Deficiencies per Year
28
21
14
7
0
Unclassified
Inspection Report
Capacity: 40
Deficiencies: 2
Oct 21, 2024
Visit Reason
Facility failed to maintain kitchen in good repair and sanitary manner per Food Sanitation Rules. Multiple areas had food spills, dirt, grease, needed repairs, improper food storage, lack of sanitizer test strips use, and staff lacked knowledge of food safety. Administration compliance also failed to meet licensing rules.
Findings
Facility failed to maintain kitchen in good repair and sanitary manner per Food Sanitation Rules. Multiple areas had food spills, dirt, grease, needed repairs, improper food storage, lack of sanitizer test strips use, and staff lacked knowledge of food safety. Administration compliance also failed to meet licensing rules.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule — Facility failed to maintain kitchen in good repair and sanitary manner |
| OAR 411-057-0140(2) Administration Compliance — Facility failed to follow licensing rules for Residential Care and Assisted Living Facilities |
Inspection Report
Capacity: 40
Deficiencies: 25
Oct 4, 2024
Visit Reason
Multiple deficiencies including facility administration operation, policy and procedure, quality improvement, resident rights and protection, reporting and investigating abuse, resident move-in and evaluation, service plan general, change of condition and monitoring, resident health services, infection prevention and control, medication and treatment systems, psychotropic medication, restraints and supportive devices, acuity based staffing tool, staff training, and fire and life safety. All deficiencies were not corrected as of last revisit.
Findings
Multiple deficiencies including facility administration operation, policy and procedure, quality improvement, resident rights and protection, reporting and investigating abuse, resident move-in and evaluation, service plan general, change of condition and monitoring, resident health services, infection prevention and control, medication and treatment systems, psychotropic medication, restraints and supportive devices, acuity based staffing tool, staff training, and fire and life safety. All deficiencies were not corrected as of last revisit.
Deficiencies (25)
| Description |
|---|
| OAR 411-054-0025 (1) Facility Administration: Operation — Failed to provide adequate administrative oversight and supervision |
| OAR 411-054-0025 (7) Facility Administration: Policy & Procedure — Failed to develop and implement written policies and procedures |
| OAR 411-054-0025 (9) Facility Administration: Quality Improvement — Failed to conduct ongoing quality improvement programs |
| OAR 411-054-0027 (1) Resident Rights and Protection - General — Failed to ensure residents received services protecting privacy and dignity |
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action — Failed to report and investigate resident-to-resident physical altercations and injuries |
| OAR 411-054-0034 (1-6) Resident Move-in & Evaluation: Res Evaluation — Failed to ensure move-in evaluations addressed all required elements and quarterly evaluations completed |
| OAR 411-054-0036 (1-4) Service Plan: General — Failed to ensure service plans were reflective, available, and implemented |
| OAR 411-054-0040 (1-2) Change of Condition and Monitoring — Failed to determine, document, communicate, and monitor resident-specific actions for changes of condition |
| OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services — Failed to ensure RN assessments for significant changes of condition |
| OAR 411-054-0050(1-5) Infection Prevention & Control — Failed to establish and maintain effective infection prevention and control protocols |
| OAR 411-054-0055 (1)(a) Systems: Medications and Treatments — Failed to ensure safe medication and treatment administration system |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders — Failed to carry out physician orders as prescribed |
| OAR 411-054-0055 (1)(i) Systems: Medication and Treatment Review — Failed to ensure pharmacist or RN review of medications every 90 days |
| OAR 411-054-0055 (1)(j-k) Systems: Resident Right to Refuse — Failed to notify physician of resident medication refusals |
| OAR 411-054-0055 (2) Systems: Medication Administration — Failed to ensure MARs included resident-specific parameters and reasons for use |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication — Failed to ensure PRN psychotropic medications had resident-specific parameters and documented non-pharmacological interventions |
| OAR 411-054-0060 Restraints and Supportive Devices — Failed to ensure assessments, documentation, instruction, and service plan inclusion for supportive devices |
| OAR 411-054-0037 (1a)(2-3) Acuity Based Staffing Tool - Elements — Failed to use and update ABST appropriately |
| OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff — Failed to ensure direct care staff had documented competency in abdominal thrust within 30 days |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety — Failed to conduct and record unannounced fire drills every other month and provide fire and life safety instruction on alternate months |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents — Failed to instruct residents on fire and life safety procedures on admission and annually |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors — Failed to keep interior materials and surfaces clean and in good repair |
| OAR411-004-0020(2)(d) Individual Privacy: Own Unit — Failed to ensure resident privacy in own unit |
| OAR411-004-0020(2)(e) Individual Door Locks: Key Access — Failed to ensure residents were provided keys to their units |
| OAR 411-057-0140(2) Administration Compliance — Failed to comply with licensing rules for the facility and Chapter 411, Division 57 |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 3
Aug 20, 2024
Visit Reason
Facility failed to ensure implementation of services for a sampled resident, failed to have service plans readily available to staff, failed to have a system for tracking controlled substances and disposal of unused medications, and failed to carry out medication and treatment orders as prescribed for sampled residents.
Findings
Facility failed to ensure implementation of services for a sampled resident, failed to have service plans readily available to staff, failed to have a system for tracking controlled substances and disposal of unused medications, and failed to carry out medication and treatment orders as prescribed for sampled residents.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0036 (1-4) Service Plan: General — Failed to ensure implementation of services and availability of service plans |
| OAR 411-054-0055 (1)(a) Systems: Medications and Treatments — Failed to have system for tracking controlled substances and disposal |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders — Failed to carry out medication and treatment orders as prescribed |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 1
Jun 5, 2024
Visit Reason
Facility failed to conduct and record unannounced fire drills every other month at different times of day, evening, and night shifts.
Findings
Facility failed to conduct and record unannounced fire drills every other month at different times of day, evening, and night shifts.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety — Failed to conduct and record required fire drills |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 2
May 29, 2024
Visit Reason
Facility failed to provide qualified awake direct care staff sufficient in number to meet resident needs and failed to verify direct care staff demonstrated competency within 30 days of hire.
Findings
Facility failed to provide qualified awake direct care staff sufficient in number to meet resident needs and failed to verify direct care staff demonstrated competency within 30 days of hire.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0036 (1-4) Service Plan: General / Staffing Requirements and Training: Staffing — Failed to provide sufficient qualified staff and verify competency |
| OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff — Failed to verify direct care staff competency within 30 days |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 5
Oct 31, 2023
Visit Reason
Facility failed to fully implement and update Acuity Based Staffing Tool, failed to post administrator name, failed to carry out medication orders as prescribed, failed to provide sufficient awake direct care staff, and failed to post directions on entry door.
Findings
Facility failed to fully implement and update Acuity Based Staffing Tool, failed to post administrator name, failed to carry out medication orders as prescribed, failed to provide sufficient awake direct care staff, and failed to post directions on entry door.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0037 (1a)(2-3) Acuity Based Staffing Tool - Elements — Failed to fully implement and update ABST |
| OAR 411-054-0025 (7) Facility Administration: Policy & Procedure — Failed to post administrator or designee name |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders — Failed to carry out medication orders as prescribed |
| OAR 411-054-0036 (1-4) Service Plan: General / Staffing Requirements and Training: Staffing — Failed to provide sufficient awake direct care staff |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety — Failed to post directions on entry door |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 4
Oct 31, 2023
Visit Reason
Facility failed to post administrator name, failed to carry out medication orders as prescribed, failed to provide sufficient awake direct care staff, and failed to post directions on entry door.
Findings
Facility failed to post administrator name, failed to carry out medication orders as prescribed, failed to provide sufficient awake direct care staff, and failed to post directions on entry door.
Deficiencies (4)
| Description |
|---|
| OAR 411-054-0025 (7) Facility Administration: Policy & Procedure — Failed to post administrator or designee name |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders — Failed to carry out medication orders as prescribed |
| OAR 411-054-0036 (1-4) Service Plan: General / Staffing Requirements and Training: Staffing — Failed to provide sufficient awake direct care staff |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety — Failed to post directions on entry door |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 2
Jul 13, 2023
Visit Reason
Facility failed to provide adequate supervision, training, and conduct of staff, including failure to follow drug use policy, and failed to maintain kitchen in good repair and sanitary manner per Food Sanitation Rules.
Findings
Facility failed to provide adequate supervision, training, and conduct of staff, including failure to follow drug use policy, and failed to maintain kitchen in good repair and sanitary manner per Food Sanitation Rules.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0025 (1) Facility Administration: Operation — Failed to supervise and train staff appropriately |
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule — Failed to maintain kitchen in good repair and sanitary manner |
Inspection Report
Capacity: 40
Deficiencies: 2
Jul 10, 2023
Visit Reason
Kitchen inspection found multiple sanitation and repair issues including food spills, dirt, grease, damaged equipment, improper food storage, and lack of sanitizer test strip use. Administration compliance also failed to meet licensing rules.
Findings
Kitchen inspection found multiple sanitation and repair issues including food spills, dirt, grease, damaged equipment, improper food storage, and lack of sanitizer test strip use. Administration compliance also failed to meet licensing rules.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule — Failed to maintain kitchen in good repair and sanitary manner |
| OAR 411-057-0140(2) Administration Compliance — Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 1
Oct 11, 2022
Visit Reason
Complaint investigation found no deficiencies related to complaint. Infection prevention and control reviewed with no deficiencies identified.
Findings
Complaint investigation found no deficiencies related to complaint. Infection prevention and control reviewed with no deficiencies identified.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0295 Infection Prevention & Control — No deficiencies identified related to complaint |
Loading inspection reports...
