Inspection Reports for South Hills Rehabilitation Center
1166 E. 28th Avenue, Eugene, OR, 97403
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
39.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
490% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
40
30
20
10
0
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 5
Dec 9, 2025
Visit Reason
Multiple deficiencies including quality of care, respiratory care, and administrative rule violations were found and were not corrected at the time of visit.
Findings
Multiple deficiencies including quality of care, respiratory care, and administrative rule violations were found and were not corrected at the time of visit.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0684 - Quality of Care |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Dec 1, 2025
Visit Reason
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Findings
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Sep 25, 2025
Visit Reason
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Findings
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 15
Aug 11, 2025
Visit Reason
Thirteen deficiencies including resident self-administration of medications, notification of changes, abuse and neglect, reporting of alleged violations, discharge process, quality of care, accident hazards, nursing staff sufficiency, food sanitation, garbage disposal, infection control, bariatric services, and administrative rules were found. Most deficiencies were corrected by revisit.
Findings
Thirteen deficiencies including resident self-administration of medications, notification of changes, abuse and neglect, reporting of alleged violations, discharge process, quality of care, accident hazards, nursing staff sufficiency, food sanitation, garbage disposal, infection control, bariatric services, and administrative rules were found. Most deficiencies were corrected by revisit.
Deficiencies (15)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0554 - Resident Self-Admin Meds-Clinically Approp |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0628 - Discharge Process |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0725 - Sufficient Nursing Staff |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0814 - Dispose Garbage and Refuse Properly |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0185 - Bariatric Criteria and Services |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 110
Deficiencies: 1
Aug 8, 2025
Visit Reason
One deficiency related to initial comments was found and not corrected at the time of visit during a Federal Monitoring Survey.
Findings
One deficiency related to initial comments was found and not corrected at the time of visit during a Federal Monitoring Survey.
Deficiencies (1)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Feb 24, 2025
Visit Reason
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Findings
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Nov 18, 2024
Visit Reason
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Findings
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 11
Oct 16, 2024
Visit Reason
Twelve deficiencies including abuse and neglect, reporting, ADL care, staffing, pharmacy services, and administrative rules were found. Some deficiencies were corrected upon revisit while others remained uncorrected.
Findings
Twelve deficiencies including abuse and neglect, reporting, ADL care, staffing, pharmacy services, and administrative rules were found. Some deficiencies were corrected upon revisit while others remained uncorrected.
Deficiencies (11)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0658 - Services Provided Meet Professional Standards |
| M0000 - Initial Comments |
| M0141 - Employees Reference Checks and Verifications |
| M0143 - Employees: Criminal Record Checks |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M0185 - Bariatric Criteria and Services |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 2
Aug 15, 2024
Visit Reason
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Findings
Two deficiencies related to initial comments were found and not corrected at the time of visit.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 110
Deficiencies: 37
Mar 22, 2024
Visit Reason
Thirty-four deficiencies including resident self-administration, self-determination, care planning, notification, grievances, restraints, reporting, staffing, pharmacy, infection control, antibiotic stewardship, and administrative rules were found. Some deficiencies were corrected upon revisit while others remained uncorrected.
Findings
Thirty-four deficiencies including resident self-administration, self-determination, care planning, notification, grievances, restraints, reporting, staffing, pharmacy, infection control, antibiotic stewardship, and administrative rules were found. Some deficiencies were corrected upon revisit while others remained uncorrected.
Deficiencies (37)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0554 - Resident Self-Admin Meds-Clinically Approp |
| F0561 - Self-Determination |
| F0565 - Resident/Family Group and Response |
| F0576 - Right to Forms of Communication w/ Privacy |
| F0577 - Right to Survey Results/Advocate Agency Info |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0585 - Grievances |
| F0604 - Right to be Free from Physical Restraints |
| F0609 - Reporting of Alleged Violations |
| F0637 - Comprehensive Assessment After Signifcant Chg |
| F0657 - Care Plan Timing and Revision |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI |
| F0692 - Nutrition/Hydration Status Maintenance |
| F0697 - Pain Management |
| F0725 - Sufficient Nursing Staff |
| F0727 - RN 8 Hrs/7 days/Wk, Full Time DON |
| F0730 - Nurse Aide Peform Review-12 hr/yr In-Service |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0776 - Radiology/Other Diagnostic Services |
| F0791 - Routine/Emergency Dental Srvcs in NFs |
| F0809 - Frequency of Meals/Snacks at Bedtime |
| F0814 - Dispose Garbage and Refuse Properly |
| F0849 - Hospice Services |
| F0851 - Payroll Based Journal |
| F0880 - Infection Prevention & Control |
| F0881 - Antibiotic Stewardship Program |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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