Inspection Reports for Dorian Place Assisted Living Facility
375 N DORIAN DR, ONTARIO, OR, 97914
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
28
21
14
7
0
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 |
Loading inspection reports...



