Inspection Reports for Clackamas Heights Senior Living

14550 Southeast Vista Lane, Milwaukie, OR 97267, OR, 97267

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 9.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

46% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

20 15 10 5 0
2021
2022
2023
2025

Inspection Report

Complaint Investigation
Capacity: 40 Deficiencies: 1 Date: May 19, 2025

Visit Reason
The complaint investigation found issues documented related to compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. The investigation was not corrected at the time of visit.

Findings
The complaint investigation found issues documented related to compliance with OARs 411 Division 54 for Residential Care and Assisted Living Facilities. The investigation was not corrected at the time of visit.

Deficiencies (1)
OAR 411-054-0010 — Licensing Complaint Investigation

Inspection Report

Capacity: 40 Deficiencies: 1 Date: Feb 20, 2025

Visit Reason
Facility failed to ensure kitchen practices and protocols met Food Sanitation Rules. Multiple areas in the kitchen required cleaning and maintenance. Deficiency remained uncorrected after revisit.

Findings
Facility failed to ensure kitchen practices and protocols met Food Sanitation Rules. Multiple areas in the kitchen required cleaning and maintenance. Deficiency remained uncorrected after revisit.

Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule

Inspection Report

Capacity: 40 Deficiencies: 7 Date: Feb 12, 2025

Visit Reason
Multiple deficiencies including staff training within 30 days of hire, annual inservice training, fire and life safety, housekeeping, plumbing, call systems, and related regulations. None of the deficiencies were corrected at revisit.

Findings
Multiple deficiencies including staff training within 30 days of hire, annual inservice training, fire and life safety, housekeeping, plumbing, call systems, and related regulations. None of the deficiencies were corrected at revisit.

Deficiencies (7)
OAR 411-054-0070 — Training Within 30 Days of Hire – Direct Care Staff
OAR 411-054-0070 — Annual and Biennial Inservice for All Staff
OAR 411-054-0090 — Fire and Life Safety: Safety
OAR 411-054-0090 — Fire and Life Safety: Training for Residents
OAR 411-054-0200 — Housekeeping and Laundry
OAR 411-054-0200 — Plumbing Systems
OAR 411-054-0200 — Call Sys, Exit Dr Alarm, Phones, TV, or Cable

Inspection Report

Capacity: 40 Deficiencies: 1 Date: Dec 1, 2023

Visit Reason
Kitchen inspection found initial deficiencies related to food sanitation and kitchen maintenance. Revisit showed substantial compliance with corrections made for food sanitation.

Findings
Kitchen inspection found initial deficiencies related to food sanitation and kitchen maintenance. Revisit showed substantial compliance with corrections made for food sanitation.

Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule

Inspection Report

Complaint Investigation
Capacity: 40 Deficiencies: 8 Date: Mar 24, 2023

Visit Reason
Complaint investigation revealed multiple deficiencies including facility administration, resident services, infection prevention, staffing, and environmental cleanliness. Deficiencies were not corrected at time of visit.

Findings
Complaint investigation revealed multiple deficiencies including facility administration, resident services, infection prevention, staffing, and environmental cleanliness. Deficiencies were not corrected at time of visit.

Deficiencies (8)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0151 — Facility Administration: Criminal History
OAR 411-054-0243 — Resident Services: ADLs
OAR 411-054-0252 — Resident Move-In and Eval: Resident Evaluation
OAR 411-054-0295 — Infection Prevention & Control
OAR 411-054-0360 — Staffing Requirements and Training: Staffing
OAR 411-054-0361 — Acuity-Based Staffing Tool
OAR 411-054-0513 — Doors, Walls, Elevators, Odors

Inspection Report

Complaint Investigation
Capacity: 40 Deficiencies: 2 Date: Aug 31, 2022

Visit Reason
Complaint investigation identified deficiencies related to licensing complaint investigation and facility administration criminal history. Deficiencies were not corrected at time of visit.

Findings
Complaint investigation identified deficiencies related to licensing complaint investigation and facility administration criminal history. Deficiencies were not corrected at time of visit.

Deficiencies (2)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0151 — Facility Administration: Criminal History

Inspection Report

Capacity: 40 Deficiencies: 19 Date: Sep 21, 2021

Visit Reason
Validation and re-licensure survey found multiple deficiencies including reporting and investigating abuse, resident services, service plans, medication administration, fire and life safety, environmental maintenance, and staffing. Some deficiencies were corrected in subsequent revisits, others remained uncorrected.

Findings
Validation and re-licensure survey found multiple deficiencies including reporting and investigating abuse, resident services, service plans, medication administration, fire and life safety, environmental maintenance, and staffing. Some deficiencies were corrected in subsequent revisits, others remained uncorrected.

Deficiencies (19)
OAR 411-054-0000 — General Comments and Multiple Citations (ALL merged)
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0252 — Resident Move-In and Eval: Resident Evaluation
OAR 411-054-0260 — Service Plan: General
OAR 411-054-0262 — Service Plan: Service Planning Team
OAR 411-054-0270 — Change of Condition and Monitoring
OAR 411-054-0303 — Systems: Treatment Orders
OAR 411-054-0310 — Systems: Medication Administration
OAR 411-054-0330 — Systems: Psychotropic Medication
OAR 411-054-0370 — Staffing Requirements and Training – Pre-Serv
OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff
OAR 411-054-0420 — Fire and Life Safety: Safety
OAR 411-054-0422 — Fire and Life Safety: Training For Residents
OAR 411-054-0455 — Inspections and Investigation: Insp Interval
OAR 411-054-0510 — General Building Exterior
OAR 411-054-0513 — Doors, Walls, Elevators, Odors
OAR 411-054-0515 — Resident Units
OAR 411-054-0555 — Call Sys, Exit Dr Alarm, Phones, TV, or Cable

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