Inspection Reports for Coral Springs Residential Care
2520 Coral Ave NE., Salem, OR 97305, OR, 97305
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Inspection Report
Capacity: 32
Deficiencies: 9
Sep 11, 2025
Visit Reason
State-compiled facility profile showing 3 inspections from 2022-2025 with deficiency history and enforcement notices.
Findings
Across all inspections, the facility demonstrated multiple deficiencies including kitchen sanitation and maintenance issues, failure to follow licensing rules, incomplete resident assessments, inadequate psychotropic medication management, improper use of restraints, and failure to implement a compliant acuity-based staffing tool. Some deficiencies were corrected over time while others remained uncorrected.
Deficiencies (9)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to maintain the kitchen in good repair and sanitary manner including food spills, damaged walls, lack of proper thermometer, contaminated utensils, improper food reheating, and improper food storage. |
| Z0142 - Administration Compliance: Facility failed to follow licensing rules for Residential Care and Assisted Living Facilities as referenced in C240. |
| C0000 - Comment: Findings of annual kitchen inspection documented substantial compliance with relevant OARs. |
| C0260 - Service Plan: General: Failed to ensure service plans were consistently followed by staff for a sampled resident, including use of floating heels, foam booties, fluids within reach, and bed position. |
| C0280 - Resident Health Services: Failed to ensure RN assessment was completed for a resident with pressure ulcers documenting findings and interventions. |
| C0330 - Systems: Psychotropic Medication: Failed to ensure PRN medications had resident-specific parameters and non-drug interventions documented prior to administration for two residents. |
| C0340 - Restraints and Supportive Devices: Failed to ensure assessments were completed prior to use and evaluated quarterly for supportive devices with restraining qualities for sampled residents. |
| C0361 - Acuity-Based Staffing Tool: Failed to implement an acuity-based staffing tool that met regulation requirements including all 22 ADL components; repeat citation. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department; referenced C361. |
Report Facts
Inspections on page: 3
Total deficiencies: 8
Total licensing violations: 7
Total notices: 1
Licensed beds: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Josephine Hernandez | Administrator | Named in multiple findings and acknowledged deficiencies |
| Staff 1 | Administrator | Acknowledged identified concerns in kitchen and other findings |
| Staff 2 | Lead Cook/Person In Charge | Acknowledged kitchen deficiencies and observed unsafe practices |
| Staff 3 | Memory Care Director | Acknowledged kitchen deficiencies |
| Staff 4 | Wellness Nurse | Acknowledged kitchen deficiencies |
| Staff 5 | RN | Acknowledged findings related to resident assessments and medication |
| Staff 19 | Director of Nursing Services | Acknowledged multiple findings including medication and staffing tool |
| Staff 3 | LPN | Provided information on restraint device use |
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