Deficiencies (last 5 years)
Deficiencies (over 5 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
19% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 2
Aug 6, 2025
Visit Reason
Facility failed to fully implement and update an Acuity-Based Staffing Tool (ABST) for 1 sampled resident. Deficiencies included not evaluating all residents quarterly and not accurately capturing care needs and time in service plans.
Findings
Facility failed to fully implement and update an Acuity-Based Staffing Tool (ABST) for 1 sampled resident. Deficiencies included not evaluating all residents quarterly and not accurately capturing care needs and time in service plans.
Deficiencies (2)
| Description |
|---|
| C0362 - Acuity Based Staffing Tool - Abst Time |
| C0363 - Acuity Based Staffing Tool - Updates & Plan |
Inspection Report
Capacity: 40
Deficiencies: 7
Jun 10, 2024
Visit Reason
Re-licensure survey found multiple deficiencies including facility administration, treatment orders, resident services, medication and treatment orders, staff training, fire and life safety training, and more. Immediate plan of correction requested for some areas. Many deficiencies corrected by revisit on 2024-10-14.
Findings
Re-licensure survey found multiple deficiencies including facility administration, treatment orders, resident services, medication and treatment orders, staff training, fire and life safety training, and more. Immediate plan of correction requested for some areas. Many deficiencies corrected by revisit on 2024-10-14.
Deficiencies (7)
| Description |
|---|
| C0000 - Comment |
| C0150 - Facility Administration: Operation |
| C0160 - Reasonable Precautions |
| C0242 - Resident Services: Activities |
| C0303 - Systems: Treatment Orders |
| C0374 - Annual and Biennial Inservice For All Staff |
| C0422 - Fire and Life Safety: Training For Residents |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 1
May 22, 2024
Visit Reason
Facility failed to implement a service plan reflecting resident needs for 1 of 2 sampled residents. Behavioral service plan requirements were not consistently followed.
Findings
Facility failed to implement a service plan reflecting resident needs for 1 of 2 sampled residents. Behavioral service plan requirements were not consistently followed.
Deficiencies (1)
| Description |
|---|
| C0260 - Service Plan: General |
Inspection Report
Capacity: 40
Deficiencies: 2
Jan 11, 2024
Visit Reason
Kitchen inspection found deficiencies in food sanitation and resident services meals. Some deficiencies corrected by revisit on 2024-05-16.
Findings
Kitchen inspection found deficiencies in food sanitation and resident services meals. Some deficiencies corrected by revisit on 2024-05-16.
Deficiencies (2)
| Description |
|---|
| C0000 - Comment |
| C0240 - Resident Services Meals, Food Sanitation Rule |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 4
Sep 27, 2023
Visit Reason
Investigation found failures in medication and treatment orders, resident services meals, acuity-based staffing tool implementation, and licensing complaint investigation. No corrections noted.
Findings
Investigation found failures in medication and treatment orders, resident services meals, acuity-based staffing tool implementation, and licensing complaint investigation. No corrections noted.
Deficiencies (4)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0303 - Systems: Treatment Orders |
| C0361 - Acuity-Based Staffing Tool |
Inspection Report
Capacity: 40
Deficiencies: 1
Feb 1, 2023
Visit Reason
Kitchen inspection found facility in substantial compliance with food sanitation rules. No deficiencies noted.
Findings
Kitchen inspection found facility in substantial compliance with food sanitation rules. No deficiencies noted.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 1
Aug 2, 2022
Visit Reason
Facility failed to fully implement and update acuity-based staffing tool. Call light response times were delayed and staffing plan was not reflective of ABST.
Findings
Facility failed to fully implement and update acuity-based staffing tool. Call light response times were delayed and staffing plan was not reflective of ABST.
Deficiencies (1)
| Description |
|---|
| C0361 - Acuity-Based Staffing Tool |
Inspection Report
Capacity: 40
Deficiencies: 22
Jul 19, 2021
Visit Reason
Re-licensure survey found numerous deficiencies including facility administration, quality improvement, reasonable precautions, abuse reporting, resident services, service plans, medication administration, restraints, staffing, training, fire and life safety, environment maintenance, and call system alarms. Some deficiencies corrected by revisit in late 2021 and early 2022.
Findings
Re-licensure survey found numerous deficiencies including facility administration, quality improvement, reasonable precautions, abuse reporting, resident services, service plans, medication administration, restraints, staffing, training, fire and life safety, environment maintenance, and call system alarms. Some deficiencies corrected by revisit in late 2021 and early 2022.
Deficiencies (22)
| Description |
|---|
| C0000 - Comment |
| C0150 - Facility Administration: Operation |
| C0156 - Facility Administration: Quality Improvement |
| C0160 - Reasonable Precautions |
| C0231 - Reporting & Investigating Abuse-Other Action |
| C0240 - Resident Services Meals, Food Sanitation Rule |
| C0243 - Resident Services: Adls |
| C0260 - Service Plan: General |
| C0262 - Service Plan: Service Planning Team |
| C0270 - Change of Condition and Monitoring |
| C0280 - Resident Health Services |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc |
| C0302 - Systems: Tracking Control Substances |
| C0310 - Systems: Medication Administration |
| C0340 - Restraints and Supportive Devices |
| C0360 - Staffing Requirements and Training: Staffing |
| C0372 - Training Within 30 Days: Direct Care Staff |
| C0420 - Fire and Life Safety: Safety |
| C0422 - Fire and Life Safety: Training For Residents |
| C0455 - Inspections and Investigation: Insp Interval |
| C0513 - Doors, Walls, Elevators, Odors |
| C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable |
Loading inspection reports...



