Deficiencies per Year
32
24
16
8
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 4
Aug 13, 2025
Visit Reason
Complaint and re-licensure survey with 4 citations including issues with personal privacy/confidentiality of records and administrative rules. All deficiencies were corrected by the second revisit.
Findings
Complaint and re-licensure survey with 4 citations including issues with personal privacy/confidentiality of records and administrative rules. All deficiencies were corrected by the second revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0583 - Personal Privacy/Confidentiality of Records |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 29
Mar 28, 2025
Visit Reason
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 35 citations. Deficiencies included issues with informed consent for psychotropic medications, privacy, environment, abuse policies, transfer/discharge notices, comprehensive care plans, medication management, staffing, infection control, and facility assessment. Many deficiencies were corrected by the first revisit, but several remained not corrected at the second revisit.
Findings
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 35 citations. Deficiencies included issues with informed consent for psychotropic medications, privacy, environment, abuse policies, transfer/discharge notices, comprehensive care plans, medication management, staffing, infection control, and facility assessment. Many deficiencies were corrected by the first revisit, but several remained not corrected at the second revisit.
Deficiencies (29)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0583 - Personal Privacy/Confidentiality of Records |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0607 - Develop/Implement Abuse/Neglect Policies |
| F0623 - Notice Requirements Before Transfer/Discharge |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0658 - Services Provided Meet Professional Standards |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0725 - Sufficient Nursing Staff |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0730 - Nurse Aide Peform Review-12 hr/yr In-Service |
| F0732 - Posted Nurse Staffing Information |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0761 - Label/Store Drugs and Biologicals |
| F0776 - Radiology/Other Diagnostic Services |
| F0777 - Radiology/Diag Srvcs Ordered/Notify Results |
| F0838 - Facility Assessment |
| F0865 - QAPI Prgm/Plan, Disclosure/Good Faith Attmpt |
| F0880 - Infection Prevention & Control |
| F0882 - Infection Preventionist Qualifications/Role |
| F0883 - Influenza and Pneumococcal Immunizations |
| F0887 - COVID-19 Immunization |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M0185 - Bariatric Criteria and Services |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 84
Deficiencies: 1
Mar 27, 2025
Visit Reason
Federal Monitoring Survey with 1 citation (F0000 - INITIAL COMMENTS) not corrected at first visit.
Findings
Federal Monitoring Survey with 1 citation (F0000 - INITIAL COMMENTS) not corrected at first visit.
Deficiencies (1)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 6
Jan 7, 2025
Visit Reason
Complaint, licensure complaint, and state licensure survey with 6 citations including issues with room change notification, abuse and neglect, accident hazards, and administrative rules. Several deficiencies were not corrected at second visit.
Findings
Complaint, licensure complaint, and state licensure survey with 6 citations including issues with room change notification, abuse and neglect, accident hazards, and administrative rules. Several deficiencies were not corrected at second visit.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0559 - Choose/Be Notified of Room/Roommate Change |
| F0600 - Free from Abuse and Neglect |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 4
Sep 19, 2024
Visit Reason
Complaint, licensure complaint, and state licensure survey with 4 citations including abuse and neglect issues. Some deficiencies corrected at first revisit but not corrected at second revisit.
Findings
Complaint, licensure complaint, and state licensure survey with 4 citations including abuse and neglect issues. Some deficiencies corrected at first revisit but not corrected at second revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 2
Mar 15, 2024
Visit Reason
Complaint, licensure complaint, and state licensure survey with 2 citations (F0000 and M0000 - Initial Comments) not corrected at first visit.
Findings
Complaint, licensure complaint, and state licensure survey with 2 citations (F0000 and M0000 - Initial Comments) not corrected at first visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 84
Deficiencies: 1
Feb 12, 2024
Visit Reason
Focused Infection Control survey with 1 citation for failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at first visit.
Findings
Focused Infection Control survey with 1 citation for failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at first visit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 84
Deficiencies: 1
Jan 22, 2024
Visit Reason
Focused Infection Control survey with 1 citation for failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at first visit.
Findings
Focused Infection Control survey with 1 citation for failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at first visit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 25
Dec 4, 2023
Visit Reason
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 26 citations covering a wide range of deficiencies including resident rights, abuse, staffing, medication management, environment, infection control, and policies. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 26 citations covering a wide range of deficiencies including resident rights, abuse, staffing, medication management, environment, infection control, and policies. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (25)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0565 - Resident/Family Group and Response |
| F0582 - Medicaid/Medicare Coverage/Liability Notice |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0693 - Tube Feeding Mgmt/Restore Eating Skills |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0725 - Sufficient Nursing Staff |
| F0732 - Posted Nurse Staffing Information |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0761 - Label/Store Drugs and Biologicals |
| F0770 - Laboratory Services |
| F0806 - Resident Allergies, Preferences, Substitutes |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0842 - Resident Records - Identifiable Information |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| Z0000 - General Comments |
Inspection Report
Capacity: 84
Deficiencies: 1
Oct 10, 2023
Visit Reason
Focused Infection Control survey with 1 citation for failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at first visit.
Findings
Focused Infection Control survey with 1 citation for failure to report complete COVID-19 information to CDC's NHSN. Deficiency not corrected at first visit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
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