Inspection Reports for Stephanie Gardens

19751 SE Stark St, Portland, OR 97233, OR, 97233

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 6.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

3% better than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2022
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 52 Deficiencies: 1 Jul 9, 2025
Visit Reason
Facility failed to complete quarterly service plans for 1 of 1 sampled resident. Service plans were missing between 10/02/23 and 07/10/24. Findings were substantiated and acknowledged by staff.
Findings
Facility failed to complete quarterly service plans for 1 of 1 sampled resident. Service plans were missing between 10/02/23 and 07/10/24. Findings were substantiated and acknowledged by staff.
Deficiencies (1)
Description
C0260 - Service Plan: General
Inspection Report Capacity: 52 Deficiencies: 11 Aug 5, 2024
Visit Reason
Change of Owner survey with multiple deficiencies including failure to report and investigate abuse, failure to ensure service plans reflected current care needs, failure to evaluate and monitor changes of condition, failure to follow physician orders, failure to evaluate self-administration of meds, failure to ensure psychotropic medication protocols, and failure to maintain clean and safe environment. Several deficiencies were corrected by 10/7/2024, others remained not corrected at revisit.
Findings
Change of Owner survey with multiple deficiencies including failure to report and investigate abuse, failure to ensure service plans reflected current care needs, failure to evaluate and monitor changes of condition, failure to follow physician orders, failure to evaluate self-administration of meds, failure to ensure psychotropic medication protocols, and failure to maintain clean and safe environment. Several deficiencies were corrected by 10/7/2024, others remained not corrected at revisit.
Deficiencies (11)
Description
C0000 - Comment
C0231 - Reporting & Investigating Abuse-Other Action
C0260 - Service Plan: General
C0270 - Change of Condition and Monitoring
C0280 - Resident Health Services
C0303 - Systems: Treatment Orders
C0325 - Systems: Self-Administration of Meds
C0330 - Systems: Psychotropic Medication
C0513 - Doors, Walls, Elevators, Odors
Z0142 - Administration Compliance
Z0162 - Compliance With Rules Health Care
Inspection Report Capacity: 52 Deficiencies: 4 Dec 5, 2023
Visit Reason
State Licensure survey with deficiencies related to kitchen sanitation and food safety including buildup of debris, undated and unlabeled foods, improper food storage, staff hygiene, and failure to maintain clean environment. Some deficiencies were corrected by 3/5/2024, others remained not corrected at revisits.
Findings
State Licensure survey with deficiencies related to kitchen sanitation and food safety including buildup of debris, undated and unlabeled foods, improper food storage, staff hygiene, and failure to maintain clean environment. Some deficiencies were corrected by 3/5/2024, others remained not corrected at revisits.
Deficiencies (4)
Description
C0000 - Comment
C0240 - Resident Services Meals, Food Sanitation Rule
C0455 - Inspections and Investigation: Insp Interval
Z0142 - Administration Compliance
Inspection Report Capacity: 52 Deficiencies: 10 Jun 27, 2022
Visit Reason
Initial Licensure survey with deficiencies including failure to investigate suspected abuse, incomplete move-in evaluations, failure to evaluate and refer changes of condition, failure to maintain clean and safe environment, failure to ensure exit doors had alarms, failure to provide individualized nutrition, hydration, and activity plans. Some deficiencies were corrected by 8/28/2022, others remained not corrected at revisit.
Findings
Initial Licensure survey with deficiencies including failure to investigate suspected abuse, incomplete move-in evaluations, failure to evaluate and refer changes of condition, failure to maintain clean and safe environment, failure to ensure exit doors had alarms, failure to provide individualized nutrition, hydration, and activity plans. Some deficiencies were corrected by 8/28/2022, others remained not corrected at revisit.
Deficiencies (10)
Description
C0000 - Comment
C0231 - Reporting & Investigating Abuse-Other Action
C0252 - Resident Move-In and Eval: Res Evaluation
C0270 - Change of Condition and Monitoring
C0513 - Doors, Walls, Elevators, Odors
C0555 - Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Z0142 - Administration Compliance
Z0162 - Compliance With Rules Health Care
Z0163 - Nutrition and Hydration
Z0164 - Activities

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