Inspection Reports for
Lone Oak Senior Living

OR, 97404

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 13.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

99% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

28 21 14 7 0
2022
2023
2024

Inspection Report

Routine
Capacity: 85 Deficiencies: 4 Date: Aug 16, 2024

Visit Reason
The kitchen inspection found multiple sanitation and maintenance issues including food spills, damaged equipment, uncovered food, and improper food handling. Some deficiencies remained uncorrected through multiple revisit inspections.

Findings
The kitchen inspection found multiple sanitation and maintenance issues including food spills, damaged equipment, uncovered food, and improper food handling. Some deficiencies remained uncorrected through multiple revisit inspections.

Deficiencies (4)
OAR 411-054-0030 — Residential Care and Assisted Living Facilities for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0030 — Staffing Requirements and Training – Pre-Serv
OAR 411-054-0030 — Inspections and Investigation: Insp Interval

Inspection Report

Complaint Investigation
Capacity: 85 Deficiencies: 4 Date: Jun 18, 2024

Visit Reason
The facility failed to keep medical records confidential, implement resident service plans, carry out medication and treatment orders, fully implement the Acuity Based Staffing Tool, and maintain infection prevention and control protocols.

Findings
The facility failed to keep medical records confidential, implement resident service plans, carry out medication and treatment orders, fully implement the Acuity Based Staffing Tool, and maintain infection prevention and control protocols.

Deficiencies (4)
OAR 411-054-0200 — Resident Rights and Protection - General
OAR 411-054-0200 — Service Plan: General
OAR 411-054-0200 — Systems: Treatment Orders
OAR 411-054-0200 — Acuity-Based Staffing Tool

Inspection Report

Complaint Investigation
Capacity: 85 Deficiencies: 4 Date: Nov 2, 2023

Visit Reason
The complaint investigation identified failures in controlled substances tracking, medication administration, building maintenance, resident health services, infection prevention, and staff training.

Findings
The complaint investigation identified failures in controlled substances tracking, medication administration, building maintenance, resident health services, infection prevention, and staff training.

Deficiencies (4)
OAR 411-054-0200 — Licensing Complaint Investigation
OAR 411-054-0200 — Systems: Tracking Control Substances
OAR 411-054-0200 — Systems: Treatment Orders
OAR 411-054-0200 — General Building: Doors-Walls, Cleanable

Inspection Report

Capacity: 85 Deficiencies: 20 Date: Oct 2, 2023

Visit Reason
The re-licensure survey found numerous deficiencies including failures in facility administration, resident evaluations, service plans, change of condition monitoring, infection prevention, medication administration, staffing training, fire and life safety, and building maintenance.

Findings
The re-licensure survey found numerous deficiencies including failures in facility administration, resident evaluations, service plans, change of condition monitoring, infection prevention, medication administration, staffing training, fire and life safety, and building maintenance.

Deficiencies (20)
OAR 411-054-0200 — Comment
OAR 411-054-0200 — Facility Administration: Operation
OAR 411-054-0200 — Resident Move-In and Eval: Res Evaluation
OAR 411-054-0200 — Service Plan: General
OAR 411-054-0200 — Service Plan: Service Planning Team
OAR 411-054-0200 — Change of Condition and Monitoring
OAR 411-054-0200 — Resident Health Services
OAR 411-054-0200 — Infection Prevention & Control
OAR 411-054-0200 — Systems: Treatment Orders
OAR 411-054-0200 — Systems: Resident Right to Refuse
OAR 411-054-0200 — Systems: Medication Administration
OAR 411-054-0200 — Systems: Self-Administration of Meds
OAR 411-054-0200 — Restraints and Supportive Devices
OAR 411-054-0200 — Training Within 30 Days: Direct Care Staff
OAR 411-054-0200 — Annual and Biennial Inservice For All Staff
OAR 411-054-0200 — Fire and Life Safety: Safety
OAR 411-054-0200 — Fire and Life Safety: Training For Residents
OAR 411-054-0200 — General Building Exterior
OAR 411-054-0200 — General Building: Doors-Walls, Cleanable
OAR 411-054-0200 — Call System

Inspection Report

Complaint Investigation
Capacity: 85 Deficiencies: 1 Date: Apr 14, 2023

Visit Reason
Complaint investigation identified a deficiency related to the Acuity-Based Staffing Tool compliance.

Findings
Complaint investigation identified a deficiency related to the Acuity-Based Staffing Tool compliance.

Deficiencies (1)
OAR 411-054-0200 — Acuity-Based Staffing Tool

Inspection Report

Routine
Capacity: 85 Deficiencies: 1 Date: Nov 16, 2022

Visit Reason
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

Findings
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.

Deficiencies (1)
OAR 411-054-0030 — Comment

Inspection Report

Complaint Investigation
Capacity: 85 Deficiencies: 4 Date: Sep 27, 2022

Visit Reason
Complaint investigation found failures in providing nutritious meals, staffing levels, and staff supervision during transfers.

Findings
Complaint investigation found failures in providing nutritious meals, staffing levels, and staff supervision during transfers.

Deficiencies (4)
OAR 411-054-0200 — Licensing Complaint Investigation
OAR 411-054-0200 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0200 — Staffing Requirements and Training: Staffing
OAR 411-054-0200 — Staffing Requirements and Training – Pre-Serv

Inspection Report

Complaint Investigation
Capacity: 85 Deficiencies: 2 Date: Aug 10, 2022

Visit Reason
Complaint investigation identified failures in licensing complaint investigation and treatment orders systems.

Findings
Complaint investigation identified failures in licensing complaint investigation and treatment orders systems.

Deficiencies (2)
OAR 411-054-0200 — Licensing Complaint Investigation
OAR 411-054-0200 — Systems: Treatment Orders

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