Inspection Reports for Stoneybrook Senior Living

4650 SW Hollyhock Cir, Corvallis, OR 97333, United States, OR, 97333

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Deficiencies per Year

28 21 14 7 0
2025
Severe High Moderate Low Unclassified
Inspection Report Complaint Investigation Capacity: 95 Deficiencies: 25 Jun 17, 2025
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State-compiled facility profile showing 10 inspections from 2021-2025 with deficiency history and licensing violations.
Findings
Across multiple inspections from 2021 to 2025, the facility exhibited numerous deficiencies including failures in service plan updates, change of condition monitoring, resident health services, fire and life safety procedures, staffing adequacy, medication administration, and building maintenance. Several deficiencies remain uncorrected as of the latest inspections.
Deficiencies (25)
Description
C0150 - Facility Administration: Operation: Failure to obtain background checks on all subject individuals.
C0260 - Service Plan: General: Failed to ensure service plans reflected residents' needs, provided clear caregiving instructions, and were updated after significant changes.
C0270 - Change of Condition and Monitoring: Failed to ensure short term changes in condition had documented progress monitored at least weekly through resolution.
C0280 - Resident Health Services: Failed to ensure timely RN assessments including documented findings and interventions for residents with significant changes of condition.
C0420 - Fire and Life Safety: Safety: Failed to provide documentation that fire drills included all required components and failed to provide fire and life safety instruction to staff on alternate months.
C0422 - Fire and Life Safety: Training for Residents: Failed to provide documentation of fire safety instruction to residents within 24 hours of admission and annually thereafter.
C0613 - General Building: Doors-Walls, Cleanable: Failed to keep all interior materials and surfaces clean and in good repair.
C0010 - Licensing Complaint Investigation: Multiple complaint investigations documenting various compliance issues.
C0360 - Staffing Requirements and Training: Staffing: Failed to have adequate awake qualified direct care staff to meet residents' needs.
C0361 - Acuity-Based Staffing Tool: Failed to fully implement and update an acuity-based staffing tool (ABST).
C0000 - Comment: Kitchen inspections documented substantial compliance.
C0242 - Resident Services: Activities: Failed to provide assistance with bathing and washing hair as scheduled.
C0160 - Reasonable Precautions: Failed to exercise reasonable precautions against conditions threatening health, safety or welfare related to infection control and ADL incontinent care.
C0200 - Resident Rights and Protection - General: Failed to ensure residents were treated with dignity, respect, and privacy during ADL care.
C0231 - Reporting & Investigating Abuse-Other Action: Failed to ensure thorough investigations and reporting of abuse or neglect for residents with injuries of unknown cause.
C0252 - Resident Move-In and Eval: Res Evaluation: Failed to complete initial and quarterly resident evaluations timely and reflective of current status.
C0303 - Systems: Treatment Orders: Failed to ensure all medication and treatment orders were documented and carried out as prescribed.
C0305 - Systems: Resident Right to Refuse: Failed to notify physician when resident refused consent to orders.
C0310 - Systems: Medication Administration: Failed to maintain accurate medication administration records including parameters and reasons for use.
C0325 - Systems: Self-Administration of Meds: Failed to evaluate residents' ability to self-administer medications and obtain physician orders.
C0370 - Staffing Requirements and Training – Pre-Serv: Failed to document completion of pre-service orientation and dementia care training for newly hired employees.
C0372 - Training Within 30 Days: Direct Care Staff: Failed to ensure newly hired staff completed required training and demonstrated competency within 30 days.
C0455 - Inspections and Investigation: Insp Interval: Failed to ensure re-licensure survey plan of correction was implemented and satisfied the Department.
C0610 - General Building Exterior: Failed to maintain exterior pathways in good repair, presenting fall risks.
C0640 - Heating and Ventilation: Failed to ensure wall heater covers did not exceed 120 degrees Fahrenheit in areas subject to incidental contact.
Report Facts
Inspections on page: 10 Total deficiencies: 34 Licensing violations: 10 Notices: 5 Total licensed beds: 95
Employees Mentioned
NameTitleContext
Staff 1Executive DirectorNamed in multiple findings related to administration and acknowledgment of deficiencies
Staff 2Licensed Practical Nurse (LPN)Named in findings related to service plans, change of condition, and resident health services
Staff 3Registered Nurse (RN)Named in findings related to resident health services and assessments
Staff 4Maintenance DirectorNamed in fire and life safety and building maintenance findings
Staff 5Resident Care Coordinator (RCC)Named in service plan and change of condition findings
Staff 6Resident Care Coordinator (RCC)Named in service plan and change of condition findings
Staff 10Resident AssistantNamed in infection control and ADL care findings
Staff 12Resident AssistantNamed in infection control and ADL care findings
Staff 13Medication Technician / Kitchen AideNamed in pre-service training and resident health services findings
Staff 14Resident AssistantNamed in training and competency findings
Staff 15Resident AssistantNamed in training and competency findings
Staff 16Resident AssistantNamed in training and competency findings
Staff 18Assistant AdministratorNamed in evaluation and monitoring findings
Staff 19Resident Services Coordinator / Licensed Practical Nurse (LPN)Named in wound monitoring and medication administration findings
Staff 20Resident AssistantNamed in pre-service training and competency findings
Staff 21Resident AssistantNamed in pre-service training findings
Staff 22Resident AssistantNamed in pre-service training and competency findings

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