Inspection Reports for Oak Lane Residential Care Facility
727 SW ROGUE RIVER AVENUE, OR, 97526
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Re Licensure
Capacity: 80
Deficiencies: 12
Feb 27, 2025
Visit Reason
Facility failed to report injury of unknown cause to local SPD, service plans not reflective of resident needs, infection prevention and control protocols not maintained, medication orders not carried out as prescribed, acuity-based staffing tool not updated quarterly, general building exterior and environment not maintained in good repair, call systems and exit door alarms not functional, and administration compliance issues.
Findings
Facility failed to report injury of unknown cause to local SPD, service plans not reflective of resident needs, infection prevention and control protocols not maintained, medication orders not carried out as prescribed, acuity-based staffing tool not updated quarterly, general building exterior and environment not maintained in good repair, call systems and exit door alarms not functional, and administration compliance issues.
Deficiencies (12)
| Description |
|---|
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0036 (1-4) Service Plan: General |
| OAR 411-054-0050(1-5) Infection Prevention & Control |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders |
| OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan |
| OAR 411-054-0200 (3) General Building Exterior |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors |
| OAR 411-054-0200 (11-13) Call Sys, Exit Dr Alarm, Phones, TV, or Cable |
| OAR 411-057-0140(2) Administration Compliance |
| OAR 411-057-0160(2b) Compliance with Rules Health Care |
| OAR 411-057-0160(2)(c)(A)(B) Nutrition and Hydration |
| OAR 411-057-0160(e) Behavior |
Inspection Report
State Licensure Other
Capacity: 80
Deficiencies: 3
Jun 3, 2024
Visit Reason
Kitchen inspection revealed multiple sanitation and maintenance issues including splatters, spills, stains, damaged surfaces, undated and expired foods. Facility was found in substantial compliance upon revisit.
Findings
Kitchen inspection revealed multiple sanitation and maintenance issues including splatters, spills, stains, damaged surfaces, undated and expired foods. Facility was found in substantial compliance upon revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services- Meals and Oregon Health Service Food Sanitation Rules |
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
| Administration Compliance |
Inspection Report
State Licensure Other
Capacity: 80
Deficiencies: 1
Jan 19, 2023
Visit Reason
Kitchen inspection documented; facility found in substantial compliance with relevant OARs.
Findings
Kitchen inspection documented; facility found in substantial compliance with relevant OARs.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services- Meals |
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 3
Nov 2, 2022
Visit Reason
Complaint investigation identified deficiencies related to Assisted Living and Residential Care Facilities compliance with state and local laws, including fire and life safety issues.
Findings
Complaint investigation identified deficiencies related to Assisted Living and Residential Care Facilities compliance with state and local laws, including fire and life safety issues.
Deficiencies (3)
| Description |
|---|
| Licensing Complaint Investigation |
| OAR 411-054-0420 Fire and Life Safety: Safety |
| OAR 411-054-0421 Fire and Life Safety: Safety |
Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 6
Oct 6, 2022
Visit Reason
Complaint investigation revealed multiple deficiencies including staffing shortages, inadequate activity programs, medication administration issues, acuity-based staffing tool not updated, and failure to follow licensing rules.
Findings
Complaint investigation revealed multiple deficiencies including staffing shortages, inadequate activity programs, medication administration issues, acuity-based staffing tool not updated, and failure to follow licensing rules.
Deficiencies (6)
| Description |
|---|
| Licensing Complaint Investigation |
| OAR 411-054-0200 Resident Rights and Protection - General |
| OAR 411-054-0242 Resident Services: Activities |
| OAR 411-054-0303 Systems: Treatment Orders |
| OAR 411-054-0360 Staffing Requirements and Training: Staffing |
| OAR 411-054-0361 Acuity-Based Staffing Tool |
Inspection Report
State Licensure
Capacity: 80
Deficiencies: 1
May 3, 2021
Visit Reason
COVID-19 Preparedness Follow up Questionnaire documented; facility found in substantial compliance.
Findings
COVID-19 Preparedness Follow up Questionnaire documented; facility found in substantial compliance.
Deficiencies (1)
| Description |
|---|
| General Comments |
Inspection Report
Re Licensure
Capacity: 80
Deficiencies: 19
May 3, 2021
Visit Reason
Re-licensure survey identified multiple deficiencies including resident evaluations, service plans, change of condition monitoring, health services, medication administration, staffing training, fire and life safety, building exterior, and activities. Some deficiencies were corrected upon revisit.
Findings
Re-licensure survey identified multiple deficiencies including resident evaluations, service plans, change of condition monitoring, health services, medication administration, staffing training, fire and life safety, building exterior, and activities. Some deficiencies were corrected upon revisit.
Deficiencies (19)
| Description |
|---|
| OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0260 Service Plan: General |
| OAR 411-054-0270 Change of Condition and Monitoring |
| OAR 411-054-0280 Resident Health Services |
| OAR 411-054-0302 Systems: Tracking Control Substances |
| OAR 411-054-0303 Systems: Treatment Orders |
| OAR 411-054-0305 Systems: Resident Right to Refuse |
| OAR 411-054-0310 Systems: Medication Administration |
| OAR 411-054-0372 Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0420 Fire and Life Safety: Safety |
| OAR 411-054-0510 General Building Exterior |
| OAR 411-054-0513 Doors, Walls, Elevators, Odors |
| OAR 411-054-0540 Heating and Ventilation |
| OAR 411-054-0545 Plumbing Systems |
| OAR 411-054-0555 Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable |
| OAR 411-057-0142 Administration Compliance |
| OAR 411-057-0155 Staff Training Requirements |
| OAR 411-057-0162 Compliance With Rules Health Care |
| OAR 411-057-0164 Activities |
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