Inspection Reports for Stephanie Gardens
19751 SE Stark St, Portland, OR 97233, OR, 97233
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
12
9
6
3
0
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 |
Loading inspection reports...



