Inspection Reports for McMinnville Memory Care

320 SW HILL ROAD, MCMINNVILLE, OR, 97128

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Inspection Report Summary

The most recent inspection on May 8, 2024, found deficiencies in kitchen sanitation and administrative compliance, with some issues corrected by a revisit on July 7, 2024. Earlier inspections showed a pattern of deficiencies related to staffing, service plans, health services, and food sanitation, including substantiated complaints about inadequate showering assistance and medication systems. Complaint investigations from prior years noted staffing shortages and failure to exercise reasonable precautions, with immediate jeopardy findings reported in January 2022, though no fines or license actions were listed in the available reports. Most deficiencies involved areas such as staffing, resident care plans, and food sanitation, with many issues addressed through revisits. The facility’s record shows ongoing challenges but also some improvement in correcting cited deficiencies over time.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 13 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

94% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2022
2023
2024

Inspection Report

Routine
Capacity: 57 Deficiencies: 3 Date: May 8, 2024

Visit Reason
The kitchen inspection found multiple deficiencies including food debris accumulation, grease drips, dust, and staff not wearing hair restraints. Revisit found substantial compliance for some citations but others remained not corrected initially and corrected by 7/7/2024.

Findings
The kitchen inspection found multiple deficiencies including food debris accumulation, grease drips, dust, and staff not wearing hair restraints. Revisit found substantial compliance for some citations but others remained not corrected initially and corrected by 7/7/2024.

Deficiencies (3)
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: 57 Deficiencies: 1 Date: Mar 19, 2024

Visit Reason
Complaint investigation found failure to provide showering assistance to a sampled resident. Verbal plan of correction included daily review of shower binders and revised shower schedule.

Findings
Complaint investigation found failure to provide showering assistance to a sampled resident. Verbal plan of correction included daily review of shower binders and revised shower schedule.

Deficiencies (1)
OAR 411-054-0260 — Service Plan: General

Inspection Report

Capacity: 57 Deficiencies: 10 Date: Nov 27, 2023

Visit Reason
Change of Owner validation survey found multiple deficiencies including failure to investigate and report resident-to-resident altercations, incomplete service plans, failure to monitor changes of condition, inadequate health services assessments, environmental issues, and administrative compliance failures. Many deficiencies were corrected by revisit in early 2024.

Findings
Change of Owner validation survey found multiple deficiencies including failure to investigate and report resident-to-resident altercations, incomplete service plans, failure to monitor changes of condition, inadequate health services assessments, environmental issues, and administrative compliance failures. Many deficiencies were corrected by revisit in early 2024.

Deficiencies (10)
OAR 411-054-0028 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0036 — Service Plan: General
OAR 411-054-0040 — Change of Condition and Monitoring
OAR 411-054-0045 — Resident Health Services
OAR 411-054-0200 — Doors, Walls, Elevators, Odors
OAR 411-054-0054-0030 — Resident Service Meals and Food Sanitation Rule
OAR 411-054-0034 — Resident Move-In and Eval: Res Evaluation
OAR 411-054-0034 — Resident Health Services
OAR 411-054-0034 — RN Delegation and Teaching
OAR 411-054-0034 — On- and Off-Site Health Services

Inspection Report

Routine
Capacity: 57 Deficiencies: 1 Date: Jun 22, 2023

Visit Reason
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.

Findings
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.

Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule

Inspection Report

Complaint Investigation
Capacity: 57 Deficiencies: 3 Date: Apr 17, 2023

Visit Reason
Complaint investigation identified deficiencies in medication systems, staffing requirements and training, and acuity-based staffing tool. All deficiencies were not corrected at time of survey.

Findings
Complaint investigation identified deficiencies in medication systems, staffing requirements and training, and acuity-based staffing tool. All deficiencies were not corrected at time of survey.

Deficiencies (3)
OAR 411-054-0300 — Systems: Medications and Treatments
OAR 411-054-0360 — Staffing Requirements and Training: Staffing
OAR 411-054-0361 — Acuity-Based Staffing Tool

Inspection Report

Capacity: 57 Deficiencies: 14 Date: Mar 14, 2022

Visit Reason
Re-licensure validation survey found numerous deficiencies including facility administration, quality improvement, reasonable precautions, resident rights, abuse reporting, service plans, change of condition monitoring, resident health services, medication administration, psychotropic medication, restraints, staff training, fire and life safety, environment, and administrative compliance. Many deficiencies were corrected by revisit in 2022.

Findings
Re-licensure validation survey found numerous deficiencies including facility administration, quality improvement, reasonable precautions, resident rights, abuse reporting, service plans, change of condition monitoring, resident health services, medication administration, psychotropic medication, restraints, staff training, fire and life safety, environment, and administrative compliance. Many deficiencies were corrected by revisit in 2022.

Deficiencies (14)
OAR 411-054-0025 — Facility Administration: Operation and Quality Improvement
OAR 411-054-0025 — Reasonable Precautions
OAR 411-054-0200 — Resident Rights and Protection - General
OAR 411-054-0028 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0034 — Resident Move-In and Eval: Res Evaluation
OAR 411-054-0036 — Service Plan: General
OAR 411-054-0040 — Change of Condition and Monitoring
OAR 411-054-0045 — Resident Health Services
OAR 411-054-0054-0034 — RN Delegation and Teaching
OAR 411-054-0034 — On- and Off-Site Health Services
OAR 411-054-0090 — Fire and Life Safety: Safety and Training
OAR 411-054-0200 — Doors, Walls, Elevators, Odors and General Building Exterior
OAR 411-057-0140 — Administration Compliance

Inspection Report

Complaint Investigation
Capacity: 57 Deficiencies: 1 Date: Jan 20, 2022

Visit Reason
Complaint investigation found insufficient staffing to meet resident needs, with observations of soiled clothing and residents not receiving toileting assistance. Facility lacked acuity tool and had staffing shortages.

Findings
Complaint investigation found insufficient staffing to meet resident needs, with observations of soiled clothing and residents not receiving toileting assistance. Facility lacked acuity tool and had staffing shortages.

Deficiencies (1)
OAR 411-054-0360 — Staffing Requirements and Training: Staffing

Inspection Report

Complaint Investigation
Capacity: 57 Deficiencies: 2 Date: Jan 20, 2022

Visit Reason
Complaint investigation found failure to maintain adequate staffing and training, with similar findings as LLX5 including lack of acuity tool and staffing shortages.

Findings
Complaint investigation found failure to maintain adequate staffing and training, with similar findings as LLX5 including lack of acuity tool and staffing shortages.

Deficiencies (2)
OAR 411-054-0360 — Staffing Requirements and Training: Staffing
OAR 411-054-0010 — Licensing Complaint Investigation

Inspection Report

Complaint Investigation
Capacity: 57 Deficiencies: 3 Date: Jan 20, 2022

Visit Reason
Complaint investigation found failure to exercise reasonable precautions including infection control violations related to COVID-19, inadequate staffing, and failure to report incidents. Immediate jeopardy was identified.

Findings
Complaint investigation found failure to exercise reasonable precautions including infection control violations related to COVID-19, inadequate staffing, and failure to report incidents. Immediate jeopardy was identified.

Deficiencies (3)
OAR 411-054-0160 — Reasonable Precautions
OAR 411-054-0360 — Staffing Requirements and Training: Staffing
OAR 411-054-0010 — Licensing Complaint Investigation

Inspection Report

Complaint Investigation
Capacity: 57 Deficiencies: 1 Date: Jan 20, 2022

Visit Reason
Complaint investigation found insufficient staffing to meet resident needs, similar to other January 2022 complaints, with immediate jeopardy identified.

Findings
Complaint investigation found insufficient staffing to meet resident needs, similar to other January 2022 complaints, with immediate jeopardy identified.

Deficiencies (1)
OAR 411-054-0360 — Staffing Requirements and Training: Staffing

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