Inspection Reports for
Manor Terrace Care Suites
1250 Mira Mar Avenue, Medford, OR 97504, OR, 97504
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Capacity: 30
Deficiencies: 1
Date: Jun 24, 2025
Visit Reason
Facility failed to ensure the kitchen was clean and in good repair per Food Sanitation Rules. Multiple areas showed accumulation of food spills, dirt, and needed repairs. Issues were acknowledged by staff.
Findings
Facility failed to ensure the kitchen was clean and in good repair per Food Sanitation Rules. Multiple areas showed accumulation of food spills, dirt, and needed repairs. Issues were acknowledged by staff.
Deficiencies (1)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule (1) The residential care or assisted living facility must provide a minimum scope of services as follows: (a) Three daily nutritious, palatable meals with snacks available seven days a week, in accordance with the recommended dietary allowances found in the United States Department of Agriculture (USDA) guidelines, including seasonal fresh fruit and fresh vegetables; (A) Modified special diets that are appropriate to residents' needs and choices. The facility must encourage residents' involvement in developing menus. (B) Menus must be prepared at least one week in advance, and must be made available to all residents. Meal substitutions must be of similar nutritional value if a resident refuses a food that is served. Residents must be informed in advance of menu changes. (C) Food must be prepared and served in accordance with OAR 333-150-0000 (Food Sanitation Rules).
Inspection Report
Complaint Investigation
Capacity: 59
Deficiencies: 8
Date: Apr 24, 2025
Visit Reason
Facility failed to offer residents opportunity to participate in care planning, respond to resident council concerns, obtain advance directives, provide meaningful activities, ensure freedom from unnecessary psychotropic medications, and maintain food safety standards. Multiple deficiencies were corrected after initial visit but not corrected upon follow-up.
Findings
Facility failed to offer residents opportunity to participate in care planning, respond to resident council concerns, obtain advance directives, provide meaningful activities, ensure freedom from unnecessary psychotropic medications, and maintain food safety standards. Multiple deficiencies were corrected after initial visit but not corrected upon follow-up.
Deficiencies (8)
OAR 411-054-0200 — Failure to offer residents participation in care planning and failure to conduct timely care conferences.
OAR 411-054-0200 — Failure to respond effectively to resident council concerns and lack of follow-up on activity requests.
OAR 411-054-0200 — Failure to obtain and document advance directives and POLST for residents.
OAR 411-054-0200 — Failure to provide meaningful activities for dependent residents leading to risk of isolation.
OAR 411-054-0200 — Failure to ensure residents were free from unnecessary psychotropic medications.
OAR 411-054-0200 — Failure to maintain sanitary food procurement, storage, preparation, and serving practices.
OAR 411-054-0200 — Initial comments deficiencies noted.
OAR 411-054-0200 — State of Oregon Administrative Rules referenced for multiple deficiencies.
Inspection Report
Complaint Investigation
Capacity: 59
Deficiencies: 14
Date: Apr 5, 2024
Visit Reason
Facility failed to investigate injury of unknown source, revise care plans timely, assess pressure ulcers thoroughly, ensure food safety, verify staff licenses, report alleged violations timely, follow up on pharmacy recommendations, ensure residents free from unnecessary psychotropic medications, and provide influenza vaccinations. Some deficiencies were corrected after initial visit but not corrected upon follow-up.
Findings
Facility failed to investigate injury of unknown source, revise care plans timely, assess pressure ulcers thoroughly, ensure food safety, verify staff licenses, report alleged violations timely, follow up on pharmacy recommendations, ensure residents free from unnecessary psychotropic medications, and provide influenza vaccinations. Some deficiencies were corrected after initial visit but not corrected upon follow-up.
Deficiencies (14)
OAR 411-054-0200 — Failure to investigate injury of unknown source for a resident.
OAR 411-054-0200 — Failure to revise care plan timely related to catheter use.
OAR 411-054-0200 — Failure to thoroughly assess pressure ulcers for residents.
OAR 411-054-0200 — Failure to ensure refrigerators free of expired or unlabeled foods.
OAR 411-054-0200 — Failure to verify CNA license for staff member.
OAR 411-054-0200 — Failure to report alleged violations timely to state agency.
OAR 411-054-0200 — Failure to revise care plans for residents with ADL needs.
OAR 411-054-0200 — Failure to follow baseline care plan for nutrition needs.
OAR 411-054-0200 — Failure to ensure controlled medication records were accurate.
OAR 411-054-0200 — Failure to follow up on pharmacy recommendations for medications.
OAR 411-054-0200 — Failure to ensure residents free from unnecessary psychotropic medications.
OAR 411-054-0200 — Failure to ensure influenza vaccinations administered to residents.
OAR 411-054-0200 — Initial comments deficiencies noted.
OAR 411-054-0200 — State of Oregon Administrative Rules referenced for multiple deficiencies.
Inspection Report
Capacity: 30
Deficiencies: 1
Date: Mar 21, 2024
Visit Reason
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 and Oregon Health Service Food Sanitation Rules.
Findings
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 and Oregon Health Service Food Sanitation Rules.
Deficiencies (1)
C0000 - Comment
Inspection Report
Capacity: 59
Deficiencies: 1
Date: Mar 11, 2024
Visit Reason
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
OAR 411-054-0200 — Failure to report complete COVID-19 information to the National Healthcare Safety Network.
Inspection Report
Capacity: 30
Deficiencies: 4
Date: May 1, 2023
Visit Reason
Re-licensure survey identified deficiencies related to change of condition monitoring, controlled substances tracking, and use of restraints/supportive devices. Some deficiencies were corrected by the revisit on 7/26/2023.
Findings
Re-licensure survey identified deficiencies related to change of condition monitoring, controlled substances tracking, and use of restraints/supportive devices. Some deficiencies were corrected by the revisit on 7/26/2023.
Deficiencies (4)
C0000 - Comment
C0270 - Change of Condition and Monitoring
C0302 - Systems: Tracking Control Substances
C0340 - Restraints and Supportive Devices
Inspection Report
Complaint Investigation
Capacity: 59
Deficiencies: 9
Date: Jan 27, 2023
Visit Reason
Facility failed to provide a homelike dining environment, ensure residents free from misappropriation of property, report alleged violations timely, revise care plans timely, follow baseline care plans, ensure controlled medication records accuracy, follow up on pharmacy recommendations, ensure residents free from unnecessary psychotropic medications, and administer influenza vaccinations. Some deficiencies were corrected after initial visit but not corrected upon follow-up.
Findings
Facility failed to provide a homelike dining environment, ensure residents free from misappropriation of property, report alleged violations timely, revise care plans timely, follow baseline care plans, ensure controlled medication records accuracy, follow up on pharmacy recommendations, ensure residents free from unnecessary psychotropic medications, and administer influenza vaccinations. Some deficiencies were corrected after initial visit but not corrected upon follow-up.
Deficiencies (9)
OAR 411-054-0200 — Failure to provide homelike dining environment and staff engagement during meals.
OAR 411-054-0200 — Failure to ensure residents free from misappropriation of property.
OAR 411-054-0200 — Failure to report allegations of abuse and misappropriation timely.
OAR 411-054-0200 — Failure to revise care plans timely for residents.
OAR 411-054-0200 — Failure to follow baseline care plan for nutrition needs.
OAR 411-054-0200 — Failure to ensure controlled medication records were accurate.
OAR 411-054-0200 — Failure to follow up on pharmacy recommendations for medications.
OAR 411-054-0200 — Failure to ensure residents free from unnecessary psychotropic medications.
OAR 411-054-0200 — Failure to ensure influenza vaccinations administered to residents.
Inspection Report
Capacity: 30
Deficiencies: 1
Date: Jan 18, 2023
Visit Reason
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 and Oregon Health Service Food Sanitation Rules.
Findings
Kitchen inspection found the facility in substantial compliance with OARs 411-054-0030 and Oregon Health Service Food Sanitation Rules.
Deficiencies (1)
C0000 - Comment
Inspection Report
Capacity: 59
Deficiencies: 1
Date: Jun 27, 2022
Visit Reason
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
OAR 411-054-0200 — Failure to report complete COVID-19 information to the National Healthcare Safety Network.
Inspection Report
Capacity: 59
Deficiencies: 1
Date: Dec 27, 2021
Visit Reason
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.
Deficiencies (1)
OAR 411-054-0200 — Failure to report complete COVID-19 information to the National Healthcare Safety Network.
Inspection Report
Capacity: 59
Deficiencies: 2
Date: Oct 14, 2021
Visit Reason
Facility failed to accurately and completely post staffing information, placing residents and visitors at risk for inaccurate staffing data.
Findings
Facility failed to accurately and completely post staffing information, placing residents and visitors at risk for inaccurate staffing data.
Deficiencies (2)
OAR 411-054-0200 — Failure to accurately and completely post daily staff public staffing information.
OAR 411-054-0200 — Initial comments deficiencies noted.
Inspection Report
Capacity: 59
Deficiencies: 1
Date: Jan 8, 2021
Visit Reason
Initial comments deficiencies noted.
Findings
Initial comments deficiencies noted.
Deficiencies (1)
OAR 411-054-0200 — Initial comments deficiencies noted.
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