Inspection Reports for Hazelwood Enhanced Memory Care
11547 NE Glisan St, Portland, OR 97220, OR, 97220
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Inspection Report
Capacity: 40
Deficiencies: 37
Aug 25, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2023-2025 with deficiency history and enforcement actions
Findings
Across all inspections, the facility exhibited multiple deficiencies related to food sanitation, administration compliance, service planning, medication administration, staffing, fire and life safety, environmental maintenance, infection control, and resident care. Some deficiencies were corrected over time, but several remained uncorrected at the latest visits.
Deficiencies (37)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules including cleanliness and proper food storage |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0000 - Comment: Findings documented for change of ownership survey and revisits |
| C0260 - Service Plan: General: Service plans lacked clear direction and were not reflective of residents' current care needs |
| C0310 - Systems: Medication Administration: MARs were inaccurate and lacked resident-specific parameters and reasons for use |
| C0361 - Acuity-Based Staffing Tool: Failed to update ABST timely and use it to develop staffing plan |
| C0420 - Fire and Life Safety: Safety: Failed to provide fire and life safety instruction on alternating months and document fire drills properly |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure plan of correction was implemented and satisfied the Department |
| C0513 - Doors, Walls, Elevators, Odors: Failed to keep environment clean and in good repair |
| C0545 - Plumbing Systems: Failed to maintain hot water temperatures within required range |
| Z0162 - Compliance With Rules Health Care: Failed to provide health care services in accordance with licensing rules |
| Z0163 - Nutrition and Hydration: Failed to ensure individualized daily meal program based on resident preferences and needs |
| Z0164 - Activities: Failed to develop individualized activity plans and provide meaningful activity programs |
| Z0165 - Behavior: Failed to develop individualized behavior plans for residents with behavioral symptoms |
| Z0173 - Secure Outdoor Recreation Area: Fence construction did not reduce risk of resident elopement |
| C0000 - Comment: Findings documented for relicensure survey |
| C0150 - Facility Administration: Operation: Failed to provide effective oversight to ensure quality of care and services |
| C0152 - Facility Administration: Required Postings: Failed to ensure all required postings were displayed conspicuously |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to ensure suspected abuse was thoroughly investigated |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to ensure move-in evaluations and quarterly evaluations were accurate and accessible |
| C0262 - Service Plan: Service Planning Team: Failed to ensure service plans were developed by a proper service planning team |
| C0270 - Change of Condition and Monitoring: Failed to monitor residents consistent with evaluated and service planned needs |
| C0280 - Resident Health Services: Failed to ensure RN assessment and updated service plan for significant changes in condition |
| C0282 - Rn Delegation and Teaching: Failed to document delegation and supervision of nursing tasks per OSBN rules |
| C0295 - Infection Prevention & Control: Failed to designate trained Infection Control Specialist and maintain infection control protocols |
| C0303 - Systems: Treatment Orders: Failed to ensure signed physician orders for all medications administered |
| C0340 - Restraints and Supportive Devices: Failed to assess and document use of supportive devices with restraining qualities |
| C0360 - Staffing Requirements and Training: Staffing: Failed to have sufficient caregiving staff and accurate ABST |
| C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure direct care staff trained in abdominal thrust and First Aid within 30 days |
| C0420 - Fire and Life Safety: Safety: Failed to conduct and document fire drills every other month and provide fire safety instruction |
| C0510 - General Building Exterior: Failed to ensure effective pest control and proper storage of toxic materials |
| C0513 - Doors, Walls, Elevators, Odors: Failed to keep interior materials and surfaces clean and in good repair |
| C0530 - Housekeeping and Laundry: Failed to ensure washing machines had minimum rinse temperature or used disinfectant |
| Z0155 - Staff Training Requirements: Failed to ensure pre-service orientation, dementia training, and annual in-service training completed and documented |
| Z0168 - Outside Area: Failed to provide access to secured outdoor space allowing residents to enter and return without staff assistance |
| Z0176 - Resident Rooms: Failed to ensure residents' rooms were unlocked |
| Z0000 - General Comments: Facility was in substantial compliance with food sanitation rules during kitchen inspection |
Report Facts
Inspections on page: 4
Total deficiencies: 45
Licensing violations: 18
Notices: 1
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