Inspection Reports for
Greenridge Estates
4 GREENRIDGE DRIVE, LAKE OSWEGO, OR, 97035
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
19.6 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
193% worse than Oregon average
Oregon average: 6.7 deficiencies/year
Deficiencies per year
80
60
40
20
0
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 1
Date: Oct 14, 2025
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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)
C0010 - Licensing Complaint Investigation
Inspection Report
Complaint Investigation
Capacity: 50
Deficiencies: 2
Date: Aug 14, 2025
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No deficiencies were cited during this Complaint, Re-Licensure survey.
Findings
No deficiencies were cited during this Complaint, Re-Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies.
M0000 - Initial Comments — Initial comments noted with no deficiencies.
Inspection Report
Capacity: 79
Deficiencies: 2
Date: Apr 30, 2025
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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)
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: 50
Deficiencies: 2
Date: Mar 14, 2025
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No deficiencies were cited during this Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies were cited during this Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments noted with no deficiencies.
M0000 - Initial Comments — Initial comments noted with no deficiencies.
Inspection Report
Complaint Investigation
Capacity: 50
Deficiencies: 15
Date: Aug 16, 2024
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Multiple deficiencies were cited related to resident call light accessibility, grievance handling, reporting of alleged violations, comprehensive care planning, quality of care, pressure ulcer treatment, accident hazards and supervision, trauma informed care, RN staffing, psychotropic medication monitoring, dietary menus, and immunizations.
Findings
Multiple deficiencies were cited related to resident call light accessibility, grievance handling, reporting of alleged violations, comprehensive care planning, quality of care, pressure ulcer treatment, accident hazards and supervision, trauma informed care, RN staffing, psychotropic medication monitoring, dietary menus, and immunizations.
Deficiencies (15)
F0000 - INITIAL COMMENTS — Initial comments noted with deficiencies not corrected on revisit.
F0558 - Reasonable Accommodations Needs/Preferences — Facility failed to ensure call lights were within reach for a sampled resident, placing residents at risk for unaddressed individual needs.
F0585 - Grievances — Facility failed to address a grievance for a sampled resident, placing residents at risk for unresolved grievances.
F0609 - Reporting of Alleged Violations — Facility failed to ensure allegations of abuse were reported timely to administration for a sampled resident, placing residents at risk for abuse.
F0656 - Develop/Implement Comprehensive Care Plan — Facility failed to develop a person-centered care plan for a sampled resident, placing residents at risk for lack of identified needs.
F0684 - Quality of Care — Facility failed to suction a resident safely and follow diabetic orders for sampled residents, placing residents at risk for injury and delayed treatment.
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer — Facility failed to accurately assess, investigate, and care plan pressure ulcers for sampled residents, placing residents at risk for worsening pressure ulcers.
F0689 - Free of Accident Hazards/Supervision/Devices — Facility failed to ensure staff followed care plans related to fall safety and ascertain post-fall injuries for sampled residents, placing residents at risk for lack of supervision and falls.
F0699 - Trauma Informed Care — Facility failed to assess and implement trauma informed care interventions for a sampled resident, placing residents at risk for re-traumatization.
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON — Facility failed to staff a registered nurse for eight consecutive hours per day seven days per week for nine days reviewed, placing residents at risk for unmet assessment needs.
F0758 - Free from Unnec Psychotropic Meds/PRN Use — Facility failed to monitor side effects of psychotropic medications for a sampled resident, placing residents at risk for adverse medication reactions.
F0803 - Menus Meet Resident Nds/Prep in Adv/Followed — Facility failed to follow therapeutic diets in the kitchen, placing residents at risk for lack of nutritional interventions.
F0883 - Influenza and Pneumococcal Immunizations — Facility failed to ensure flu and pneumonia vaccines were provided for sampled residents, placing residents at risk for respiratory infections.
M0000 - Initial Comments — Initial comments noted with deficiencies not corrected on revisit.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Referenced multiple OARs related to cited deficiencies.
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 13
Date: Mar 5, 2024
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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)
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
Date: Oct 30, 2023
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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)
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: 50
Deficiencies: 1
Date: Jun 20, 2023
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Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 information to NHSN during a required period.
Inspection Report
Capacity: 50
Deficiencies: 1
Date: Jun 12, 2023
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Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 information to NHSN during a required period.
Inspection Report
Capacity: 50
Deficiencies: 1
Date: Jun 5, 2023
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Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 information to NHSN during a required period.
Inspection Report
Complaint Investigation
Capacity: 50
Deficiencies: 15
Date: Apr 7, 2023
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Multiple deficiencies were cited related to resident rights, reporting of alleged violations, investigation of alleged violations, medication administration, ADL care, quality of care, pressure ulcer treatment, nurse aide performance review, drug regimen review, medication errors, food procurement and sanitation, and infection prevention and control.
Findings
Multiple deficiencies were cited related to resident rights, reporting of alleged violations, investigation of alleged violations, medication administration, ADL care, quality of care, pressure ulcer treatment, nurse aide performance review, drug regimen review, medication errors, food procurement and sanitation, and infection prevention and control.
Deficiencies (15)
F0000 - INITIAL COMMENTS — Initial comments noted with deficiencies not corrected on revisit.
F0553 - Right to Participate in Planning Care — Facility failed to offer residents and representatives opportunity to participate in care planning for a sampled resident.
F0609 - Reporting of Alleged Violations — Facility failed to report allegations of neglect timely for sampled residents, placing residents at risk for abuse.
F0610 - Investigate/Prevent/Correct Alleged Violation — Facility failed to complete thorough investigations for sampled residents, placing residents at risk for abuse.
F0658 - Services Provided Meet Professional Standards — Facility failed to ensure medication administration met professional standards, resulting in adverse consequences for a resident.
F0677 - ADL Care Provided for Dependent Residents — Facility failed to provide bathing assistance for a sampled resident, placing residents at risk for lack of cleanliness.
F0684 - Quality of Care — Facility failed to follow physician orders for a sampled resident, placing residents at risk for not receiving medications as ordered.
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer — Facility failed to obtain treatment orders for a pressure ulcer for a sampled resident, placing residents at risk for delayed wound treatment.
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service — Facility failed to ensure CNA annual performance reviews were completed for sampled staff, placing residents at risk for lack of competent staff.
F0756 - Drug Regimen Review, Report Irregular, Act On — Facility failed to respond timely to pharmacy recommendations for a sampled resident, placing residents at risk for adverse medication side effects.
F0760 - Residents are Free of Significant Med Errors — Facility failed to ensure residents were free from significant medication errors for a sampled resident, resulting in hospitalization.
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary — Facility failed to store food properly and maintain ice machine sanitation, placing residents at risk for contamination.
F0880 - Infection Prevention & Control — Facility failed to ensure proper infection control practices for glucometer cleaning and failed to implement water management program, placing residents at risk for infection.
M0000 - Initial Comments — Initial comments noted with deficiencies not corrected on revisit.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Referenced multiple OARs related to cited deficiencies.
Inspection Report
Capacity: 79
Deficiencies: 2
Date: 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)
C0000 - Comment
C0240 - Resident Services Meals, Food Sanitation Rule
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 14
Date: Nov 29, 2022
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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)
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
Date: Jun 29, 2022
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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)
C0200 - Resident Rights and Protection - General
C0260 - Service Plan: General
C0303 - Systems: Treatment Orders
C0360 - Staffing Requirements and Training: Staffing
Inspection Report
Capacity: 50
Deficiencies: 1
Date: May 30, 2022
Visit Reason
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 information to NHSN during a required period.
Inspection Report
Capacity: 50
Deficiencies: 1
Date: May 23, 2022
Visit Reason
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete information about COVID-19 to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 information to NHSN during a required period.
Inspection Report
Capacity: 50
Deficiencies: 1
Date: Sep 15, 2021
Visit Reason
No deficiencies were cited during this State Licensure survey.
Findings
No deficiencies were cited during this State Licensure survey.
Deficiencies (1)
M0000 - Initial Comments — Initial comments noted with no deficiencies.
Inspection Report
Capacity: 79
Deficiencies: 1
Date: Jan 26, 2021
Visit Reason
COVID-19 Preparedness Follow up Questionnaire
Findings
COVID-19 Preparedness Follow up Questionnaire
Deficiencies (1)
C0000 - Comment
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