Inspection Reports for The Rawlin at Riverbend Memory Care

3491 Game Farm Rd, Springfield, OR 97477, United States, OR, 97477

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 6.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

1% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2022
2023
2024
2025
Inspection Report FEOS Capacity: 72 Deficiencies: 7 Apr 17, 2025
Visit Reason
Multiple deficiencies including failure to immediately report and investigate abuse, incomplete resident evaluations and service plans, inadequate monitoring of changes of condition, inaccurate acuity-based staffing tool data, and failure to comply with licensing rules. None of the deficiencies were corrected at revisit.
Findings
Multiple deficiencies including failure to immediately report and investigate abuse, incomplete resident evaluations and service plans, inadequate monitoring of changes of condition, inaccurate acuity-based staffing tool data, and failure to comply with licensing rules. None of the deficiencies were corrected at revisit.
Deficiencies (7)
Description
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 411-054-0040 (1-2) — Change of Condition and Monitoring
OAR 411-054-0037 (1)(b-g) — Acuity Based Staffing Tool - ABST Time
OAR 411-057-0140(2) — Administration Compliance
OAR 411-057-0160(2b) — Compliance with Rules Health Care
Inspection Report State Licensure, Other Capacity: 72 Deficiencies: 1 Jul 16, 2024
Visit Reason
Kitchen inspection found the facility in substantial compliance with applicable OARs and Oregon Health Service Food Sanitation Rules. One comment citation issued and not corrected at visit.
Findings
Kitchen inspection found the facility in substantial compliance with applicable OARs and Oregon Health Service Food Sanitation Rules. One comment citation issued and not corrected at visit.
Deficiencies (1)
Description
OAR 411-054-0030 — Comment
Inspection Report Validation, Re-Licensure Capacity: 72 Deficiencies: 9 Apr 1, 2024
Visit Reason
Multiple deficiencies including service plan inaccuracies, failure to monitor changes of condition, medication administration errors, inadequate staff training, and fire safety training failures. Some deficiencies were corrected by the last revisit in December 2024, others remained uncorrected.
Findings
Multiple deficiencies including service plan inaccuracies, failure to monitor changes of condition, medication administration errors, inadequate staff training, and fire safety training failures. Some deficiencies were corrected by the last revisit in December 2024, others remained uncorrected.
Deficiencies (9)
Description
OAR 411-054-0036 (1-4) — Service Plan: General
OAR 411-054-0270 — Change of Condition and Monitoring
OAR 411-054-0303 — Systems: Treatment Orders
OAR 411-054-0310 — Systems: Medication Administration
OAR 411-054-0330 — Systems: Psychotropic Medication
OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff
OAR 411-054-0422 — Fire and Life Safety: Training For Residents
OAR 411-054-0455 — Inspections and Investigation: Insp Interval
OAR 411-054-0555 — Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Inspection Report Complaint Investig., Licensure Complaint Capacity: 72 Deficiencies: 2 Jan 10, 2024
Visit Reason
Complaint investigation identified two deficiencies related to medications and inspections/investigations. Deficiencies were not corrected at visit.
Findings
Complaint investigation identified two deficiencies related to medications and inspections/investigations. Deficiencies were not corrected at visit.
Deficiencies (2)
Description
OAR 411-054-0300 — Systems: Medications and Treatments
OAR 411-054-0450 — Inspections and Investigations
Inspection Report State Licensure, Other Capacity: 72 Deficiencies: 2 Sep 8, 2023
Visit Reason
Kitchen inspection found multiple sanitation and repair issues. Several deficiencies related to resident services, administration compliance, and food sanitation were identified. Some deficiencies were corrected at revisit.
Findings
Kitchen inspection found multiple sanitation and repair issues. Several deficiencies related to resident services, administration compliance, and food sanitation were identified. Some deficiencies were corrected at revisit.
Deficiencies (2)
Description
OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule
OAR 411-057-0142 — Administration Compliance
Inspection Report Complaint Investig., Licensure Complaint Capacity: 72 Deficiencies: 1 Aug 8, 2023
Visit Reason
Complaint investigation found failure to immediately notify local authorities of abuse incident. Deficiency not corrected at visit.
Findings
Complaint investigation found failure to immediately notify local authorities of abuse incident. Deficiency not corrected at visit.
Deficiencies (1)
Description
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action
Inspection Report Complaint Investig., Licensure Complaint Capacity: 72 Deficiencies: 1 Feb 8, 2023
Visit Reason
Complaint investigation identified multiple deficiencies related to resident services, change of condition monitoring, staffing, and acuity-based staffing tool. Deficiencies were not corrected at visit.
Findings
Complaint investigation identified multiple deficiencies related to resident services, change of condition monitoring, staffing, and acuity-based staffing tool. Deficiencies were not corrected at visit.
Deficiencies (1)
Description
OAR 411-054-0361 — Acuity-Based Staffing Tool
Inspection Report Complaint Investig., Licensure Complaint Capacity: 72 Deficiencies: 2 Dec 1, 2022
Visit Reason
Complaint investigation found failures in tracking controlled substances and medication administration. Deficiencies were not corrected at visit.
Findings
Complaint investigation found failures in tracking controlled substances and medication administration. Deficiencies were not corrected at visit.
Deficiencies (2)
Description
OAR 411-054-0302 — Systems: Tracking Control Substances
OAR 411-054-0303 — Systems: Treatment Orders
Inspection Report Complaint Investig., Licensure Complaint Capacity: 72 Deficiencies: 1 Oct 4, 2022
Visit Reason
Complaint investigation identified deficiencies related to acuity-based staffing tool. Deficiencies were not corrected at visit.
Findings
Complaint investigation identified deficiencies related to acuity-based staffing tool. Deficiencies were not corrected at visit.
Deficiencies (1)
Description
OAR 411-054-0361 — Acuity-Based Staffing Tool
Inspection Report State Licensure, Other Capacity: 72 Deficiencies: 1 Aug 18, 2022
Visit Reason
Kitchen inspection found the facility in substantial compliance with applicable OARs and Oregon Health Service Food Sanitation Rules. One comment citation issued and not corrected at visit.
Findings
Kitchen inspection found the facility in substantial compliance with applicable OARs and Oregon Health Service Food Sanitation Rules. One comment citation issued and not corrected at visit.
Deficiencies (1)
Description
OAR 411-054-0030 — Comment

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