Inspection Reports for River Park Senior Living
1350 W Main St, Sheridan, OR 97378, United States, OR, 97378
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 15, 2025, found deficiencies related to kitchen sanitation and maintenance, including issues with flatware storage, a leaking dishwashing machine, and missing refrigerator thermometers. Earlier inspections showed a pattern of deficiencies in facility administration, resident care, staffing and training, medication administration, and building maintenance. Complaint investigations often cited problems with acuity-based staffing tools, licensing complaint investigations, and facility policies, with one substantiated complaint in January 2025 noting immediate jeopardy related to staffing and abuse reporting. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with compliance, with some improvement in kitchen sanitation noted in 2024 but persistent issues in other operational areas.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
17.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
166% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Kitchen
Capacity: 68
Deficiencies: 1
Date: Jul 15, 2025
Visit Reason
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas in the kitchen needed cleaning and maintenance. Other concerns included improper flatware storage, leaking dishwashing machine, missing refrigerator thermometers, and lack of facial hair restraints.
Findings
Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules. Multiple areas in the kitchen needed cleaning and maintenance. Other concerns included improper flatware storage, leaking dishwashing machine, missing refrigerator thermometers, and lack of facial hair restraints.
Deficiencies (1)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
Inspection Report
Re-licensure
Capacity: 68
Deficiencies: 19
Date: Mar 6, 2025
Visit Reason
Facility failed to provide effective oversight and ensure quality care and services. Numerous deficiencies identified including failure to ensure resident rights, reporting and investigating abuse, service plan accuracy and availability, change of condition monitoring, resident health services assessments, medication administration, staffing requirements and training, fire and life safety, and building maintenance.
Findings
Facility failed to provide effective oversight and ensure quality care and services. Numerous deficiencies identified including failure to ensure resident rights, reporting and investigating abuse, service plan accuracy and availability, change of condition monitoring, resident health services assessments, medication administration, staffing requirements and training, fire and life safety, and building maintenance.
Deficiencies (19)
OAR 411-054-0025 (1) Facility Administration: Operation
OAR 411-054-0027 (1) Resident Rights and Protection - General
OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action
OAR 411-054-0036 (1-4) Service Plan: General
OAR 411-054-0036 (5) Service Plan: Service Planning Team
OAR 411-054-0040 (1-2) Change of Condition and Monitoring
OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders
OAR 411-054-0055 (1)(j-k) Systems: Resident Right to Refuse
OAR 411-054-0055 (2) Systems: Medication Administration
OAR 411-054-0037 (1a)(2-3) Acuity Based Staffing Tool - Elements
OAR 411-054-0037 (1)(b-g) Acuity Based Staffing Tool - ABST Time
OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan
OAR 411-054-0070 (3-4) Staffing Requirements and Training – Pre-service
OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff
OAR 411-054-0070 (6-8) Annual and Biennial Inservice for All Staff
OAR 411-054-0090 (1-2) Fire and Life Safety: Safety
OAR 411-054-0300 (3)(a-h) General Building Exterior
OAR 411-054-0300 (4)(d-i) General Building: Doors-Walls, Cleanable
Inspection Report
Complaint Investigation
Capacity: 68
Deficiencies: 8
Date: Jan 28, 2025
Visit Reason
Facility failed to implement smoking policy, promptly investigate and report abuse, ensure implementation of services, carry out medication orders as prescribed, provide adequate staffing, implement acuity-based staffing tool, provide pre-service training, and conduct fire safety training. Multiple deficiencies were substantiated posing immediate jeopardy to resident health and safety.
Findings
Facility failed to implement smoking policy, promptly investigate and report abuse, ensure implementation of services, carry out medication orders as prescribed, provide adequate staffing, implement acuity-based staffing tool, provide pre-service training, and conduct fire safety training. Multiple deficiencies were substantiated posing immediate jeopardy to resident health and safety.
Deficiencies (8)
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0231 Reporting & Investigating Abuse-Other Action
OAR 411-054-0260 Service Plan: General
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0361 Acuity-Based Staffing Tool
OAR 411-054-0370 Staffing Requirements and Training – Pre-Service
OAR 411-054-0513 Doors, Walls, Elevators, Odors
Inspection Report
State Licensure
Capacity: 68
Deficiencies: 1
Date: May 29, 2024
Visit Reason
Kitchen inspection found initial deficiencies in kitchen cleanliness and food sanitation rules compliance. Re-visit found substantial compliance.
Findings
Kitchen inspection found initial deficiencies in kitchen cleanliness and food sanitation rules compliance. Re-visit found substantial compliance.
Deficiencies (1)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
Inspection Report
Complaint Investigation
Capacity: 68
Deficiencies: 6
Date: Jan 31, 2023
Visit Reason
Complaint investigation identified multiple deficiencies including licensing complaint investigation, facility administration, RN delegation, acuity-based staffing tool, and building maintenance issues.
Findings
Complaint investigation identified multiple deficiencies including licensing complaint investigation, facility administration, RN delegation, acuity-based staffing tool, and building maintenance issues.
Deficiencies (6)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0282 RN Delegation and Teaching
OAR 411-054-0361 Acuity-Based Staffing Tool
OAR 411-054-0613 General Building: Doors-Walls, Cleanable
OAR 411-054-0650 Electrical Systems
Inspection Report
Validation
Capacity: 68
Deficiencies: 25
Date: Oct 31, 2022
Visit Reason
Change of owner survey identified multiple deficiencies including facility administration, resident rights, service plans, health services, medication administration, staffing, training, fire and life safety, and building maintenance. Some deficiencies were corrected on revisit.
Findings
Change of owner survey identified multiple deficiencies including facility administration, resident rights, service plans, health services, medication administration, staffing, training, fire and life safety, and building maintenance. Some deficiencies were corrected on revisit.
Deficiencies (25)
OAR 411-054-0000 Comment
OAR 411-054-0150 Facility Administration: Operation
OAR 411-054-0151 Facility Administration: Criminal History
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0156 Facility Administration: Quality Improvement
OAR 411-054-0200 Resident Rights and Protection - General
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0242 Resident Services: Activities
OAR 411-054-0252 Resident Move-In and Eval: Res Evaluation
OAR 411-054-0260 Service Plan: General
OAR 411-054-0262 Service Plan: Service Planning Team
OAR 411-054-0270 Change of Condition and Monitoring
OAR 411-054-0280 Resident Health Services
OAR 411-054-0290 Res Hlth Srvc: On- and Off-Site Health Srvc
OAR 411-054-0300 Systems: Medications and Treatments
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0305 Systems: Resident Right to Refuse
OAR 411-054-0310 Systems: Medication Administration
OAR 411-054-0325 Systems: Self-Administration of Meds
OAR 411-054-0330 Systems: Psychotropic Medication
OAR 411-054-0370 Staffing Requirements and Training – Pre-Serv
OAR 411-054-0372 Training Within 30 Days: Direct Care Staff
OAR 411-054-0374 Annual and Biennial Inservice For All Staff
OAR 411-054-0420 Fire and Life Safety: Safety
OAR 411-054-0613 General Building: Doors-Walls, Cleanable
Inspection Report
Complaint Investigation
Capacity: 68
Deficiencies: 2
Date: Aug 18, 2022
Visit Reason
Complaint investigation identified deficiencies related to licensing complaint investigation and acuity-based staffing tool.
Findings
Complaint investigation identified deficiencies related to licensing complaint investigation and acuity-based staffing tool.
Deficiencies (2)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0361 Acuity-Based Staffing Tool
Inspection Report
Complaint Investigation
Capacity: 68
Deficiencies: 4
Date: Aug 18, 2022
Visit Reason
Complaint investigation identified deficiencies including definitions, resident services ADLs, staffing requirements and acuity-based staffing tool.
Findings
Complaint investigation identified deficiencies including definitions, resident services ADLs, staffing requirements and acuity-based staffing tool.
Deficiencies (4)
OAR 411-054-0110 Definitions
OAR 411-054-0243 Resident Services: ADLs
OAR 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0361 Acuity-Based Staffing Tool
Inspection Report
Complaint Investigation
Capacity: 68
Deficiencies: 2
Date: Aug 18, 2022
Visit Reason
Complaint investigation identified deficiencies related to definitions and facility administration records.
Findings
Complaint investigation identified deficiencies related to definitions and facility administration records.
Deficiencies (2)
OAR 411-054-0110 Definitions
OAR 411-054-0155 Facility Administration: Records
Inspection Report
Complaint Investigation
Capacity: 68
Deficiencies: 3
Date: Aug 18, 2022
Visit Reason
Complaint investigation identified deficiencies including licensing complaint investigation, facility administration policy, and building maintenance.
Findings
Complaint investigation identified deficiencies including licensing complaint investigation, facility administration policy, and building maintenance.
Deficiencies (3)
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0613 General Building: Doors-Walls, Cleanable
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