Inspection Reports for Golden Age Memory Care
14504 SE Oatfield Rd, Milwaukie, OR 97267, OR, 97267
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Inspection Report
Renewal
Census: 9
Capacity: 15
Deficiencies: 13
Jan 9, 2025
Visit Reason
State-compiled facility profile showing 3 inspections from 2022 to 2025 with deficiency history and licensing violations.
Findings
Across all inspections, the facility exhibited multiple deficiencies including failures in infection prevention and control, acuity-based staffing accuracy, facility maintenance, housekeeping and laundry protocols, nutrition and hydration planning, activity programming, plumbing systems, security systems, staff training, and resident room accessibility. Some deficiencies were corrected in follow-up visits, while others remained uncorrected as of the latest inspection.
Deficiencies (13)
| Description |
|---|
| C0295 - Infection Prevention & Control: Failed to maintain infection prevention and control protocols during meal service, including inadequate hand hygiene and PPE use. |
| C0362 - Acuity Based Staffing Tool - ABST Time: Failed to accurately capture care time minutes in the acuity-based staffing tool for residents. |
| C0513 - Doors, Walls, Elevators, Odors: Failed to keep all materials and surfaces in good repair, including damaged walls, doors, and unstable exterior railings. |
| C0530 - Housekeeping and Laundry: Failed to ensure one-way flow of soiled laundry and prevent contamination of clean laundry. |
| Z0142 - Administration Compliance: Failed to comply with licensing rules for Residential Care and Assisted Living Facilities, referencing other cited deficiencies. |
| Z0163 - Nutrition and Hydration: Failed to ensure individualized nutrition and hydration plan was included in service plan for a sampled resident. |
| C0242 - Resident Services: Activities: Failed to provide a daily activity program based on individual and group interests and needs. |
| C0545 - Plumbing Systems: Failed to maintain hot water temperatures within required range in residents' units and common bathrooms. |
| C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable: Failed to ensure exit doors had alarms or acceptable alert systems for security. |
| Z0155 - Staff Training Requirements: Failed to ensure newly hired staff completed all required pre-service training prior to job duties. |
| Z0173 - Secure Outdoor Recreation Area: Failed to secure perimeter fence and lacked written policy for locking doors to outdoor recreation area. |
| Z0176 - Resident Rooms: Failed to ensure residents were not locked in/out of rooms and to identify rooms for resident recognition. |
| C0000 - Comment: Kitchen inspection found facility in substantial compliance with relevant OARs. |
Report Facts
Inspections on page: 3
Total deficiencies: 13
Total surveys: 3
Licensing violations: 2
Abuse violations: 0
Licensed beds: 15
Census: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator/Owner | Named in multiple findings and acknowledgments of deficiencies |
| Staff 3 | Maintenance Director | Named in facility maintenance and outdoor recreation area findings |
| Staff 6 | Caregiver | Named in staff training deficiency |
| Staff 9 | Caregiver | Named in resident room accessibility findings |
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