Deficiencies (last 5 years)
Deficiencies (over 5 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
19% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Routine
Capacity: 32
Deficiencies: 6
Mar 27, 2025
Visit Reason
Facility failed to care plan for hospice care, failed to ensure care planned interventions to reduce fall risks, failed to ensure kitchen staff wore beard restraints and food was stored properly. Multiple deficiencies remained not corrected on follow-up visits.
Findings
Facility failed to care plan for hospice care, failed to ensure care planned interventions to reduce fall risks, failed to ensure kitchen staff wore beard restraints and food was stored properly. Multiple deficiencies remained not corrected on follow-up visits.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 32
Deficiencies: 13
Feb 23, 2024
Visit Reason
Facility failed to address advance directives, failed to provide Medicare Non-Coverage notices timely, failed to meet professional standards for feeding tube care, failed to maintain safe water temperatures, failed to implement therapy orders, failed infection prevention and control, and failed to ensure RN staffing coverage. Multiple deficiencies remained not corrected on follow-up visits.
Findings
Facility failed to address advance directives, failed to provide Medicare Non-Coverage notices timely, failed to meet professional standards for feeding tube care, failed to maintain safe water temperatures, failed to implement therapy orders, failed infection prevention and control, and failed to ensure RN staffing coverage. Multiple deficiencies remained not corrected on follow-up visits.
Deficiencies (13)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0582 - Medicaid/Medicare Coverage/Liability Notice |
| F0658 - Services Provided Meet Professional Standards |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0693 - Tube Feeding Mgmt/Restore Eating Skills |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0825 - Provide/Obtain Specialized Rehab Services |
| F0867 - QAPI/QAA Improvement Activities |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 32
Deficiencies: 1
May 8, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Routine
Capacity: 32
Deficiencies: 10
Dec 20, 2022
Visit Reason
Multiple deficiencies including failure to inform residents about medications, failure to develop comprehensive care plans, failure to assess and monitor pressure ulcers, failure to timely investigate falls, failure to ensure RN coverage, failure to implement water management program, infection prevention and control issues, and failure to ensure minimum licensed nurse staffing. Some deficiencies corrected, others not corrected on follow-up visits.
Findings
Multiple deficiencies including failure to inform residents about medications, failure to develop comprehensive care plans, failure to assess and monitor pressure ulcers, failure to timely investigate falls, failure to ensure RN coverage, failure to implement water management program, infection prevention and control issues, and failure to ensure minimum licensed nurse staffing. Some deficiencies corrected, others not corrected on follow-up visits.
Deficiencies (10)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 32
Deficiencies: 1
Sep 12, 2022
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 32
Deficiencies: 1
Dec 20, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 32
Deficiencies: 1
Dec 6, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Routine
Capacity: 32
Deficiencies: 1
Oct 4, 2021
Visit Reason
No deficiencies identified during this State Licensure survey.
Findings
No deficiencies identified during this State Licensure survey.
Deficiencies (1)
| Description |
|---|
| M0000 - Initial Comments |
Inspection Report
Capacity: 32
Deficiencies: 1
Jun 28, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Complaint Investigation
Capacity: 32
Deficiencies: 5
Mar 8, 2021
Visit Reason
Facility failed to report and investigate allegations of verbal abuse timely and properly. Deficiencies related to abuse reporting and investigation remained not corrected on follow-up visits.
Findings
Facility failed to report and investigate allegations of verbal abuse timely and properly. Deficiencies related to abuse reporting and investigation remained not corrected on follow-up visits.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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