Inspection Reports for Russellville Park
20 SE 103rd Ave, Portland, OR 97216, United States, OR, 97216
Back to Facility Profile
Inspection Report
Census: 12
Capacity: 20
Deficiencies: 15
Oct 16, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-2025 with deficiency history and enforcement/licensing violations.
Findings
Across multiple inspections from 2022 to 2025, the facility exhibited repeated deficiencies primarily related to kitchen cleanliness and food sanitation, resident services including activities and health assessments, fire and life safety training, and staff training requirements. Several deficiencies were noted as repeat citations with ongoing corrective actions documented.
Deficiencies (15)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility failed to ensure kitchen practices and protocols were in accordance with Food Sanitation Rules including cleaning and repair needs, improper food handling, and bare-hand contact with food. |
| C0000 - Comment: Findings documented related to kitchen inspections and compliance with OARs for Residential Care and Assisted Living Facilities and Memory Care Communities. |
| C0242 - Resident Services: Activities: Failed to provide a daily activity program based on individual and group interests and needs, with limited observed facility-led activities. |
| C0252 - Resident Move-In and Eval: Res Evaluation: Failed to ensure move-in evaluations addressed all required elements for sampled resident. |
| C0260 - Service Plan: General: Service plans were not reflective of residents' needs and lacked clear direction for care delivery for sampled residents. |
| C0280 - Resident Health Services: Failed to ensure RN assessments were completed for residents with significant changes of condition including documentation of findings and interventions. |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to coordinate care with outside providers to ensure continuity of care for sampled resident. |
| C0420 - Fire and Life Safety: Safety: Failed to ensure fire drills were conducted every other month and fire/life safety instruction was provided to staff on alternating months. |
| C0422 - Fire and Life Safety: Training For Residents: Failed to ensure residents received fire and life safety training within 24 hours of admission and annually. |
| C0455 - Inspections and Investigation: Insp Interval: Failed to ensure relicensure survey plan of correction was implemented and satisfied the Department. |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities, referencing other cited deficiencies. |
| Z0155 - Staff Training Requirements: Failed to ensure newly hired and direct care staff completed required pre-service and annual in-service training including dementia care. |
| Z0162 - Compliance With Rules Health Care: Failed to provide health care services in accordance with licensing rules, referencing other cited deficiencies. |
| Z0173 - Secure Outdoor Recreation Area: Failed to have a written facility policy detailing when doors to outdoor recreation area may be locked during nighttime or severe weather. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Facility kitchen observed needing cleaning and repair including food spills, debris, damaged equipment, and improper food storage. |
Report Facts
Inspections on page: 4
Total deficiencies: 19
Total licensing violations: 11
Licensed beds: 20
Census: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator / General Manager | Named in multiple findings and plan of correction discussions |
| Staff 2 | Executive Chef / Chef | Named in kitchen inspection findings and plan of correction |
| Staff 3 | ALF Administrator / Director of Regional Operations | Named in findings and interviews related to inspections |
| Staff 4 | Cook | Named in kitchen inspection observations |
| Staff 6 | Caregiver (CG) | Named in staff training deficiency |
| Staff 9 | Caregiver (CG) | Named in staff training deficiency |
| Staff 10 | Caregiver (CG) | Named in staff training deficiency |
| Staff 11 | Maintenance Director | Named in secure outdoor recreation area deficiency |
| Staff 12 | RN | Named in significant change of condition assessment |
Loading inspection reports...
