10 Reports
Inspection Report — Oct 27, 2025
Complaint Investigation
Date: Oct 27, 2025
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report — Jan 17, 2025
Complaint Investigation
Date: Jan 17, 2025
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report — Dec 6, 2024
Complaint Investigation
Date: Dec 6, 2024
Visit Reason
The facility failed to ensure a homelike environment, safe discharge planning, accident hazard supervision, catheter care, and sanitary food procurement and storage. Multiple residents were at risk due to these deficiencies. Several deficiencies were corrected temporarily but not sustained upon revisit.
Findings
The facility failed to ensure a homelike environment, safe discharge planning, accident hazard supervision, catheter care, and sanitary food procurement and storage. Multiple residents were at risk due to these deficiencies. Several deficiencies were corrected temporarily but not sustained upon revisit.
Deficiencies (8)
F0000 - INITIAL COMMENTS
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0660 - Discharge Planning Process
F0689 - Free of Accident Hazards/Supervision/Devices
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report — Nov 21, 2024
Complaint Investigation
Date: Nov 21, 2024
Visit Reason
Deficiencies included failure to complete discharge summaries, quality of care issues related to bowel care and medication administration, and failure to follow nursing services protocols. Some deficiencies were corrected temporarily but not sustained.
Findings
Deficiencies included failure to complete discharge summaries, quality of care issues related to bowel care and medication administration, and failure to follow nursing services protocols. Some deficiencies were corrected temporarily but not sustained.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0661 - Discharge Summary
F0684 - Quality of Care
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report — Sep 24, 2024
Complaint Investigation
Date: Sep 24, 2024
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report — May 24, 2024
Complaint Investigation
Date: May 24, 2024
Visit Reason
Facility failed to follow physician orders for medication administration, placing residents at risk for adverse effects. Deficiencies were corrected temporarily but not sustained.
Findings
Facility failed to follow physician orders for medication administration, placing residents at risk for adverse effects. Deficiencies were corrected temporarily but not sustained.
Deficiencies (3)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
M0000 - Initial Comments
Inspection Report — Oct 18, 2023
Complaint Investigation
Date: Oct 18, 2023
Visit Reason
Deficiencies included failure to administer Warfarin as ordered causing risk of adverse effects, and failure to follow bowel care protocols. Some deficiencies were corrected temporarily but not sustained.
Findings
Deficiencies included failure to administer Warfarin as ordered causing risk of adverse effects, and failure to follow bowel care protocols. Some deficiencies were corrected temporarily but not sustained.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0760 - Residents are Free of Significant Med Errors
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report — Aug 29, 2023
Complaint Investigation
Date: Aug 29, 2023
Visit Reason
Facility failed to follow physician orders for respiratory and bowel care, resulting in resident harm. Deficiencies were corrected temporarily but not sustained.
Findings
Facility failed to follow physician orders for respiratory and bowel care, resulting in resident harm. Deficiencies were corrected temporarily but not sustained.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report — Jan 30, 2023
Complaint Investigation
Date: Jan 30, 2023
Visit Reason
Facility failed to follow physician orders for anticoagulant medication and heat pack application, resulting in resident harm. Deficiencies were corrected temporarily but not sustained.
Findings
Facility failed to follow physician orders for anticoagulant medication and heat pack application, resulting in resident harm. Deficiencies were corrected temporarily but not sustained.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report — Sep 21, 2021
Date: Sep 21, 2021
Deficiencies (1)
M0000 - Initial Comments
8 CMS Surveys
CMS Survey — Aug 29, 2023
Aug 29, 2023
CMS Survey — Oct 18, 2023
Oct 18, 2023
CMS Survey — May 24, 2024
May 24, 2024
CMS Survey — Nov 21, 2024
Nov 21, 2024
CMS Survey — Dec 6, 2024
Dec 6, 2024
CMS Survey — May 14, 2018
May 14, 2018
CMS Survey — Jan 21, 2020
Jan 21, 2020
CMS Survey — Dec 6, 2024
Dec 6, 2024
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