Inspection Reports for Ciel of Cedar Mill
9860 NW Cornell Rd, Portland, OR 97229, United States, OR, 97229
Back to Facility ProfileDeficiencies per Year
36
27
18
9
0
Unclassified
Inspection Report
Kitchen
Census: 27
Capacity: 30
Deficiencies: 33
Aug 28, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2022 to 2025 with deficiency history and enforcement actions
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited numerous deficiencies including failure to maintain sanitary kitchen conditions, inadequate infection prevention and control, insufficient staffing levels, incomplete service plans, lack of proper fire and life safety procedures, and failure to provide individualized resident care and activities. Several deficiencies were corrected over time, but some remained uncorrected at the most recent inspections.
Complaint Details
Survey MBNB on 2024-06-11 was a Licensure Complaint, Complaint Investigation with 4 deficiencies noted, all not corrected at that visit.
Deficiencies (33)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen sanitation and food preparation in accordance with Food Sanitation Rules |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0260 - Service Plan: General: Service plans not reflective of resident needs and not readily available to staff |
| C0295 - Infection Prevention & Control: Failed to maintain infection prevention and control protocols during ADL care and meal service |
| C0330 - Systems: Psychotropic Medication: Failed to document nonpharmacological interventions prior to PRN psychotropic medication administration |
| C0360 - Staffing Requirements and Training: Staffing: Insufficient direct care staff to meet resident needs and fire safety evacuation standards |
| C0361 - Acuity-Based Staffing Tool: Failed to implement an acuity-based staffing tool including all required ADLs and staff time needed |
| C0420 - Fire and Life Safety: Safety: Failed to conduct fire drills per Oregon Fire Code and document evacuations |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department |
| H1510 - Individual Rights Settings: Privacy, Dignity: Failed to ensure privacy and dignity due to no locks on shared bathrooms |
| H1518 - Individual Door Locks: Key Access: Failed to ensure only appropriate staff and individuals had keys to access units |
| C0200 - Resident Rights and Protection - General: Deficiencies noted |
| C0243 - Resident Services: Adls: Deficiencies noted |
| C0000 - Comment: Various comments related to inspections |
| C0150 - Facility Administration: Operation: Failed to provide effective oversight to ensure quality of care and services |
| C0160 - Reasonable Precautions: Failed to exercise reasonable precautions against conditions threatening health, safety, or welfare |
| C0242 - Resident Services: Activities: Failed to provide daily social and recreational activities based on resident needs |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to update initial and quarterly evaluations timely and reflective of resident needs |
| C0262 - Service Plan: Service Planning Team: Failed to ensure service plans developed by appropriate service planning team |
| C0270 - Change of Condition and Monitoring: Failed to evaluate and monitor changes of condition for residents |
| C0280 - Resident Health Services: Failed to ensure RN completed significant change of condition assessments and updated service plans |
| C0300 - Systems: Medications and Treatments: Failed to ensure safe medication system and adequate professional oversight |
| C0303 - Systems: Treatment Orders: Failed to carry out orders as prescribed for sampled residents |
| C0305 - Systems: Resident Right to Refuse: Failed to notify physician when resident refused medication or treatment |
| C0310 - Systems: Medication Administration: Failed to ensure MARs were accurate and included medication-specific instructions |
| C0422 - Fire and Life Safety: Training For Residents: Failed to provide fire and life safety instruction to residents |
| C0513 - Doors, Walls, Elevators, Odors: Failed to maintain environment in clean and good repair |
| C0530 - Housekeeping and Laundry: Failed to ensure washing machines had proper rinse temperature and detergent dispensers filled |
| Z0155 - Staff Training Requirements: Failed to ensure newly hired staff completed orientation and annual in-service training |
| Z0163 - Nutrition and Hydration: Failed to ensure individualized nutrition and hydration plans for residents |
| Z0164 - Activities: Failed to ensure individualized activity plans and meaningful activities for residents |
| Z0165 - Behavior: Failed to provide individualized service plan for behavioral symptoms impacting resident or others |
| Z0176 - Resident Rooms: Failed to ensure residents' rooms were individually identified to assist recognition |
Report Facts
Inspections on page: 5
Total deficiencies: 44
Total surveys: 5
Licensed beds: 30
Census: 27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Memory Care Director | Named in multiple findings including infection control, staffing, service plans, and fire safety |
| Staff 2 | Executive Director | Named in multiple findings including kitchen sanitation, infection control, staffing, and fire safety |
| Staff 3 | Health and Wellness Director | Named in multiple findings including infection control, staffing, and training |
| Staff 5 | Maintenance Director | Named in findings related to fire safety and environmental maintenance |
| Staff 6 | Business Office Manager | Named in staff training findings |
| Staff 7 | Resident Care Assistant | Named in infection control and training findings |
| Staff 8 | Medication Technician | Named in training and medication administration findings |
| Staff 9 | Resident Care Assistant | Named in infection control and training findings |
| Staff 11 | Maintenance Director | Named in privacy and fire safety findings |
| Staff 12 | Resident Care Assistant | Named in service plan findings |
| Staff 13 | Medication Technician | Named in staffing findings |
| Staff 14 | Resident Care Assistant | Named in service plan findings |
| Staff 15 | Licensed Practical Nurse | Named in infection control and staffing findings |
| Staff 16 | Assisted Living Coordinator | Named in infection control and staffing findings |
| Staff 18 | Resident Care Assistant | Named in service plan and training findings |
| Staff 19 | Resident Care Assistant | Named in infection control findings |
| Staff 20 | Memory Care Director | Named in privacy findings |
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