Inspection Reports for McKay Creek Assisted Living
1601 County 1303 Rd, Pendleton, OR 97801, United States, OR, 97801
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Inspection Report
Capacity: 60
Deficiencies: 17
Jun 4, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2022-2025 with deficiency history and licensing violations.
Findings
Across multiple inspections, the facility demonstrated repeated deficiencies related to food sanitation, resident monitoring, staffing and training, fire and life safety, and building maintenance. Several deficiencies remained uncorrected as of the most recent inspection.
Complaint Details
Complaint investigation conducted 02/02/2023 identified deficiencies related to compliance with Oregon Administrative Rules 411 Division 54 and 57.
Deficiencies (17)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain a clean and sanitary kitchen with multiple areas needing cleaning or repair including grease buildup, dust accumulation, improper storage of chemicals, and ice buildup in freezer. |
| C0270 - Change of Condition and Monitoring: Failed to ensure short-term changes of condition were monitored until resolution for sampled residents. |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan: Failed to update acuity-based staffing tool no less than quarterly for sampled residents. |
| C0370 - Staffing Requirements and Training – Pre-service: Failed to ensure newly hired staff completed required pre-service orientation and dementia training prior to job responsibilities. |
| C0372 - Training Within 30 Days of Hire – Direct Care Staff: Failed to ensure newly hired staff demonstrated competency in assigned job duties within 30 days of hire. |
| C0420 - Fire and Life Safety: Safety: Failed to conduct and document fire drills every other month and provide fire and life safety instruction on alternate months. |
| C0000 - Comment: Documented findings of kitchen inspections and re-inspections showing compliance status. |
| C0010 - Licensing Complaint Investigation: Findings from complaint investigation related to compliance with state and local laws. |
| C0303 - Systems: Treatment Orders: Failed to carry out medication and treatment orders as prescribed, including an additional dosage given to a resident. |
| C0200 - Resident Rights and Protection - General: Failed to ensure residents received services protecting privacy and dignity, including staff entering rooms without waiting for resident response. |
| C0270 - Change of Condition and Monitoring: Failed to monitor residents consistent with evaluated needs and service plan, including weight monitoring for a bed bound hospice resident. |
| C0370 - Staffing Requirements and Training – Pre-Serv: Failed to ensure pre-service dementia training was completed prior to providing services for newly hired staff. |
| C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure newly hired direct care staff demonstrated competency in assigned job duties within 30 days of hire. |
| C0420 - Fire and Life Safety: Safety: Failed to conduct and record fire drills every other month with required components and provide fire and life safety instruction on alternating months. |
| C0610 - General Building Exterior: Failed to maintain courtyard surfaces, pathways, and resident patios in good repair with multiple drop-offs and uneven surfaces. |
| C0613 - General Building: Doors-Walls, Cleanable: Failed to maintain environment in clean and good repair with stains, tears, holes, and damaged surfaces throughout facility. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure relicensure survey plan of correction was implemented and satisfied the Department. |
Report Facts
Inspections on page: 5
Total deficiencies: 17
Total licensing violations: 20
Total surveys: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings and acknowledgments of deficiencies |
| Staff 2 | Dietary Service Manager / ED in Training | Named in findings related to kitchen sanitation and training |
| Staff 3 | Office Manager / RN | Named in findings related to kitchen sanitation and resident monitoring |
| Staff 5 | Maintenance Director | Named in findings related to building maintenance and fire safety |
| Staff 6 | Dietary Director | Named in kitchen inspection walkthrough |
| Staff 9 | Caregiver | Named in staffing and training deficiencies |
| Staff 11 | Cook | Named in staffing and training deficiencies |
| Staff 12 | Caregiver | Named in staffing and training deficiencies |
| Staff 13 | Caregiver | Named in staffing and training deficiencies |
| Staff 15 | Caregiver | Named in training within 30 days deficiencies |
| Staff 16 | Caregiver | Named in staffing and training deficiencies |
| Staff 17 | Caregiver/Medication Aide | Named in training within 30 days deficiencies |
| Staff 18 | Caregiver | Named in training within 30 days deficiencies |
| Staff 19 | Caregiver/Medication Aide | Named in training within 30 days deficiencies |
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