Deficiencies per Year
24
18
12
6
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 30
Deficiencies: 1
Sep 10, 2024
Visit Reason
No deficiencies were identified in relation to the complaint investigation conducted on 09/10/24. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Division 57.
Findings
No deficiencies were identified in relation to the complaint investigation conducted on 09/10/24. The facility was evaluated for compliance with Oregon Administrative Rule 411, Division 54 and if applicable, Division 57.
Deficiencies (1)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
Inspection Report
Capacity: 30
Deficiencies: 22
Aug 29, 2024
Visit Reason
The facility had 22 deficiencies related to administrative oversight, reasonable precautions, abuse reporting, resident evaluations, service plans, change of condition monitoring, resident health services, medication administration, psychotropic medication use, acuity based staffing, fire and life safety training, physical setting accessibility, individual rights, and compliance with licensing rules. None of the deficiencies were corrected as of the last revisit on 05/14/2025.
Findings
The facility had 22 deficiencies related to administrative oversight, reasonable precautions, abuse reporting, resident evaluations, service plans, change of condition monitoring, resident health services, medication administration, psychotropic medication use, acuity based staffing, fire and life safety training, physical setting accessibility, individual rights, and compliance with licensing rules. None of the deficiencies were corrected as of the last revisit on 05/14/2025.
Deficiencies (22)
| Description |
|---|
| OAR 411-054-0025 (1) Facility Administration: Operation |
| OAR 411-054-0025 (4) Reasonable Precautions |
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0034 (1-6) Resident Move-in and Eval: Res Evaluation |
| 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 (2) Systems: Medication Administration |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication |
| OAR 411-054-0037 (1)(2)(a)(c) Acuity Based Staffing Tool: Development |
| OAR 411-054-0037 (4)(5)(6)(a-b)(C) Acuity Based Staffing Tool: Frequency of Updates/Staffing Plan |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors |
| OAR411-004-0020(1)(c) Individual Rights Settings: Privacy, Dignity |
| OAR411-004-0020(2)(b) Physical Setting: Individual Accessible |
| 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(9) Resident Rooms |
Inspection Report
Capacity: 30
Deficiencies: 1
Aug 28, 2023
Visit Reason
The kitchen inspection conducted on 08/28/23 found the facility in substantial compliance with OARs 411-054-0030 for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.
Findings
The kitchen inspection conducted on 08/28/23 found the facility in substantial compliance with OARs 411-054-0030 for Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Capacity: 30
Deficiencies: 4
Jul 12, 2022
Visit Reason
The kitchen inspection conducted on 07/12/22 and subsequent revisits identified deficiencies related to food sanitation and inspection intervals. Some deficiencies were corrected by 11/17/22. The facility failed to ensure food was prepared in accordance with Food Sanitation Rules and failed to ensure relicensure survey plan of correction was implemented.
Findings
The kitchen inspection conducted on 07/12/22 and subsequent revisits identified deficiencies related to food sanitation and inspection intervals. Some deficiencies were corrected by 11/17/22. The facility failed to ensure food was prepared in accordance with Food Sanitation Rules and failed to ensure relicensure survey plan of correction was implemented.
Deficiencies (4)
| Description |
|---|
| C0000 - Comment |
| OAR 411-054-0240 Resident Services Meals, Food Sanitation Rule |
| C0455 - Inspections and Investigation: Insp Interval |
| Z0142 - Administration Compliance |
Inspection Report
Capacity: 30
Deficiencies: 1
Apr 14, 2021
Visit Reason
COVID-19 Preparedness Questionnaire was completed. No deficiencies were identified.
Findings
COVID-19 Preparedness Questionnaire was completed. No deficiencies were identified.
Deficiencies (1)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Capacity: 30
Deficiencies: 22
Apr 12, 2021
Visit Reason
The re-licensure survey conducted 04/12/21 through 04/14/21 and subsequent revisits identified multiple deficiencies related to reasonable precautions, abuse reporting, resident evaluations, service plans, change of condition monitoring, resident health services, staffing, fire and life safety, and other compliance issues. Some deficiencies were corrected by revisit dates. The facility was found in substantial compliance at the last revisit.
Findings
The re-licensure survey conducted 04/12/21 through 04/14/21 and subsequent revisits identified multiple deficiencies related to reasonable precautions, abuse reporting, resident evaluations, service plans, change of condition monitoring, resident health services, staffing, fire and life safety, and other compliance issues. Some deficiencies were corrected by revisit dates. The facility was found in substantial compliance at the last revisit.
Deficiencies (22)
| Description |
|---|
| C0000 - Comment |
| OAR 411-054-0025 (4) Reasonable Precautions |
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0034 (1-6) Resident Move-in and Eval: Res Evaluation |
| 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 (2) Systems: Medication Administration |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication |
| OAR 411-054-0037 (1)(2)(a)(c) Acuity Based Staffing Tool: Development |
| OAR 411-054-0037 (4)(5)(6)(a-b)(C) Acuity Based Staffing Tool: Frequency of Updates/Staffing Plan |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents |
| OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors |
| OAR411-004-0020(1)(c) Individual Rights Settings: Privacy, Dignity |
| OAR411-004-0020(2)(b) Physical Setting: Individual Accessible |
| 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(9) Resident Rooms |
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