Inspection Reports for Middlefield Oaks Senior Living

1500 Village Dr, Cottage Grove, OR 97424 , OR, 97424

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 11.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

69% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

28 21 14 7 0
2022
2023
2024
2025

Inspection Report

Routine
Capacity: 36 Deficiencies: 3 Date: Aug 13, 2025

Visit Reason
Facility failed to maintain kitchen in good repair and sanitary manner; multiple areas with food spills, debris, and repair needs; staff observed with poor hygiene and improper sanitation practices; repeat citation.

Findings
Facility failed to maintain kitchen in good repair and sanitary manner; multiple areas with food spills, debris, and repair needs; staff observed with poor hygiene and improper sanitation practices; repeat citation.

Deficiencies (3)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-057-0140 — Administration Compliance

Inspection Report

Capacity: 36 Deficiencies: 3 Date: Aug 14, 2024

Visit Reason
Kitchen inspection found issues with sanitation and food safety; some deficiencies corrected by revisit; administration compliance issues noted and corrected.

Findings
Kitchen inspection found issues with sanitation and food safety; some deficiencies corrected by revisit; administration compliance issues noted and corrected.

Deficiencies (3)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-057-0140 — Administration Compliance

Inspection Report

Capacity: 36 Deficiencies: 3 Date: Nov 27, 2023

Visit Reason
Facility failed to maintain food storage and service areas in good repair and sanitary manner; staff hygiene and food handling issues; some deficiencies corrected by revisit; administration compliance issues noted and corrected.

Findings
Facility failed to maintain food storage and service areas in good repair and sanitary manner; staff hygiene and food handling issues; some deficiencies corrected by revisit; administration compliance issues noted and corrected.

Deficiencies (3)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-057-0140 — Administration Compliance

Inspection Report

Capacity: 36 Deficiencies: 27 Date: Apr 17, 2023

Visit Reason
Extensive deficiencies including quality improvement, abuse reporting, resident care plans, infection control, medication administration, staffing, fire and life safety, environment maintenance, and more; multiple repeat citations; some deficiencies corrected on revisit.

Findings
Extensive deficiencies including quality improvement, abuse reporting, resident care plans, infection control, medication administration, staffing, fire and life safety, environment maintenance, and more; multiple repeat citations; some deficiencies corrected on revisit.

Deficiencies (27)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0156 — Facility Administration: Quality Improvement
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0242 — Resident Services: Activities
OAR 411-054-0252 — Resident Move-In and Eval: Res Evaluation
OAR 411-054-0260 — Service Plan: General
OAR 411-054-0280 — Resident Health Services
OAR 411-054-0295 — Infection Prevention & Control
OAR 411-054-0303 — Systems: Treatment Orders
OAR 411-054-0310 — Systems: Medication Administration
OAR 411-054-0325 — Systems: Self-Administration of Meds
OAR 411-054-0330 — Systems: Psychotropic Medication
OAR 411-054-0340 — Restraints and Supportive Devices
OAR 411-054-0361 — Acuity-Based Staffing Tool
OAR 411-054-0420 — Fire and Life Safety: Safety
OAR 411-054-0422 — Fire and Life Safety: Training For Residents
OAR 411-054-0455 — Inspections and Investigation: Insp Interval
OAR 411-054-0513 — Doors, Walls, Elevators, Odors
OAR 411-054-0530 — Housekeeping and Laundry
OAR 411-054-0555 — Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
OAR 411-057-0142 — Administration Compliance
OAR 411-054-0162 — Compliance With Rules Health Care
OAR 411-054-0163 — Nutrition and Hydration
OAR 411-054-0164 — Activities
OAR 411-054-0168 — Outside Area
OAR 411-054-0173 — Secure Outdoor Recreation Area
OAR 411-054-0176 — Resident Rooms

Inspection Report

Complaint Investigation
Capacity: 36 Deficiencies: 1 Date: Apr 14, 2023

Visit Reason
Complaint investigation identified deficiencies related to acuity-based staffing tool; facility evaluated for compliance with OAR 411 Division 54 and 57.

Findings
Complaint investigation identified deficiencies related to acuity-based staffing tool; facility evaluated for compliance with OAR 411 Division 54 and 57.

Deficiencies (1)
OAR 411-054-0361 — Acuity-Based Staffing Tool

Inspection Report

Complaint Investigation
Capacity: 36 Deficiencies: 2 Date: Jan 17, 2023

Visit Reason
Complaint investigation found licensing complaint investigation and failure to report and investigate abuse; deficiencies not corrected at time of visits.

Findings
Complaint investigation found licensing complaint investigation and failure to report and investigate abuse; deficiencies not corrected at time of visits.

Deficiencies (2)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action

Inspection Report

Capacity: 36 Deficiencies: 3 Date: Dec 5, 2022

Visit Reason
Kitchen inspection and revisits documented; facility initially failed to maintain kitchen in good repair and sanitary manner; some deficiencies corrected by last revisit; administration compliance issues noted.

Findings
Kitchen inspection and revisits documented; facility initially failed to maintain kitchen in good repair and sanitary manner; some deficiencies corrected by last revisit; administration compliance issues noted.

Deficiencies (3)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0455 — Inspections and Investigation: Insp Interval
OAR 411-057-0142 — Administration Compliance

Inspection Report

Complaint Investigation
Capacity: 36 Deficiencies: 3 Date: Sep 30, 2022

Visit Reason
Complaint investigation found failures in licensing complaint investigation, abuse reporting, and service plan updates; deficiencies not corrected at time of visit.

Findings
Complaint investigation found failures in licensing complaint investigation, abuse reporting, and service plan updates; deficiencies not corrected at time of visit.

Deficiencies (3)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0260 — Service Plan: General

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