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
Routine
Capacity: 51
Deficiencies: 5
Date: Sep 5, 2025
Visit Reason
Deficiencies related to medication administration failures and bed rail use were identified. Resident 3 missed multiple prescribed doses of calcium citrate supplements and Resident 9's bed rails were not implemented as ordered. Medication storage and supervision issues were also noted. All deficiencies were corrected by 9/22/2025.
Findings
Deficiencies related to medication administration failures and bed rail use were identified. Resident 3 missed multiple prescribed doses of calcium citrate supplements and Resident 9's bed rails were not implemented as ordered. Medication storage and supervision issues were also noted. All deficiencies were corrected by 9/22/2025.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
F0689 - Free of Accident Hazards/Supervision/Devices
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 51
Deficiencies: 2
Date: May 29, 2025
Visit Reason
Complaint investigation found two deficiencies related to initial comments that were not corrected at the time of visit.
Findings
Complaint investigation found two deficiencies related to initial comments that were not corrected at the time of visit.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 51
Deficiencies: 5
Date: Jun 13, 2024
Visit Reason
Deficiencies included failure to provide written notice of bed hold policy, failure to follow physician orders for resident weights, and quality of care issues. Some deficiencies were corrected on first revisit but not corrected on second revisit.
Findings
Deficiencies included failure to provide written notice of bed hold policy, failure to follow physician orders for resident weights, and quality of care issues. Some deficiencies were corrected on first revisit but not corrected on second revisit.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0625 - Notice of Bed Hold Policy Before/Upon Trnsfr
F0684 - Quality of Care
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Capacity: 51
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
One deficiency related to failure to report complete COVID-19 information to the National Healthcare Safety Network was identified and not corrected at time of visit.
Findings
One deficiency related to failure to report complete COVID-19 information to the National Healthcare Safety Network was identified and not corrected at time of visit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 51
Deficiencies: 1
Date: Sep 18, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Findings
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 51
Deficiencies: 1
Date: Sep 5, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Findings
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 51
Deficiencies: 1
Date: Jul 17, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Findings
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Routine
Capacity: 51
Deficiencies: 16
Date: Mar 13, 2023
Visit Reason
Thirteen deficiencies identified including issues with resident privacy, grievances, assessment accuracy, care plan revisions, activities, quality of care, pressure ulcer prevention, range of motion, accident hazards, bowel/bladder care, mental health treatment, and infection control. Some deficiencies were corrected on first revisit but many remained uncorrected on second revisit.
Findings
Thirteen deficiencies identified including issues with resident privacy, grievances, assessment accuracy, care plan revisions, activities, quality of care, pressure ulcer prevention, range of motion, accident hazards, bowel/bladder care, mental health treatment, and infection control. Some deficiencies were corrected on first revisit but many remained uncorrected on second revisit.
Deficiencies (16)
F0000 - INITIAL COMMENTS
F0583 - Personal Privacy/Confidentiality of Records
F0585 - Grievances
F0641 - Accuracy of Assessments
F0657 - Care Plan Timing and Revision
F0679 - Activities Meet Interest/Needs Each Resident
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0688 - Increase/Prevent Decrease in ROM/Mobility
F0689 - Free of Accident Hazards/Supervision/Devices
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0742 - Treatment/Srvcs Mental/Psychoscial Concerns
F0880 - Infection Prevention & Control
F0883 - Influenza and Pneumococcal Immunizations
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Capacity: 51
Deficiencies: 1
Date: Mar 6, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Findings
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 51
Deficiencies: 1
Date: Oct 17, 2022
Visit Reason
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Findings
One deficiency for failure to report complete COVID-19 information to NHSN was identified and not corrected at time of visit.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
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