Inspection Reports for Brookdale Roseburg
3400 NW Edenbower Blvd,Roseburg, OR, OR
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Inspection Report
Kitchen
Capacity: 60
Deficiencies: 14
Jun 17, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2021 to 2025 with deficiency history and licensing violations.
Findings
Across multiple inspections from 2021 to 2025, the facility exhibited repeated deficiencies related to food sanitation, administration compliance, staffing, resident health services, environmental maintenance, and medication administration. Several deficiencies remained uncorrected over multiple visits, with some improvements noted in later inspections.
Complaint Details
Complaint investigation conducted on 2025-04-22 with 2 deficiencies noted related to staffing and acuity based staffing tool; deficiencies not corrected as of last visit.
Deficiencies (14)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen in good repair and sanitary manner including food spills, contamination risks, improper food storage, and staff hygiene issues. |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities. |
| C0360 - Staffing Requirements and Training: Staffing |
| C0363 - Acuity Based Staffing Tool - Updates & Plan |
| C0000 - Comment: Facility was in substantial compliance with applicable OARs; technical assistance provided. |
| H1517 - Individual Privacy: Own Unit: No lock on apartment side of door to shared bathrooms. |
| C0270 - Change of Condition and Monitoring: Failed to monitor and document short-term changes of condition for residents, resulting in worsening conditions. |
| C0280 - Resident Health Services: Failed to ensure RN performed assessments and updated service plans for residents with significant condition changes. |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to incorporate outside service provider recommendations into resident care plans and communicate to staff. |
| C0303 - Systems: Treatment Orders: Failed to ensure signed physician orders documented for all medications. |
| C0310 - Systems: Medication Administration: MARs inaccurate and lacked clear parameters for medication administration. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department. |
| C0513 - Doors, Walls, Elevators, Odors: Facility environment not clean or maintained in good repair; furniture and carpet damaged or stained. |
| Z0162 - Compliance With Rules Health Care: Failed to provide health care services in accordance with licensing rules; repeat citation. |
Report Facts
Inspections on page: 6
Total deficiencies: 17
Licensing violations: 10
Licensed beds: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings related to acknowledgment of deficiencies and compliance responsibilities |
| Staff 2 | RN / Dining Director / Health and Wellness Director (varies by context) | Named in findings related to food sanitation, resident health services, and plan of correction monitoring |
| Staff 3 | Health and Wellness Director | Acknowledged kitchen sanitation deficiencies |
| Staff 19 | Caregiver | Reported resident condition during interview |
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