Inspection Reports for Living Springs Homes LLC

140 NE Tiffany Street, Hillsboro, OR 97124, OR, 97124

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Inspection Report Monitoring Capacity: 5 Deficiencies: 38 Dec 5, 2025
Visit Reason
State-compiled facility profile showing 8 inspections from 2021 to 2025 with deficiency history and licensing violations.
Findings
Across multiple inspections from 2021 to 2025, the facility exhibited numerous deficiencies related to resident records, medication management, facility standards, caregiver requirements, and safety protocols. Several deficiencies were corrected while others remained uncorrected at follow-up visits.
Deficiencies (38)
Description
V6702 - Resident Records: Significant Events: No incident report completed or detailed narration on file regarding a significant event for Resident 1.
V6703 - Resident Records: Narratives: Narrative entries did not all list or were not signed by the author.
V6312 - Fac Standards: Stairways: No handrails for 1 step upstairs and 1 step downstairs leading into caregiver living quarters.
V6313 - Fac Standards: General Condition: Trees leaning towards AFH and fence needed repair.
V6345 - Bedroom: Door Passage: One resident bedroom used as caregiver bedroom; door did not function with master key.
V6424 - Safety: Floor Plans: Floor plan showed 5 resident bedrooms but one was used by staff.
V7092 - PAS: Assess Needs: Screening form for Resident #1 missing information in describe section.
V7221 - Medication: Carry Out Orders: Multiple medication order discrepancies and missing orders for Resident #1.
V7224 - Medication Supplies: PRN medication for Resident #1 not available for administration.
V7227 - MARs: Details: Two PRN medications not listed on Resident #1's MAR.
V7229 - MARs: Immediately Initialed: Medications not immediately signed after dispensing.
V7253 - Medications/Supplies: Disposal: Routine medication with pills remaining after order completion.
V0000 - Initial Comments: Adult Foster Homes must operate in compliance with all applicable laws and codes; follow-up visit findings.
V5744 - Sub Cg Req: Bg Check: Caregivers had background check approval letters with incorrect position titles.
V5750 - Sub Cg Req: Not Exclusion: Caregivers did not have SAM exclusion list results on file.
V5752 - Sub Cg Req: Orientation: Caregivers lacked caregiver orientation forms on file.
V0000 - Initial Comments: Adult Foster Homes must operate in compliance; annual renewal inspection findings.
V6629 - Facility Records: No narratives available for Resident 2; caregiver records stored on personal computer not available for review.
V6691 - Resident Records: Assessment/Sds 913/Adv Dire: Resident 1 lacked completed screening form in file.
V6699 - Resident Records: Current Care Plan: Resident 2 lacked a care plan written and on file.
V7224 - Medication Supplies: Resident 2 had empty PRN medication with no refill available.
V7229 - Mars: Immediately Initialed: MARs lacked signatures and initials for medication administration for multiple residents.
V7230 - Mars: Changed Or Discontinued Orders: Medications listed on doctor's orders not administered and no discontinue order on file.
V0000 - Initial Comments: Adult Foster Homes must operate in compliance; renewal inspection findings.
V5668 - New Background Check: Caregiver 4 and 6 had expired background checks and missing documentation.
V5749 - Sub Cg Req: Cpr & Fa: Caregiver 6 missing current CPR certification.
V6327 - Bathroom: Amenities: Bathroom sink leaking water onto floor.
V6345 - Bedroom: Door Passage: No accessible master key for resident room doors for caregivers.
V6462 - Safety: Evacuation Drill: Fire drill overdue; last drill conducted over 90 days ago.
V6637 - Facility Records: Verify Cg Not on Exclusion: Caregiver 3 lacked documentation of exclusion list status.
V6643 - Facility Records: Alarm Testing: Missing documentation for monthly smoke alarm and fire extinguisher testing.
V6703 - Resident Records: Narratives: Resident narratives not current; last entries dated months prior.
V7144 - Care Plan: Review: Care plans not updated every six months for multiple residents.
V7221 - Medication: Carry Out Orders: Resident 1 lacked signed medication order for OTC medication.
V7222 - Medication: Changed Orders: Resident 1 lacked signed changed orders for three OTC medications.
V7227 - Mars: Details: Medication order and MAR discrepancies for Resident 3.
V7248 - Medications: Stored As Directed: Medication stored unlocked in resident room drawer.
V7253 - Medications/Supplies: Disposal: Two PRN medications expired and not replaced.
Report Facts
Inspections on page: 8 Total deficiencies: 35 Licensing violations: 5 Licensed beds: 5

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