Deficiencies (last 4 years)
Deficiencies (over 4 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
9% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Re-licensure
Capacity: 28
Deficiencies: 5
Nov 19, 2025
Visit Reason
Facility failed to determine, communicate, and monitor actions or interventions for changes of condition for sampled residents. Controlled substances tracking system was inadequate. Staff training within 30 days of hire was incomplete. Facility failed to comply with licensing rules for administration and health care services.
Findings
Facility failed to determine, communicate, and monitor actions or interventions for changes of condition for sampled residents. Controlled substances tracking system was inadequate. Staff training within 30 days of hire was incomplete. Facility failed to comply with licensing rules for administration and health care services.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0040 — Change of Condition and Monitoring |
| OAR 411-054-0055 — Systems: Tracking Control Substances |
| OAR 411-054-0070 — Training Within 30 Days of Hire – Direct Care Staff |
| OAR 411-057-0140 — Administration Compliance |
| OAR 411-057-0160 — Compliance with Rules Health Care |
Inspection Report
State Licensure
Capacity: 28
Deficiencies: 3
May 16, 2024
Visit Reason
Kitchen inspection revealed multiple sanitation deficiencies initially not corrected by revisit. Facility failed to follow licensing rules for Residential Care and Assisted Living Facilities.
Findings
Kitchen inspection revealed multiple sanitation deficiencies initially not corrected by revisit. Facility failed to follow licensing rules for Residential Care and Assisted Living Facilities.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-057-0140 — Administration Compliance |
Inspection Report
Complaint Investigation
Capacity: 28
Deficiencies: 7
May 15, 2024
Visit Reason
Facility failed to immediately notify authorities of abuse incidents, lacked complete service plans, failed medication administration systems, did not fully implement acuity-based staffing tool, and failed to provide individualized nutrition, hydration, and activities programs.
Findings
Facility failed to immediately notify authorities of abuse incidents, lacked complete service plans, failed medication administration systems, did not fully implement acuity-based staffing tool, and failed to provide individualized nutrition, hydration, and activities programs.
Deficiencies (7)
| Description |
|---|
| OAR 411-054-0010 — Licensing Complaint Investigation |
| OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0310 — Systems: Medication Administration |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
| OAR 411-054-0163 — Nutrition and Hydration |
| OAR 411-054-0164 — Activities |
Inspection Report
State Licensure
Capacity: 28
Deficiencies: 1
Jul 7, 2023
Visit Reason
Kitchen inspection found facility in substantial compliance with food sanitation rules.
Findings
Kitchen inspection found facility in substantial compliance with food sanitation rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0000 — Comment |
Inspection Report
Validation
Capacity: 28
Deficiencies: 13
Aug 8, 2022
Visit Reason
Facility failed to monitor changes of condition, provide resident-specific instructions, maintain documentation of outside service providers, notify physicians of medication refusals, ensure staff training compliance, conduct fire drills, maintain building repairs, and implement acuity-based staffing tool. Many deficiencies were corrected by revisit in December 2022.
Findings
Facility failed to monitor changes of condition, provide resident-specific instructions, maintain documentation of outside service providers, notify physicians of medication refusals, ensure staff training compliance, conduct fire drills, maintain building repairs, and implement acuity-based staffing tool. Many deficiencies were corrected by revisit in December 2022.
Deficiencies (13)
| Description |
|---|
| OAR 411-054-0000 — Comment |
| OAR 411-054-0270 — Change of Condition and Monitoring |
| OAR 411-054-0280 — Resident Health Services |
| OAR 411-054-0290 — On- and Off-Site Health Services |
| OAR 411-054-0305 — Resident Right to Refuse |
| OAR 411-054-0330 — Psychotropic Medication |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
| OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0420 — Fire and Life Safety: Safety |
| OAR 411-054-0513 — Doors, Walls, Elevators, Odors |
| OAR 411-057-0140 — Administration Compliance |
| OAR 411-057-0155 — Staff Training Requirements |
| OAR 411-057-0162 — Compliance With Rules Health Care |
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