Deficiencies (last 4 years)
Deficiencies (over 4 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Change Of Owner
Capacity: 20
Deficiencies: 11
Date: Sep 11, 2025
Visit Reason
Multiple deficiencies including failure to ensure resident dignity and respect during meal service, inadequate daily social and recreational activities, ineffective infection prevention and control, failure to carry out physician orders as prescribed, and failure to maintain clean interior materials and surfaces.
Findings
Multiple deficiencies including failure to ensure resident dignity and respect during meal service, inadequate daily social and recreational activities, ineffective infection prevention and control, failure to carry out physician orders as prescribed, and failure to maintain clean interior materials and surfaces.
Deficiencies (11)
OAR 411-054-0027 (1) Resident Rights and Protection - General
OAR 411-054-0030 (1)(c-d) Resident Services: Activities
OAR 411-054-0050(1-5) Infection Prevention & Control
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders
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)(d) Individual Privacy: Own Unit
OAR 411-057-0140(2) Administration Compliance
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
Inspection Report
Kitchen
Capacity: 20
Deficiencies: 2
Date: Aug 19, 2025
Visit Reason
Deficiencies related to failure to maintain kitchen sanitation and food preparation in accordance with Food Sanitation Rules, including damaged flooring and lack of proper sanitizer testing strips.
Findings
Deficiencies related to failure to maintain kitchen sanitation and food preparation in accordance with Food Sanitation Rules, including damaged flooring and lack of proper sanitizer testing strips.
Deficiencies (2)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-057-0140(2) Administration Compliance
Inspection Report
Kitchen
Capacity: 20
Deficiencies: 2
Date: Sep 11, 2024
Visit Reason
Deficiencies for failure to ensure kitchen practices and protocols met Food Sanitation Rules, including accumulation of dust and debris on equipment and surfaces, damaged cutting boards, and lack of proper cleaning.
Findings
Deficiencies for failure to ensure kitchen practices and protocols met Food Sanitation Rules, including accumulation of dust and debris on equipment and surfaces, damaged cutting boards, and lack of proper cleaning.
Deficiencies (2)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-057-0140(2) Administration Compliance
Inspection Report
Complaint Investigation
Capacity: 20
Deficiencies: 2
Date: Dec 7, 2023
Visit Reason
Complaint investigation found failure to adopt an acuity-based staffing tool addressing all required ADLs and failure to reflect correct care time needed for residents.
Findings
Complaint investigation found failure to adopt an acuity-based staffing tool addressing all required ADLs and failure to reflect correct care time needed for residents.
Deficiencies (2)
C0010 - Licensing Complaint Investigation
C0361 - Acuity-Based Staffing Tool
Inspection Report
Capacity: 20
Deficiencies: 1
Date: Sep 26, 2023
Visit Reason
Facility was in substantial compliance with Residential Care and Assisted Living Facilities rules and Food Sanitation Rules during kitchen inspection.
Findings
Facility was in substantial compliance with Residential Care and Assisted Living Facilities rules and Food Sanitation Rules during kitchen inspection.
Deficiencies (1)
C0000 - Comment
Inspection Report
Validation
Capacity: 20
Deficiencies: 16
Date: Aug 22, 2022
Visit Reason
Multiple deficiencies including failure to maintain kitchen cleanliness and repair, incomplete resident evaluations and service plans, incomplete medication administration records, lack of assessments for restraints, inadequate fire and life safety documentation, incomplete staff training, and failure to provide individualized nutrition, hydration, activity, and behavior plans.
Findings
Multiple deficiencies including failure to maintain kitchen cleanliness and repair, incomplete resident evaluations and service plans, incomplete medication administration records, lack of assessments for restraints, inadequate fire and life safety documentation, incomplete staff training, and failure to provide individualized nutrition, hydration, activity, and behavior plans.
Deficiencies (16)
C0000 - Comment
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
C0252 - Resident Move-In and Eval: Res Evaluation
C0260 - Service Plan: General
C0262 - Service Plan: Service Planning Team
C0270 - Change of Condition and Monitoring
C0280 - Resident Health Services
C0310 - Systems: Medication Administration
C0340 - Restraints and Supportive Devices
C0420 - Fire and Life Safety: Safety
OAR 411-057-0140(2) Administration Compliance
Z0155 - Staff Training Requirements
Z0162 - Compliance With Rules Health Care
Z0163 - Nutrition and Hydration
Z0164 - Activities
Z0165 - Behavior
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