Inspection Reports for Sellwood Senior Living
8517 SE 17th Ave, Portland, OR 97202, United States, OR, 97202
Back to Facility ProfileDeficiencies per Year
20
15
10
5
0
Unclassified
Inspection Report
Complaint Investigation
Census: 82
Capacity: 100
Deficiencies: 19
Feb 12, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2023-01 to 2025-02 with deficiency history and enforcement notices
Findings
Across all inspections, multiple deficiencies were identified including failures in acuity-based staffing tool implementation, medication administration and tracking, resident service plans, change of condition monitoring, staff training, kitchen sanitation, and fire safety. Several deficiencies were repeat citations with some corrected over time while others remained uncorrected.
Complaint Details
The complaint investigation conducted on 02/03/25 and 02/12/25 identified deficiencies related to licensing compliance and failure to fully implement and update an Acuity-Based Staffing Tool (ABST).
Deficiencies (19)
| Description |
|---|
| C0010 - Licensing Complaint Investigation: Assisted Living and Residential Care Facilities must operate and provide services in compliance with all applicable State and local laws, regulations and codes. |
| C0363 - Acuity Based Staffing Tool - Updates & Plan: Failure to fully implement and update an Acuity-Based Staffing Tool (ABST) for sampled residents, with discrepancies between service plans and ABST profiles. |
| C0000 - Comment: Findings of kitchen inspection and compliance with OARs 411-054-0030 and OARs 333-150-0000. |
| C0240 - Resident Services Meals, Food Sanitation Rule: Kitchen practices failed to meet Food Sanitation Rules including uncovered desserts, debris buildup, and missing ceiling light covers. |
| C0000 - Comment: Findings of change of ownership survey and multiple re-visits documenting compliance status. |
| C0260 - Service Plan: General: Failure to ensure service plans provided clear direction for delivery of services for sampled residents. |
| C0270 - Change of Condition and Monitoring: Failure to evaluate residents and notify facility RN upon significant change of condition for sampled residents. |
| C0302 - Systems: Tracking Control Substances: Failure to have an effective system for accurately tracking controlled substances administered to residents, including discrepancies between logs and MARs; repeat citation. |
| C0303 - Systems: Treatment Orders: Failure to ensure medication and treatment orders were carried out as prescribed for sampled residents. |
| C0305 - Systems: Resident Right to Refuse: Failure to notify physician or practitioner when residents refused consent to medication or treatment orders; repeat citation. |
| C0310 - Systems: Medication Administration: Failure to ensure MARs included dosage, route, resident-specific parameters, and instructions for PRN medications for sampled resident. |
| C0325 - Systems: Self-Administration of Meds: Failure to evaluate residents' ability to safely self-administer medications at least quarterly for sampled residents. |
| C0361 - Acuity-Based Staffing Tool: Failure to implement an acuity-based staffing tool meeting regulatory requirements. |
| C0370 - Staffing Requirements and Training – Pre-Serv: Failure to ensure newly-hired direct care staff completed all required pre-service orientation and dementia care training prior to job duties; repeat citation. |
| C0372 - Training Within 30 Days: Direct Care Staff: Failure to ensure newly-hired direct care staff had documented competency and completed First Aid and abdominal thrust training within 30 days of hire. |
| C0374 - Annual and Biennial Inservice For All Staff: Failure to ensure documented evidence of required annual in-service training including dementia care for long-term staff. |
| C0420 - Fire and Life Safety: Safety: Failure to ensure fire drills were conducted and documented in accordance with Oregon Fire Code. |
| C0455 - Inspections and Investigation: Insp Interval: Failure to ensure re-licensure survey plan of correction was implemented and satisfied the Department; repeat citation. |
| C0613 - General Building: Doors-Walls, Cleanable: Failure to maintain interior areas and equipment clean and in good repair, including unsecured oxygen tanks and broken laundry equipment. |
Report Facts
Inspections on page: 4
Total deficiencies: 18
Total surveys: 4
Abuse violations: 0
Licensing violations: 10
Notices: 2
Licensed beds: 100
Resident census: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Executive Director | Named in multiple findings including ABST failure, medication tracking, and fire safety |
| Staff 2 | LPN Wellness Director | Named in ABST and medication tracking findings |
| Staff 3 | Resident Service Director / RCC | Named in multiple findings including ABST, service plans, medication tracking, and staff training |
| Staff 5 | Housekeeping Manager | Named in building maintenance deficiency |
| Staff 10 | Medication Technician | Interviewed regarding self-administration of medications |
| Staff 12 | Medication Technician | Named in pre-service training and competency deficiencies |
| Staff 14 | Caregiver/Medication Technician | Acknowledged medication tracking discrepancies |
| Staff 17 | RN Consultant | Confirmed lack of notification for change of condition |
| Staff 21 | Resident Aide | Named in pre-service training deficiencies |
| Staff 22 | Executive Director | Named in medication tracking findings |
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