Deficiencies (last 5 years)
Deficiencies (over 5 years)
12.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Change Of Owner
Capacity: 35
Deficiencies: 26
Jun 11, 2025
Visit Reason
Multiple deficiencies identified including failure of effective administrative oversight, required postings not accessible, lack of quality improvement program, failure to exercise reasonable precautions, failure to report abuse incidents timely, incomplete resident move-in evaluations, incomplete service plan implementation, inadequate RN delegation and teaching, medication administration errors, inadequate fire and life safety practices, and failure to provide secured outdoor access.
Findings
Multiple deficiencies identified including failure of effective administrative oversight, required postings not accessible, lack of quality improvement program, failure to exercise reasonable precautions, failure to report abuse incidents timely, incomplete resident move-in evaluations, incomplete service plan implementation, inadequate RN delegation and teaching, medication administration errors, inadequate fire and life safety practices, and failure to provide secured outdoor access.
Deficiencies (26)
| Description |
|---|
| OAR 411-054-0025 (1) Facility Administration: Operation |
| OAR 411-054-0025 (5) Facility Administration: Required Postings |
| OAR 411-054-0025 (9) Facility Administration: Quality Improvement |
| OAR 411-054-0025 (4) Reasonable Precautions |
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0034 (1-6) Resident Move-in & Evaluation: Res Evaluation |
| OAR 411-054-0036 (1-4) Service Plan: General |
| OAR 411-054-0045 (1)(f)(B) RN Delegation and Teaching |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders |
| OAR 411-054-0055 (2) Systems: Medication Administration |
| OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents |
| OAR 411-054-0093 (1-5) Emergency and Disaster Planning |
| OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval |
| OAR 411-054-0200 (3) General Building Exterior |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors |
| OAR411-004-0020(2)(d) Individual Privacy: Own Unit |
| OAR411-004-0020(2)(e) Individual Door Locks: Key Access |
| OAR 411-054-0025 (5)(f)(g) Facility Administration: Required Postings |
| OAR 411-057-0140(2) Administration Compliance |
| OAR 411-057-0155(1-6) Staff Training Requirements |
| OAR 411-057-0160(2b) Compliance with Rules Health Care |
| OAR 411-057-0160(2)(c)(A)(B) Nutrition and Hydration |
| OAR 411-057-0160(g) Outside Area |
| OAR 411-057-0170(6) Secure Outdoor Recreation Area |
Inspection Report
Kitchen
Capacity: 35
Deficiencies: 2
Nov 12, 2024
Visit Reason
Two deficiencies noted related to kitchen cleanliness and food sanitation including accumulation of food debris, need for repairs, and staff not following proper food handling procedures.
Findings
Two deficiencies noted related to kitchen cleanliness and food sanitation including accumulation of food debris, need for repairs, and staff not following proper food handling procedures.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule |
| OAR 411-057-0140(2) Administration Compliance |
Inspection Report
Complaint Investigation
Capacity: 35
Deficiencies: 9
Apr 1, 2024
Visit Reason
Nine deficiencies identified including failure to maintain resident records, provide nutritious meals, implement service plans, infection control, medication oversight, staffing, acuity based staffing tool, and staff training.
Findings
Nine deficiencies identified including failure to maintain resident records, provide nutritious meals, implement service plans, infection control, medication oversight, staffing, acuity based staffing tool, and staff training.
Deficiencies (9)
| Description |
|---|
| OAR 411-054-0155 Facility Administration: Records |
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0036 Service Plan: General |
| OAR 411-054-0295 Infection Prevention & Control |
| OAR 411-054-0300 Systems: Medications and Treatments |
| OAR 411-054-0303 Systems: Treatment Orders |
| OAR 411-054-0360 Staffing Requirements and Training: Staffing |
| OAR 411-054-0361 Acuity-Based Staffing Tool |
| OAR 411-054-0374 Annual and Biennial Inservice For All Staff |
Inspection Report
Capacity: 35
Deficiencies: 1
Nov 14, 2023
Visit Reason
No deficiencies identified. Facility was in substantial compliance with applicable OARs for Resident Services Meals and Food Sanitation Rules.
Findings
No deficiencies identified. Facility was in substantial compliance with applicable OARs for Resident Services Meals and Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Capacity: 35
Deficiencies: 2
Aug 2, 2022
Visit Reason
Two deficiencies noted related to kitchen cleanliness and administration compliance. Kitchen sanitation issues were corrected by revisit.
Findings
Two deficiencies noted related to kitchen cleanliness and administration compliance. Kitchen sanitation issues were corrected by revisit.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-057-0140 Administration Compliance |
Inspection Report
Change Of Owner
Capacity: 35
Deficiencies: 22
Mar 30, 2021
Visit Reason
Twenty-six deficiencies identified including failures in facility administration, resident records, reasonable precautions, reporting abuse, meal services, service plans, medication administration, staffing, fire and life safety, environment maintenance, and resident services. Immediate plans of correction were implemented during survey.
Findings
Twenty-six deficiencies identified including failures in facility administration, resident records, reasonable precautions, reporting abuse, meal services, service plans, medication administration, staffing, fire and life safety, environment maintenance, and resident services. Immediate plans of correction were implemented during survey.
Deficiencies (22)
| Description |
|---|
| OAR 411-054-0025 (4) Reasonable Precautions |
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0036 Service Plan: General |
| OAR 411-054-0231 Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0252 Resident Move-In and Evaluation: Res Evaluation |
| OAR 411-054-0280 Resident Health Services |
| OAR 411-054-0300 Systems: Medications and Treatments |
| OAR 411-054-0303 Systems: Treatment Orders |
| OAR 411-054-0310 Systems: Medication Administration |
| OAR 411-054-0372 Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0420 Fire and Life Safety: Safety |
| OAR 411-054-0422 Fire and Life Safety: Training For Residents |
| OAR 411-054-0513 Doors, Walls, Elevators, Odors |
| OAR 411-054-0555 Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable |
| OAR 411-057-0140 Administration Responsibilities |
| OAR 411-057-0142 Administration Compliance |
| OAR 411-057-0155 Staff Training Requirements |
| OAR 411-057-0160 Resident Services |
| OAR 411-057-0162 Compliance With Rules Health Care |
| OAR 411-057-0163 Nutrition and Hydration |
| OAR 411-057-0164 Activities |
| OAR 411-057-0168 Outside Area |
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