Inspection Reports for Murray Highland Memory Care
4900 SW Murray Blvd, Beaverton, OR 97005, United States, OR, 97005
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Inspection Report
Re-Inspection
Capacity: 33
Deficiencies: 26
Nov 5, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2022 to 2025 with deficiency history and enforcement actions
Findings
Across multiple inspections, the facility demonstrated numerous deficiencies including failure to complete resident evaluations and service plans accurately, incomplete acuity-based staffing tool implementation, medication administration errors, environmental maintenance issues, and inadequate staff training. Some improvements were noted in follow-up inspections but multiple deficiencies remained uncorrected as of the latest survey.
Complaint Details
The complaint investigation conducted on 2025-07-25 found no deficiencies related to the complaint.
Deficiencies (26)
| Description |
|---|
| C0252 - Resident Move-in & Evaluation: Res Evaluation: Failed to ensure resident evaluations addressed all required elements for 1 of 1 sampled resident |
| C0260 - Service Plan: General: Failed to ensure service plans were reflective of residents’ needs and included clear caregiving instructions for 3 of 4 sampled residents |
| C0330 - Systems: Psychotropic Medication: Failed to ensure medications given to treat behavior had resident-specific parameters and documented non-pharmacological interventions prior to administration for 1 of 1 sampled resident |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan: Failed to complete or update ABST before move-in and quarterly, and failed to use ABST results to update staffing plan |
| C0513 - Doors, Walls, Elevators, Odors: Failed to keep all interior materials and surfaces clean and in good repair |
| H1517 - Individual Privacy: Own Unit: Failed to ensure individual privacy for residents sharing a bathroom without lockable doors |
| H1518 - Individual Door Locks: Key Access: Failed to ensure residents had keys to their units |
| L0252 - Resident Move-in & Evaluation: Res Evaluation: Failed to ensure move-in evaluations addressed all required elements including pronouns and gender identity |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| Z0162 - Compliance with Rules Health Care: Failed to provide health care services in accordance with licensing rules |
| Z0164 - Activities: Failed to develop individualized activity plans based on activity evaluations for 4 of 4 sampled residents |
| C0010 - Licensing Complaint Investigation: No deficiencies identified in complaint investigation |
| C0361 - Acuity-Based Staffing Tool: Failed to fully implement an Acuity Based Staffing Tool |
| C0000 - Comment: Kitchen inspection findings documented |
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to ensure kitchen practices complied with Food Sanitation Rules |
| C0303 - Systems: Treatment Orders: Failed to ensure medication and treatment orders were carried out as prescribed for multiple residents |
| C0310 - Systems: Medication Administration: Failed to ensure MARs were accurate and included clear parameters for medication administration |
| C0420 - Fire and Life Safety: Safety: Failed to conduct drills every other month and include required components on fire drill records |
| C0422 - Fire and Life Safety: Training For Residents: Failed to re-instruct residents annually on fire and life safety procedures |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department |
| C0510 - General Building Exterior: Failed to ensure grounds were orderly and free of litter and garbage stored in closed containers |
| C0511 - General Building Interior: Failed to ensure design supported special resident needs relating to handrails in corridors |
| Z0155 - Staff Training Requirements: Failed to ensure pre-service orientation and annual training were completed and documented for staff |
| Z0163 - Nutrition and Hydration: Failed to ensure individualized nutrition and hydration plans were developed and included in service plans |
| Z0165 - Behavior: Failed to provide individualized service plans for behavioral symptoms for 2 of 2 sampled residents |
| C0361 - Acuity-Based Staffing Tool: Failed to fully implement an Acuity Based Staffing Tool |
Report Facts
Inspections on page: 6
Total deficiencies: 33
Licensing violations: 10
Notices: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eugene Ramirez | Administrator | Named in multiple findings and interviews regarding deficiencies and acknowledgments |
| Staff 1 | Executive Director (ED) | Named in multiple findings and interviews acknowledging deficiencies |
| Staff 2 | Resident Care Coordinator (RCC) | Named in multiple findings and interviews acknowledging deficiencies |
| Staff 5 | Medication Technician (MT) | Interviewed regarding psychotropic medication deficiency |
| Staff 6 | Medication Technician (MT) | Named in training deficiencies and medication administration findings |
| Staff 10 | Caregiver (CG) | Interviewed regarding behavioral and fall prevention deficiencies |
| Staff 12 | Health Services Director | Named in multiple findings and acknowledgments related to health services and medication administration |
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