Deficiencies (last 5 years)
Deficiencies (over 5 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Re-licensure
Capacity: 49
Deficiencies: 22
May 8, 2025
Visit Reason
Multiple deficiencies identified including facility administration operation and postings, abuse reporting, service plan deficiencies, change of condition monitoring, RN delegation and teaching, treatment orders, resident rights, restraints, staffing tool accuracy and updates, fire and life safety, inspections and investigations, and building conditions. None of the 22 deficiencies were corrected as of last revisit.
Findings
Multiple deficiencies identified including facility administration operation and postings, abuse reporting, service plan deficiencies, change of condition monitoring, RN delegation and teaching, treatment orders, resident rights, restraints, staffing tool accuracy and updates, fire and life safety, inspections and investigations, and building conditions. None of the 22 deficiencies were corrected as of last revisit.
Deficiencies (22)
| Description |
|---|
| OAR 411-054-0025 (1) Facility Administration: Operation |
| OAR 411-054-0025 (5) Facility Administration: Required Postings |
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action |
| 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)(f)(B) RN Delegation and Teaching |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders |
| OAR 411-054-0055 (1)(j-k) Systems: Resident Right to Refuse |
| OAR 411-054-0060 Restraints and Supportive Devices |
| 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 411-054-0090 (1-2) Fire and Life Safety: Safety |
| OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors |
| OAR411-004-0020(2)(d) Individual Privacy: Own Unit |
| OAR411-004-0020(2)(e) Individual Door Locks: Key Access |
| OAR 411-057-0140(2) Administration Compliance |
| OAR 411-057-0155(1-6) Staff Training Requirements |
| OAR 411-057-0160(2b) Compliance with Rules Health Care |
| OAR 411-057-0160(2)(c)(A)(B) Nutrition and Hydration |
| OAR 411-057-0160(2d) Activities |
| OAR 411-057-0170(6) Secure Outdoor Recreation Area |
Inspection Report
State Licensure
Capacity: 49
Deficiencies: 2
May 10, 2024
Visit Reason
Two deficiencies related to kitchen inspections were identified. The facility was found in substantial compliance with food sanitation rules after revisit. One deficiency was corrected by 9/16/2024.
Findings
Two deficiencies related to kitchen inspections were identified. The facility was found in substantial compliance with food sanitation rules after revisit. One deficiency was corrected by 9/16/2024.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 |
| OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule |
Inspection Report
State Licensure
Capacity: 49
Deficiencies: 1
Jun 22, 2023
Visit Reason
One comment citation related to kitchen inspection. Facility was in substantial compliance with relevant OARs and food sanitation rules.
Findings
One comment citation related to kitchen inspection. Facility was in substantial compliance with relevant OARs and food sanitation rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals |
Inspection Report
Validation
Capacity: 49
Deficiencies: 9
Mar 8, 2022
Visit Reason
Nine deficiencies identified including resident move-in evaluation, service plan general, RN delegation and teaching, treatment orders, medication administration, restraints, fire and life safety, and building exterior. Several deficiencies were corrected by revisit on 4/20/2022.
Findings
Nine deficiencies identified including resident move-in evaluation, service plan general, RN delegation and teaching, treatment orders, medication administration, restraints, fire and life safety, and building exterior. Several deficiencies were corrected by revisit on 4/20/2022.
Deficiencies (9)
| Description |
|---|
| OAR 411-054-0040 Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0036 Service Plan: General |
| OAR 411-054-0045 Rn Delegation and Teaching |
| OAR 411-054-0055 Systems: Treatment Orders |
| OAR 411-054-0310 Systems: Medication Administration |
| OAR 411-054-0340 Restraints and Supportive Devices |
| OAR 411-054-0420 Fire and Life Safety: Safety |
| OAR 411-054-0422 Fire and Life Safety: Training For Residents |
| OAR 411-054-0510 General Building Exterior |
Inspection Report
Complaint Investigation
Capacity: 49
Deficiencies: 1
Dec 31, 2020
Visit Reason
One deficiency for failure to exercise reasonable precautions against conditions threatening resident health, safety or welfare. Observed staff sleeping in rooms designated for agency staff.
Findings
One deficiency for failure to exercise reasonable precautions against conditions threatening resident health, safety or welfare. Observed staff sleeping in rooms designated for agency staff.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0160 Reasonable Precautions |
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