Inspection Reports for East Cascade Retirement Community
175 NE 16TH STREET, OR, 97741
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Inspection Report
Kitchen
Capacity: 48
Deficiencies: 19
May 21, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-2025 with deficiency history and enforcement notices
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited repeated deficiencies related to food sanitation, staffing training, medication administration, resident care plans, and building maintenance. Some deficiencies were corrected over time, while others remained uncorrected as of the latest inspections.
Deficiencies (19)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure food was prepared and stored in accordance with Food Sanitation Rules, including issues with cleanliness, food labeling, temperature monitoring, and storage practices |
| C0370 - Staffing Requirements and Training – Pre-service: Failed to ensure staff had completed required pre-service orientation and food handler's certificates |
| C0000 - Comment: General comments related to inspections |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to ensure move-in evaluations addressed all required elements and were updated within 30 days |
| C0260 - Service Plan: General: Failed to ensure service plans reflected current resident status and were updated after significant changes |
| C0270 - Change of Condition and Monitoring: Failed to ensure short-term changes of condition had documented actions and monitoring until resolution |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate and document outside health service provider notes |
| C0300 - Systems: Medications and Treatments: Failed to ensure safe medication and treatment administration system with adequate oversight |
| C0302 - Systems: Tracking Control Substances: Failed to accurately track controlled substances administered |
| C0303 - Systems: Treatment Orders: Failed to ensure written, signed physician orders for medications and treatments |
| C0305 - Systems: Resident Right to Refuse: Failed to notify physician when resident refused medication orders |
| C0325 - Systems: Self-Administration of Meds: Failed to ensure residents had physician orders and evaluations for self-administering medications |
| C0330 - Systems: Psychotropic Medication: Failed to ensure resident-specific parameters and documentation of non-pharmacological interventions prior to PRN psychotropic medication administration |
| C0361 - Acuity-Based Staffing Tool: Failed to maintain accurate and current acuity-based staffing tool entries and staffing levels |
| C0370 - Staffing Requirements and Training – Pre-Serv: Failed to ensure newly hired staff completed required pre-service orientation training prior to job start |
| C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure newly hired direct care staff demonstrated competency within 30 days |
| C0374 - Annual and Biennial Inservice For All Staff: Failed to ensure required annual in-service training including dementia care was completed |
| C0610 - General Building Exterior: Failed to maintain exterior pathways in good repair and keep grounds orderly and free of refuse |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to keep interior materials and surfaces clean and in good repair |
Report Facts
Inspections on page: 4
Total deficiencies: 21
Total licensing violations: 10
Total notices: 1
Licensed beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator / Campus Executive Director | Named in multiple findings related to food sanitation, medication administration, staffing, and resident care |
| Staff 2 | LPN Administrator Designee / Wellness Director | Named in multiple findings related to food sanitation, medication administration, staffing, and resident care |
| Staff 3 | Dietary Manager / Maintenance Director | Named in food sanitation and building maintenance findings |
| Staff 4 | Med Aide | Named in staffing and training deficiencies |
| Staff 8 | Caregiver | Named in staffing and training deficiencies |
| Staff 9 | Caregiver | Named in staffing and training deficiencies |
| Staff 11 | Caregiver | Named in annual in-service training deficiency |
| Staff 12 | LPN | Named in multiple findings related to medication and resident care |
| Staff 14 | RN Consultant | Named in multiple findings related to medication and resident care |
| Staff 15 | Executive Director | Named in multiple findings related to medication and resident care |
| Staff 16 | Med Aide | Named in psychotropic medication deficiency |
| Staff 17 | Receptionist | Named in staffing and training deficiencies |
| Staff 18 | Med Tech | Named in medication self-administration deficiency |
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