Deficiencies (last 4 years)
Deficiencies (over 4 years)
12.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
87% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Nov 21, 2025
Visit Reason
Facility failed to implement adequate infection prevention and control measures related to airborne precautions for a resident with suspected tuberculosis exposure. Multiple deficiencies remained uncorrected at revisit.
Findings
Facility failed to implement adequate infection prevention and control measures related to airborne precautions for a resident with suspected tuberculosis exposure. Multiple deficiencies remained uncorrected at revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0200 — Infection Prevention & Control |
| OAR 411-054-0200 — INITIAL COMMENTS |
| OAR 411-054-0200 — STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Oct 17, 2025
Visit Reason
Facility failed to protect residents from abuse and neglect, with multiple deficiencies related to abuse investigations, care planning, and administrative oversight. Some deficiencies were corrected by 11/12/2025 but others remained uncorrected.
Findings
Facility failed to protect residents from abuse and neglect, with multiple deficiencies related to abuse investigations, care planning, and administrative oversight. Some deficiencies were corrected by 11/12/2025 but others remained uncorrected.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0200 — Free from Abuse and Neglect |
| OAR 411-054-0200 — INITIAL COMMENTS |
| OAR 411-054-0200 — STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Aug 5, 2025
Visit Reason
Complaint and re-licensure survey with no deficiencies corrected; infection control and administrative rule deficiencies noted but not corrected.
Findings
Complaint and re-licensure survey with no deficiencies corrected; infection control and administrative rule deficiencies noted but not corrected.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0200 — INITIAL COMMENTS |
| OAR 411-054-0200 — Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Apr 1, 2025
Visit Reason
Facility failed to ensure accurate resident records, medication storage, and quality of care. Multiple deficiencies related to clinical records, medication errors, and care planning were noted with some corrected and others not corrected at revisit.
Findings
Facility failed to ensure accurate resident records, medication storage, and quality of care. Multiple deficiencies related to clinical records, medication errors, and care planning were noted with some corrected and others not corrected at revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-086-0300 — Resident Records - Identifiable Information |
| OAR 411-086-0260 — Label/Store Drugs and Biologicals |
| OAR 411-086-0110 — Quality of Care |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 15
Jan 21, 2025
Visit Reason
Facility failed to ensure residents' rights, abuse prevention, reporting, and investigation were adequately addressed. Deficiencies included failure to report abuse timely, investigate allegations thoroughly, and implement QAPI programs. Some deficiencies corrected by 2/20/2025, others remained uncorrected.
Findings
Facility failed to ensure residents' rights, abuse prevention, reporting, and investigation were adequately addressed. Deficiencies included failure to report abuse timely, investigate allegations thoroughly, and implement QAPI programs. Some deficiencies corrected by 2/20/2025, others remained uncorrected.
Deficiencies (15)
| Description |
|---|
| OAR 411-085-0310 — Right to Survey Results/Advocate Agency Info |
| OAR 411-085-0360 — Develop/Implement Abuse/Neglect Policies |
| OAR 411-085-0360 — Reporting of Alleged Violations |
| OAR 411-085-0360 — Investigate/Prevent/Correct Alleged Violation |
| OAR 411-086-0060 — Develop/Implement Comprehensive Care Plan |
| OAR 411-086-0110 — Quality of Care |
| OAR 411-086-0100 — RN 8 Hrs/7 days/Wk, Full Time DON |
| OAR 411-086-0260 — Label/Store Drugs and Biologicals |
| OAR 411-086-0250 — Food Procurement, Store/Prepare/Serve-Sanitary |
| OAR 411-085-0220 — QAPI Prgm/Plan, Disclosure/Good Faith Attmpt |
| OAR 411-085-0220 — QAPI/QAA Improvement Activities |
| OAR 411-086-0330 — Influenza and Pneumococcal Immunizations |
| OAR 411-086-0330 — COVID-19 Immunization |
| OAR 411-087-0100 — Safe/Functional/Sanitary/Comfortable Environ |
| OAR 411-086-0110 — Nursing Services: Minimum Licensed Nurse Staff |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 4
Nov 12, 2024
Visit Reason
Facility failed to provide proper discharge notices, prevent elopement, maintain minimum CNA staffing, and ensure adequate supervision. Multiple deficiencies remained uncorrected at revisit.
Findings
Facility failed to provide proper discharge notices, prevent elopement, maintain minimum CNA staffing, and ensure adequate supervision. Multiple deficiencies remained uncorrected at revisit.
Deficiencies (4)
| Description |
|---|
| OAR 411-088-0080 — Notice Requirements Before Transfer/Discharge |
| OAR 411-085-0360 — Free of Accident Hazards/Supervision/Devices |
| OAR 411-086-0250 — Nursing Services: Minimum CNA Staffing |
| OAR 411-086-0140 — Nursing Services: Problem Resolution and Preventive Care |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Feb 22, 2024
Visit Reason
Facility failed to provide risk and benefit information for psychotropic medications, thoroughly investigate abuse and accidents, and maintain minimum CNA staffing. Some deficiencies corrected by 3/11/2024 but others remained uncorrected.
Findings
Facility failed to provide risk and benefit information for psychotropic medications, thoroughly investigate abuse and accidents, and maintain minimum CNA staffing. Some deficiencies corrected by 3/11/2024 but others remained uncorrected.
Deficiencies (3)
| Description |
|---|
| OAR 411-085-0310 — Right to be Informed/Make Treatment Decisions |
| OAR 411-085-0360 — Investigate/Prevent/Correct Alleged Violation |
| OAR 411-086-0250 — Nursing Services: Minimum CNA Staffing |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 8
Sep 12, 2023
Visit Reason
Facility failed to ensure resident dignity, accurate assessments, care planning, medication administration, adequate staffing, infection control, and safe environment. Immediate jeopardy related to smoking safety was identified and removed. Multiple deficiencies corrected by 10/25/2023, others remained uncorrected.
Findings
Facility failed to ensure resident dignity, accurate assessments, care planning, medication administration, adequate staffing, infection control, and safe environment. Immediate jeopardy related to smoking safety was identified and removed. Multiple deficiencies corrected by 10/25/2023, others remained uncorrected.
Deficiencies (8)
| Description |
|---|
| OAR 411-085-0310 — Residents' Rights: Generally |
| OAR 411-086-0060 — Comprehensive Assessments & Timing |
| OAR 411-086-0110 — Quality of Care |
| OAR 411-086-0100 — RN 8 Hrs/7 days/Wk, Full Time DON |
| OAR 411-086-0260 — Label/Store Drugs and Biologicals |
| OAR 411-086-0330 — Infection Prevention & Control |
| OAR 411-086-0250 — Food Procurement, Store/Prepare/Serve-Sanitary |
| OAR 411-085-0220 — QAPI/QAA Improvement Activities |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Mar 3, 2023
Visit Reason
Facility failed to protect residents from abuse, prevent falls, maintain minimum CNA staffing, and ensure proper reporting of alleged violations. Some deficiencies corrected by 3/20/2023 but others remained uncorrected.
Findings
Facility failed to protect residents from abuse, prevent falls, maintain minimum CNA staffing, and ensure proper reporting of alleged violations. Some deficiencies corrected by 3/20/2023 but others remained uncorrected.
Deficiencies (3)
| Description |
|---|
| OAR 411-085-0360 — Free from Abuse and Neglect |
| OAR 411-085-0360 — Free of Accident Hazards/Supervision/Devices |
| OAR 411-086-0250 — Nursing Services: Minimum CNA Staffing |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 6
Aug 29, 2022
Visit Reason
Facility failed to ensure accurate assessments, care planning, medication administration, adequate staffing, infection control, and safe environment. Multiple deficiencies corrected by 10/10/2022 but some remained uncorrected.
Findings
Facility failed to ensure accurate assessments, care planning, medication administration, adequate staffing, infection control, and safe environment. Multiple deficiencies corrected by 10/10/2022 but some remained uncorrected.
Deficiencies (6)
| Description |
|---|
| OAR 411-086-0060 — Comprehensive Assessment and Care Plan |
| OAR 411-086-0110 — Nursing Services: Resident Care |
| OAR 411-086-0140 — Nursing Services: Problem Resolution and Preventive Care |
| OAR 411-086-0260 — Pharmaceutical Services |
| OAR 411-086-0250 — Dietary Services |
| OAR 411-086-0330 — Infection Control and Universal Precautions |
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