Inspection Reports for East Cascade Retirement Community

175 NE 16TH STREET, OR, 97741

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 10.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

61% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

20 15 10 5 0
2022
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 2 Nov 18, 2025
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 2 Sep 11, 2025
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 2 Aug 26, 2025
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 2 Jun 10, 2025
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Kitchen Capacity: 48 Deficiencies: 2 Jan 6, 2025
Visit Reason
Facility failed to ensure food was prepared in accordance with Food Sanitation Rules including issues with cleanliness, food storage, labeling, temperature monitoring, and equipment operation. Staffing requirements and training deficiencies were also noted.
Findings
Facility failed to ensure food was prepared in accordance with Food Sanitation Rules including issues with cleanliness, food storage, labeling, temperature monitoring, and equipment operation. Staffing requirements and training deficiencies were also noted.
Deficiencies (2)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0070 (3-4) Staffing Requirements and Training – Pre-service
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 5 Oct 9, 2024
Visit Reason
Based on observation, interview, and record review it was determined the facility failed to ensure medications and biologicals were secured and accessible only to authorized personnel, and failed to monitor and maintain refrigerator and dishwasher temperatures. Additional deficiencies included failure to follow state administrative rules. Some deficiencies were corrected by 10/30/2024 but not corrected at follow-up on 11/13/2024.
Findings
Based on observation, interview, and record review it was determined the facility failed to ensure medications and biologicals were secured and accessible only to authorized personnel, and failed to monitor and maintain refrigerator and dishwasher temperatures. Additional deficiencies included failure to follow state administrative rules. Some deficiencies were corrected by 10/30/2024 but not corrected at follow-up on 11/13/2024.
Deficiencies (5)
Description
F0000 - INITIAL COMMENTS
F0761 - Label/Store Drugs and Biologicals
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 4 Jul 11, 2024
Visit Reason
The facility failed to notify a physician and obtain orders for a worsening pressure ulcer for one resident, resulting in worsening wounds and hospitalization. Additional deficiencies included failure to follow state administrative rules and inadequate wound care documentation. Some deficiencies were corrected but others remained not corrected at follow-up.
Findings
The facility failed to notify a physician and obtain orders for a worsening pressure ulcer for one resident, resulting in worsening wounds and hospitalization. Additional deficiencies included failure to follow state administrative rules and inadequate wound care documentation. Some deficiencies were corrected but others remained not corrected at follow-up.
Deficiencies (4)
Description
F0000 - INITIAL COMMENTS
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Validation, Re-Licensure Capacity: 48 Deficiencies: 1 Oct 17, 2023
Visit Reason
Re-licensure survey identified multiple deficiencies including resident evaluations, service plans, change of condition monitoring, health services coordination, medication and treatment systems, staffing, training, building maintenance, and documentation. Many deficiencies were corrected by revisit in February 2024, but some remained not corrected.
Findings
Re-licensure survey identified multiple deficiencies including resident evaluations, service plans, change of condition monitoring, health services coordination, medication and treatment systems, staffing, training, building maintenance, and documentation. Many deficiencies were corrected by revisit in February 2024, but some remained not corrected.
Deficiencies (1)
Description
OAR 411-054-0030 (ALL related citations merged)
Inspection Report State Licensure, Other Capacity: 48 Deficiencies: 2 Aug 17, 2023
Visit Reason
Kitchen inspection found failures in food sanitation including cleanliness, food storage, labeling, temperature monitoring, and equipment maintenance. Revisit findings showed substantial compliance by January 2024.
Findings
Kitchen inspection found failures in food sanitation including cleanliness, food storage, labeling, temperature monitoring, and equipment maintenance. Revisit findings showed substantial compliance by January 2024.
Deficiencies (2)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-054-0030 related citations
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 17 Jun 30, 2023
Visit Reason
Multiple deficiencies including failure to maintain a safe and clean environment, inadequate ADL care, medication errors, pain management issues, staffing shortages, failure to post accurate nurse staffing information, failure to follow dietary and therapeutic diet orders, call system failures, and unsecured handrails. Many deficiencies were corrected by 7/24/2023 but not corrected at follow-up on 8/16/2023.
Findings
Multiple deficiencies including failure to maintain a safe and clean environment, inadequate ADL care, medication errors, pain management issues, staffing shortages, failure to post accurate nurse staffing information, failure to follow dietary and therapeutic diet orders, call system failures, and unsecured handrails. Many deficiencies were corrected by 7/24/2023 but not corrected at follow-up on 8/16/2023.
Deficiencies (17)
Description
F0000 - INITIAL COMMENTS
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0677 - ADL Care Provided for Dependent Residents
F0684 - Quality of Care
F0691 - Colostomy, Urostomy, or Ileostomy Care
F0695 - Respiratory/Tracheostomy Care and Suctioning
F0697 - Pain Management
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0732 - Posted Nurse Staffing Information
F0756 - Drug Regimen Review, Report Irregular, Act On
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0803 - Menus Meet Resident Nds/Prep in Adv/Followed
F0808 - Therapeutic Diet Prescribed by Physician
F0919 - Resident Call System
F0924 - Corridors have Firmly Secured Handrails
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Capacity: 20 Deficiencies: 1 Jan 3, 2023
Visit Reason
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day reporting period, potentially causing more than minimal harm to all residents.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day reporting period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
Description
F0884 - Reporting - National Health Safety Network
Inspection Report Capacity: 20 Deficiencies: 1 Dec 27, 2022
Visit Reason
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day reporting period, potentially causing more than minimal harm to all residents.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day reporting period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
Description
F0884 - Reporting - National Health Safety Network
Inspection Report Capacity: 20 Deficiencies: 1 Dec 19, 2022
Visit Reason
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day reporting period, potentially causing more than minimal harm to all residents.
Findings
The facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day reporting period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
Description
F0884 - Reporting - National Health Safety Network
Inspection Report State Licensure, Other Capacity: 48 Deficiencies: 1 Jul 14, 2022
Visit Reason
Kitchen inspection identified failures in food sanitation including cleanliness, food storage, labeling, temperature monitoring, and staff hygiene. Revisit in October 2022 found substantial compliance.
Findings
Kitchen inspection identified failures in food sanitation including cleanliness, food storage, labeling, temperature monitoring, and staff hygiene. Revisit in October 2022 found substantial compliance.
Deficiencies (1)
Description
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule

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