Deficiencies (last 5 years)
Deficiencies (over 5 years)
11.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 1
Oct 14, 2025
Visit Reason
Abbreviations possibly used in this document: ADL: activities of daily livingCBG: capillary blood glucose or blood sugarCG: caregiverCS: Compliance Specialistcm: centimeterED: Executive DirectorF: FahrenheitHH: Home HealthLPN: Licensed Practical NurseMT: Medication TechMAR: Medication Administration RecordMCC: Memory Care CommunityOT: Occupational TherapistPT: Physical TherapistPRN: as neededRCC: Resident Care CoordinatorRN: Registered Nurse
Findings
Abbreviations possibly used in this document: ADL: activities of daily livingCBG: capillary blood glucose or blood sugarCG: caregiverCS: Compliance Specialistcm: centimeterED: Executive DirectorF: FahrenheitHH: Home HealthLPN: Licensed Practical NurseMT: Medication TechMAR: Medication Administration RecordMCC: Memory Care CommunityOT: Occupational TherapistPT: Physical TherapistPRN: as neededRCC: Resident Care CoordinatorRN: Registered Nurse
Deficiencies (1)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
Inspection Report
Capacity: 79
Deficiencies: 2
Apr 30, 2025
Visit Reason
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas in kitchen needed cleaning and repair including food debris, spills, and equipment in disrepair. Improper food storage and lack of staff hygiene and beard restraints noted. Plan of correction includes deep cleaning, updated cleaning schedules, new cutting boards, secured window screens, infection control training, and ongoing quality assurance.
Findings
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas in kitchen needed cleaning and repair including food debris, spills, and equipment in disrepair. Improper food storage and lack of staff hygiene and beard restraints noted. Plan of correction includes deep cleaning, updated cleaning schedules, new cutting boards, secured window screens, infection control training, and ongoing quality assurance.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval |
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 13
Mar 5, 2024
Visit Reason
Multiple deficiencies including failure to post current re-licensing survey, incomplete and inaccurate resident records, failure to exercise reasonable precautions, failure to provide three daily meals consistently, failure to implement service plans, failure in RN delegation and teaching, medication administration issues, staffing shortages, acuity-based staffing tool deficiencies, training documentation failures, building maintenance issues, and infection prevention lapses.
Findings
Multiple deficiencies including failure to post current re-licensing survey, incomplete and inaccurate resident records, failure to exercise reasonable precautions, failure to provide three daily meals consistently, failure to implement service plans, failure in RN delegation and teaching, medication administration issues, staffing shortages, acuity-based staffing tool deficiencies, training documentation failures, building maintenance issues, and infection prevention lapses.
Deficiencies (13)
| Description |
|---|
| C0151 - Facility Administration: Criminal History |
| C0152 - Facility Administration: Required Postings |
| C0155 - Facility Administration: Records |
| C0160 - Reasonable Precautions |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0260 - Service Plan: General |
| C0282 - Rn Delegation and Teaching |
| C0303 - Systems: Treatment Orders |
| C0310 - Systems: Medication Administration |
| C0360 - Staffing Requirements and Training: Staffing |
| C0361 - Acuity-Based Staffing Tool |
| C0372 - Training Within 30 Days: Direct Care Staff |
| C0612 - General Building: Floors |
Inspection Report
Capacity: 79
Deficiencies: 21
Oct 30, 2023
Visit Reason
Re-licensure survey with multiple citations including failure to respond to resident complaints, failure to ensure dignity and respect in meal service, failure to investigate abuse allegations, failure to maintain accurate and updated service plans, failure to monitor changes of condition, failure to provide RN assessments, failure in delegation and supervision of nursing tasks, failure to communicate with outside providers, infection prevention and control failures, medication administration failures, staffing and training deficiencies, building maintenance issues, and call system inadequacies. Some deficiencies corrected on revisit, others remain unresolved.
Findings
Re-licensure survey with multiple citations including failure to respond to resident complaints, failure to ensure dignity and respect in meal service, failure to investigate abuse allegations, failure to maintain accurate and updated service plans, failure to monitor changes of condition, failure to provide RN assessments, failure in delegation and supervision of nursing tasks, failure to communicate with outside providers, infection prevention and control failures, medication administration failures, staffing and training deficiencies, building maintenance issues, and call system inadequacies. Some deficiencies corrected on revisit, others remain unresolved.
Deficiencies (21)
| Description |
|---|
| C0000 - Comment |
| C0154 - Facility Administration: Policy & Procedure |
| C0200 - Resident Rights and Protection - General |
| C0231 - Reporting & Investigating Abuse-Other Action |
| C0260 - Service Plan: General |
| C0270 - Change of Condition and Monitoring |
| C0280 - Resident Health Services |
| C0282 - Rn Delegation and Teaching |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc |
| C0295 - Infection Prevention & Control |
| C0301 - Systems: Medication Administration |
| C0303 - Systems: Treatment Orders |
| C0305 - Systems: Resident Right to Refuse |
| C0325 - Systems: Self-Administration of Meds |
| C0370 - Staffing Requirements and Training – Pre-Serv |
| C0372 - Training Within 30 Days: Direct Care Staff |
| C0374 - Annual and Biennial Inservice For All Staff |
| C0422 - Fire and Life Safety: Training For Residents |
| C0455 - Inspections and Investigation: Insp Interval |
| C0613 - General Building: Doors-Walls, Cleanable |
| C0630 - House Keeping and Sanitation |
Inspection Report
Capacity: 79
Deficiencies: 2
Feb 14, 2023
Visit Reason
Kitchen inspection with findings of failure to maintain kitchen cleanliness and repair in accordance with Food Sanitation Rules. Initial inspection found deficiencies; follow-up inspection found substantial compliance.
Findings
Kitchen inspection with findings of failure to maintain kitchen cleanliness and repair in accordance with Food Sanitation Rules. Initial inspection found deficiencies; follow-up inspection found substantial compliance.
Deficiencies (2)
| Description |
|---|
| C0000 - Comment |
| C0240 - Resident Services Meals, Food Sanitation Rule |
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 14
Nov 29, 2022
Visit Reason
Complaint investigation with multiple deficiencies including failure to post staffing plan, failure to provide three daily meals, failure to assist with bathing, failure to update service plans quarterly, failure to comply with masking requirements, failure to ensure adequate medication oversight, failure to carry out medication and treatment orders, failure to keep accurate medication administration records, staffing shortages, failure to implement acuity-based staffing tool, failure to maintain building exterior and prevent rodent entry, and failure to maintain equipment in good repair.
Findings
Complaint investigation with multiple deficiencies including failure to post staffing plan, failure to provide three daily meals, failure to assist with bathing, failure to update service plans quarterly, failure to comply with masking requirements, failure to ensure adequate medication oversight, failure to carry out medication and treatment orders, failure to keep accurate medication administration records, staffing shortages, failure to implement acuity-based staffing tool, failure to maintain building exterior and prevent rodent entry, and failure to maintain equipment in good repair.
Deficiencies (14)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
| C0152 - Facility Administration: Required Postings |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0243 - Resident Services: Adls |
| C0260 - Service Plan: General |
| C0295 - Infection Prevention & Control |
| C0300 - Systems: Medications and Treatments |
| C0303 - Systems: Treatment Orders |
| C0310 - Systems: Medication Administration |
| C0360 - Staffing Requirements and Training: Staffing |
| C0361 - Acuity-Based Staffing Tool |
| C0610 - General Building Exterior |
| C0613 - General Building: Doors-Walls, Cleanable |
| C0645 - Plumbing Systems |
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 4
Jun 29, 2022
Visit Reason
Complaint investigation with deficiencies including failure to keep medical records confidential, failure to update service plans quarterly, failure to carry out medication and treatment orders as prescribed, and failure to maintain adequate staffing.
Findings
Complaint investigation with deficiencies including failure to keep medical records confidential, failure to update service plans quarterly, failure to carry out medication and treatment orders as prescribed, and failure to maintain adequate staffing.
Deficiencies (4)
| Description |
|---|
| C0200 - Resident Rights and Protection - General |
| C0260 - Service Plan: General |
| C0303 - Systems: Treatment Orders |
| C0360 - Staffing Requirements and Training: Staffing |
Inspection Report
Capacity: 79
Deficiencies: 1
Jan 26, 2021
Visit Reason
COVID-19 Preparedness Follow up Questionnaire
Findings
COVID-19 Preparedness Follow up Questionnaire
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
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