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
Date: 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)
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
Date: 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)
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
Date: 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)
F0884 - Reporting - National Health Safety Network
Inspection Report
Routine
Capacity: 32
Deficiencies: 10
Date: 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)
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
Date: 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)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 32
Deficiencies: 1
Date: 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)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 32
Deficiencies: 1
Date: 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)
F0884 - Reporting - National Health Safety Network
Inspection Report
Routine
Capacity: 32
Deficiencies: 1
Date: Oct 4, 2021
Visit Reason
No deficiencies identified during this State Licensure survey.
Findings
No deficiencies identified during this State Licensure survey.
Deficiencies (1)
M0000 - Initial Comments
Inspection Report
Capacity: 32
Deficiencies: 1
Date: 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)
F0884 - Reporting - National Health Safety Network
Inspection Report
Complaint Investigation
Capacity: 32
Deficiencies: 5
Date: 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)
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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