Deficiencies (last 3 years)
Deficiencies (over 3 years)
21 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
213% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 2
Oct 30, 2025
Visit Reason
No deficiencies found during this Complaint, Re-Licensure survey.
Findings
No deficiencies found during this Complaint, Re-Licensure survey.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 7
Apr 11, 2025
Visit Reason
Multiple deficiencies found including failure to provide ADL care, infection prevention lapses, incomplete employee reference and criminal record checks, and failure to implement water management program. Some deficiencies corrected at revisit, others not corrected.
Findings
Multiple deficiencies found including failure to provide ADL care, infection prevention lapses, incomplete employee reference and criminal record checks, and failure to implement water management program. Some deficiencies corrected at revisit, others not corrected.
Deficiencies (7)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0677 - ADL Care Provided for Dependent Residents |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0141 - Employees Reference Checks and Verifications |
| M0143 - Employees: Criminal Record Checks |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 4
Jan 3, 2025
Visit Reason
Deficiencies related to failure to follow care plans for accident hazards and supervision, and failure to notify responsible parties timely. Some corrections made but some deficiencies remained uncorrected at revisit.
Findings
Deficiencies related to failure to follow care plans for accident hazards and supervision, and failure to notify responsible parties timely. Some corrections made but some deficiencies remained uncorrected at revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 4
Mar 20, 2024
Visit Reason
Deficiencies included failure to prevent falls, failure to follow care plans, and incomplete infection control. Some deficiencies were not corrected at revisit.
Findings
Deficiencies included failure to prevent falls, failure to follow care plans, and incomplete infection control. Some deficiencies were not corrected at revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 2
Feb 26, 2024
Visit Reason
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Findings
No deficiencies found during this Complaint, Licensure Complaint, State Licensure survey.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 185
Deficiencies: 1
Feb 6, 2024
Visit Reason
Deficiency related to failure to report complete COVID-19 information to NHSN during required reporting period. Deficiency not corrected at revisit.
Findings
Deficiency related to failure to report complete COVID-19 information to NHSN during required reporting period. Deficiency not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 14
Dec 18, 2023
Visit Reason
Multiple deficiencies including resident rights violations, failure to notify changes, quality of care issues, accident hazards, elopement risk, bowel/bladder care, respiratory care, medication errors, and drug storage. Some deficiencies corrected at revisit, others not corrected.
Findings
Multiple deficiencies including resident rights violations, failure to notify changes, quality of care issues, accident hazards, elopement risk, bowel/bladder care, respiratory care, medication errors, and drug storage. Some deficiencies corrected at revisit, others not corrected.
Deficiencies (14)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0550 - Resident Rights/Exercise of Rights |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0582 - Medicaid/Medicare Coverage/Liability Notice |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0761 - Label/Store Drugs and Biologicals |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| Z0000 - General Comments |
| Z0176 - Resident Rooms |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 9
Aug 17, 2023
Visit Reason
Deficiencies included failure to prevent abuse, failure to provide timely ADL assistance, failure to respond timely to change of condition, failure to follow care plans for transfers, insufficient staffing, and infection control lapses. Some deficiencies corrected at revisit, others not corrected.
Findings
Deficiencies included failure to prevent abuse, failure to provide timely ADL assistance, failure to respond timely to change of condition, failure to follow care plans for transfers, insufficient staffing, and infection control lapses. Some deficiencies corrected at revisit, others not corrected.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0725 - Sufficient Nursing Staff |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 10
Apr 7, 2023
Visit Reason
Deficiencies included failure to prevent abuse, failure to investigate abuse allegations, inadequate diabetic foot care, failure to maintain nutrition/hydration, lab service delays, hospice service issues, and antibiotic stewardship failures. Some deficiencies corrected at revisit, others not corrected.
Findings
Deficiencies included failure to prevent abuse, failure to investigate abuse allegations, inadequate diabetic foot care, failure to maintain nutrition/hydration, lab service delays, hospice service issues, and antibiotic stewardship failures. Some deficiencies corrected at revisit, others not corrected.
Deficiencies (10)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0687 - Foot Care |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0772 - Lab Services Not Provided On-Site |
| F0849 - Hospice Services |
| F0881 - Antibiotic Stewardship Program |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 185
Deficiencies: 10
Jan 31, 2023
Visit Reason
Deficiencies included failure to complete comprehensive and quarterly assessments timely, incomplete resident records, failure in quality assurance committee meetings, and administration issues. Immediate jeopardy was identified and abated. Some deficiencies corrected at revisit, others not corrected.
Findings
Deficiencies included failure to complete comprehensive and quarterly assessments timely, incomplete resident records, failure in quality assurance committee meetings, and administration issues. Immediate jeopardy was identified and abated. Some deficiencies corrected at revisit, others not corrected.
Deficiencies (10)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0636 - Comprehensive Assessments & Timing |
| F0638 - Qrtly Assessment at Least Every 3 Months |
| F0684 - Quality of Care |
| F0835 - Administration |
| F0842 - Resident Records - Identifiable Information |
| F0867 - QAPI/QAA Improvement Activities |
| F0868 - QAA Committee |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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