Inspection Reports for Miramont Pointe

11520 SE Sunnyside Rd, Clackamas, OR 97015, United States, OR, 97015

Back to Facility Profile

Deficiencies (last 4 years)

Deficiencies (over 4 years) 10.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2021
2022
2023
2024

Inspection Report

Complaint Investigation
Capacity: 186 Deficiencies: 2 Date: Jun 10, 2024

Visit Reason
Facility failed to review initial service plans within 30 days of move-in for sampled residents and failed to provide sufficient qualified awake direct care staff to meet resident needs.

Findings
Facility failed to review initial service plans within 30 days of move-in for sampled residents and failed to provide sufficient qualified awake direct care staff to meet resident needs.

Deficiencies (2)
C0260 - Service Plan: General
C0360 - Staffing Requirements and Training: Staffing

Inspection Report

Capacity: 186 Deficiencies: 15 Date: Apr 22, 2024

Visit Reason
Re-licensure survey found multiple deficiencies including staffing, medication administration, fire and life safety, building maintenance, and compliance with rules. Many deficiencies were not corrected at first revisit but corrected by second revisit.

Findings
Re-licensure survey found multiple deficiencies including staffing, medication administration, fire and life safety, building maintenance, and compliance with rules. Many deficiencies were not corrected at first revisit but corrected by second revisit.

Deficiencies (15)
C0000 - Comment
C0160 - Reasonable Precautions
C0310 - Systems: Medication Administration
C0360 - Staffing Requirements and Training: Staffing
C0361 - Acuity-Based Staffing Tool
C0420 - Fire and Life Safety: Safety
C0511 - General Building Interior
C0513 - Doors, Walls, Elevators, Odors
C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
H1515 - Physical Setting: Individual Accessible
Z0142 - Administration Compliance
Z0155 - Staff Training Requirements
Z0162 - Compliance With Rules Health Care
Z0168 - Outside Area
Z0173 - Secure Outdoor Recreation Area

Inspection Report

Capacity: 186 Deficiencies: 4 Date: Oct 19, 2023

Visit Reason
Kitchen inspection found multiple deficiencies related to food sanitation and administration compliance. Some deficiencies were corrected by second revisit.

Findings
Kitchen inspection found multiple deficiencies related to food sanitation and administration compliance. Some deficiencies were corrected by second revisit.

Deficiencies (4)
C0000 - Comment
C0240 - Resident Services Meals, Food Sanitation Rule
C0455 - Inspections and Investigation: Insp Interval
Z0142 - Administration Compliance

Inspection Report

Complaint Investigation
Capacity: 186 Deficiencies: 4 Date: Jun 14, 2023

Visit Reason
Investigation found failures in abuse reporting and investigation, staffing sufficiency, and acuity-based staffing tool implementation.

Findings
Investigation found failures in abuse reporting and investigation, staffing sufficiency, and acuity-based staffing tool implementation.

Deficiencies (4)
C0010 - Licensing Complaint Investigation
C0231 - Reporting & Investigating Abuse-Other Action
C0360 - Staffing Requirements and Training: Staffing
C0361 - Acuity-Based Staffing Tool

Inspection Report

Capacity: 186 Deficiencies: 3 Date: Sep 20, 2022

Visit Reason
Kitchen inspection with deficiencies in food sanitation and administration compliance. Some deficiencies corrected by revisit.

Findings
Kitchen inspection with deficiencies in food sanitation and administration compliance. Some deficiencies corrected by revisit.

Deficiencies (3)
C0000 - Comment
C0240 - Resident Services Meals, Food Sanitation Rule
Z0142 - Administration Compliance

Inspection Report

Complaint Investigation
Capacity: 186 Deficiencies: 1 Date: Jun 23, 2022

Visit Reason
Facility failed to have policies and procedures to assure prevention and appropriate response to incidents including abuse reporting.

Findings
Facility failed to have policies and procedures to assure prevention and appropriate response to incidents including abuse reporting.

Deficiencies (1)
C0231 - Reporting & Investigating Abuse-Other Action

Inspection Report

Capacity: 186 Deficiencies: 13 Date: Jul 6, 2021

Visit Reason
Re-licensure survey found multiple deficiencies including abuse reporting, coordination of health services, controlled substances tracking, self-administration of meds, building maintenance, and activities planning. Some deficiencies were corrected by revisits.

Findings
Re-licensure survey found multiple deficiencies including abuse reporting, coordination of health services, controlled substances tracking, self-administration of meds, building maintenance, and activities planning. Some deficiencies were corrected by revisits.

Deficiencies (13)
C0000 - Comment
C0231 - Reporting & Investigating Abuse-Other Action
C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc
C0302 - Systems: Tracking Control Substances
C0325 - Systems: Self-Administration of Meds
C0455 - Inspections and Investigation: Insp Interval
C0510 - General Building Exterior
C0513 - Doors, Walls, Elevators, Odors
C0515 - Resident Units
C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Z0142 - Administration Compliance
Z0162 - Compliance With Rules Health Care
Z0164 - Activities

Loading inspection reports...