Inspection Reports for Cottage Grove Post Acute
515 Grant Street, Cottage Grove, OR, 97424
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
25% better than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Capacity: 80
Deficiencies: 7
Date: Jun 27, 2025
Visit Reason
Multiple deficiencies including failure to notify physician of resident discharge, inadequate resident property protection, discharge communication failures, untimely assessments, incomplete baseline care plans, medication management issues, pain management failures, food quality concerns, and infection prevention lapses. All deficiencies were corrected by 7/23/2025.
Findings
Multiple deficiencies including failure to notify physician of resident discharge, inadequate resident property protection, discharge communication failures, untimely assessments, incomplete baseline care plans, medication management issues, pain management failures, food quality concerns, and infection prevention lapses. All deficiencies were corrected by 7/23/2025.
Deficiencies (7)
OAR 411-086-0130 Nursing Services: Notification — Refer to F580
OAR 411-087-0100 Physical Environment — Refer to F584
OAR 411-088-0080 Notice Requirements — Refer to F628
OAR 411-086-060 Comprehensive Assessment and Care Plan — Refer to F636, F637, and F655
OAR 411-086-0110 Nursing Services: Resident Care — Refer to F684 and F697
OAR 411-086-0250 Dietary Services — Refer to F804
OAR 411-086-330 Infection Control and Universal Precautions — Refer to F880
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 2
Date: Oct 16, 2024
Visit Reason
Deficiencies related to misappropriation of narcotic pain medication and failure to store narcotic medications safely. Deficiencies were not corrected at the time of the visit.
Findings
Deficiencies related to misappropriation of narcotic pain medication and failure to store narcotic medications safely. Deficiencies were not corrected at the time of the visit.
Deficiencies (2)
OAR 411-085-0360 Abuse — Refer to F602
OAR 411-086-0260 Pharmaceutical Services — Refer to F761
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 4
Date: Mar 8, 2024
Visit Reason
Deficiencies included failure to complete baseline care plans timely, inadequate ADL care, failure to follow physician orders for weights, respiratory care deficiencies, incomplete CNA performance reviews, and expired dietary certification. Some deficiencies were corrected on revisit, others remained uncorrected.
Findings
Deficiencies included failure to complete baseline care plans timely, inadequate ADL care, failure to follow physician orders for weights, respiratory care deficiencies, incomplete CNA performance reviews, and expired dietary certification. Some deficiencies were corrected on revisit, others remained uncorrected.
Deficiencies (4)
OAR 411-086-0060 Comprehensive Assessment and Care Plan — Refer to F636 and F657
OAR 411-086-0110 Nursing Services: Resident Care — Refer to F677, F684, and F695
OAR 411-086-0310 Employee Orientation and In-Service Training — Refer to F730
OAR 411-086-0250 Dietary Services — Refer to F801
Inspection Report
Capacity: 80
Deficiencies: 1
Date: Aug 28, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Deficiencies (1)
OAR 411-086-330 Infection Control and Universal Precautions — Reporting - National Health Safety Network
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 4
Date: Nov 18, 2022
Visit Reason
Multiple deficiencies including failure to maintain clean environment, abuse and neglect, failure to follow professional standards, medication errors, incomplete wound care, and lack of physician orders for CRE screening. Some deficiencies corrected, others not corrected at revisit.
Findings
Multiple deficiencies including failure to maintain clean environment, abuse and neglect, failure to follow professional standards, medication errors, incomplete wound care, and lack of physician orders for CRE screening. Some deficiencies corrected, others not corrected at revisit.
Deficiencies (4)
OAR 411-085-0360 Abuse — Refer to F600
OAR 411-086-0110 Nursing Services: Resident Care — Refer to F658, F677, F684, F760
OAR 411-086-0140 Nursing Services: Problem Resolution and Preventive Care — Refer to F686
OAR 411-086-0260 Pharmaceutical Services — Refer to F755
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 4
Date: Dec 17, 2021
Visit Reason
Deficiencies related to abuse and neglect, failure to complete comprehensive assessments timely, failure to revise care plans, failure to meet professional standards, and failure to provide supervision for swallowing safety. Some deficiencies corrected on revisit, others not corrected.
Findings
Deficiencies related to abuse and neglect, failure to complete comprehensive assessments timely, failure to revise care plans, failure to meet professional standards, and failure to provide supervision for swallowing safety. Some deficiencies corrected on revisit, others not corrected.
Deficiencies (4)
OAR 411-085-0360 Abuse — Refer to F600
OAR 411-086-0060 Comprehensive Assessment and Care Plan — Refer to F636 and F657
OAR 411-086-0110 Nursing Services: Resident Care — Refer to F658
OAR 411-086-0140 Nursing Services: Problem Resolution & Preventive Care — Refer to F689
Inspection Report
Capacity: 80
Deficiencies: 0
Date: Oct 27, 2021
Visit Reason
Focused Infection Control survey with no deficiencies.
Findings
Focused Infection Control survey with no deficiencies.
Inspection Report
Capacity: 80
Deficiencies: 0
Date: Oct 14, 2021
Visit Reason
State Licensure survey with no deficiencies.
Findings
State Licensure survey with no deficiencies.
Inspection Report
Capacity: 80
Deficiencies: 1
Date: Jun 28, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Deficiencies (1)
OAR 411-086-330 Infection Control and Universal Precautions — Reporting - National Health Safety Network
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 2
Date: Mar 22, 2021
Visit Reason
Deficiencies included failure to notify resident of grievance resolution, failure to provide timely transfer, and quality of care issues. Some deficiencies corrected on revisit, others not corrected.
Findings
Deficiencies included failure to notify resident of grievance resolution, failure to provide timely transfer, and quality of care issues. Some deficiencies corrected on revisit, others not corrected.
Deficiencies (2)
OAR 411-085-0310 Residents' Rights: Generally — Refer to F585
OAR 411-086-0110 Nursing Services: Resident Care — Refer to F684
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