Inspection Reports for RN Villa Senior Care

401 NE 139th Ave, Portland, OR 97230, OR, 97230

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 10.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

52% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

24 18 12 6 0
2021
2022
2023
2024
2025
Inspection Report Re Licensure Deficiencies: 6 Mar 27, 2025
Visit Reason
Multiple deficiencies identified including failures in facility administration records, service plan accuracy and implementation, change of condition monitoring, resident health services assessments, medication and treatment order compliance, and fire and life safety procedures. None of the deficiencies were corrected as of the last revisit on 6/25/2025.
Findings
Multiple deficiencies identified including failures in facility administration records, service plan accuracy and implementation, change of condition monitoring, resident health services assessments, medication and treatment order compliance, and fire and life safety procedures. None of the deficiencies were corrected as of the last revisit on 6/25/2025.
Deficiencies (6)
Description
OAR 411-054-0025 (8) Facility Administration: Records
OAR 411-054-0036 (1-4) Service Plan: General
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 411-054-0090 (1-2) Fire and Life Safety: Safety
Inspection Report Complaint Investigation Deficiencies: 12 Jan 8, 2024
Visit Reason
Deficiencies included failures to provide nutritious meals, implement reflective service plans, monitor changes of condition, delegate nursing tasks properly, maintain accurate medication administration records, and ensure adequate staffing. All deficiencies were not corrected as of the revisit on 1/9/2024.
Findings
Deficiencies included failures to provide nutritious meals, implement reflective service plans, monitor changes of condition, delegate nursing tasks properly, maintain accurate medication administration records, and ensure adequate staffing. All deficiencies were not corrected as of the revisit on 1/9/2024.
Deficiencies (12)
Description
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
OAR 411-054-0036 (1-4) Service Plan: General
OAR 411-054-0040 (1-2) Change of Condition and Monitoring
OAR 411-054-0282 RN Delegation and Teaching
OAR 411-054-0300 Systems: Medications and Treatments
OAR 411-054-0301 Systems: Medication Administration
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0310 Systems: Medication Administration
OAR 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0372 Training Within 30 Days: Direct Care Staff
OAR 411-054-0510 General Building Exterior
OAR 411-054-0513 Doors, Walls, Elevators, Odors
Inspection Report State Licensure Deficiencies: 2 Sep 20, 2023
Visit Reason
Deficiencies included kitchen cleanliness and food sanitation issues. Some deficiencies were corrected by 10/19/2023, but others remained uncorrected as of the last revisit on 11/8/2023.
Findings
Deficiencies included kitchen cleanliness and food sanitation issues. Some deficiencies were corrected by 10/19/2023, but others remained uncorrected as of the last revisit on 11/8/2023.
Deficiencies (2)
Description
OAR 411-054-0000 Comment
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
Inspection Report Complaint Investigation Deficiencies: 7 Feb 7, 2023
Visit Reason
Deficiencies included failures in service planning, infection prevention, medication administration, staffing, and training. None of the deficiencies were corrected as of the last visit.
Findings
Deficiencies included failures in service planning, infection prevention, medication administration, staffing, and training. None of the deficiencies were corrected as of the last visit.
Deficiencies (7)
Description
OAR 411-054-0010 Licensing Complaint Investigation
OAR 411-054-0262 Service Plan: Service Planning Team
OAR 411-054-0295 Infection Prevention & Control
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 411-054-0365 Staffing Rqmt and Training: Training Rqmts
Inspection Report State Licensure Deficiencies: 2 Aug 11, 2022
Visit Reason
Deficiencies related to kitchen cleanliness and food sanitation. Some deficiencies were corrected by 9/23/2022, others remained uncorrected as of 11/8/2023.
Findings
Deficiencies related to kitchen cleanliness and food sanitation. Some deficiencies were corrected by 9/23/2022, others remained uncorrected as of 11/8/2023.
Deficiencies (2)
Description
OAR 411-054-0000 Comment
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
Inspection Report Re Licensure Deficiencies: 22 Nov 15, 2021
Visit Reason
Numerous deficiencies including failures in facility administration, service planning, change of condition monitoring, resident health services, medication administration, staffing, training, fire and life safety, emergency preparedness, and environmental maintenance. Some deficiencies were corrected in subsequent revisits, others remained uncorrected.
Findings
Numerous deficiencies including failures in facility administration, service planning, change of condition monitoring, resident health services, medication administration, staffing, training, fire and life safety, emergency preparedness, and environmental maintenance. Some deficiencies were corrected in subsequent revisits, others remained uncorrected.
Deficiencies (22)
Description
OAR 411-054-0154 Facility Administration: Policy & Procedure
OAR 411-054-0156 Facility Administration: Quality Improvement
OAR 411-054-0160 Reasonable Precautions
OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule
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 411-054-0282 RN Delegation and Teaching
OAR 411-054-0300 Systems: Medications and Treatments
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0310 Systems: Medication Administration
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 411-054-0422 Fire and Life Safety: Training For Residents
OAR 411-054-0435 Emergency and Disaster Planning
OAR 411-054-0455 Inspections and Investigation: Insp Interval
OAR 411-054-0513 Doors, Walls, Elevators, Odors
OAR 411-054-0555 Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable

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