Inspection Reports for Merrill Gardens at Hillsboro
146 NE 4th Ave, Hillsboro, OR 97124, OR, 97124
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Inspection Report
Original Licensing
Capacity: 141
Deficiencies: 8
Oct 23, 2025
Visit Reason
State-compiled facility profile showing 1 initial licensing inspection from 2025 with 8 deficiencies documented.
Findings
The facility was found to have multiple deficiencies including failure to maintain accurate and current service plans, inadequate monitoring and documentation of changes in resident conditions, incomplete RN assessments for significant changes, medication order errors, incomplete self-administration evaluations, inaccurate acuity-based staffing tool data, and insufficient fire and life safety training and documentation.
Deficiencies (8)
| Description |
|---|
| C0260 - Service Plan: General: Failed to ensure service plans reflected residents' current care needs, were readily available to staff, and provided clear directions regarding delivery of services for 5 of 5 sampled residents. |
| C0270 - Change of Condition and Monitoring: Failed to update service plans following significant changes and ensure resident-specific actions were documented and communicated for 3 of 5 sampled residents. |
| C0280 - Resident Health Services: Failed to ensure RN assessment was completed for 1 of 3 sampled residents who experienced significant change of condition. |
| C0303 - Systems: Treatment Orders: Failed to ensure medication and treatment orders were carried out as prescribed for 2 of 6 sampled residents. |
| C0325 - Systems: Self-Administration of Meds: Failed to evaluate a resident's ability to safely self-administer medications for 1 of 4 sampled residents. |
| C0362 - Acuity Based Staffing Tool - ABST Time: Failed to accurately capture care time and care elements staff were providing for 2 of 5 sampled residents. |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan: Failed to update and review ABST for 1 of 3 sampled residents following significant change of condition. |
| C0420 - Fire and Life Safety: Safety: Failed to provide fire and life safety training every other month and failed to document all required fire drill elements per Oregon Fire Code. |
Report Facts
Inspections on page: 1
Total deficiencies: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | General Manager | Named in multiple findings discussions and acknowledgements |
| Staff 2 | Senior General Manager | Named in multiple findings discussions and acknowledgements |
| Staff 3 | Resident Care Director/RN | Named in multiple findings discussions and acknowledgements |
| Staff 5 | MT/CG | Interviewed regarding service plan availability and resident care |
| Staff 10 | Senior Health Services Director | Named in fire and life safety findings discussion |
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