Deficiencies (last 3 years)
Deficiencies (over 3 years)
25 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
273% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
40
30
20
10
0
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 5
Dec 9, 2025
Visit Reason
Multiple deficiencies including respect and dignity violations, quality of care issues related to pain management and wound care, and administrative rule violations. None of the deficiencies were corrected at the time of visit.
Findings
Multiple deficiencies including respect and dignity violations, quality of care issues related to pain management and wound care, and administrative rule violations. None of the deficiencies were corrected at the time of visit.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0557 - Respect, Dignity/Right to have Personal Property |
| F0684 - Quality of Care |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Nov 14, 2025
Visit Reason
No deficiencies corrected; initial comments noted.
Findings
No deficiencies corrected; initial comments noted.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Sep 11, 2025
Visit Reason
No deficiencies corrected; initial comments noted.
Findings
No deficiencies corrected; initial comments noted.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 6
Feb 5, 2025
Visit Reason
Multiple deficiencies including respiratory care, nursing staff sufficiency, minimum CNA staffing, and administrative rule violations. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Multiple deficiencies including respiratory care, nursing staff sufficiency, minimum CNA staffing, and administrative rule violations. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (6)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0725 - Sufficient Nursing Staff |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 38
Sep 13, 2024
Visit Reason
Numerous deficiencies including failure to obtain consents for psychotropic medications, failure to provide timely care, failure to respond to grievances, abuse and neglect, failure to notify physicians, inadequate care plans, insufficient staffing, medication errors, infection control issues, and failure to provide safe environment. Many deficiencies were corrected at revisit, others remained uncorrected.
Findings
Numerous deficiencies including failure to obtain consents for psychotropic medications, failure to provide timely care, failure to respond to grievances, abuse and neglect, failure to notify physicians, inadequate care plans, insufficient staffing, medication errors, infection control issues, and failure to provide safe environment. Many deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (38)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0554 - Resident Self-Admin Meds-Clinically Appropriate |
| F0565 - Resident/Family Group and Response |
| F0578 - Request/Refuse/Discontinue Treatment; Formulate Advance Directive |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0585 - Grievances |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0623 - Notice Requirements Before Transfer/Discharge |
| F0625 - Notice of Bed Hold Policy Before/Upon Transfer |
| F0657 - Care Plan Timing and Revision |
| F0658 - Services Provided Meet Professional Standards |
| F0677 - ADL Care Provided for Dependent Residents |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0680 - Qualifications of Activity Professional |
| F0685 - Treatment/Devices to Maintain Hearing/Vision |
| F0686 - Treatment/Services to Prevent/Heal Pressure Ulcer |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0697 - Pain Management |
| F0698 - Dialysis |
| F0725 - Sufficient Nursing Staff |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0732 - Posted Nurse Staffing Information |
| F0745 - Provision of Medically Related Social Service |
| F0755 - Pharmacy Services/Procedures/Pharmacist/Records |
| F0758 - Free from Unnecessary Psychotropic Meds/PRN Use |
| F0760 - Residents are Free of Significant Medication Errors |
| F0812 - Food Procurement, Store/Prepare/Serve-Sanitary |
| F0847 - Entering into Binding Arbitration Agreements |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Jul 31, 2024
Visit Reason
No deficiencies corrected; initial comments noted.
Findings
No deficiencies corrected; initial comments noted.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Apr 17, 2024
Visit Reason
No deficiencies corrected; initial comments noted.
Findings
No deficiencies corrected; initial comments noted.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 7
Feb 29, 2024
Visit Reason
Deficiencies related to RN staffing coverage and posted nurse staffing information with some corrections made at revisit but others remained uncorrected.
Findings
Deficiencies related to RN staffing coverage and posted nurse staffing information with some corrections made at revisit but others remained uncorrected.
Deficiencies (7)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0732 - Posted Nurse Staffing Information |
| M0000 - Initial Comments |
| M0182 - Nursing Services: Minimum Licensed Nurse Staff |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Dec 20, 2023
Visit Reason
No deficiencies corrected; initial comments noted.
Findings
No deficiencies corrected; initial comments noted.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 9
Nov 28, 2023
Visit Reason
Deficiencies related to ADL care, quality of care, respiratory care, medication errors, lab services, resident call system, and administrative rules. Some deficiencies corrected at revisit, others remained uncorrected.
Findings
Deficiencies related to ADL care, quality of care, respiratory care, medication errors, lab services, resident call system, and administrative rules. Some deficiencies corrected at revisit, others remained uncorrected.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0773 - Lab Services Physician Order/Notify of Results |
| F0919 - Resident Call System |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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