Inspection Reports for St Anthony Village
3560 SE 79th Ave, Portland, OR 97206, OR, 97206
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
20.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
203% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
40
30
20
10
0
Inspection Report
Re Licensure
Capacity: 126
Deficiencies: 38
May 15, 2025
Visit Reason
The re-licensure survey identified 38 deficiencies including failures in facility administration, resident rights, health services, staffing, infection control, medication systems, fire safety, and building maintenance. Immediate threats to resident health and safety were noted, and an immediate plan of correction was implemented during the survey. Multiple deficiencies remained uncorrected at the time of the last revisit.
Findings
The re-licensure survey identified 38 deficiencies including failures in facility administration, resident rights, health services, staffing, infection control, medication systems, fire safety, and building maintenance. Immediate threats to resident health and safety were noted, and an immediate plan of correction was implemented during the survey. Multiple deficiencies remained uncorrected at the time of the last revisit.
Deficiencies (38)
| Description |
|---|
| OAR 411-054-0025 (1) Facility Administration: Operation |
| OAR 411-054-0025 (5) Facility Administration: Required Postings |
| OAR 411-054-0025 (7) Facility Administration: Policy & Procedure |
| OAR 411-054-0025 (8) Facility Administration: Records |
| OAR 411-054-0025 (9) Facility Administration: Quality Improvement |
| OAR 411-054-0027 (1) Resident Rights and Protection - General |
| OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0034 (1-6) Resident Move-in & Evaluation: Res Evaluation |
| OAR 411-054-0036 (1-4) Service Plan: General |
| OAR 411-054-0036 (5) Service Plan: Service Planning Team |
| 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 411-054-0045 (1)(f)(B) RN Delegation and Teaching |
| OAR 411-054-0050(1-5) Infection Prevention & Control |
| OAR 411-054-0055 (1)(a) Systems: Medications and Treatments |
| OAR 411-054-0055 (1)(e) Systems: Tracking Control Substances |
| OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication |
| OAR 411-054-0060 Restraints and Supportive Devices |
| OAR 411-054-0070 (1) Staffing Requirements and Training: Staffing |
| OAR 411-054-0037 (1)(b-g) Acuity Based Staffing Tool - ABST Time |
| OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan |
| OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff |
| OAR 411-054-0090 (1-2) Fire and Life Safety: Safety |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents |
| OAR 411-054-0090 (6-7) Fire and Life Safety: Egress, first aid |
| OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval |
| OAR 411-054-0300 (10) Electrical Systems |
| OAR411-004-0020(2)(d) Individual Privacy: Own Unit |
| OAR411-004-0020(2)(e) Individual Door Locks: Key Access |
| OAR 411-054-0025 (5)(f)(g) Facility Administration: Required Postings |
| OAR 411-054-0034 (1)(c)(B)&(5)(a)(A-C) Resident Move-in & Evaluation: Res Evaluation |
| 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(2d) Activities |
| OAR 411-057-0160(g) Outside Area |
| OAR 411-057-0170(6) Secure Outdoor Recreation Area |
Inspection Report
Complaint Investigation
Capacity: 126
Deficiencies: 2
Feb 10, 2025
Visit Reason
Complaint investigation identified 2 deficiencies related to failure to carry out medication and treatment orders as prescribed and failure to fully implement and update an acuity-based staffing tool. Deficiencies remained uncorrected at the time of the survey.
Findings
Complaint investigation identified 2 deficiencies related to failure to carry out medication and treatment orders as prescribed and failure to fully implement and update an acuity-based staffing tool. Deficiencies remained uncorrected at the time of the survey.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0036 Systems: Treatment Orders |
| OAR 411-054-0037 Acuity Based Staffing Tool - Updates & Plan |
Inspection Report
Capacity: 126
Deficiencies: 3
Dec 7, 2023
Visit Reason
State licensure and other inspection identified 3 deficiencies including issues with kitchen sanitation, resident services meals, and inspection intervals. Some deficiencies were corrected during revisits, but others remained uncorrected at the time of the last revisit.
Findings
State licensure and other inspection identified 3 deficiencies including issues with kitchen sanitation, resident services meals, and inspection intervals. Some deficiencies were corrected during revisits, but others remained uncorrected at the time of the last revisit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals, Food Sanitation Rule |
| OAR 411-054-0105 Inspections and Investigation: Insp Interval |
| OAR 411-054-0030 Resident Services - Meals, Food Sanitation Rule (repeat) |
Inspection Report
Validation
Capacity: 126
Deficiencies: 18
Dec 5, 2022
Visit Reason
Validation and re-licensure survey identified 30 deficiencies including failures in facility administration, resident services, health services, staffing, infection control, building maintenance, and safety. Many deficiencies were repeat citations with partial corrections noted in revisits. Immediate plans of correction were implemented for some areas.
Findings
Validation and re-licensure survey identified 30 deficiencies including failures in facility administration, resident services, health services, staffing, infection control, building maintenance, and safety. Many deficiencies were repeat citations with partial corrections noted in revisits. Immediate plans of correction were implemented for some areas.
Deficiencies (18)
| Description |
|---|
| OAR 411-054-0025 Facility Administration (Operation, Quality Improvement, Reporting & Investigating Abuse, Records, Policy & Procedure, Required Postings) |
| OAR 411-054-0034 Resident Move-in & Evaluation |
| OAR 411-054-0036 Service Plan (General, Service Planning Team) |
| OAR 411-054-0040 Change of Condition and Monitoring |
| OAR 411-054-0045 Resident Health Services (RN Delegation and Teaching) |
| OAR 411-054-0050 Infection Prevention & Control |
| OAR 411-054-0055 Systems (Medications and Treatments, Tracking Controlled Substances, Treatment Orders, Psychotropic Medication) |
| OAR 411-054-0060 Restraints and Supportive Devices |
| OAR 411-054-0070 Staffing Requirements and Training |
| OAR 411-054-0037 Acuity Based Staffing Tool (ABST Time, Updates & Staffing Plan) |
| OAR 411-054-0090 Fire and Life Safety (Safety, Training for Residents, Egress and First Aid) |
| OAR 411-054-0300 Electrical Systems |
| OAR411-004-0020 Individual Privacy and Door Locks |
| OAR 411-057-0140 Administration Compliance |
| OAR 411-057-0155 Staff Training Requirements |
| OAR 411-057-0160 Compliance with Rules Health Care and Activities |
| OAR 411-057-0160(g) Outside Area |
| OAR 411-057-0170 Secure Outdoor Recreation Area |
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