintain sanitary kitchen conditions, inadequate staffing levels, failure to carry out physician orders as prescribed, incomplete acuity-based staffing tools, and failure to report abuse incidents. Plans of correction were requested and acknowledged in various inspections.
Complaint Details
Multiple complaint investigations documented failures including inadequate staffing, medication errors, failure to report abuse, and deficient service plans.
Deficiencies (22)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen in a sanitary manner and ensure food was prepared and served according to Food Sanitation Rules. |
| C0010 - Licensing Complaint Investigation: Findings from complaint investigations documenting multiple regulatory violations. |
| C0360 - Staffing Requirements and Training: Staffing: Failed to have qualified awake direct care staff sufficient in number to meet residents' needs. |
| C0303 - Systems: Treatment Orders: Failed to ensure medication and treatment orders were carried out as prescribed and lacked signed physician orders. |
| C0305 - Systems: Resident Right to Refuse: Failed to notify physician when resident refused consent to orders. |
| C0362 - Acuity Based Staffing Tool: Care Elements: Failed to implement an acuity-based staffing tool including all required care elements. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department. |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to ensure all interior materials and surfaces were kept clean and in good repair. |
| C0150 - Facility Administration: Operation: Failed to be responsible for operation and quality of services rendered. |
| C0155 - Facility Administration: Records: Falsified narcotics log with missing signatures and backdated entries. |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to report instances of abuse or suspected abuse to local authorities. |
| C0260 - Service Plan: General: Failed to develop a service plan reflective of resident needs. |
| C0270 - Change of Condition and Monitoring: Failed to monitor a resident following discontinued medication. |
| C0282 - Rn Delegation and Teaching: Med tech administered insulin prior to delegation by RN. |
| C0300 - Systems: Medications and Treatments: Multiple medication administration and ordering failures. |
| C0361 - Acuity-Based Staffing Tool: Failed to adopt and implement an Acuity Based Staffing Tool as required. |
| C0365 - Staffing Rqmt and Training: Training Rqmts: Failed to evaluate competencies of direct care staff prior to duties. |
| C0420 - Fire and Life Safety: Safety: Failed to include residents in fire drills and conduct drills every other month. |
| C0200 - Resident Rights and Protection - General: Deficiency noted but details not specified. |
| C0304 - Systems: Medication and Treatment Review: Deficiency noted but details not specified. |
| C0241 - Resident Services: Laundry: Failed to implement a service planning team and ensure laundry services. |
| C0262 - Service Plan: Service Planning Team: Failed to ensure implementation of services including laundry. |
Report Facts
Inspections on page: 10
Total deficiencies: 35
Licensing violations: 10
Notices: 3
Licensed beds: 79
Facility census: 52
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings including kitchen sanitation, medication errors, staffing, and abuse reporting |
| Staff 2 | Health and Wellness Director | Named in multiple findings including kitchen sanitation, medication errors, staffing, and abuse reporting |
| Staff 3 | District Director of Operations | Named in multiple findings including medication errors, staffing, and abuse reporting |
| Staff 4 | Maintenance Supervisor | Named in findings related to facility repairs and maintenance |
| Staff 8 | Med Tech | Named in findings related to staff training and competency |
| Staff 10 | Med Tech | Named in findings related to insulin administration without delegation |
| Staff 17 | Health and Wellness Coordinator | Named in medication order and monitoring findings |
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