Inspection Reports for Chateau Gardens Memory Care
2669 S Cloverleaf Loop, Springfield, OR 97477, United States, OR, 97477
Back to Facility ProfileInspection Report Summary
The most recent inspection on May 7, 2025, identified multiple deficiencies related to abuse reporting, resident evaluations, treatment orders, medication administration, staff training, fire and life safety, and building maintenance. Earlier inspections showed a pattern of issues with service plan development, treatment order compliance, staffing, kitchen sanitation, and facility administration. Inspectors cited recurring concerns with treatment orders, staffing adequacy, and food service sanitation. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and complaint investigations were unsubstantiated or not noted. The facility’s deficiencies have persisted over time without a clear trend of improvement or worsening.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
16 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
139% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Re-licensure
Capacity: 28
Deficiencies: 21
Date: May 7, 2025
Visit Reason
Facility failed to promptly investigate and report abuse incidents, complete resident move-in evaluations and service plans, monitor changes of condition, carry out treatment orders as prescribed, ensure medication administration accuracy, provide staff training, maintain fire and life safety, and maintain building exterior and environment.
Findings
Facility failed to promptly investigate and report abuse incidents, complete resident move-in evaluations and service plans, monitor changes of condition, carry out treatment orders as prescribed, ensure medication administration accuracy, provide staff training, maintain fire and life safety, and maintain building exterior and environment.
Deficiencies (21)
OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action
OAR 411-054-0034 (1-6) Resident Move-in & Evaluation: Res Evaluation
OAR 411-054-0036 (1-4) Service Plan: General
OAR 411-054-0040 (1-2) Change of Condition and Monitoring
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders
OAR 411-054-0055 (1)(j-k) Systems: Resident Right to Refuse
OAR 411-054-0055 (2) Systems: Medication Administration
OAR 411-054-0055 (6) Systems: Psychotropic Medication
OAR 411-054-0060 Restraints and Supportive Devices
OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff
OAR 411-054-0090 (1-2) Fire and Life Safety: Safety
OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents
OAR 411-054-0200 (3) General Building Exterior
OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors
OAR411-004-0020(2)(e) Individual Door Locks: Key Access
OAR 411-057-0140(2) Administration Compliance
OAR 411-057-0155(1-6) Staff Training Requirements
OAR 411-057-0160(2b) Compliance with Rules Health Care
OAR 411-057-0160(2)(c)(A)(B) Nutrition and Hydration
OAR 411-057-0160(2d) Activities
OAR 411-057-0170(6) Secure Outdoor Recreation Area
Inspection Report
Kitchen
Capacity: 28
Deficiencies: 3
Date: Dec 31, 2024
Visit Reason
Facility failed to maintain kitchen in good repair and sanitary manner including accumulation of food debris, damaged equipment, missing commercial dishwasher, improper food storage, and inadequate cleaning and maintenance.
Findings
Facility failed to maintain kitchen in good repair and sanitary manner including accumulation of food debris, damaged equipment, missing commercial dishwasher, improper food storage, and inadequate cleaning and maintenance.
Deficiencies (3)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0200 (7)(e) Kitchen and Food Storage
OAR 411-057-0140(2) Administration Compliance
Inspection Report
Complaint Investigation
Capacity: 28
Deficiencies: 2
Date: Nov 20, 2024
Visit Reason
Facility failed to meet staffing requirements and update acuity based staffing tool as required.
Findings
Facility failed to meet staffing requirements and update acuity based staffing tool as required.
Deficiencies (2)
C0360 - Staffing Requirements and Training: Staffing
C0363 - Acuity Based Staffing Tool - Updates & Plan
Inspection Report
Complaint Investigation
Capacity: 28
Deficiencies: 6
Date: Apr 3, 2024
Visit Reason
Facility failed to maintain accurate records, update service plans quarterly, carry out treatment orders as prescribed, implement acuity based staffing tool, and provide adequate staff training.
Findings
Facility failed to maintain accurate records, update service plans quarterly, carry out treatment orders as prescribed, implement acuity based staffing tool, and provide adequate staff training.
Deficiencies (6)
C0155 - Facility Administration: Records
C0231 - Reporting & Investigating Abuse-Other Action
C0260 - Service Plan: General
C0303 - Systems: Treatment Orders
C0361 - Acuity-Based Staffing Tool
C0365 - Staffing Rqmt and Training: Training Rqmts
Inspection Report
Complaint Investigation
Capacity: 28
Deficiencies: 4
Date: Sep 14, 2023
Visit Reason
Facility failed licensing complaint investigation, service plan development, treatment order compliance, and acuity based staffing tool implementation.
Findings
Facility failed licensing complaint investigation, service plan development, treatment order compliance, and acuity based staffing tool implementation.
Deficiencies (4)
C0010 - Licensing Complaint Investigation
C0260 - Service Plan: General
C0303 - Systems: Treatment Orders
C0361 - Acuity-Based Staffing Tool
Inspection Report
Complaint Investigation
Capacity: 28
Deficiencies: 2
Date: Sep 14, 2023
Visit Reason
Facility failed licensing complaint investigation and treatment order compliance for multiple residents.
Findings
Facility failed licensing complaint investigation and treatment order compliance for multiple residents.
Deficiencies (2)
C0010 - Licensing Complaint Investigation
C0303 - Systems: Treatment Orders
Inspection Report
Complaint Investigation
Capacity: 28
Deficiencies: 3
Date: Sep 14, 2023
Visit Reason
Facility failed licensing complaint investigation, facility administration records accuracy, and treatment order compliance.
Findings
Facility failed licensing complaint investigation, facility administration records accuracy, and treatment order compliance.
Deficiencies (3)
C0010 - Licensing Complaint Investigation
C0155 - Facility Administration: Records
C0303 - Systems: Treatment Orders
Inspection Report
Capacity: 28
Deficiencies: 7
Date: Jun 30, 2023
Visit Reason
Facility failed to maintain kitchen sanitation, update service plans, monitor changes of condition, delegate nursing tasks, follow treatment orders, maintain fire and life safety, maintain building exterior and environment, and ensure call systems and alarms.
Findings
Facility failed to maintain kitchen sanitation, update service plans, monitor changes of condition, delegate nursing tasks, follow treatment orders, maintain fire and life safety, maintain building exterior and environment, and ensure call systems and alarms.
Deficiencies (7)
C0000 - Comment
C0240 - Resident Services Meals, Food Sanitation Rule
C0455 - Inspections and Investigation: Insp Interval
Z0142 - Administration Compliance
C0510 - General Building Exterior
C0513 - Doors, Walls, Elevators, Odors
C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Inspection Report
Re-licensure
Capacity: 28
Deficiencies: 16
Date: Apr 4, 2022
Visit Reason
Facility failed to ensure comprehensive resident evaluations, service plan development, change of condition monitoring, delegation of nursing tasks, treatment order compliance, fire and life safety, nutrition and hydration planning, activity planning, and secure outdoor recreation area compliance.
Findings
Facility failed to ensure comprehensive resident evaluations, service plan development, change of condition monitoring, delegation of nursing tasks, treatment order compliance, fire and life safety, nutrition and hydration planning, activity planning, and secure outdoor recreation area compliance.
Deficiencies (16)
C0000 - Comment
C0252 - Resident Move-In and Eval: Res Evaluation
C0262 - Service Plan: Service Planning Team
C0270 - Change of Condition and Monitoring
C0282 - Rn Delegation and Teaching
C0303 - Systems: Treatment Orders
C0420 - Fire and Life Safety: Safety
C0455 - Inspections and Investigation: Insp Interval
C0510 - General Building Exterior
C0513 - Doors, Walls, Elevators, Odors
C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Z0142 - Administration Compliance
Z0162 - Compliance With Rules Health Care
Z0163 - Nutrition and Hydration
Z0164 - Activities
Z0173 - Secure Outdoor Recreation Area
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