Inspection Reports for Dorian Place Assisted Living Facility

375 N DORIAN DR, ONTARIO, OR, 97914

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 6.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

1% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

28 21 14 7 0
2021
2022
2023
2024
2025
Inspection Report Kitchen Capacity: 50 Deficiencies: 2 Jul 16, 2025
Visit Reason
Facility failed to ensure the kitchen was clean and in good repair in accordance with Food Sanitation Rules. Multiple areas had food spills, debris, dirt, and equipment in disrepair. Food storage and preparation practices were inadequate. Infection control and cleaning were deficient. Refrigerator temperatures were not maintained properly. The kitchen was toured and findings acknowledged.
Findings
Facility failed to ensure the kitchen was clean and in good repair in accordance with Food Sanitation Rules. Multiple areas had food spills, debris, dirt, and equipment in disrepair. Food storage and preparation practices were inadequate. Infection control and cleaning were deficient. Refrigerator temperatures were not maintained properly. The kitchen was toured and findings acknowledged.
Deficiencies (2)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval
Inspection Report Health & Safety Monitoring Capacity: 50 Deficiencies: 2 Nov 25, 2024
Visit Reason
Facility failed to ensure RN delegation and teaching were properly documented and supervised for insulin administration. Training within 30 days for direct care staff was incomplete. Multiple deficiencies in resident health services, medication administration, infection control, and service plan updates were identified.
Findings
Facility failed to ensure RN delegation and teaching were properly documented and supervised for insulin administration. Training within 30 days for direct care staff was incomplete. Multiple deficiencies in resident health services, medication administration, infection control, and service plan updates were identified.
Deficiencies (2)
Description
OAR 411-054-0045 (1)(f)(B) RN Delegation and Teaching
OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff
Inspection Report Re-licensure Capacity: 50 Deficiencies: 26 Sep 20, 2024
Visit Reason
Facility failed to provide effective administrative oversight and quality improvement programs. Multiple deficiencies in resident evaluations, service plans, change of condition monitoring, resident health services, medication systems, infection control, restraints, staffing, fire and life safety, and building maintenance were identified. Many deficiencies were repeated and not corrected at revisits.
Findings
Facility failed to provide effective administrative oversight and quality improvement programs. Multiple deficiencies in resident evaluations, service plans, change of condition monitoring, resident health services, medication systems, infection control, restraints, staffing, fire and life safety, and building maintenance were identified. Many deficiencies were repeated and not corrected at revisits.
Deficiencies (26)
Description
OAR 411-054-0025 (1) Facility Administration: Operation
OAR 411-054-0025 (9) Facility Administration: Quality Improvement
OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action
OAR 411-054-0034 (1-6) Resident Move-in and Eval: Res Evaluation
OAR 411-054-0036 (1-4) Service Plan: General
OAR 411-054-0040 (1-2) Change of Condition and Monitoring
OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services
OAR 411-054-0045 (1)(f)(B) RN Delegation and Teaching
OAR 411-054-0045(2) Res Hlth Srvc: On- and Off-Site Health Srvc
OAR 411-054-0050(1-5) Infection Prevention & Control
OAR 411-054-0055 (1)(a) Systems: Medications and Treatments
OAR 411-054-0055 (1)(e) Systems: Tracking Control Substances
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders
OAR 411-054-0055 (1)(j-k) Systems: Resident Right to Refuse
OAR 411-054-0055 (2) Systems: Medication Administration
OAR 411-054-0055 (5) Systems: Self-Administration of Meds
OAR 411-054-0055 (6) Systems: Psychotropic Medication
OAR 411-054-0060 Restraints and Supportive Devices
OAR 411-054-0070 (3-4) Staffing Rqmts and Training: Caregiver Rqmts
OAR 411-054-0070 (6)(9) Training within 30 days: Direct Care Staff
OAR 411-054-0090 (1-2) Fire and Life Safety: Safety
OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents
OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval
OAR 411-054-0300 (3)(a-h) General Building Exterior
OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable
OAR 411-054-0300 (7)(b-d) House Keeping and Sanitation
Inspection Report Complaint Investigation Capacity: 50 Deficiencies: 1 Sep 11, 2024
Visit Reason
Facility failed to carry out medication orders as prescribed for 1 sampled resident. Medication error was reported and additional training provided to involved staff.
Findings
Facility failed to carry out medication orders as prescribed for 1 sampled resident. Medication error was reported and additional training provided to involved staff.
Deficiencies (1)
Description
OAR 411-054-0055 (1)(a) Systems: Medications and Treatments
Inspection Report Capacity: 50 Deficiencies: 1 Dec 19, 2023
Visit Reason
Kitchen inspection documented with findings related to food sanitation and cleanliness. Facility found in substantial compliance at revisit. Deficiencies related to food sanitation rule noted with plan of correction.
Findings
Kitchen inspection documented with findings related to food sanitation and cleanliness. Facility found in substantial compliance at revisit. Deficiencies related to food sanitation rule noted with plan of correction.
Deficiencies (1)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
Inspection Report Capacity: 50 Deficiencies: 1 Oct 24, 2022
Visit Reason
Kitchen inspection documented with findings related to food sanitation and cleanliness. Facility found in substantial compliance at revisit. Deficiencies related to food sanitation rule noted with plan of correction.
Findings
Kitchen inspection documented with findings related to food sanitation and cleanliness. Facility found in substantial compliance at revisit. Deficiencies related to food sanitation rule noted with plan of correction.
Deficiencies (1)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
Inspection Report Re-licensure Capacity: 50 Deficiencies: 1 Jul 27, 2021
Visit Reason
Re-licensure survey with multiple deficiencies noted including medication administration and treatment orders, fire and life safety, and resident evaluations. Some deficiencies corrected at revisits.
Findings
Re-licensure survey with multiple deficiencies noted including medication administration and treatment orders, fire and life safety, and resident evaluations. Some deficiencies corrected at revisits.
Deficiencies (1)
Description
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders

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