Deficiencies (last 3 years)
Deficiencies (over 3 years)
19 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
184% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Routine
Capacity: 52
Deficiencies: 2
Jul 22, 2025
Visit Reason
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas in the kitchen required cleaning and food storage was improper. Administrative compliance issues were also noted. Deficiencies were not corrected as of the last revisit.
Findings
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas in the kitchen required cleaning and food storage was improper. Administrative compliance issues were also noted. Deficiencies were not corrected as of the last revisit.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule |
| OAR 411-057-0140(2) Administration Compliance |
Inspection Report
Re-licensure
Capacity: 52
Deficiencies: 20
Jul 8, 2024
Visit Reason
Re-licensure survey identified multiple deficiencies including resident rights, reporting abuse, service plans, infection control, medication administration, fire and life safety, and administrative compliance. Several deficiencies were repeated and some were corrected in subsequent visits. The facility was found in substantial compliance by the third revisit.
Findings
Re-licensure survey identified multiple deficiencies including resident rights, reporting abuse, service plans, infection control, medication administration, fire and life safety, and administrative compliance. Several deficiencies were repeated and some were corrected in subsequent visits. The facility was found in substantial compliance by the third revisit.
Deficiencies (20)
| Description |
|---|
| OAR 411-054-0020 Resident Rights and Protection - General |
| OAR 411-054-0045 Resident Health Services |
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0025 Reasonable Precautions |
| OAR 411-054-0040 Change of Condition and Monitoring |
| OAR 411-054-0050 Inspections and Investigation: Insp Interval |
| OAR 411-054-0035 Infection Prevention & Control |
| OAR 411-054-0060 Systems: Tracking Control Substances |
| OAR 411-054-0065 Systems: Medication Administration |
| OAR 411-054-0070 Fire and Life Safety: Safety |
| OAR 411-054-0075 Fire and Life Safety: Training For Residents |
| OAR 411-054-0080 Systems: Psychotropic Medication |
| OAR 411-054-0085 Restraints and Supportive Devices |
| OAR 411-054-0090 Acuity-Based Staffing Tool |
| OAR 411-054-0095 Staff Training Requirements |
| OAR 411-054-0100 Compliance With Rules Health Care |
| OAR 411-054-0105 Nutrition and Hydration |
| OAR 411-054-0110 Activities |
| OAR 411-054-0115 Secure Outdoor Recreation Area |
| OAR 411-054-0120 Resident Rooms |
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 5
Jun 5, 2024
Visit Reason
Complaint investigation found failures in policy implementation for referral of sexual assault victims, failure to monitor residents consistent with evaluated needs, failure to notify RN of nursing needs, and ineffective administrative oversight of the Memory Care Community. Safety plans were requested and accepted. Department placed a condition on the facility.
Findings
Complaint investigation found failures in policy implementation for referral of sexual assault victims, failure to monitor residents consistent with evaluated needs, failure to notify RN of nursing needs, and ineffective administrative oversight of the Memory Care Community. Safety plans were requested and accepted. Department placed a condition on the facility.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0010 Licensing Complaint Investigation |
| OAR 411-054-0025 Facility Administration: Policy & Procedure |
| OAR 411-054-0040 Change of Condition and Monitoring |
| OAR 411-054-0045 Resident Health Services |
| OAR 411-054-0050 Administration Responsibilities |
Inspection Report
Capacity: 52
Deficiencies: 10
Apr 3, 2024
Visit Reason
State licensure and other inspections identified deficiencies in kitchen sanitation, resident rights, service plans, infection prevention and control, medication administration, fire and life safety, and administrative compliance. Some deficiencies were corrected in subsequent visits while others remained uncorrected as of the last visit.
Findings
State licensure and other inspections identified deficiencies in kitchen sanitation, resident rights, service plans, infection prevention and control, medication administration, fire and life safety, and administrative compliance. Some deficiencies were corrected in subsequent visits while others remained uncorrected as of the last visit.
Deficiencies (10)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0020 Resident Rights and Protection - General |
| OAR 411-054-0025 Reasonable Precautions |
| OAR 411-054-0040 Change of Condition and Monitoring |
| OAR 411-054-0045 Resident Health Services |
| OAR 411-054-0050 Administration Responsibilities |
| OAR 411-054-0060 Systems: Tracking Control Substances |
| OAR 411-054-0065 Systems: Medication Administration |
| OAR 411-054-0070 Fire and Life Safety: Safety |
| OAR 411-054-0080 Systems: Psychotropic Medication |
Inspection Report
Re-licensure
Capacity: 52
Deficiencies: 17
Aug 14, 2023
Visit Reason
Validation and re-licensure survey identified numerous deficiencies including reasonable precautions, resident rights, service plans, infection prevention and control, medication administration, fire and life safety, staff training, and administrative compliance. Several deficiencies were repeated and some were corrected in subsequent visits. The facility was found in substantial compliance by the third revisit.
Findings
Validation and re-licensure survey identified numerous deficiencies including reasonable precautions, resident rights, service plans, infection prevention and control, medication administration, fire and life safety, staff training, and administrative compliance. Several deficiencies were repeated and some were corrected in subsequent visits. The facility was found in substantial compliance by the third revisit.
Deficiencies (17)
| Description |
|---|
| OAR 411-054-0025 Reasonable Precautions |
| OAR 411-054-0020 Resident Rights and Protection - General |
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0045 Resident Health Services |
| OAR 411-054-0050 Administration Responsibilities |
| OAR 411-054-0060 Systems: Tracking Control Substances |
| OAR 411-054-0065 Systems: Medication Administration |
| OAR 411-054-0070 Fire and Life Safety: Safety |
| OAR 411-054-0080 Systems: Psychotropic Medication |
| OAR 411-054-0085 Restraints and Supportive Devices |
| OAR 411-054-0090 Acuity-Based Staffing Tool |
| OAR 411-054-0095 Staff Training Requirements |
| OAR 411-054-0100 Compliance With Rules Health Care |
| OAR 411-054-0105 Nutrition and Hydration |
| OAR 411-054-0110 Activities |
| OAR 411-054-0115 Secure Outdoor Recreation Area |
| OAR 411-054-0120 Resident Rooms |
Inspection Report
Capacity: 52
Deficiencies: 3
Feb 21, 2023
Visit Reason
State licensure and other inspections identified deficiencies in kitchen sanitation, resident rights, and administrative compliance. Some deficiencies were corrected in subsequent visits. The facility was found in substantial compliance during the revisit.
Findings
State licensure and other inspections identified deficiencies in kitchen sanitation, resident rights, and administrative compliance. Some deficiencies were corrected in subsequent visits. The facility was found in substantial compliance during the revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0020 Resident Rights and Protection - General |
| OAR 411-054-0050 Administration Compliance |
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