Deficiencies (last 4 years)
Deficiencies (over 4 years)
11.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% worse than Oregon average
Oregon average: 6.7 deficiencies/year
Deficiencies per year
32
24
16
8
0
Inspection Report
Re-licensure
Capacity: 27
Deficiencies: 3
Oct 17, 2024
Visit Reason
Facility failed to ensure outdoor recreational area was accessible and exterior pathways maintained in good repair. Issues included rotted wood edging, uneven patio surfaces, inaccessible secured courtyard doors requiring codes, and peeling weather stripping allowing entry of insects and debris.
Findings
Facility failed to ensure outdoor recreational area was accessible and exterior pathways maintained in good repair. Issues included rotted wood edging, uneven patio surfaces, inaccessible secured courtyard doors requiring codes, and peeling weather stripping allowing entry of insects and debris.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0200 (3) General Building Exterior (3) GENERAL BUILDING EXTERIOR.(a) All exterior pathways and accesses to the RCF common-use areas, entrance, and exit ways must be made of hard, smooth material, be accessible, and maintained in good repair.(b) A RCF must take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. There must be locked storage for all poisons, chemicals, rodenticides, and other toxic materials. All materials must be properly labeled.(c) RCF grounds must be kept orderly and free of litter and refuse. Garbage must be stored in covered refuse containers.(d) As described in OAR 411, division 057, memory care communities licensed as a RCF must be located on the ground floor. A CF cannot be endorsed as a memory care community.(e) A RCF must provide storage for all maintenance equipment, including yard maintenance tools, if not provided by a third-party contract.(f) A RCF must provide an accessible outdoor recreation area. The outdoor recreation area must be available to all residents. Lighting must be equal to a minimum of five foot candles. Memory Care Communities must provide residents with direct access to a secure outdoor recreation area as described in OAR chapter 411, division 057.(g) Outdoor perimeter fencing may not be secured to prevent exit unless the RCF has written approval from the Department for an exception or the RCF is in compliance with OAR chapter 411, division 057 (Memory Care Communities) or OAR 309-019-0100 through 309-019-0220.(h) A RCF must have an entry and exit drive to and from the main building entrance that allows for a vehicle to pick up and drop off residents and mail deliveries without the need for vehicles to back up. |
| OAR411-004-0020(2)(b) Physical Setting: Individual Accessible (2) Provider owned, controlled, or operated residential settings must have all of the fo... |
| OAR 411-057-0140(2) Administration Compliance (2) The licensee of a memory care community must comply with both the licensing rules for the facility a... |
Inspection Report
Capacity: 27
Deficiencies: 1
Aug 20, 2024
Visit Reason
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Findings
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Capacity: 27
Deficiencies: 1
Sep 13, 2023
Visit Reason
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Findings
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Complaint Investigation
Capacity: 27
Deficiencies: 5
Mar 30, 2023
Visit Reason
Complaint investigation identified multiple deficiencies including medication and treatment systems, staffing, and acuity-based staffing tool. None of the deficiencies were corrected at the time of visit.
Findings
Complaint investigation identified multiple deficiencies including medication and treatment systems, staffing, and acuity-based staffing tool. None of the deficiencies were corrected at the time of visit.
Deficiencies (5)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
| C0300 - Systems: Medications and Treatments |
| C0303 - Systems: Treatment Orders |
| C0360 - Staffing Requirements and Training: Staffing |
| C0361 - Acuity-Based Staffing Tool |
Inspection Report
Capacity: 27
Deficiencies: 3
Jul 28, 2022
Visit Reason
Kitchen inspection found issues with food sanitation and administration compliance. Some deficiencies were corrected on revisit; others remained uncorrected.
Findings
Kitchen inspection found issues with food sanitation and administration compliance. Some deficiencies were corrected on revisit; others remained uncorrected.
Deficiencies (3)
| Description |
|---|
| C0000 - Comment |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| Z0142 - Administration Compliance |
Inspection Report
Capacity: 27
Deficiencies: 1
May 17, 2021
Visit Reason
COVID-19 Preparedness Follow up Questionnaire documented; no deficiencies corrected.
Findings
COVID-19 Preparedness Follow up Questionnaire documented; no deficiencies corrected.
Deficiencies (1)
| Description |
|---|
| Z0000 - General Comments |
Inspection Report
Re-licensure
Capacity: 27
Deficiencies: 32
May 17, 2021
Visit Reason
Relicensure survey identified numerous deficiencies including reasonable precautions, staffing, resident rights, reporting abuse, service plans, medication administration, and administrative oversight. Some deficiencies were corrected on revisits; others remained uncorrected.
Findings
Relicensure survey identified numerous deficiencies including reasonable precautions, staffing, resident rights, reporting abuse, service plans, medication administration, and administrative oversight. Some deficiencies were corrected on revisits; others remained uncorrected.
Deficiencies (32)
| Description |
|---|
| C0000 - Comment |
| C0160 - Reasonable Precautions |
| C0200 - Resident Rights and Protection - General |
| C0231 - Reporting & Investigating Abuse-Other Action |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0252 - Resident Move-In and Eval: Res Evaluation |
| C0260 - Service Plan: General |
| C0262 - Service Plan: Service Planning Team |
| C0270 - Change of Condition and Monitoring |
| C0280 - Resident Health Services |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc |
| C0300 - Systems: Medications and Treatments |
| C0302 - Systems: Tracking Control Substances |
| C0303 - Systems: Treatment Orders |
| C0310 - Systems: Medication Administration |
| C0315 - Systems: Treatment Administration |
| C0330 - Systems: Psychotropic Medication |
| C0340 - Restraints and Supportive Devices |
| C0350 - Administrator Qualification and Requirements |
| C0360 - Staffing Requirements and Training: Staffing |
| C0372 - Training Within 30 Days: Direct Care Staff |
| C0420 - Fire and Life Safety: Safety |
| C0422 - Fire and Life Safety: Training For Residents |
| C0455 - Inspections and Investigation: Insp Interval |
| C0513 - Doors, Walls, Elevators, Odors |
| C0530 - Housekeeping and Laundry |
| Z0140 - Administration Responsibilities |
| Z0142 - Administration Compliance |
| Z0155 - Staff Training Requirements |
| Z0162 - Compliance With Rules Health Care |
| Z0163 - Nutrition and Hydration |
| Z0164 - Activities |
Inspection Report
Complaint Investigation
Capacity: 27
Deficiencies: 1
Mar 29, 2021
Visit Reason
Complaint investigation confirmed insufficient staffing to meet scheduled and unscheduled resident needs. Facility was using staff from sister communities and agencies to address shortages. Staffing schedules and timecards showed multiple dates with inadequate staffing.
Findings
Complaint investigation confirmed insufficient staffing to meet scheduled and unscheduled resident needs. Facility was using staff from sister communities and agencies to address shortages. Staffing schedules and timecards showed multiple dates with inadequate staffing.
Deficiencies (1)
| Description |
|---|
| C0360 - Staffing Requirements and Training: Staffing |
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