Inspection Reports for South Hills Rehabilitation Center

1166 E. 28th Avenue, Eugene, OR, 97403

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Deficiencies (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/year

Deficiencies per year

40 30 20 10 0
2024
2025
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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