Inspection Reports for Laurel Pines Retirement Lodge
3100 Avenue A, White City, OR 97503, OR, 97503
Back to Facility ProfileDeficiencies per Year
28
21
14
7
0
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Inspection Report
Kitchen
Census: 36
Capacity: 56
Deficiencies: 28
Oct 8, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-2025 with deficiency history and enforcement actions.
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited numerous deficiencies including failures in kitchen sanitation and repair, staffing and training compliance, resident service plans, medication administration, fire and life safety training, and environmental maintenance. Several deficiencies were repeated and plans of correction were implemented but not always fully corrected at subsequent visits.
Complaint Details
Complaint investigations conducted on 8/25/2022 and 7/31/2024 identified deficiencies related to staffing, environment, and resident services, with findings reviewed and acknowledged by facility staff.
Deficiencies (28)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure kitchen cleanliness and good repair with multiple areas needing cleaning and repair including food spills, damaged surfaces, and uncovered food items. |
| C0370 - Staffing Requirements and Training – Pre-service: Failed to ensure staff preparing food had active food handler certificates. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department. |
| C0240 - Resident Services Meals, Food Sanitation Rule (2024 Complaint Investigation): Failed to provide modified special diets appropriate to residents' needs and choices. |
| C0360 - Staffing Requirements and Training: Staffing (2024 Complaint Investigation): Failed to fully update and implement an acuity-based staffing tool (ABST). |
| C0513 - Doors, Walls, Elevators, Odors (2024 Complaint Investigation): Failed to keep interior free from unpleasant odors and maintain clean interior materials and surfaces. |
| C0000 - Comment (2023 Re-Licensure): Documented findings of re-licensure survey and revisits with substantial compliance achieved by last revisit. |
| C0240 - Resident Services Meals, Food Sanitation Rule (2023 Re-Licensure): Failed to ensure kitchens were clean and in good repair with multiple areas needing cleaning or repair. |
| C0242 - Resident Services: Activities: Failed to provide a daily program of social and recreational activities based on resident needs. |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to ensure resident move-in evaluations addressed all required elements for sampled residents. |
| C0260 - Service Plan: General: Failed to ensure service plans were reflective of residents' needs and provided clear direction for delivery of services. |
| C0262 - Service Plan: Service Planning Team: Failed to ensure service plans were developed by a Service Planning Team including required participants. |
| C0270 - Change of Condition and Monitoring: Failed to determine and document needed actions for residents' short-term changes of condition and monitor progress until resolved. |
| C0282 - Rn Delegation and Teaching: Failed to ensure delegation and supervision of nursing care tasks were completed according to OSBN rules. |
| C0303 - Systems: Treatment Orders: Failed to ensure medication and treatment orders were carried out as prescribed for sampled residents. |
| C0310 - Systems: Medication Administration: Failed to maintain accurate medication administration records with clear parameters for PRN medications. |
| C0315 - Systems: Treatment Administration: Failed to maintain accurate treatment records for PRN wound care treatments. |
| C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure newly hired direct care staff completed required training and demonstrated competency within 30 days. |
| C0374 - Annual and Biennial Inservice For All Staff: Failed to have documented evidence of required annual in-service training for long-term staff. |
| C0420 - Fire and Life Safety: Safety: Failed to ensure fire and life safety instruction was provided to staff on alternating months. |
| C0422 - Fire and Life Safety: Training For Residents: Failed to ensure residents received fire and life safety training within 24 hours of admission and annually. |
| C0455 - Inspections and Investigation: Insp Interval (2023 Re-Licensure): Failed to ensure relicensure survey plan of correction was implemented and satisfied the Department. |
| C0510 - General Building Exterior: Failed to ensure facility exterior was free of litter including cigarette butts and trash. |
| C0513 - Doors, Walls, Elevators, Odors (2023 Re-Licensure): Failed to ensure environment was kept clean and in good repair with multiple damaged doors, walls, and odors. |
| C0545 - Plumbing Systems: Failed to ensure hot water temperatures were maintained within safe range of 110-120 degrees Fahrenheit. |
| C0010 - Licensing Complaint Investigation (2022 Complaint): Findings of complaint investigation for compliance with applicable laws and regulations. |
| C0361 - Acuity-Based Staffing Tool (2022 Complaint): Failed to fully implement and update acuity-based staffing tool (ABST). |
| C0513 - Doors, Walls, Elevators, Odors (2022 Complaint): Failed to keep equipment necessary for health and safety in good repair; laundry area damaged and not operational. |
Report Facts
Inspections on page: 4
Total deficiencies: 26
Total surveys: 4
Total notices: 1
Licensed beds: 56
Facility census: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Brodbeck | Administrator | Named in multiple findings and interviews related to deficiencies and plans of correction |
| Staff 1 | Administrator | Named in multiple inspection findings and interviews |
| Staff 2 | Resident Care Coordinator (RCC) or RN | Named in multiple inspection findings and interviews |
| Staff 3 | Interim Administrator or RCC | Named in inspection findings and interviews |
| Staff 6 | Activities Director | Named in inspection findings and interviews |
| Staff 7 | Medication Technician / Caregiver | Named in training and medication administration findings |
| Staff 8 | Medication Technician | Named in medication administration findings |
| Staff 9 | Caregiving Staff | Named in training findings |
| Staff 12 | Medication Technician / Caregiver | Named in training and medication administration findings |
| Staff 13 | Caregiver | Named in training findings |
| Staff 14 | Caregiver | Named in training findings |
| Staff 4 | Maintenance | Named in environmental and repair findings |
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