Inspection Reports for Life Care Center of McMinnville
1309 NE 27th Street, McMinnville, OR, 97128
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 29, 2025, identified deficiencies related to misappropriation of residents' debit and credit cards by an employee. Earlier inspections showed a pattern of deficiencies involving resident care, medication management, abuse reporting, and administrative compliance, with many issues remaining uncorrected after revisits. Inspectors cited concerns such as failure to assess wounds, medication errors, inadequate investigation of abuse allegations, and problems with care planning and infection control. Complaint investigations were unsubstantiated except for the acknowledged misappropriation issue, which the facility addressed with a root cause analysis and staff training. The inspection history indicates ongoing challenges with compliance, with some repeated deficiencies persisting over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
16 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
139% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 4
Date: Jul 29, 2025
Visit Reason
Misappropriation of residents' debit/credit cards by an employee was investigated and acknowledged by facility staff. The facility completed a root cause analysis and implemented abuse in-services and monitoring.
Findings
Misappropriation of residents' debit/credit cards by an employee was investigated and acknowledged by facility staff. The facility completed a root cause analysis and implemented abuse in-services and monitoring.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0602 - Free from Misappropriation/Exploitation
F9999 - FINAL OBSERVATIONS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Date: Jul 17, 2025
Visit Reason
No deficiencies corrected; initial comments and other issues remained uncorrected at time of visit.
Findings
No deficiencies corrected; initial comments and other issues remained uncorrected at time of visit.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 5
Date: Apr 18, 2025
Visit Reason
Deficiencies included failure to assess wounds, failure to ensure physician supervision of care, and failure to complete required documentation. Some deficiencies corrected on first revisit but not on second.
Findings
Deficiencies included failure to assess wounds, failure to ensure physician supervision of care, and failure to complete required documentation. Some deficiencies corrected on first revisit but not on second.
Deficiencies (5)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
F0710 - Resident's Care Supervised by a Physician
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 8
Date: Nov 8, 2024
Visit Reason
Multiple deficiencies related to ADL care, restorative care, dialysis treatment, medication errors, and pharmaceutical services. Many deficiencies corrected on first revisit but not corrected on second revisit.
Findings
Multiple deficiencies related to ADL care, restorative care, dialysis treatment, medication errors, and pharmaceutical services. Many deficiencies corrected on first revisit but not corrected on second revisit.
Deficiencies (8)
F0000 - INITIAL COMMENTS
F0677 - ADL Care Provided for Dependent Residents
F0688 - Increase/Prevent Decrease in ROM/Mobility
F0698 - Dialysis
F0756 - Drug Regimen Review, Report Irregular, Act On
F0759 - Free of Medication Error Rts 5 Prcnt or More
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 4
Date: Oct 14, 2024
Visit Reason
Deficiencies included failure to respond promptly to Resident Council concerns and failure to investigate and report alleged abuse. Some deficiencies corrected on first revisit but not corrected on second.
Findings
Deficiencies included failure to respond promptly to Resident Council concerns and failure to investigate and report alleged abuse. Some deficiencies corrected on first revisit but not corrected on second.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0565 - Resident/Family Group and Response
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Date: Jul 24, 2024
Visit Reason
No deficiencies corrected; initial comments and other issues remained uncorrected at time of visit.
Findings
No deficiencies corrected; initial comments and other issues remained uncorrected at time of visit.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 7
Date: Jan 5, 2024
Visit Reason
Deficiencies related to failure to report and investigate sexual abuse allegations, failure to prevent and treat pressure ulcers, and infection prevention and control. Some deficiencies corrected on first revisit but not corrected on second.
Findings
Deficiencies related to failure to report and investigate sexual abuse allegations, failure to prevent and treat pressure ulcers, and infection prevention and control. Some deficiencies corrected on first revisit but not corrected on second.
Deficiencies (7)
F0000 - INITIAL COMMENTS
F0609 - Reporting of Alleged Violations
F0610 - Investigate/Prevent/Correct Alleged Violation
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 14
Date: Jul 14, 2023
Visit Reason
Multiple deficiencies including failure to provide Medicaid/Medicare coverage notices, develop and revise care plans, quality of care, trauma informed care, medication regimen reviews, medication errors, dental services, employee reference checks, and administrative rules. Some deficiencies corrected on first revisit but not corrected on second.
Findings
Multiple deficiencies including failure to provide Medicaid/Medicare coverage notices, develop and revise care plans, quality of care, trauma informed care, medication regimen reviews, medication errors, dental services, employee reference checks, and administrative rules. Some deficiencies corrected on first revisit but not corrected on second.
Deficiencies (14)
F0000 - INITIAL COMMENTS
F0582 - Medicaid/Medicare Coverage/Liability Notice
F0656 - Develop/Implement Comprehensive Care Plan
F0657 - Care Plan Timing and Revision
F0684 - Quality of Care
F0699 - Trauma Informed Care
F0756 - Drug Regimen Review, Report Irregular, Act On
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0759 - Free of Medication Error Rts 5 Prcnt or More
F0761 - Label/Store Drugs and Biologicals
F0791 - Routine/Emergency Dental Srvcs in NFs
M0000 - Initial Comments
M0141 - Employees Reference Checks and Verifications
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Capacity: 110
Deficiencies: 6
Date: May 11, 2023
Visit Reason
Deficiencies related to failure to document education on influenza, pneumococcal, and COVID-19 immunizations, and infection control. Some deficiencies corrected on first revisit but not corrected on second.
Findings
Deficiencies related to failure to document education on influenza, pneumococcal, and COVID-19 immunizations, and infection control. Some deficiencies corrected on first revisit but not corrected on second.
Deficiencies (6)
E0000 - Initial Comments
F0000 - INITIAL COMMENTS
F0883 - Influenza and Pneumococcal Immunizations
F0887 - COVID-19 Immunization
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 12
Date: May 26, 2022
Visit Reason
Deficiencies included failure to provide advance directives information, ADL care, quality of care, fall prevention and investigation, drug regimen review, psychotropic medication use, antibiotic stewardship, immunizations, minimum CNA staffing, and administrative rules. Some deficiencies corrected on first revisit but not corrected on second.
Findings
Deficiencies included failure to provide advance directives information, ADL care, quality of care, fall prevention and investigation, drug regimen review, psychotropic medication use, antibiotic stewardship, immunizations, minimum CNA staffing, and administrative rules. Some deficiencies corrected on first revisit but not corrected on second.
Deficiencies (12)
F0000 - INITIAL COMMENTS
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir
F0677 - ADL Care Provided for Dependent Residents
F0684 - Quality of Care
F0689 - Free of Accident Hazards/Supervision/Devices
F0756 - Drug Regimen Review, Report Irregular, Act On
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0881 - Antibiotic Stewardship Program
F0883 - Influenza and Pneumococcal Immunizations
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
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