Inspection Reports for
Glisan Post Acute

9750 NE Glisan Street, Portland, OR 97220, OR, 97220

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10 Reports

2024–2025

Inspection Report — Dec 4, 2025

Complaint Investigation
Date: Dec 4, 2025

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report — Oct 14, 2025

Complaint Investigation
Date: Oct 14, 2025

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report — Sep 3, 2025

Complaint Investigation
Date: Sep 3, 2025

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report — Jul 9, 2025

Complaint Investigation
Date: Jul 9, 2025

Visit Reason
Facility failed to maintain sanitary kitchen conditions placing residents at risk of illness and contaminated food. Multiple food service and dietary deficiencies noted with corrective actions implemented.

Findings
Facility failed to maintain sanitary kitchen conditions placing residents at risk of illness and contaminated food. Multiple food service and dietary deficiencies noted with corrective actions implemented.

Deficiencies (4)
F0000 - INITIAL COMMENTS
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report — Mar 20, 2025

Complaint Investigation
Date: Mar 20, 2025

Visit Reason
Facility failed to reorder medication timely causing missed doses and failed to provide comprehensive pharmaceutical and nursing services. Some deficiencies corrected after revisit, others remained uncorrected.

Findings
Facility failed to reorder medication timely causing missed doses and failed to provide comprehensive pharmaceutical and nursing services. Some deficiencies corrected after revisit, others remained uncorrected.

Deficiencies (4)
F0000 - INITIAL COMMENTS
F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report — Nov 22, 2024

Complaint Investigation
Date: Nov 22, 2024

Visit Reason
Multiple deficiencies including failure to maintain safe and clean environment, inadequate grievance process, failure to provide appropriate ADL care, insufficient activity programs, poor quality of care, pressure ulcer prevention, mobility maintenance, trauma informed care, behavioral health services, and dietary services. Many deficiencies were corrected after follow-up visits, some remained uncorrected.

Findings
Multiple deficiencies including failure to maintain safe and clean environment, inadequate grievance process, failure to provide appropriate ADL care, insufficient activity programs, poor quality of care, pressure ulcer prevention, mobility maintenance, trauma informed care, behavioral health services, and dietary services. Many deficiencies were corrected after follow-up visits, some remained uncorrected.

Deficiencies (16)
F0000 - INITIAL COMMENTS
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0585 - Grievances
F0676 - Activities Daily Living (ADLs)/Mntn Abilities
F0677 - ADL Care Provided for Dependent Residents
F0679 - Activities Meet Interest/Needs Each Resident
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0688 - Increase/Prevent Decrease in ROM/Mobility
F0699 - Trauma Informed Care
F0740 - Behavioral Health Services
F0806 - Resident Allergies, Preferences, Substitutes
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
M0000 - Initial Comments
M0320 - Dietary Services: Diets and Menus
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report — Jul 24, 2024

Complaint Investigation
Date: Jul 24, 2024

Visit Reason
Facility failed to ensure cognitively impaired residents were free from accident hazards resulting in a resident sustaining a second-degree burn. Deficient practice was past non-compliance and corrected by 11/16/23.

Findings
Facility failed to ensure cognitively impaired residents were free from accident hazards resulting in a resident sustaining a second-degree burn. Deficient practice was past non-compliance and corrected by 11/16/23.

Deficiencies (4)
F0000 - INITIAL COMMENTS
F0689 - Free of Accident Hazards/Supervision/Devices
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report — May 14, 2024

Complaint Investigation
Date: May 14, 2024

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report — Apr 18, 2024

Complaint Investigation
Date: Apr 18, 2024

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report — Mar 27, 2024

Complaint Investigation
Date: Mar 27, 2024

Visit Reason
Facility failed to follow resident's plan of care for falls resulting in a resident fall with brain injury. Deficient practice was past non-compliance and corrected by 3/22/24.

Findings
Facility failed to follow resident's plan of care for falls resulting in a resident fall with brain injury. Deficient practice was past non-compliance and corrected by 3/22/24.

Deficiencies (4)
F0000 - INITIAL COMMENTS
F0689 - Free of Accident Hazards/Supervision/Devices
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

9 CMS Surveys

CMS Survey — Apr 14, 2023

Apr 14, 2023

CMS Survey — Aug 11, 2023

Aug 11, 2023

CMS Survey — Mar 27, 2024

Mar 27, 2024

CMS Survey — Jul 24, 2024

Jul 24, 2024

CMS Survey — Mar 20, 2025

Mar 20, 2025

CMS Survey — Jul 9, 2025

Jul 9, 2025

CMS Survey — May 25, 2022

May 25, 2022

CMS Survey — Aug 11, 2023

Aug 11, 2023

CMS Survey — Nov 22, 2024

Nov 22, 2024

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