Deficiencies (last 4 years)
Deficiencies (over 4 years)
17.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
161% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Capacity: 74
Deficiencies: 1
Oct 31, 2025
Visit Reason
No deficiencies identified during this Re-Licensure survey. Initial comments noted with no corrections.
Findings
No deficiencies identified during this Re-Licensure survey. Initial comments noted with no corrections.
Deficiencies (1)
| Description |
|---|
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 2
Oct 29, 2025
Visit Reason
No deficiencies identified during this Complaint and Re-Licensure survey. Initial comments noted with no corrections.
Findings
No deficiencies identified during this Complaint and Re-Licensure survey. Initial comments noted with no corrections.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 13
Sep 19, 2025
Visit Reason
Multiple deficiencies identified including failure to obtain informed consent for medications, abuse and neglect incidents, failure to report alleged violations timely, discharge process issues, quality of care concerns, accident hazards, food sanitation, infection prevention and control, and nursing services documentation. Most deficiencies were corrected by the second visit on 11/18/2025.
Findings
Multiple deficiencies identified including failure to obtain informed consent for medications, abuse and neglect incidents, failure to report alleged violations timely, discharge process issues, quality of care concerns, accident hazards, food sanitation, infection prevention and control, and nursing services documentation. Most deficiencies were corrected by the second visit on 11/18/2025.
Deficiencies (13)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0628 - Discharge Process |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0180 - Nursing Services: Daily Staff Public Posting |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 2
Oct 16, 2024
Visit Reason
No deficiencies identified during this Complaint, Licensure Complaint, State Licensure survey. Initial comments noted with no corrections.
Findings
No deficiencies identified during this Complaint, Licensure Complaint, State Licensure survey. Initial comments noted with no corrections.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 4
Sep 9, 2024
Visit Reason
Deficiencies related to failure to prevent elopement, inadequate supervision, failure to follow care plans, and failure to report timely. Immediate jeopardy was identified and removed during the survey. Multiple deficiencies remained uncorrected at revisit.
Findings
Deficiencies related to failure to prevent elopement, inadequate supervision, failure to follow care plans, and failure to report timely. Immediate jeopardy was identified and removed during the survey. Multiple deficiencies remained uncorrected at revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 21
May 31, 2024
Visit Reason
Numerous deficiencies identified including failure to obtain informed consent for medications, abuse prevention, care planning, quality of care, dietary services, infection control, and nursing services. Some deficiencies were corrected by revisit, others remained uncorrected.
Findings
Numerous deficiencies identified including failure to obtain informed consent for medications, abuse prevention, care planning, quality of care, dietary services, infection control, and nursing services. Some deficiencies were corrected by revisit, others remained uncorrected.
Deficiencies (21)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0561 - Self-Determination |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0582 - Medicaid/Medicare Coverage/Liability Notice |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0600 - Free from Abuse and Neglect |
| F0657 - Care Plan Timing and Revision |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0698 - Dialysis |
| F0745 - Provision of Medically Related Social Service |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0760 - Residents are Free of Significant Med Errors |
| F0803 - Menus Meet Resident Nds/Prep in Adv/Followed |
| F0804 - Nutritive Value/Appear, Palatable/Prefer Temp |
| F0806 - Resident Allergies, Preferences, Substitutes |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0883 - Influenza and Pneumococcal Immunizations |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 7
Apr 17, 2024
Visit Reason
Deficiencies related to failure to report unwitnessed fall with serious injury timely, failure to investigate thoroughly, failure to ensure accident hazard free environment, minimum CNA staffing not met, and other nursing service issues. Some deficiencies corrected by revisit, others remained uncorrected.
Findings
Deficiencies related to failure to report unwitnessed fall with serious injury timely, failure to investigate thoroughly, failure to ensure accident hazard free environment, minimum CNA staffing not met, and other nursing service issues. Some deficiencies corrected by revisit, others remained uncorrected.
Deficiencies (7)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 16
Feb 25, 2023
Visit Reason
Multiple deficiencies identified including failure to notify resident representatives of changes, failure to revise care plans timely, failure to follow professional standards for infection control and wound care, failure to provide adequate ADL care, failure to ensure competent nursing staff, and failure to maintain sanitary food preparation. Some deficiencies were corrected by revisit, others remained uncorrected.
Findings
Multiple deficiencies identified including failure to notify resident representatives of changes, failure to revise care plans timely, failure to follow professional standards for infection control and wound care, failure to provide adequate ADL care, failure to ensure competent nursing staff, and failure to maintain sanitary food preparation. Some deficiencies were corrected by revisit, others remained uncorrected.
Deficiencies (16)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0657 - Care Plan Timing and Revision |
| F0658 - Services Provided Meet Professional Standards |
| F0659 - Qualified Persons |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0687 - Foot Care |
| F0726 - Competent Nursing Staff |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0880 - Infection Prevention & Control |
| F0886 - COVID-19 Testing-Residents & Staff |
| F0921 - Safe/Functional/Sanitary/Comfortable Environ |
| M0000 - Initial Comments |
| M0143 - Employees: Criminal Record Checks |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Annual Inspection
Capacity: 74
Deficiencies: 1
Sep 17, 2021
Visit Reason
No deficiencies identified during this State Licensure survey. Initial comments noted with no corrections.
Findings
No deficiencies identified during this State Licensure survey. Initial comments noted with no corrections.
Deficiencies (1)
| Description |
|---|
| M0000 - Initial Comments |
Inspection Report
Capacity: 74
Deficiencies: 3
Mar 2, 2021
Visit Reason
No deficiencies identified during this Focused Infection Control and other surveys. Initial comments noted with no corrections.
Findings
No deficiencies identified during this Focused Infection Control and other surveys. Initial comments noted with no corrections.
Deficiencies (3)
| Description |
|---|
| E0000 - Initial Comments |
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
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