Inspection Reports for Markham House Assisted Living
10606 SW Capitol Hwy, Portland, OR 97219, United States, OR, 97219
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Inspection Report
Re-Inspection
Capacity: 63
Deficiencies: 21
Dec 5, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2023-01 to 2025-12 with deficiency history and enforcement notices
Findings
Across multiple inspections from 2023 to 2025, the facility exhibited numerous deficiencies including food sanitation violations, failure to update service plans, inadequate staff training, incomplete medication administration, and fire and life safety documentation issues. Some deficiencies were corrected over time, but several remained uncorrected at the latest visits.
Complaint Details
Complaint investigation conducted 09/01/2023 through 09/15/2023 documented failures in medication administration and acuity-based staffing tool implementation.
Deficiencies (21)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure kitchen cleanliness and food storage compliance with Food Sanitation Rules, including food spills, undated opened items, and lack of sanitizing supplies |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department |
| C0000 - Comment: Change of ownership survey findings and re-visits documented |
| C0150 - Facility Administration: Operation: Failed to provide effective administrative oversight to ensure quality of care and services |
| C0260 - Service Plan: General: Failed to update service plans timely and ensure plans reflected residents' needs and provided clear direction to staff |
| C0270 - Change of Condition and Monitoring: Failed to ensure changes of condition were documented, communicated, and monitored for multiple residents |
| C0280 - Resident Health Services: Failed to ensure RN completed assessments documenting findings and interventions for significant changes of condition |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate care with outside providers and update service plans accordingly |
| C0303 - Systems: Treatment Orders: Failed to ensure physician orders were carried out as prescribed for sampled residents |
| C0310 - Systems: Medication Administration: Failed to ensure MARs had resident-specific parameters and clear instructions for PRN medications |
| C0370 - Staffing Requirements and Training – Pre-Serv: Failed to ensure pre-service orientation and dementia training completed prior to staff beginning duties |
| C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure direct care staff demonstrated knowledge and performance in required areas within 30 days of hire |
| C0374 - Annual and Biennial Inservice For All Staff: Failed to have documented evidence of required annual in-service training for some staff |
| C0420 - Fire and Life Safety: Safety: Failed to document all required components of fire drills and provide fire and life safety instruction on alternate months |
| C0422 - Fire and Life Safety: Training For Residents: Failed to ensure residents were instructed and re-instructed on fire safety procedures within 24 hours of admission and annually |
| C0610 - General Building Exterior: Failed to maintain exterior pathways in good repair and keep grounds orderly and free of refuse |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to maintain interior surfaces in good repair including carpet and furniture stains |
| C0615 - Resident Units: Failed to ensure operable windows had fall prevention mechanisms on second floor |
| C0010 - Licensing Complaint Investigation: Findings of complaint investigation documented |
| C0303 - Systems: Treatment Orders: Failed to ensure medication and treatment orders were carried out as prescribed during complaint investigation |
| C0361 - Acuity-Based Staffing Tool: Failed to implement an acuity-based staffing tool meeting regulatory requirements |
Report Facts
Inspections on page: 4
Total deficiencies: 21
Total licensing violations: 11
Total notices: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Resident Care Manager | Named in multiple findings related to service plans, medication administration, and complaint investigation |
| Staff 2 | Culinary Services Director / Chef Manager | Named in kitchen and food sanitation deficiencies |
| Staff 3 | Maintenance Director | Named in fire and life safety and building maintenance deficiencies |
| Staff 4 | Business Office Manager | Named in administrative oversight and training deficiencies |
| Staff 6 | Medication Technician (MT) | Named in training and medication administration deficiencies |
| Staff 7 | Caregiver (CG) | Named in training deficiencies |
| Staff 8 | Resident Care Coordinator (RCC) | Named in training deficiencies |
| Staff 9 | Caregiver (CG) | Named in training deficiencies |
| Staff 12 | Caregiver (CG) | Named in training deficiencies |
| Staff 15 | Cook | Named in training deficiencies |
| Staff 17 | Dietary Server | Named in training deficiencies |
| Staff 18 | Executive Director (ED) | Named in multiple findings and plan of correction oversight |
| Staff 19 | Registered Nurse (RN) | Named in care coordination deficiencies |
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