Deficiencies (last 4 years)
Deficiencies (over 4 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Re-licensure
Capacity: 15
Deficiencies: 11
Date: 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)
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
Date: 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)
C0000 - Comment
Inspection Report
Complaint Investigation
Capacity: 15
Deficiencies: 5
Date: 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)
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
Date: 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)
C0000 - Comment
Inspection Report
Capacity: 15
Deficiencies: 16
Date: 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)
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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