Inspection Reports for Nehalem Valley Care Center

280 Rowe Street, Wheeler, OR, 97147

Back to Facility Profile

Deficiencies (last 4 years)

Deficiencies (over 4 years) 20.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

206% 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: 50 Deficiencies: 9 Date: Jun 26, 2025

Visit Reason
Multiple deficiencies including failure to ensure dignified dining experience, chemical restraint use, sufficient nursing staff, RN coverage, nutritive value of food, infection prevention and control, and other care and safety issues. All deficiencies were corrected by 7/23/2025.

Findings
Multiple deficiencies including failure to ensure dignified dining experience, chemical restraint use, sufficient nursing staff, RN coverage, nutritive value of food, infection prevention and control, and other care and safety issues. All deficiencies were corrected by 7/23/2025.

Deficiencies (9)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
F0605 - Right to be Free from Chemical Restraints
F0725 - Sufficient Nursing Staff
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 50 Deficiencies: 5 Date: Nov 12, 2024

Visit Reason
Deficiencies included failure to ensure RN coverage for 41 of 99 days, lack of full-time Director of Nursing, failure to maintain minimum CNA staffing for 21 of 99 days, and incomplete investigations of abuse allegations. Some deficiencies were corrected, others remained not corrected as of last revisit.

Findings
Deficiencies included failure to ensure RN coverage for 41 of 99 days, lack of full-time Director of Nursing, failure to maintain minimum CNA staffing for 21 of 99 days, and incomplete investigations of abuse allegations. Some deficiencies were corrected, others remained not corrected as of last revisit.

Deficiencies (5)
F0000 - INITIAL COMMENTS
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Capacity: 50 Deficiencies: 22 Date: Apr 26, 2024

Visit Reason
Numerous deficiencies including failure to provide liability notices, failure to report abuse timely, incomplete abuse investigations, failure to provide notice before transfer/discharge, inaccurate assessments, failure to provide professional standards of care, medication errors, infection prevention failures, insufficient nursing staff, and dietary staff qualifications. Many deficiencies were not corrected at revisit.

Findings
Numerous deficiencies including failure to provide liability notices, failure to report abuse timely, incomplete abuse investigations, failure to provide notice before transfer/discharge, inaccurate assessments, failure to provide professional standards of care, medication errors, infection prevention failures, insufficient nursing staff, and dietary staff qualifications. Many deficiencies were not corrected at revisit.

Deficiencies (22)
F0000 - INITIAL COMMENTS
F0582 - Medicaid/Medicare Coverage/Liability Notice
F0609 - Reporting of Alleged Violations
F0610 - Investigate/Prevent/Correct Alleged Violation
F0623 - Notice Requirements Before Transfer/Discharge
F0625 - Notice of Bed Hold Policy Before/Upon Trnsfr
F0641 - Accuracy of Assessments
F0658 - Services Provided Meet Professional Standards
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0689 - Free of Accident Hazards/Supervision/Devices
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0726 - Competent Nursing Staff
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0759 - Free of Medication Error Rts 5 Prcnt or More
F0801 - Qualified Dietary Staff
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0880 - Infection Prevention & Control
F0908 - Essential Equipment, Safe Operating Condition
F0947 - Required In-Service Training for Nurse Aides

Inspection Report

Capacity: 50 Deficiencies: 16 Date: Mar 7, 2024

Visit Reason
Deficiencies included failure to maintain safe, clean, comfortable environment, failure to complete baseline care plans timely, failure to update care plans, failure to provide adequate hospice coordination, failure to maintain sufficient nursing staff, failure to provide adequate infection control, and multiple other care and safety issues. Many deficiencies were not corrected at revisit.

Findings
Deficiencies included failure to maintain safe, clean, comfortable environment, failure to complete baseline care plans timely, failure to update care plans, failure to provide adequate hospice coordination, failure to maintain sufficient nursing staff, failure to provide adequate infection control, and multiple other care and safety issues. Many deficiencies were not corrected at revisit.

Deficiencies (16)
F0000 - INITIAL COMMENTS
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0655 - Baseline Care Plan
F0657 - Care Plan Timing and Revision
F0677 - ADL Care Provided for Dependent Residents
F0695 - Respiratory/Tracheostomy Care and Suctioning
F0725 - Sufficient Nursing Staff
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON
F0759 - Free of Medication Error Rts 5 Prcnt or More
F0801 - Qualified Dietary Staff
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0842 - Resident Records - Identifiable Information
F0849 - Hospice Services
M0000 - Initial Comments
M0182 - Nursing Services:Minimum Licensed Nurse Staff
M0183 - Nursing Services: Minimum CNA Staffing

Inspection Report

Capacity: 50 Deficiencies: 1 Date: Mar 20, 2023

Visit Reason
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Findings
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Inspection Report

Capacity: 50 Deficiencies: 1 Date: Mar 13, 2023

Visit Reason
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Findings
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Inspection Report

Complaint Investigation
Capacity: 50 Deficiencies: 26 Date: Feb 10, 2023

Visit Reason
Multiple deficiencies including failure to ensure dignified treatment, failure to allow married residents to share room, failure to provide homelike environment, incomplete abuse investigations, failure to develop comprehensive care plans, failure to provide adequate ADL care, failure to maintain sufficient nursing staff, failure to maintain posted nurse staffing info, failure to update facility assessment, failure to provide adequate continence and catheter care, failure to maintain nutrition and hydration, and failure to maintain safe environment. Many deficiencies were not corrected at revisit.

Findings
Multiple deficiencies including failure to ensure dignified treatment, failure to allow married residents to share room, failure to provide homelike environment, incomplete abuse investigations, failure to develop comprehensive care plans, failure to provide adequate ADL care, failure to maintain sufficient nursing staff, failure to maintain posted nurse staffing info, failure to update facility assessment, failure to provide adequate continence and catheter care, failure to maintain nutrition and hydration, and failure to maintain safe environment. Many deficiencies were not corrected at revisit.

Deficiencies (26)
F0000 - INITIAL COMMENTS
F0550 - Resident Rights/Exercise of Rights
F0559 - Choose/Be Notified of Room/Roommate Change
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0610 - Investigate/Prevent/Correct Alleged Violation
F0656 - Develop/Implement Comprehensive Care Plan
F0677 - ADL Care Provided for Dependent Residents
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0689 - Free of Accident Hazards/Supervision/Devices
F0690 - Bowel/Bladder Incontinence, Catheter, UTI
F0692 - Nutrition/Hydration Status Maintenance
F0725 - Sufficient Nursing Staff
F0732 - Posted Nurse Staffing Information
F0838 - Facility Assessment
F0842 - Resident Records - Identifiable Information
F0849 - Hospice Services
F0880 - Infection Prevention & Control
F0881 - Antibiotic Stewardship Program
F0919 - Resident Call System
F0923 - Ventilation
F0925 - Maintains Effective Pest Control Program
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M0320 - Dietary Services: Diets and Menus
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Capacity: 50 Deficiencies: 1 Date: Aug 2, 2022

Visit Reason
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Findings
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Inspection Report

Capacity: 50 Deficiencies: 1 Date: Jun 27, 2022

Visit Reason
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Findings
Failure to report complete COVID-19 information to CDC's NHSN during required reporting period. Deficiency not corrected at revisit.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Loading inspection reports...