Inspection Reports for
Powell Valley Assisted Living and Memory Care Community
OR, 97030,
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
61% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
40
30
20
10
0
Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 4
Date: Nov 21, 2025
Visit Reason
Facility failed to prevent and treat pressure ulcers for a resident, with no documented evidence of care plan re-evaluation. Additional deficiencies noted in initial comments and administrative rules. All deficiencies were corrected by 11/26/2025.
Findings
Facility failed to prevent and treat pressure ulcers for a resident, with no documented evidence of care plan re-evaluation. Additional deficiencies noted in initial comments and administrative rules. All deficiencies were corrected by 11/26/2025.
Deficiencies (4)
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer — Facility failed to re-evaluate care plan interventions to prevent additional pressure ulcers for a resident.
F0000 - INITIAL COMMENTS — Initial comments deficiency noted.
M0000 - Initial Comments — Initial comments deficiency noted.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Administrative rules deficiency noted.
Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 2
Date: Sep 29, 2025
Visit Reason
No deficiencies corrected during the visit. Initial comments deficiencies remained uncorrected.
Findings
No deficiencies corrected during the visit. Initial comments deficiencies remained uncorrected.
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments deficiency noted.
M0000 - Initial Comments — Initial comments deficiency noted.
Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 4
Date: May 22, 2025
Visit Reason
Facility failed to ensure residents were free from significant medication errors, failed to develop baseline care plans timely, and had multiple administrative deficiencies. Some deficiencies were corrected on first revisit, others remained uncorrected.
Findings
Facility failed to ensure residents were free from significant medication errors, failed to develop baseline care plans timely, and had multiple administrative deficiencies. Some deficiencies were corrected on first revisit, others remained uncorrected.
Deficiencies (4)
F0760 - Residents are Free of Significant Med Errors — Medication errors caused hospitalization for a resident and were not fully corrected.
F0000 - INITIAL COMMENTS — Initial comments deficiency noted.
M0000 - Initial Comments — Initial comments deficiency noted.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Administrative rules deficiency noted.
Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 29
Date: Feb 3, 2025
Visit Reason
Multiple deficiencies related to resident rights, care planning, medication administration, staffing, infection control, and documentation were identified. Some deficiencies were corrected on revisit, others remained uncorrected.
Findings
Multiple deficiencies related to resident rights, care planning, medication administration, staffing, infection control, and documentation were identified. Some deficiencies were corrected on revisit, others remained uncorrected.
Deficiencies (29)
F0550 - Resident Rights/Exercise of Rights — Facility failed to ensure residents were treated with dignity, including use of inappropriate dishware.
F0552 - Right to be Informed/Make Treatment Decisions — Facility failed to obtain informed consent for psychotropic medications for a resident.
F0553 - Right to Participate in Planning Care — Facility failed to involve a resident in care planning.
F0554 - Resident Self-Admin Meds-Clinically Approp — Facility failed to assess residents for safe self-administration of medications.
F0558 - Reasonable Accommodations Needs/Preferences — Facility failed to ensure call light was within reach for a resident.
F0572 - Notice of Rights and Rules — Facility failed to notify residents of their rights on an ongoing basis.
F0576 - Right to Forms of Communication w/ Privacy — Facility failed to deliver mail on Saturdays for residents.
F0582 - Medicaid/Medicare Coverage/Liability Notice — Facility failed to provide SNF ABN notifications to a resident.
F0636 - Comprehensive Assessments & Timing — Facility failed to comprehensively assess residents for medications, ROM, and behaviors.
F0641 - Accuracy of Assessments — Facility failed to ensure accurate assessments for residents.
F0644 - Coordination of PASARR and Assessments — Facility failed to conduct accurate PASARR and referrals for a resident.
F0655 - Baseline Care Plan — Facility failed to develop resident-centered baseline care plans timely.
F0656 - Develop/Implement Comprehensive Care Plan — Facility failed to develop person-centered care plans for medication management and PASARR needs.
F0679 - Activities Meet Interest/Needs Each Resident — Facility failed to provide ongoing person-centered activity programs for residents.
F0684 - Quality of Care — Facility failed to provide care and treatment as planned and ensure person-centered medication management.
F0685 - Treatment/Devices to Maintain Hearing/Vision — Facility failed to provide glasses repair assistance for a resident.
F0688 - Increase/Prevent Decrease in ROM/Mobility — Facility failed to provide restorative nursing services to maintain or improve mobility.
F0697 - Pain Management — Facility failed to update pain medication instructions to include resident-centered dosing.
F0698 - Dialysis — Facility failed to ensure dialysis services included monitoring and communication with dialysis provider.
F0725 - Sufficient Nursing Staff — Facility failed to provide evidence of designated licensed nurse serving as charge nurse.
F0727 - RN 8 Hrs/7 days/Wk, Full Time DON — Facility failed to ensure RN coverage for at least eight consecutive hours per day.
F0732 - Posted Nurse Staffing Information — Facility failed to post accurate and complete staffing information.
F0756 - Drug Regimen Review, Report Irregular, Act On — Facility failed to respond to pharmacy recommendations for limiting PRN antipsychotic use.
F0758 - Free from Unnec Psychotropic Meds/PRN Use — Facility failed to limit PRN antipsychotic use to 14 days.
F0842 - Resident Records - Identifiable Information — Facility failed to accurately document physician orders for residents.
F0880 - Infection Prevention & Control — Facility failed to ensure proper hand hygiene and infection control practices during CBG monitoring and enhanced barrier precautions.
M0000 - Initial Comments — Initial comments deficiency noted.
M0182 - Nursing Services:Minimum Licensed Nurse Staff — Facility failed to maintain appropriate RN coverage for eight consecutive hours.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Administrative rules deficiency noted.
Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 2
Date: Jul 8, 2024
Visit Reason
No deficiencies were corrected during the visit. Initial comments deficiencies remained uncorrected.
Findings
No deficiencies were corrected during the visit. Initial comments deficiencies remained uncorrected.
Deficiencies (2)
F0000 - INITIAL COMMENTS — Initial comments deficiency noted.
M0000 - Initial Comments — Initial comments deficiency noted.
Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 9
Date: Sep 8, 2023
Visit Reason
Facility failed to ensure periodic review of advance directives for residents and failed to address missing personal property. Medication administration and staffing posting deficiencies were also noted. Some deficiencies were corrected on revisit, others remained uncorrected.
Findings
Facility failed to ensure periodic review of advance directives for residents and failed to address missing personal property. Medication administration and staffing posting deficiencies were also noted. Some deficiencies were corrected on revisit, others remained uncorrected.
Deficiencies (9)
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir — Facility failed to ensure periodic review of advance directives for residents.
F0584 - Safe/Clean/Comfortable/Homelike Environment — Facility failed to address a resident's missing personal property.
F0684 - Quality of Care — Facility failed to ensure physician orders were followed for a resident.
F0732 - Posted Nurse Staffing Information — Facility failed to ensure accurate staffing postings.
F0757 - Drug Regimen is Free from Unnecessary Drugs — Facility failed to ensure residents were free from unnecessary bowel medications.
F0759 - Free of Medication Error Rts 5 Prcnt or More — Facility failed to ensure medication pass error rate was below 5%.
F0761 - Label/Store Drugs and Biologicals — Facility failed to store drugs and biologicals in locked compartments.
M0000 - Initial Comments — Initial comments deficiency noted.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES — Administrative rules deficiency noted.
Inspection Report
Capacity: 106
Deficiencies: 1
Date: Jan 23, 2023
Visit Reason
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 data as required by regulation.
Inspection Report
Capacity: 106
Deficiencies: 1
Date: Jul 25, 2022
Visit Reason
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 data as required by regulation.
Inspection Report
Capacity: 106
Deficiencies: 1
Date: Dec 27, 2021
Visit Reason
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network — Facility failed to report complete COVID-19 data as required by regulation.
Inspection Report
Capacity: 106
Deficiencies: 1
Date: Sep 29, 2021
Visit Reason
No deficiencies were corrected during the visit. Initial comments deficiency remained uncorrected.
Findings
No deficiencies were corrected during the visit. Initial comments deficiency remained uncorrected.
Deficiencies (1)
M0000 - Initial Comments — Initial comments deficiency noted.
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