Inspection Reports for Pacific Grove Senior Living

OR, 97116

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 15.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

134% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

24 18 12 6 0
2021
2023
2024
Inspection Report Complaint Investigation Capacity: 78 Deficiencies: 2 Feb 7, 2024
Visit Reason
Facility failed to ensure a safe medication system for a resident unable to self-administer insulin, resulting in hospitalization. The facility failed to follow nursing evaluation and obtain orders for staff administration of insulin.
Findings
Facility failed to ensure a safe medication system for a resident unable to self-administer insulin, resulting in hospitalization. The facility failed to follow nursing evaluation and obtain orders for staff administration of insulin.
Deficiencies (2)
Description
OAR 411-054-0200 — Change of Condition and Monitoring
OAR 411-054-0200 — Systems: Self-Administration of Meds
Inspection Report Complaint Investigation Capacity: 78 Deficiencies: 22 Feb 7, 2024
Visit Reason
Multiple deficiencies including facility administration, resident rights, reporting abuse, resident services, infection control, medication systems, staffing, and inspections. Most deficiencies were not corrected as of last visit.
Findings
Multiple deficiencies including facility administration, resident rights, reporting abuse, resident services, infection control, medication systems, staffing, and inspections. Most deficiencies were not corrected as of last visit.
Deficiencies (22)
Description
OAR 411-054-0200 — Facility Administration: Operation
OAR 411-054-0200 — Facility Administration: Policy & Procedure
OAR 411-054-0200 — Facility Administration: Records
OAR 411-054-0200 — Resident Rights and Protection - General
OAR 411-054-0200 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0200 — Resident Services: Adls
OAR 411-054-0200 — Service Plan: General
OAR 411-054-0200 — Change of Condition and Monitoring
OAR 411-054-0200 — Res Hlth Srvc: On- and Off-Site Health Srvc
OAR 411-054-0200 — Systems: Medications and Treatments
OAR 411-054-0200 — Systems: Medication Administration
OAR 411-054-0200 — Systems: Tracking Control Substances
OAR 411-054-0200 — Systems: Treatment Orders
OAR 411-054-0200 — Staffing Requirements and Training: Staffing
OAR 411-054-0200 — Acuity-Based Staffing Tool
OAR 411-054-0200 — Staffing Requirements and Training – Pre-Serv
OAR 411-054-0200 — Annual and Biennial Inservice For All Staff
OAR 411-054-0200 — Fire and Life Safety: Training For Residents
OAR 411-054-0200 — Inspections and Investigation: Insp Interval
OAR 411-054-0200 — General Building Exterior
OAR 411-054-0200 — General Building: Doors-Walls, Cleanable
OAR 411-054-0200 — Call System
Inspection Report Capacity: 78 Deficiencies: 21 May 8, 2023
Visit Reason
Re-licensure survey with multiple deficiencies related to facility administration, resident rights, medication systems, staffing, and building maintenance. Several deficiencies were corrected on revisits, but some remained uncorrected as of last visit.
Findings
Re-licensure survey with multiple deficiencies related to facility administration, resident rights, medication systems, staffing, and building maintenance. Several deficiencies were corrected on revisits, but some remained uncorrected as of last visit.
Deficiencies (21)
Description
OAR 411-054-0200 — Comment
OAR 411-054-0200 — Facility Administration: Operation
OAR 411-054-0200 — Facility Administration: Policy & Procedure
OAR 411-054-0200 — Resident Rights and Protection - General
OAR 411-054-0200 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0200 — Resident Services: Adls
OAR 411-054-0200 — Service Plan: General
OAR 411-054-0200 — Change of Condition and Monitoring
OAR 411-054-0200 — Res Hlth Srvc: On- and Off-Site Health Srvc
OAR 411-054-0200 — Systems: Medications and Treatments
OAR 411-054-0200 — Systems: Tracking Control Substances
OAR 411-054-0200 — Systems: Treatment Orders
OAR 411-054-0200 — Staffing Requirements and Training: Staffing
OAR 411-054-0200 — Acuity-Based Staffing Tool
OAR 411-054-0200 — Staffing Requirements and Training – Pre-Serv
OAR 411-054-0200 — Annual and Biennial Inservice For All Staff
OAR 411-054-0200 — Fire and Life Safety: Training For Residents
OAR 411-054-0200 — Inspections and Investigation: Insp Interval
OAR 411-054-0200 — General Building Exterior
OAR 411-054-0200 — General Building: Doors-Walls, Cleanable
OAR 411-054-0200 — Call System
Inspection Report Capacity: 78 Deficiencies: 1 Apr 19, 2023
Visit Reason
Kitchen inspection found facility in substantial compliance with relevant OARs for Resident Services - Meals and Sanitation Rules.
Findings
Kitchen inspection found facility in substantial compliance with relevant OARs for Resident Services - Meals and Sanitation Rules.
Deficiencies (1)
Description
OAR 411-054-0030 — Comment
Inspection Report Complaint Investigation Capacity: 78 Deficiencies: 1 Apr 14, 2021
Visit Reason
Complaint investigation with one deficiency related to reasonable precautions which was not corrected at time of visit.
Findings
Complaint investigation with one deficiency related to reasonable precautions which was not corrected at time of visit.
Deficiencies (1)
Description
OAR 411-054-0160 — Reasonable Precautions

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