Deficiencies per Year
16
12
8
4
0
Unclassified
Inspection Report
Re-licensure
Capacity: 15
Deficiencies: 11
Jul 17, 2025
Visit Reason
The facility had 11 deficiencies including failures in service plan accuracy, resident health services timely RN assessments, infection prevention and control protocols, psychotropic medication management, restraint assessments, staffing requirements, fire and life safety training, individual rights, and administration compliance. None of the deficiencies were corrected as of the last revisit on 10/20/2025.
Findings
The facility had 11 deficiencies including failures in service plan accuracy, resident health services timely RN assessments, infection prevention and control protocols, psychotropic medication management, restraint assessments, staffing requirements, fire and life safety training, individual rights, and administration compliance. None of the deficiencies were corrected as of the last revisit on 10/20/2025.
Deficiencies (11)
| Description |
|---|
| OAR 411-054-0036 (1-4) Service Plan: General |
| OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services |
| OAR 411-054-0050(1-5) Infection Prevention & Control |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication |
| OAR 411-054-0060 Restraints and Supportive Devices |
| OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents |
| OAR411-004-0020(1)(d) Individual Rights Settings Right to Freedom |
| OAR 411-057-0140(2) Administration Compliance |
| OAR 411-057-0160(2b) Compliance with Rules Health Care |
| OAR 411-057-0160(2d) Activities |
Inspection Report
Capacity: 15
Deficiencies: 1
Apr 23, 2024
Visit Reason
The kitchen inspection found the facility in substantial compliance with relevant OARs for Residential Care and Assisted Living Facilities and Oregon Health Service Food Sanitation Rules.
Findings
The kitchen inspection found the facility in substantial compliance with relevant OARs for Residential Care and Assisted Living Facilities and Oregon Health Service Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Complaint Investigation
Capacity: 15
Deficiencies: 5
Oct 24, 2023
Visit Reason
Complaint investigation identified 4 deficiencies including medication administration errors, treatment order failures, acuity-based staffing tool non-adoption, and failure to provide records to the Department. None were corrected as of the visit.
Findings
Complaint investigation identified 4 deficiencies including medication administration errors, treatment order failures, acuity-based staffing tool non-adoption, and failure to provide records to the Department. None were corrected as of the visit.
Deficiencies (5)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
| C0301 - Systems: Medication Administration |
| C0303 - Systems: Treatment Orders |
| C0361 - Acuity-Based Staffing Tool |
| C0450 - Inspections and Investigations |
Inspection Report
Capacity: 15
Deficiencies: 1
Jun 2, 2023
Visit Reason
The kitchen inspection found the facility in substantial compliance with relevant OARs for Residential Care and Assisted Living Facilities and Oregon Health Service Food Sanitation Rules.
Findings
The kitchen inspection found the facility in substantial compliance with relevant OARs for Residential Care and Assisted Living Facilities and Oregon Health Service Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Capacity: 15
Deficiencies: 16
Jul 18, 2022
Visit Reason
The Change of Ownership survey identified 16 deficiencies including infection control failures, resident services issues, medication administration errors, psychotropic medication management, fire and life safety training, environmental maintenance, and administration compliance. Some deficiencies were corrected by follow-up visits in 2022 and 2023, but others remained uncorrected.
Findings
The Change of Ownership survey identified 16 deficiencies including infection control failures, resident services issues, medication administration errors, psychotropic medication management, fire and life safety training, environmental maintenance, and administration compliance. Some deficiencies were corrected by follow-up visits in 2022 and 2023, but others remained uncorrected.
Deficiencies (16)
| Description |
|---|
| C0000 - Comment |
| C0160 - Reasonable Precautions |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0242 - Resident Services: Activities |
| C0260 - Service Plan: General |
| C0262 - Service Plan: Service Planning Team |
| C0270 - Change of Condition and Monitoring |
| C0303 - Systems: Treatment Orders |
| C0330 - Systems: Psychotropic Medication |
| C0420 - Fire and Life Safety: Safety |
| C0455 - Inspections and Investigation: Insp Interval |
| C0513 - Doors, Walls, Elevators, Odors |
| Z0142 - Administration Compliance |
| Z0162 - Compliance With Rules Health Care |
| Z0173 - Secure Outdoor Recreation Area |
| Z0176 - Resident Rooms |
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