Inspection Reports for Regency Prineville Rehabilitation and Nursing Center
950 NE Elm Street, OR, 97754
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Re-Inspection
Capacity: 44
Deficiencies: 12
Oct 29, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2021 to 2025 with deficiency history and licensing violations.
Findings
Across multiple inspections, the facility exhibited deficiencies including misappropriation of resident funds, failure to follow physician orders, inadequate staffing, verbal abuse by staff, and failure to report COVID-19 data. Some deficiencies were corrected while others remained uncorrected at follow-up visits.
Complaint Details
The page includes complaint investigations related to misappropriation of resident funds, abuse allegations, and failure to follow physician orders.
Deficiencies (12)
| Description |
|---|
| M0000 - Initial Comments |
| M0150 - Abuse - General: Misappropriation of resident trust funds by former Business Office Manager affecting multiple residents. |
| F0000 - INITIAL COMMENTS |
| F0684 - Quality of Care: Failed to follow physician orders for medication administration causing risk to residents. |
| M0183 - Nursing Services: Minimum CNA Staffing: Failed to maintain minimum CNA staffing ratios for multiple days. |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
| F0576 - Right to Forms of Communication w/ Privacy: Failed to ensure mail delivery to residents on Saturdays. |
| F0600 - Free from Abuse and Neglect: Failed to protect resident from verbal abuse by staff member. |
| F0636 - Comprehensive Assessments & Timing: Failed to ensure care plan reflected resident needs. |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir: Failed to follow up on advance directives for sampled residents. |
| F0884 - Reporting - National Health Safety Network: Failed to report complete COVID-19 information to CDC's NHSN. |
| E0000 - Initial Comments |
Report Facts
Inspections on page: 10
Total deficiencies: 10
Licensing violations: 13
Licensed beds: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple findings including misappropriation investigation and verbal abuse incident |
| Staff 2 | Director of Nursing Services (DNS) | Acknowledged medication and staffing deficiencies, involved in investigations |
| Staff 3 | Former Business Office Manager | Named as perpetrator in misappropriation of resident funds |
| Staff 4 | Social Services Director (SSD) | Witness and involved in misappropriation investigation and mail delivery deficiency |
| Staff 6 | Certified Medication Aide (CMA) | Witness in misappropriation investigation |
| Staff 7 | Activity Director | Witness in misappropriation investigation and mail delivery deficiency |
| Staff 8 | Medical Records Director | Witness in misappropriation investigation |
| Staff 10 | Certified Nursing Assistant (CNA) | Witness in misappropriation investigation |
| Staff 11 | Certified Nursing Assistant (CNA) | Witness in misappropriation investigation |
| Staff 12 | Certified Medication Aide (CMA) | Witness in misappropriation investigation |
| Staff 13 | Licensed Practical Nurse (LPN) | Named in medication administration deficiency |
| Staff 14 | Certified Nursing Assistant (CNA) | Named in verbal abuse deficiency |
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