Deficiencies (last 4 years)
Deficiencies (over 4 years)
19.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
188% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 4
Nov 24, 2025
Visit Reason
Facility failed to timely administer anti-seizure medication to a resident due to pharmacy delays and staff oversight. Multiple doses were missed causing risk to resident health. Facility implemented staff education and audits to prevent recurrence.
Findings
Facility failed to timely administer anti-seizure medication to a resident due to pharmacy delays and staff oversight. Multiple doses were missed causing risk to resident health. Facility implemented staff education and audits to prevent recurrence.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0684 - Quality of Care |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 2
Sep 10, 2025
Visit Reason
Two deficiencies cited but not corrected related to initial comments and other unspecified issues. Facility failed to correct identified problems during revisit.
Findings
Two deficiencies cited but not corrected related to initial comments and other unspecified issues. Facility failed to correct identified problems during revisit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 4
Jun 17, 2025
Visit Reason
Facility failed to ensure residents received necessary treatment to prevent constipation, resulting in emergency hospitalization. Multiple deficiencies related to care planning and nursing services were partially corrected but some remained uncorrected on revisit.
Findings
Facility failed to ensure residents received necessary treatment to prevent constipation, resulting in emergency hospitalization. Multiple deficiencies related to care planning and nursing services were partially corrected but some remained uncorrected on revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0684 - Quality of Care |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 2
May 7, 2025
Visit Reason
Two deficiencies cited related to initial comments but not corrected. Facility failed to address identified issues during revisit.
Findings
Two deficiencies cited related to initial comments but not corrected. Facility failed to address identified issues during revisit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 21
Aug 30, 2024
Visit Reason
Multiple deficiencies related to resident rights, transfer notices, assessments, care plans, medication administration, wound care, respiratory care, staffing, and training. Many deficiencies were corrected on revisit but several remained uncorrected.
Findings
Multiple deficiencies related to resident rights, transfer notices, assessments, care plans, medication administration, wound care, respiratory care, staffing, and training. Many deficiencies were corrected on revisit but several remained uncorrected.
Deficiencies (21)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0623 - Notice Requirements Before Transfer/Discharge |
| F0625 - Notice of Bed Hold Policy Before/Upon Trnsfr |
| F0641 - Accuracy of Assessments |
| F0655 - Baseline Care Plan |
| F0657 - Care Plan Timing and Revision |
| F0658 - Services Provided Meet Professional Standards |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0947 - Required In-Service Training for Nurse Aides |
| M0000 - Initial Comments |
| M0143 - Employees: Criminal Record Checks |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff |
| M0185 - Bariatric Criteria and Services |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| V0000 - Initial Comments |
| V0160 - Staffing |
| V0170 - Staff Training |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 2
Apr 24, 2024
Visit Reason
Two deficiencies cited related to initial comments but not corrected. Facility failed to address identified issues during revisit.
Findings
Two deficiencies cited related to initial comments but not corrected. Facility failed to address identified issues during revisit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 4
Oct 31, 2023
Visit Reason
Deficiencies related to incontinence care, bowel/bladder care, and nursing services. Some deficiencies corrected but others remained uncorrected on revisit. Facility failed to provide timely incontinence care and follow physician orders.
Findings
Deficiencies related to incontinence care, bowel/bladder care, and nursing services. Some deficiencies corrected but others remained uncorrected on revisit. Facility failed to provide timely incontinence care and follow physician orders.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Annual Inspection
Capacity: 78
Deficiencies: 26
May 23, 2023
Visit Reason
Multiple deficiencies across a wide range of areas including resident rights, quality of care, wound care, staffing, medication management, and specialized services. Some deficiencies were corrected on revisit, others remained uncorrected. Immediate jeopardy situation related to aspiration risk and staffing was abated.
Findings
Multiple deficiencies across a wide range of areas including resident rights, quality of care, wound care, staffing, medication management, and specialized services. Some deficiencies were corrected on revisit, others remained uncorrected. Immediate jeopardy situation related to aspiration risk and staffing was abated.
Deficiencies (26)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0550 - Resident Rights/Exercise of Rights |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0582 - Medicaid/Medicare Coverage/Liability Notice |
| 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 |
| F0687 - Foot Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| F0698 - Dialysis |
| F0725 - Sufficient Nursing Staff |
| F0730 - Nurse Aide Peform Review-12 hr/yr In-Service |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0761 - Label/Store Drugs and Biologicals |
| F0825 - Provide/Obtain Specialized Rehab Services |
| F0842 - Resident Records - Identifiable Information |
| F0865 - QAPI Prgm/Plan, Disclosure/Good Faith Attmpt |
| M0000 - Initial Comments |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| V0000 - Initial Comments |
| V0160 - Staffing |
| V0170 - Staff Training |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 9
Feb 13, 2023
Visit Reason
Deficiencies related to grievances, quality of care, staffing, and resident rights. Some deficiencies corrected on revisit but many remained uncorrected. Facility failed to timely respond to call lights and address resident grievances.
Findings
Deficiencies related to grievances, quality of care, staffing, and resident rights. Some deficiencies corrected on revisit but many remained uncorrected. Facility failed to timely respond to call lights and address resident grievances.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0585 - Grievances |
| F0684 - Quality of Care |
| F0725 - Sufficient Nursing Staff |
| F0732 - Posted Nurse Staffing Information |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| V0000 - Initial Comments |
| V0160 - Staffing |
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 3
Oct 26, 2022
Visit Reason
Three deficiencies cited related to initial comments and infection control but not corrected. Facility failed to address identified issues during revisit.
Findings
Three deficiencies cited related to initial comments and infection control but not corrected. Facility failed to address identified issues during revisit.
Deficiencies (3)
| Description |
|---|
| E0000 - Initial Comments |
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Loading inspection reports...



