Inspection Reports for Brookdale Wilsonville
8170 Vlahos Dr,Wilsonville, OR, OR
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Inspection Report
Kitchen
Capacity: 32
Deficiencies: 26
Jun 18, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2022-2025 with deficiency history and enforcement notices
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited repeated deficiencies related to kitchen sanitation, staffing, resident care, record accuracy, fire and life safety, and service planning. Several deficiencies were not corrected promptly, with some repeat citations noted. Plans of correction were provided for all findings.
Complaint Details
Complaint investigations conducted on 12/20/2022 and 9/13/2023 identified multiple deficiencies including falsified records, insufficient staffing, and treatment order issues.
Deficiencies (26)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules including cleaning and repair needs in multiple kitchen areas and staff not using beard restraints. |
| C0000 - Comment: Kitchen inspection findings documented with multiple revisit visits showing ongoing issues. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to maintain kitchen cleanliness and repair including dirty cupboards, peeling laminate, debris on equipment, uncovered food, and personal items stored improperly. |
| C0455 - Inspections and Investigation: Insp Interval: Facility failed to ensure kitchen inspection plan of correction was implemented and satisfied the Department. |
| C0010 - Licensing Complaint Investigation: Findings of complaint investigation documented with deficiencies identified. |
| C0155 - Facility Administration: Records: Facility falsified records and failed to ensure accuracy and preservation of resident records. |
| C0360 - Staffing Requirements and Training: Staffing: Facility failed to provide sufficient care staff to meet resident needs. |
| C0370 - Staffing Requirements and Training – Pre-Serv: Facility failed to have a training program that includes competency determination for direct care staff. |
| C0613 - General Building: Doors-Walls, Cleanable: Facility failed to keep interior surfaces in good repair including a hole in resident's drywall. |
| C0200 - Resident Rights and Protection - General: Facility failed to ensure resident was treated with dignity and respect, including failure to respond timely to call light. |
| C0231 - Reporting & Investigating Abuse-Other Action: Facility failed to conduct immediate investigation and report suspected abuse to local SPD office. |
| C0243 - Resident Services: Adls: Facility failed to provide assistance with activities of daily living for resident requiring bowel and bladder management. |
| C0252 - Resident Move-In and Eval: Res Evaluation: Facility failed to ensure move-in evaluations addressed all required elements. |
| C0262 - Service Plan: Service Planning Team: Facility failed to ensure service plans were developed by a Service Planning Team including required participants. |
| C0270 - Change of Condition and Monitoring: Facility failed to ensure changes of condition were monitored and evaluated until resolved for sampled residents. |
| C0361 - Acuity-Based Staffing Tool: Facility failed to implement an acuity based staffing tool that met regulation requirements including all 22 ADL components. |
| C0370 - Staffing Requirements and Training – Pre-Serv: Facility failed to ensure newly hired staff completed infectious disease prevention training prior to job duties. |
| C0420 - Fire and Life Safety: Safety: Facility failed to conduct fire drills every other month and provide fire and life safety instruction on alternate months as required. |
| C0422 - Fire and Life Safety: Training For Residents: Facility failed to ensure residents were instructed on fire and life safety procedures annually. |
| C0455 - Inspections and Investigation: Insp Interval: Facility failed to ensure relicensure survey plan of correction was implemented and satisfied the Department. |
| C0010 - Licensing Complaint Investigation: Complaint investigation findings documented. |
| C0303 - Systems: Treatment Orders: Deficiency noted but details not provided. |
| C0360 - Staffing Requirements and Training: Staffing: Staffing deficiencies noted during complaint investigation. |
| C0361 - Acuity-Based Staffing Tool: Deficiency noted during complaint investigation. |
| C0000 - Comment: Kitchen inspection findings documented with revisit showing substantial compliance. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to ensure kitchen was clean with multiple areas needing cleaning and labeling issues. |
Report Facts
Inspections on page: 6
Total deficiencies: 22
Total surveys: 6
Licensing violations: 10
Notices: 3
Licensed beds: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings including kitchen sanitation, record falsification, staffing, and plan of correction acknowledgements |
| Staff 2 | LPN / District Director Clinical RN / Cook | Named in findings related to kitchen sanitation, record falsification, staffing, and plan of correction acknowledgements |
| Staff 3 | Med Tech | Named in findings related to record falsification and training |
| Staff 7 | ED 2 | Named in findings related to acuity-based staffing tool and changes of condition |
| Staff 8 | ED 3 | Named in findings related to changes of condition and acuity-based staffing tool |
| Staff 9 | Health Wellness Director, LPN | Named in findings related to acuity-based staffing tool and changes of condition |
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