Inspection Reports for Firwood Gardens
819 NE 122nd Ave, Portland, OR 97230, OR, 97230
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
40% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Kitchen
Capacity: 85
Deficiencies: 2
Jul 22, 2025
Visit Reason
Facility failed to ensure kitchen practices and protocols complied with Food Sanitation Rules; multiple cleanliness and repair issues observed; improper food storage and handling practices noted.
Findings
Facility failed to ensure kitchen practices and protocols complied with Food Sanitation Rules; multiple cleanliness and repair issues observed; improper food storage and handling practices noted.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule — Kitchen sanitation and food handling deficiencies |
| OAR 411-057-0140(2) Administration Compliance — Failure to follow licensing rules for Residential Care and Assisted Living Facilities |
Inspection Report
Re-licensure
Capacity: 85
Deficiencies: 8
May 1, 2025
Visit Reason
Facility failed to maintain infection prevention and control protocols, staffing and training deficiencies, fire and life safety issues, building exterior and plumbing system problems, and administration compliance issues. Multiple deficiencies remained uncorrected across revisits.
Findings
Facility failed to maintain infection prevention and control protocols, staffing and training deficiencies, fire and life safety issues, building exterior and plumbing system problems, and administration compliance issues. Multiple deficiencies remained uncorrected across revisits.
Deficiencies (8)
| Description |
|---|
| OAR 411-054-0050(1-5) Infection Prevention & Control — Failure to maintain infection prevention and control protocols |
| OAR 411-054-0070 (3-4) Staffing Requirements and Training – Pre-service — Failure to ensure newly hired staff completed required training |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety — Failure to conduct fire drills according to Oregon Fire Code |
| OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval — Failure to implement and satisfy re-licensure survey plan of correction |
| OAR 411-054-0200 (3) General Building Exterior — Exterior pathways, rodent prevention, and garbage storage issues |
| OAR 411-054-0200 (9) Plumbing Systems — Hot water temperatures not maintained within required range |
| OAR 411-057-0140(2) Administration Compliance — Failure to follow licensing rules for Residential Care and Assisted Living Facilities |
| OAR 411-057-0155(1-6) Staff Training Requirements — Failure to ensure required pre-service dementia training completed by newly hired staff |
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 4
Apr 24, 2025
Visit Reason
Facility failed to ensure implementation of services according to resident service plan and failed to maintain and update Acuity Based Staffing Tool; staffing deficiencies noted.
Findings
Facility failed to ensure implementation of services according to resident service plan and failed to maintain and update Acuity Based Staffing Tool; staffing deficiencies noted.
Deficiencies (4)
| Description |
|---|
| OAR 411-054-0260 Service Plan: General — Failure to ensure implementation of services per resident service plan |
| OAR 411-054-0360 Staffing Requirements and Training: Staffing — Failure to update and maintain Acuity Based Staffing Tool and staffing plan |
| OAR 411-054-0362 Acuity Based Staffing Tool - Abst Time — Failure to update and maintain ABST |
| OAR 411-054-0363 Acuity Based Staffing Tool - Updates & Plan — Failure to update and maintain ABST |
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 3
Apr 24, 2024
Visit Reason
Initial kitchen inspection found multiple sanitation and food handling issues; revisit found substantial compliance. Administration compliance issues noted and corrected.
Findings
Initial kitchen inspection found multiple sanitation and food handling issues; revisit found substantial compliance. Administration compliance issues noted and corrected.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule — Kitchen sanitation and food handling deficiencies |
| OAR 411-057-0140(2) Administration Compliance — Failure to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0000 - Comment — General comments related to kitchen inspection |
Inspection Report
State Licensure
Capacity: 85
Deficiencies: 3
Jun 1, 2023
Visit Reason
Kitchen sanitation issues including uncovered food and uncovered garbage cans; administration compliance issues noted and corrected.
Findings
Kitchen sanitation issues including uncovered food and uncovered garbage cans; administration compliance issues noted and corrected.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule — Kitchen sanitation and food handling deficiencies |
| OAR 411-057-0140(2) Administration Compliance — Failure to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0000 - Comment — General comments related to kitchen inspection |
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 3
Aug 11, 2022
Visit Reason
Facility failed to have sufficient staff to meet resident needs, failed to maintain accurate Acuity Based Staffing Tool, and failed to ensure adequate staffing per posted plan.
Findings
Facility failed to have sufficient staff to meet resident needs, failed to maintain accurate Acuity Based Staffing Tool, and failed to ensure adequate staffing per posted plan.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0360 Staffing Requirements and Training: Staffing — Insufficient staffing to meet scheduled and unscheduled resident needs |
| OAR 411-054-0361 Acuity-Based Staffing Tool — Failure to maintain accurate ABST |
| C0010 - Licensing Complaint Investigation — General complaint investigation findings |
Inspection Report
Validation Re-licensure
Capacity: 85
Deficiencies: 21
Jan 4, 2022
Visit Reason
Multiple deficiencies including failure to investigate and report incidents, incomplete service plans, failure to monitor changes of condition, medication administration errors, fire and life safety issues, and training deficiencies. Many deficiencies corrected on revisit.
Findings
Multiple deficiencies including failure to investigate and report incidents, incomplete service plans, failure to monitor changes of condition, medication administration errors, fire and life safety issues, and training deficiencies. Many deficiencies corrected on revisit.
Deficiencies (21)
| Description |
|---|
| OAR 411-054-0231 Reporting & Investigating Abuse-Other Action — Failure to investigate and report incidents |
| OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule — Kitchen sanitation and food handling deficiencies |
| OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation — Failure to complete quarterly smoking evaluations and move-in evaluations |
| OAR 411-054-0260 Service Plan: General — Failure to ensure service plans reflect resident needs |
| OAR 411-054-0270 Change of Condition and Monitoring — Failure to identify, document, and monitor changes of condition |
| OAR 411-054-0303 Systems: Treatment Orders — Failure to ensure physician orders documented and carried out |
| OAR 411-054-0305 Systems: Resident Right to Refuse — Failure to notify physician of medication refusals |
| OAR 411-054-0310 Systems: Medication Administration — Failure to ensure accurate MARs and documentation |
| OAR 411-054-0315 Systems: Treatment Administration — Failure to ensure accurate TAR documentation |
| OAR 411-054-0325 Systems: Self-Administration of Meds — Failure to evaluate resident's ability to self-administer medications |
| OAR 411-054-0370 Staffing Requirements and Training – Pre-Serv — Failure to ensure required pre-service orientation completed |
| OAR 411-054-0372 Training Within 30 Days: Direct Care Staff — Failure to ensure competency demonstrated within 30 days |
| OAR 411-054-0420 Fire and Life Safety: Safety — Failure to conduct required fire drills and training |
| OAR 411-054-0422 Fire and Life Safety: Training For Residents — Failure to provide required fire and life safety training |
| OAR 411-054-0513 Doors, Walls, Elevators, Odors — Failure to maintain clean and good repair interior and exterior surfaces |
| OAR 411-054-0555 Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable — Failure to ensure functioning exit door alarms and call systems |
| OAR 411-057-0140(2) Administration Compliance — Failure to follow licensing rules for Residential Care and Assisted Living Facilities |
| OAR 411-057-0162 Compliance With Rules Health Care — Failure to provide health care services in accordance with licensing rules |
| OAR 411-057-0163 Nutrition and Hydration — Failure to ensure individualized nutrition and hydration plans |
| OAR 411-057-0164 Activities — Failure to ensure individualized activity plans developed |
| OAR 411-057-0176 Resident Rooms — Failure to ensure residents not locked out of rooms |
Inspection Report
Complaint Investigation
Capacity: 85
Deficiencies: 3
Jan 14, 2021
Visit Reason
Facility failed to ensure reasonable precautions for infection control, failed to ensure medications were carried out as prescribed, and failed to ensure adequate staffing to meet resident needs.
Findings
Facility failed to ensure reasonable precautions for infection control, failed to ensure medications were carried out as prescribed, and failed to ensure adequate staffing to meet resident needs.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0160 Reasonable Precautions — Failure to ensure infection control precautions |
| OAR 411-054-0303 Systems: Treatment Orders — Failure to ensure medications carried out as prescribed |
| OAR 411-054-0360 Staffing Requirements and Training: Staffing — Failure to ensure adequate staffing |
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