Inspection Reports for MorningStar Assisted Living & Memory Care at Laurelhurst
OR, 97232
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Inspection Report
Original Licensing
Capacity: 98
Deficiencies: 17
Jun 25, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2024-03 to 2025-06 with deficiency history and plans of correction.
Findings
Across two inspections, the facility was found to have multiple deficiencies including food sanitation issues, failure to ensure resident rights and dignity, incomplete reporting of abuse, inadequate resident evaluations and service plans, medication administration errors, staffing and training deficiencies, and fire safety noncompliance. Some deficiencies were corrected over time while others remained uncorrected at the last visits.
Deficiencies (17)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to ensure kitchen practices and protocols met Food Sanitation Rules including cleanliness and staff hygiene. |
| C0000 - Comment: Initial licensure survey findings documented with multiple revisit visits not corrected. |
| C0200 - Resident Rights and Protection - General: Facility failed to ensure residents were treated with dignity and respect related to dining services, personal care, and medication administration. |
| C0231 - Reporting & Investigating Abuse-Other Action: Facility failed to report injury of unknown cause as suspected abuse for a resident. |
| C0252 - Resident Move-In and Eval: Res Evaluation: Facility failed to ensure move-in evaluations addressed all required elements for a resident. |
| C0260 - Service Plan: General: Facility failed to ensure service plans reflected residents' needs, provided clear directions, and were implemented for sampled residents. |
| C0270 - Change of Condition and Monitoring: Facility failed to determine, document, communicate, and monitor actions needed for residents following changes of condition. |
| C0280 - Resident Health Services: Facility failed to ensure RN assessment was completed for a resident with significant change of condition. |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Facility failed to coordinate care with outside providers to ensure continuity of care for a resident. |
| C0303 - Systems: Treatment Orders: Facility failed to ensure medication orders were carried out as prescribed and had signed physician orders for all medications. |
| C0305 - Systems: Resident Right to Refuse: Facility failed to notify physician when a resident refused consent to medication orders. |
| C0310 - Systems: Medication Administration: Facility failed to maintain accurate Medication Administration Records (MARs) for sampled residents. |
| C0361 - Acuity-Based Staffing Tool: Facility failed to implement an acuity-based staffing tool including all required ADLs and staff time needed. |
| C0370 - Staffing Requirements and Training – Pre-Serv: Facility failed to ensure newly hired staff completed all pre-service orientation training prior to job duties. |
| C0372 - Training Within 30 Days: Direct Care Staff: Facility failed to ensure newly hired direct care staff demonstrated satisfactory performance within 30 days of hire. |
| C0420 - Fire and Life Safety: Safety: Facility failed to conduct fire drills according to Oregon Fire Code including resident participation and documentation. |
| C0455 - Inspections and Investigation: Insp Interval: Facility failed to ensure initial licensure survey plan of correction was implemented and satisfied the Department. |
Report Facts
Inspections on page: 2
Total deficiencies: 16
Licensed beds: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple findings related to resident rights, service plans, medication administration, and oversight |
| Staff 2 | Assisted Living Coordinator | Named in findings related to resident rights, abuse reporting, service plans, and training |
| Staff 3 | MCC Administrator | Named in findings related to resident rights, abuse reporting, service plans, and fire safety |
| Staff 16 | Wellness Director | Named in findings related to resident rights, abuse reporting, service plans, medication administration, and oversight |
| Staff 9 | Caregiver (CG) | Named in findings related to training and medication administration |
| Staff 12 | Medication Technician (MT) | Named in findings related to medication administration and training |
| Staff 24 | Med Care Manager | Named in medication administration findings |
| Staff 19 | Chief of Wellness | Named in medication administration findings |
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