Inspection Reports for Glisan Post Acute
9750 NE Glisan Street, Portland, OR 97220, OR, 97220
Back to Facility ProfileDeficiencies per Year
24
18
12
6
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 22
Dec 4, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2024-2025 with deficiency history and enforcement actions.
Findings
Across multiple inspections, the facility exhibited deficiencies in areas including food sanitation, medication management, resident care, environmental cleanliness, and trauma-informed care. Several deficiencies were corrected while others remained uncorrected at the time of the latest inspections.
Complaint Details
Multiple inspections were complaint investigations related to licensure complaints and state licensure issues, including medication errors, resident safety, and care plan deficiencies.
Deficiencies (22)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failed to ensure kitchen equipment and food preparation areas were maintained in a clean and sanitary manner. |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Refer to F812 |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records: Failed to reorder medication timely resulting in missed doses for a resident. |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Refer to F755 |
| F0584 - Safe/Clean/Comfortable/Homelike Environment: Failed to maintain shower rooms clean and in good repair and wheelchair arm rests in proper cleanable condition. |
| F0585 - Grievances: Failed to initiate grievance process for missing resident property. |
| F0676 - Activities Daily Living (ADLs)/Mntn Abilities: Failed to provide appropriate communication treatment and services. |
| F0677 - ADL Care Provided for Dependent Residents: Failed to provide adequate bathing for a resident. |
| F0679 - Activities Meet Interest/Needs Each Resident: Failed to provide ongoing person-centered activity program for dependent residents. |
| F0684 - Quality of Care: Failed to ensure physician orders were followed for pain medication administration. |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer: Failed to implement interventions to prevent pressure ulcers and skin breakdown. |
| F0688 - Increase/Prevent Decrease in ROM/Mobility: Failed to provide appropriate treatment and services to prevent further decreases in range of motion. |
| F0699 - Trauma Informed Care: Failed to ensure trauma survivors received trauma-informed care. |
| F0740 - Behavioral Health Services: Failed to provide necessary behavioral health care and services. |
| F0806 - Resident Allergies, Preferences, Substitutes: Failed to accommodate resident food choices. |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failed to maintain sanitary equipment, label and store food appropriately, and handle food in a sanitary manner. |
| M0320 - Dietary Services: Diets and Menus: Failed to post current week's menu in accessible and conspicuous location. |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Refer to multiple F-tags including F584, F585, F676, F677, F684, F679, F686, F688, F699, F740, F806, F812 |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to ensure cognitively impaired residents did not have access to excessively hot liquids resulting in a resident burn. |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to follow resident's plan of care for falls resulting in a resident fall with brain bleed. |
Report Facts
Inspections on page: 10
Total deficiencies: 17
Total surveys: 10
Licensing violations: 20
Notices: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple findings acknowledging deficiencies and corrective actions |
| Staff 2 | Director of Nursing (DNS) | Named in medication error and care plan deficiency findings |
| Staff 7 | Social Services Director | Named in trauma informed care deficiency findings |
| Staff 23 | CNA | Named in multiple resident care and observation findings |
| Staff 15 | Dietary Director | Named in food service and sanitation deficiency findings |
| Staff 27 | RN | Named in resident care and therapy related findings |
| Staff 30 | Director of Rehab | Named in range of motion and therapy findings |
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