Inspection Reports for Evan Terrace Post Acute
421 SE Evans Street, OR, 97128
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
25.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
278% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 4
Nov 18, 2025
Visit Reason
Complaint and re-licensure survey with 4 citations including tube feeding management and state administrative rules; all deficiencies corrected by 12/2/2025.
Findings
Complaint and re-licensure survey with 4 citations including tube feeding management and state administrative rules; all deficiencies corrected by 12/2/2025.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0693 - Tube Feeding Mgmt/Restore Eating Skills |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 2
Oct 17, 2025
Visit Reason
Complaint and re-licensure survey with 2 citations; deficiencies not corrected as of last visit.
Findings
Complaint and re-licensure survey with 2 citations; deficiencies not corrected as of last visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 2
Jul 31, 2025
Visit Reason
Complaint and re-licensure survey with 2 citations; deficiencies not corrected as of last visit.
Findings
Complaint and re-licensure survey with 2 citations; deficiencies not corrected as of last visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 6
Jun 16, 2025
Visit Reason
Complaint, licensure complaint, and state licensure survey with 6 citations including quality of care, training requirements, and administrative rules; all deficiencies corrected by 7/22/2025.
Findings
Complaint, licensure complaint, and state licensure survey with 6 citations including quality of care, training requirements, and administrative rules; all deficiencies corrected by 7/22/2025.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0684 - Quality of Care |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0940 - Training Requirements |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 23
Jun 9, 2025
Visit Reason
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 23 citations including abuse reporting, medication management, infection control, and staffing; majority of deficiencies corrected by 7/3/2025, some not corrected.
Findings
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 23 citations including abuse reporting, medication management, infection control, and staffing; majority of deficiencies corrected by 7/3/2025, some not corrected.
Deficiencies (23)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0561 - Self-Determination |
| F0577 - Right to Survey Results/Advocate Agency Info |
| F0605 - Right to be Free from Chemical Restraints |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0693 - Tube Feeding Mgmt/Restore Eating Skills |
| F0732 - Posted Nurse Staffing Information |
| F0744 - Treatment/Service for Dementia |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0825 - Provide/Obtain Specialized Rehab Services |
| F0842 - Resident Records - Identifiable Information |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0141 - Employees Reference Checks and Verifications |
| M0143 - Employees: Criminal Record Checks |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff |
| M0185 - Bariatric Criteria and Services |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 5
Mar 4, 2025
Visit Reason
Complaint, licensure complaint, and state licensure survey with 5 citations including quality of care and rehabilitation services; mixed correction status with some deficiencies corrected and others not corrected.
Findings
Complaint, licensure complaint, and state licensure survey with 5 citations including quality of care and rehabilitation services; mixed correction status with some deficiencies corrected and others not corrected.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0684 - Quality of Care |
| F0825 - Provide/Obtain Specialized Rehab Services |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 2
Feb 26, 2025
Visit Reason
Complaint, licensure complaint, and state licensure survey with 2 citations; deficiencies not corrected as of last visit.
Findings
Complaint, licensure complaint, and state licensure survey with 2 citations; deficiencies not corrected as of last visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 12
Nov 26, 2024
Visit Reason
Complaint and licensure complaint survey with 12 citations including abuse investigations, care planning, medication administration, staffing, and facility assessment; mixed correction status with some deficiencies corrected and others not corrected.
Findings
Complaint and licensure complaint survey with 12 citations including abuse investigations, care planning, medication administration, staffing, and facility assessment; mixed correction status with some deficiencies corrected and others not corrected.
Deficiencies (12)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0655 - Baseline Care Plan |
| F0660 - Discharge Planning Process |
| F0684 - Quality of Care |
| F0693 - Tube Feeding Mgmt/Restore Eating Skills |
| F0726 - Competent Nursing Staff |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0838 - Facility Assessment |
| M0000 - Initial Comments |
| M0185 - Bariatric Criteria and Services |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 12
Apr 19, 2024
Visit Reason
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 12 citations including assessment accuracy, care planning, medication administration, staffing, and infection control; mixed correction status with some deficiencies corrected and others not corrected.
Findings
Complaint, licensure complaint, re-licensure, recertification, and state licensure survey with 12 citations including assessment accuracy, care planning, medication administration, staffing, and infection control; mixed correction status with some deficiencies corrected and others not corrected.
Deficiencies (12)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0641 - Accuracy of Assessments |
| F0655 - Baseline Care Plan |
| F0657 - Care Plan Timing and Revision |
| F0684 - Quality of Care |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0725 - Sufficient Nursing Staff |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0761 - Label/Store Drugs and Biologicals |
| F0842 - Resident Records - Identifiable Information |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 8
Dec 20, 2023
Visit Reason
Complaint, licensure complaint, and state licensure survey with 8 citations including abuse prevention, reporting, medication administration, and resident records; mixed correction status with some deficiencies corrected and others not corrected.
Findings
Complaint, licensure complaint, and state licensure survey with 8 citations including abuse prevention, reporting, medication administration, and resident records; mixed correction status with some deficiencies corrected and others not corrected.
Deficiencies (8)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0684 - Quality of Care |
| F0842 - Resident Records - Identifiable Information |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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