Deficiencies per Year
16
12
8
4
0
Unclassified
Inspection Report
Change Of Owner
Capacity: 20
Deficiencies: 11
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)
| Description |
|---|
| 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
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)
| Description |
|---|
| 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
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)
| Description |
|---|
| 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
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)
| Description |
|---|
| C0010 - Licensing Complaint Investigation |
| C0361 - Acuity-Based Staffing Tool |
Inspection Report
Capacity: 20
Deficiencies: 1
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)
| Description |
|---|
| C0000 - Comment |
Inspection Report
Validation
Capacity: 20
Deficiencies: 16
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)
| Description |
|---|
| 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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