Inspection Reports for Village at Valley View
1071 W Jackson Rd, Ashland, OR 97520, United States, OR, 97520
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Inspection Report
Re-Inspection
Capacity: 48
Deficiencies: 42
Oct 22, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2021 to 2025 with detailed deficiency history and enforcement actions
Findings
Across multiple inspections, the facility demonstrated numerous deficiencies including failures in infection control, resident rights, medication administration, staffing, emergency preparedness, and documentation. Several repeated and serious violations were noted, with corrective plans in place but many deficiencies not yet corrected.
Complaint Details
Complaint investigation conducted on 8/2/2022 identified deficiencies including failure to investigate and report abuse incidents timely and thoroughly for multiple residents.
Deficiencies (42)
| Description |
|---|
| C0240 - Resident Services Meals, Food Sanitation Rule: Failed to maintain kitchen in good repair and sanitary manner with multiple areas needing cleaning and repair |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| C0150 - Facility Administration: Operation: Failed to provide administrative oversight to ensure quality of care and services |
| C0156 - Facility Administration: Quality Improvement: Failed to develop and conduct ongoing quality improvement programs |
| C0160 - Reasonable Precautions: Failed to exercise reasonable precautions against conditions threatening health, safety, or welfare of residents |
| C0200 - Resident Rights and Protection - General: Failed to ensure residents' rights to dignity, respect, and freedom from physical restraints |
| C0231 - Reporting & Investigating Abuse-Other Action: Failed to notify local SPD office of abuse incidents and ensure investigations included required components |
| C0252 - Resident Move-in & Evaluation: Res Evaluation: Failed to ensure initial and quarterly evaluations addressed all required elements and were updated timely |
| C0260 - Service Plan: General: Failed to ensure service plans were reflective, dated, initialed, and provided clear direction to staff |
| C0262 - Service Plan: Service Planning Team: Failed to ensure service plans were developed by required Service Planning Team |
| C0270 - Change of Condition and Monitoring: Failed to evaluate, refer, document, and monitor residents with significant or short-term changes of condition |
| C0280 - Resident Health Services: Failed to ensure RN assessments were completed for residents with significant changes of condition |
| C0282 - RN Delegation and Teaching: Failed to ensure delegation and supervision of nursing tasks per OSBN rules for resident receiving insulin injections |
| C0290 - Res Hlth Srvc: On- and Off-Site Health Srvc: Failed to notify facility management or licensed nurse of outside provider services and new interventions |
| C0295 - Infection Prevention & Control: Failed to maintain infection prevention and control protocols during ADL care and meal service |
| C0300 - Systems: Medications and Treatments: Failed to ensure safe medication and treatment administration system with multiple deficiencies |
| C0302 - Systems: Tracking Control Substances: Failed to have system for accurately tracking controlled substances |
| C0303 - Systems: Treatment Orders: Failed to carry out medication and treatment orders as prescribed and document signed orders |
| C0305 - Systems: Resident Right to Refuse: Failed to notify physician when resident refused consent to orders |
| C0310 - Systems: Medication Administration: Failed to maintain accurate MAR and include resident-specific parameters for PRN medications |
| C0330 - Systems: Psychotropic Medication: Failed to document non-pharmacological interventions prior to administering PRN psychotropic medications |
| C0340 - Restraints and Supportive Devices: Failed to assess, evaluate alternatives, and instruct caregivers on use of full length bed rails |
| C0360 - Staffing Requirements and Training: Staffing: Failed to have sufficient direct care staff to meet resident needs and fire evacuation standards overnight |
| C0362 - Acuity Based Staffing Tool - ABST Time: Failed to accurately capture care time and update ABST evaluations timely |
| C0363 - Acuity Based Staffing Tool - Updates & Staffing Plan: Failed to update ABST evaluations before move-in, quarterly, and with significant changes; failed to staff per posted plan |
| C0372 - Training Within 30 Days of Hire – Direct Care Staff: Failed to ensure newly hired direct care staff had documented First Aid and abdominal thrust training within 30 days |
| C0420 - Fire and Life Safety: Safety: Failed to conduct fire drills per Oregon Fire Code and provide fire safety instruction on alternate months |
| C0422 - Fire and Life Safety: Training for Residents: Failed to instruct and re-instruct residents on fire and life safety procedures timely with documentation |
| C0513 - Doors, Walls, Elevators, Odors: Failed to provide lever-type door handles on all resident doors and maintain materials and equipment in good repair |
| H1511 - Individual Rights Settings Right to Freedom: Failed to ensure residents' right to freedom from restraints |
| H1517 - Individual Privacy: Own Unit: Failed to ensure residents had privacy in their units due to lack of locking mechanisms on shared bathroom doors |
| H1518 - Individual Door Locks: Key Access: Failed to ensure residents and only appropriate staff had keys to access units |
| L0252 - Resident Move-in & Evaluation: Res Evaluation: Failed to ensure initial evaluations addressed pronouns and gender identity |
| Z0142 - Administration Compliance: Failed to follow licensing rules for Residential Care and Assisted Living Facilities |
| Z0155 - Staff Training Requirements: Failed to ensure newly hired staff completed pre-service orientation and dementia training prior to job duties and annual in-service training for long term staff |
| Z0162 - Compliance with Rules Health Care: Failed to provide health care services in accordance with licensing rules |
| Z0163 - Nutrition and Hydration: Failed to develop and include individualized nutrition and hydration plans in service plans |
| Z0176 - Resident Rooms: Failed to ensure residents were not locked out of their rooms |
| C0010 - Licensing Complaint Investigation: Complaint investigation deficiencies identified in 2022 |
| C0513 - Doors, Walls, Elevators, Odors (2022): Failed to keep equipment in good repair including A/C unit issues |
| C0000 - Comment (2024): Facility was in substantial compliance with food sanitation rules during kitchen inspection |
| C0000 - Comment (2023): Facility was in substantial compliance with food sanitation rules during kitchen inspection |
Report Facts
Inspections on page: 6
Total deficiencies: 50
Licensing violations: 10
Notices: 2
Licensed beds: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Josh Hamik | Executive Director | Named in plan of correction monitoring and administration compliance findings |
| Tony | Executive Chef | Named in kitchen sanitation deficiency and plan of correction monitoring |
| Staff 1 | Administrator | Named in multiple findings and interviews related to administration and compliance |
| Staff 2 | Executive Nurse | Named in multiple findings and interviews related to nursing services and compliance |
| Staff 3 | Wellness Director / LPN | Named in wound care and medication administration findings |
| Staff 5 | Resident Care Coordinator (RCC) | Named in abuse reporting and training findings |
| Staff 6 | Business Office Manager | Named in staff training record reviews |
| Staff 16 | Medication Technician (MT) | Named in wound care and medication administration findings |
| Staff 18 | Caregiver (CG) | Named in resident rights and infection control findings |
| Staff 27 | Caregiver (CG) | Named in door lock and resident rights findings |
| Staff 9 | Activity Aide | Named in activity evaluation findings |
| Staff 11 | Lead Medication Technician | Named in medication administration and tracking findings |
| Staff 12 | Lead Medication Technician | Named in medication administration and training findings |
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