Deficiencies (last 4 years)
Deficiencies (over 4 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 44
Deficiencies: 1
Date: Nov 5, 2024
Visit Reason
One deficiency related to staffing requirements was identified and not corrected at the initial visit on 11/5/2024.
Findings
One deficiency related to staffing requirements was identified and not corrected at the initial visit on 11/5/2024.
Deficiencies (1)
OAR 411-054-0200 — Staffing Requirements and Training: Staffing
Inspection Report
Capacity: 44
Deficiencies: 17
Date: Apr 29, 2024
Visit Reason
Re-licensure survey with 29 citations including failures in administrative oversight, service plan implementation, change of condition monitoring, resident health services, medication administration, abuse reporting, infection prevention, staff training, fire and life safety, and compliance with rules. Multiple deficiencies were not corrected at first and second revisits but corrected by the third revisit on 2/5/2025.
Findings
Re-licensure survey with 29 citations including failures in administrative oversight, service plan implementation, change of condition monitoring, resident health services, medication administration, abuse reporting, infection prevention, staff training, fire and life safety, and compliance with rules. Multiple deficiencies were not corrected at first and second revisits but corrected by the third revisit on 2/5/2025.
Deficiencies (17)
OAR 411-054-0040 — Change of Condition and Monitoring
OAR 411-054-0045 — Resident Health Services
OAR 411-057-0155 — Staff Training Requirements
OAR 411-054-0025 — Facility Administration: Operation, Required Postings, Records, Quality Improvement
OAR 411-054-0028 — Reporting and Investigating Abuse- Other Action
OAR 411-054-0036 — Service Plan: General
OAR 411-054-0050 — Infection Prevention and Control
OAR 411-054-0055 — Systems: Medications and Treatments, Treatment Orders, Resident Right to Refuse, Medication Administration, Psychotropic Medication
OAR 411-054-0037 — Acuity-Based Staffing Tool
OAR 411-054-0070 — Training Within 30 Days: Direct Care Staff
OAR 411-054-0090 — Fire and Life Safety: Safety
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-004-0020 — Individual Privacy: Own Unit, Individual Door Locks: Key Access, Limitations: Threats to Health and Safety
OAR 411-057-0140 — Administration Compliance
OAR 411-057-0155 — Staff Training Requirements
OAR 411-057-0160 — Compliance With Rules Health Care, Nutrition and Hydration, Activities
OAR 411-057-0170 — Secure Outdoor Recreation Area
Inspection Report
Capacity: 44
Deficiencies: 3
Date: Sep 14, 2023
Visit Reason
State licensure survey with 3 citations related to kitchen inspection and food sanitation. Some deficiencies were not corrected at first revisit but corrected by second revisit.
Findings
State licensure survey with 3 citations related to kitchen inspection and food sanitation. Some deficiencies were not corrected at first revisit but corrected by second revisit.
Deficiencies (3)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 333-150-0000 — Food Labeling and Cleanliness and Sanitation
OAR 411-054-0030 — Comment
Inspection Report
Capacity: 44
Deficiencies: 1
Date: Jul 27, 2022
Visit Reason
State licensure survey with one citation related to kitchen inspection, no deficiencies corrected or not corrected noted.
Findings
State licensure survey with one citation related to kitchen inspection, no deficiencies corrected or not corrected noted.
Deficiencies (1)
OAR 411-054-0030 — Comment
Inspection Report
Complaint Investigation
Capacity: 44
Deficiencies: 1
Date: Jun 28, 2022
Visit Reason
Complaint investigation with one deficiency related to exit door alarms and call systems not functioning properly, not corrected at initial visit.
Findings
Complaint investigation with one deficiency related to exit door alarms and call systems not functioning properly, not corrected at initial visit.
Deficiencies (1)
OAR 411-054-0555 — Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Inspection Report
Capacity: 44
Deficiencies: 13
Date: Feb 1, 2021
Visit Reason
Validation and change of owner survey with 18 citations including failures in disclosure, reasonable precautions, abuse reporting, resident services, service plans, change of condition monitoring, health services coordination, medication orders, fire and life safety, staff training, and compliance with rules. Some deficiencies were corrected by revisits in April and June 2021.
Findings
Validation and change of owner survey with 18 citations including failures in disclosure, reasonable precautions, abuse reporting, resident services, service plans, change of condition monitoring, health services coordination, medication orders, fire and life safety, staff training, and compliance with rules. Some deficiencies were corrected by revisits in April and June 2021.
Deficiencies (13)
OAR 411-054-0028 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0040 — Change of Condition and Monitoring
OAR 411-054-0055 — Systems: Treatment Orders, Resident Right to Refuse, Medication Administration
OAR 411-054-0036 — Service Plan: General
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0090 — Fire and Life Safety: Safety
OAR 411-057-0155 — Staff Training Requirements
OAR 411-057-0160 — Compliance With Rules Health Care, Nutrition and Hydration, Activities
OAR 411-054-0555 — Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
OAR 411-054-0025 — Facility Administration Compliance
OAR 411-054-0030 — Reasonable Precautions
OAR 411-054-0025 — Resident Move-In and Eval: Res Evaluation
OAR 411-054-0037 — Acuity-Based Staffing Tool
Inspection Report
Capacity: 44
Deficiencies: 1
Date: Feb 1, 2021
Visit Reason
State licensure survey with one citation related to Covid-19 preparedness questionnaire, no deficiencies corrected or not corrected noted.
Findings
State licensure survey with one citation related to Covid-19 preparedness questionnaire, no deficiencies corrected or not corrected noted.
Deficiencies (1)
OAR 411-054-0000 — Covid-19 Preparedness Questionnaire
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