Deficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Change Of Owner
Capacity: 23
Deficiencies: 10
Sep 25, 2024
Visit Reason
Multiple deficiencies found including failure to ensure residents with short term changes of condition had proper monitoring and documentation, RN assessments were not timely, medication tracking and administration systems were inadequate, staff training was incomplete, and resident privacy was compromised.
Findings
Multiple deficiencies found including failure to ensure residents with short term changes of condition had proper monitoring and documentation, RN assessments were not timely, medication tracking and administration systems were inadequate, staff training was incomplete, and resident privacy was compromised.
Deficiencies (10)
| Description |
|---|
| OAR 411-054-0040 (1-2) Change of Condition and Monitoring — Change of Condition and Monitoring |
| OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services — Resident Health Services |
| OAR 411-054-0055 (1)(e) Systems: Tracking Control Substances — Systems: Tracking Control Substances |
| OAR 411-054-0055 (2) Systems: Medication Administration — Systems: Medication Administration |
| OAR 411-054-0055 (6) Systems: Psychotropic Medication — Systems: Psychotropic Medication |
| OAR 411-054-0070 (6)(9) Training within 30 days: Direct Care Staff — Training within 30 days: Direct Care Staff |
| OAR411-004-0020(2)(d) Individual Privacy: Own Unit — Individual Privacy: Own Unit |
| OAR 411-057-0140(2) Administration Compliance — Administration Compliance |
| OAR 411-057-0155(1-6) Staff Training Requirements — Staff Training Requirements |
| OAR 411-057-0160(2b) Compliance with Rules Health Care — Compliance with Rules Health Care |
Inspection Report
State Licensure
Capacity: 23
Deficiencies: 3
Nov 14, 2023
Visit Reason
Two deficiencies noted including issues with kitchen and memory care kitchenette sanitation and maintenance. Some deficiencies were corrected by revisit on 2024-01-13, others remained uncorrected.
Findings
Two deficiencies noted including issues with kitchen and memory care kitchenette sanitation and maintenance. Some deficiencies were corrected by revisit on 2024-01-13, others remained uncorrected.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 — Comment |
| OAR 411-057-0140(2) Administration Compliance — Administration Compliance |
Inspection Report
Validation Re Licensure
Capacity: 23
Deficiencies: 6
May 1, 2023
Visit Reason
Multiple deficiencies found related to resident move-in evaluations, acuity-based staffing tool use, fire and life safety, inspections and investigations, and administration compliance. Some deficiencies were corrected by revisit on 2023-09-10 and 2023-07-02, others remained uncorrected.
Findings
Multiple deficiencies found related to resident move-in evaluations, acuity-based staffing tool use, fire and life safety, inspections and investigations, and administration compliance. Some deficiencies were corrected by revisit on 2023-09-10 and 2023-07-02, others remained uncorrected.
Deficiencies (6)
| Description |
|---|
| OAR 411-054-0034 Resident Move-In and Evaluation — Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0037 Acuity-Based Staffing Tool — Acuity-Based Staffing Tool |
| OAR 411-054-0090 Fire and Life Safety: Safety — Fire and Life Safety: Safety |
| OAR 411-054-0045 Inspections and Investigation: Insp Interval — Inspections and Investigation: Insp Interval |
| OAR 411-057-0140(2) Administration Compliance — Administration Compliance |
| OAR 411-057-0160(2b) Compliance with Rules Health Care — Compliance With Rules Health Care |
Inspection Report
State Licensure
Capacity: 23
Deficiencies: 1
Nov 29, 2022
Visit Reason
Facility was found in substantial compliance with applicable rules for Resident Services - Meals and Oregon Health Service Food Sanitation Rules.
Findings
Facility was found in substantial compliance with applicable rules for Resident Services - Meals and Oregon Health Service Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 — Comment |
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