Inspection Reports for Village Manor of Cascadia
2060 NE 238th Drive, OR, 97060
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
64% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Capacity: 60
Deficiencies: 4
Aug 12, 2025
Visit Reason
Resident 1 suffered a fall due to care plan not being followed resulting in serious injury. The CNA responsible was terminated. Safety audits and in-services were implemented. All deficiencies were corrected by revisit.
Findings
Resident 1 suffered a fall due to care plan not being followed resulting in serious injury. The CNA responsible was terminated. Safety audits and in-services were implemented. All deficiencies were corrected by revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F9999 - FINAL OBSERVATIONS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 60
Deficiencies: 14
May 9, 2025
Visit Reason
Multiple deficiencies including failure to maintain a homelike environment, failure to protect residents from abuse, failure to ensure freedom from chemical restraints, failure to report alleged violations timely, failure to develop comprehensive care plans for psychotropic medications, failure to provide quality care, and failure to provide specialized rehab services. Many deficiencies were not corrected upon revisit.
Findings
Multiple deficiencies including failure to maintain a homelike environment, failure to protect residents from abuse, failure to ensure freedom from chemical restraints, failure to report alleged violations timely, failure to develop comprehensive care plans for psychotropic medications, failure to provide quality care, and failure to provide specialized rehab services. Many deficiencies were not corrected upon revisit.
Deficiencies (14)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0600 - Free from Abuse and Neglect |
| F0605 - Right to be Free from Chemical Restraints |
| F0609 - Reporting of Alleged Violations |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0699 - Trauma Informed Care |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0825 - Provide/Obtain Specialized Rehab Services |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 60
Deficiencies: 2
Oct 4, 2024
Visit Reason
No deficiencies found. Two citations noted with no corrections.
Findings
No deficiencies found. Two citations noted with no corrections.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 60
Deficiencies: 10
Jan 17, 2024
Visit Reason
Deficiencies included failure to determine advance directives, failure to provide transfer/discharge notices, failure to complete discharge summaries, failure to maintain accurate resident records, failure to ensure binding arbitration agreements, and failure to complete employee reference checks. Several deficiencies were corrected on revisit, others remained uncorrected.
Findings
Deficiencies included failure to determine advance directives, failure to provide transfer/discharge notices, failure to complete discharge summaries, failure to maintain accurate resident records, failure to ensure binding arbitration agreements, and failure to complete employee reference checks. Several deficiencies were corrected on revisit, others remained uncorrected.
Deficiencies (10)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0623 - Notice Requirements Before Transfer/Discharge |
| F0625 - Notice of Bed Hold Policy Before/Upon Trnsfr |
| F0661 - Discharge Summary |
| F0842 - Resident Records - Identifiable Information |
| F0847 - Entering into Binding Arbitration Agreements |
| M0000 - Initial Comments |
| M0141 - Employees Reference Checks and Verifications |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 60
Deficiencies: 1
Aug 14, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 60
Deficiencies: 1
May 15, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 60
Deficiencies: 1
Feb 28, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 60
Deficiencies: 9
Dec 7, 2022
Visit Reason
Multiple deficiencies including failure to ensure residents were free from abuse, failure to maintain a safe environment free from accident hazards, failure to ensure residents were free from unnecessary drugs and antibiotics, failure to honor food preferences, failure to maintain accurate resident records, and failure to ensure infection prevention and control. Some deficiencies were corrected on revisit, others remained uncorrected.
Findings
Multiple deficiencies including failure to ensure residents were free from abuse, failure to maintain a safe environment free from accident hazards, failure to ensure residents were free from unnecessary drugs and antibiotics, failure to honor food preferences, failure to maintain accurate resident records, and failure to ensure infection prevention and control. Some deficiencies were corrected on revisit, others remained uncorrected.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0757 - Drug Regimen is Free from Unnecessary Drugs |
| F0806 - Resident Allergies, Preferences, Substitutes |
| F0842 - Resident Records - Identifiable Information |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Capacity: 60
Deficiencies: 1
Aug 2, 2022
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Capacity: 60
Deficiencies: 1
Jul 25, 2022
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
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