Inspection Reports for The Lodge at Vista View
2205 Gilman Dr., Oregon City, OR 97045, OR, 97045
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
17.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
158% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Change Of Owner
Capacity: 101
Deficiencies: 24
Aug 5, 2024
Visit Reason
The change of ownership survey identified 23 deficiencies including ineffective oversight, failure to ensure resident rights and protections, incomplete move-in evaluations, inadequate service plans, insufficient monitoring of changes of condition, infection control issues, medication administration errors, staffing and training deficiencies, fire and life safety noncompliance, and building maintenance problems. Multiple deficiencies were not corrected during revisits.
Findings
The change of ownership survey identified 23 deficiencies including ineffective oversight, failure to ensure resident rights and protections, incomplete move-in evaluations, inadequate service plans, insufficient monitoring of changes of condition, infection control issues, medication administration errors, staffing and training deficiencies, fire and life safety noncompliance, and building maintenance problems. Multiple deficiencies were not corrected during revisits.
Deficiencies (24)
| Description |
|---|
| OAR 411-054-0200 — Comment |
| OAR 411-054-0150 — Facility Administration: Operation |
| OAR 411-054-0200 — Resident Rights and Protection - General |
| OAR 411-054-0252 — Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0262 — Service Plan: Service Planning Team |
| OAR 411-054-0270 — Change of Condition and Monitoring |
| OAR 411-054-0280 — Resident Health Services |
| OAR 411-054-0295 — Infection Prevention & Control |
| OAR 411-054-0302 — Systems: Tracking Control Substances |
| OAR 411-054-0303 — Systems: Treatment Orders |
| OAR 411-054-0305 — Systems: Resident Right to Refuse |
| OAR 411-054-0310 — Systems: Medication Administration |
| OAR 411-054-0325 — Systems: Self-Administration of Meds |
| OAR 411-054-0355 — Administrator: Administrator Requirements |
| OAR 411-054-0370 — Staffing Requirements and Training – Pre-Serv |
| OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0374 — Annual and Biennial Inservice For All Staff |
| OAR 411-054-0420 — Fire and Life Safety: Safety |
| OAR 411-054-0422 — Fire and Life Safety: Training For Residents |
| OAR 411-054-0455 — Inspections and Investigation: Insp Interval |
| OAR 411-054-0613 — General Building: Doors-Walls, Cleanable |
| OAR 411-054-0615 — Resident Units |
| OAR 411-054-H1517 — Individual Privacy: Own Unit |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 5
Jul 29, 2024
Visit Reason
Complaint investigation identified 5 deficiencies including failure to ensure service plans reflected resident needs and were available to staff, failure to carry out medication orders as prescribed, failure to fully implement acuity-based staffing tool, and failure to document staff competency evaluations. Deficiencies were acknowledged by staff and plans of correction were initiated.
Findings
Complaint investigation identified 5 deficiencies including failure to ensure service plans reflected resident needs and were available to staff, failure to carry out medication orders as prescribed, failure to fully implement acuity-based staffing tool, and failure to document staff competency evaluations. Deficiencies were acknowledged by staff and plans of correction were initiated.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0303 — Systems: Treatment Orders |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
| OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0613 — General Building: Doors-Walls, Cleanable |
Inspection Report
Annual Inspection
Capacity: 101
Deficiencies: 1
Dec 27, 2023
Visit Reason
State licensure survey with 1 citation related to kitchen inspection. Facility was found in substantial compliance with relevant OARs for Residential Care and Assisted Living Facilities and Food Sanitation Rules.
Findings
State licensure survey with 1 citation related to kitchen inspection. Facility was found in substantial compliance with relevant OARs for Residential Care and Assisted Living Facilities and Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0000 — Comment |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 1
Jan 5, 2023
Visit Reason
Complaint investigation identified 1 deficiency related to general building maintenance (doors and walls not cleanable). Deficiency was not corrected at time of visit.
Findings
Complaint investigation identified 1 deficiency related to general building maintenance (doors and walls not cleanable). Deficiency was not corrected at time of visit.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0613 — General Building: Doors-Walls, Cleanable |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 3
Jan 5, 2023
Visit Reason
Complaint investigation identified 3 deficiencies including licensing complaint investigation, staffing requirements and acuity-based staffing tool. Deficiencies were not corrected at time of visit.
Findings
Complaint investigation identified 3 deficiencies including licensing complaint investigation, staffing requirements and acuity-based staffing tool. Deficiencies were not corrected at time of visit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0010 — Licensing Complaint Investigation |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 7
Jan 5, 2023
Visit Reason
Complaint investigation identified 7 deficiencies including failure to respond to resident complaints, service plan availability, medication and treatment orders, staffing, training, and building maintenance. Deficiencies were not corrected at time of visit.
Findings
Complaint investigation identified 7 deficiencies including failure to respond to resident complaints, service plan availability, medication and treatment orders, staffing, training, and building maintenance. Deficiencies were not corrected at time of visit.
Deficiencies (7)
| Description |
|---|
| OAR 411-054-0154 — Facility Administration: Policy & Procedure |
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0303 — Systems: Treatment Orders |
| OAR 411-054-0310 — Systems: Medication Administration |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff |
| OAR 411-054-0613 — General Building: Doors-Walls, Cleanable |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 3
Jan 5, 2023
Visit Reason
Complaint investigation identified 3 deficiencies related to resident services ADLs, medications and treatments, and staffing requirements. Deficiencies were not corrected at time of visit.
Findings
Complaint investigation identified 3 deficiencies related to resident services ADLs, medications and treatments, and staffing requirements. Deficiencies were not corrected at time of visit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0243 — Resident Services: Adls |
| OAR 411-054-0300 — Systems: Medications and Treatments |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 3
Jan 5, 2023
Visit Reason
Complaint investigation identified 3 deficiencies including licensing complaint investigation, staffing requirements, and acuity-based staffing tool. Deficiencies were not corrected at time of visit.
Findings
Complaint investigation identified 3 deficiencies including licensing complaint investigation, staffing requirements, and acuity-based staffing tool. Deficiencies were not corrected at time of visit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0010 — Licensing Complaint Investigation |
| OAR 411-054-0360 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
Inspection Report
Complaint Investigation
Capacity: 101
Deficiencies: 3
Jan 5, 2023
Visit Reason
Complaint investigation identified 3 deficiencies including licensing complaint investigation, medication and treatment review, and acuity-based staffing tool. Deficiencies were not corrected at time of visit.
Findings
Complaint investigation identified 3 deficiencies including licensing complaint investigation, medication and treatment review, and acuity-based staffing tool. Deficiencies were not corrected at time of visit.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0010 — Licensing Complaint Investigation |
| OAR 411-054-0304 — Systems: Medication and Treatment Review |
| OAR 411-054-0361 — Acuity-Based Staffing Tool |
Inspection Report
Capacity: 101
Deficiencies: 2
Sep 13, 2022
Visit Reason
State licensure and other survey with 2 citations related to kitchen inspection and resident services meals and food sanitation. The facility was found in substantial compliance upon revisit.
Findings
State licensure and other survey with 2 citations related to kitchen inspection and resident services meals and food sanitation. The facility was found in substantial compliance upon revisit.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0000 — Comment |
| OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule |
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