Inspection Reports for
Waverly Place

2853 SE Salem Ave, Albany, OR 97321, United States, OR, 97321

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 13 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

94% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

32 24 16 8 0
2021
2022
2023
2025

Inspection Report

Kitchen
Capacity: 20 Deficiencies: 2 Date: Sep 25, 2025

Visit Reason
Facility failed to maintain the kitchenette and main kitchen in sanitary condition including food spills, damaged equipment, improper food temperatures, and inadequate temperature monitoring. Multiple deficiencies remained uncorrected at revisit.

Findings
Facility failed to maintain the kitchenette and main kitchen in sanitary condition including food spills, damaged equipment, improper food temperatures, and inadequate temperature monitoring. Multiple deficiencies remained uncorrected at revisit.

Deficiencies (2)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-057-0140(2) Administration Compliance

Inspection Report

Complaint Investigation
Capacity: 20 Deficiencies: 1 Date: Jun 9, 2025

Visit Reason
Facility failed to fully implement and update an Acuity-Based Staffing Tool as substantiated by investigation.

Findings
Facility failed to fully implement and update an Acuity-Based Staffing Tool as substantiated by investigation.

Deficiencies (1)
OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan

Inspection Report

Re-licensure
Capacity: 20 Deficiencies: 27 Date: Mar 3, 2025

Visit Reason
Numerous deficiencies including failure to provide effective oversight, investigate abuse, conduct resident evaluations, maintain service plans, monitor changes of condition, ensure health services, maintain medication systems, provide psychotropic medication oversight, ensure fire and life safety, and maintain building and resident rights.

Findings
Numerous deficiencies including failure to provide effective oversight, investigate abuse, conduct resident evaluations, maintain service plans, monitor changes of condition, ensure health services, maintain medication systems, provide psychotropic medication oversight, ensure fire and life safety, and maintain building and resident rights.

Deficiencies (27)
OAR 411-054-0025 (1) Facility Administration: Operation
OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action
OAR 411-054-0030 (1)(c-d) Resident Services: Activities
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 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services
OAR 411-054-0045(2) Res Hlth Srvc: On- and Off-Site Health Srvc
OAR 411-054-0055 (1)(a) Systems: Medications and Treatments
OAR 411-054-0055 (1)(e) Systems: Tracking Control Substances
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders
OAR 411-054-0055 (2) Systems: Medication Administration
OAR 411-054-0055 (6) Systems: Psychotropic Medication
OAR 411-054-0060 Restraints and Supportive Devices
OAR 411-054-0037 (1)(b-g) Acuity Based Staffing Tool - ABST Time
OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan
OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff
OAR 411-054-0090 (1-2) Fire and Life Safety: Safety
OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents
OAR 411-054-0105 (2-4) Inspections and Investigation: Insp Interval
OAR 411-054-0200 (3) General Building Exterior
OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors
OAR411-004-0020(1)(c) Individual Rights Settings: Privacy, Dignity
OAR411-004-0020(2)(d) Individual Privacy: Own Unit
OAR411-004-0020(2)(e) Individual Door Locks: Key Access
OAR 411-054-0034 (1)(c)(B)&(5)(a)(A-C) Resident Move-in & Evaluation: Res Evaluation
OAR 411-057-0140(2) Administration Compliance

Inspection Report

State Licensure Other
Capacity: 20 Deficiencies: 2 Date: Aug 22, 2023

Visit Reason
Kitchen inspection found multiple sanitation issues including food debris, improper food storage, and temperature monitoring failures. Administration compliance deficiencies noted. Some deficiencies remained uncorrected at revisit.

Findings
Kitchen inspection found multiple sanitation issues including food debris, improper food storage, and temperature monitoring failures. Administration compliance deficiencies noted. Some deficiencies remained uncorrected at revisit.

Deficiencies (2)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-057-0140(2) Administration Compliance

Inspection Report

State Licensure Other
Capacity: 20 Deficiencies: 2 Date: Nov 28, 2022

Visit Reason
Kitchen inspection identified sanitation issues including food debris, improper food storage, and temperature monitoring failures. Administration compliance deficiencies noted. Some deficiencies remained uncorrected at revisit.

Findings
Kitchen inspection identified sanitation issues including food debris, improper food storage, and temperature monitoring failures. Administration compliance deficiencies noted. Some deficiencies remained uncorrected at revisit.

Deficiencies (2)
OAR 411-054-0030 (1)(a) Resident Services Meals, Food Sanitation Rule
OAR 411-057-0140(2) Administration Compliance

Inspection Report

Validation Re-licensure
Capacity: 20 Deficiencies: 18 Date: Oct 4, 2021

Visit Reason
Re-licensure survey found multiple deficiencies including resident rights violations, abuse reporting failures, incomplete resident evaluations, inadequate service plans, insufficient monitoring of changes of condition, incomplete health services assessments, medication system failures, psychotropic medication issues, fire and life safety noncompliance, and lack of individualized activity and behavior plans.

Findings
Re-licensure survey found multiple deficiencies including resident rights violations, abuse reporting failures, incomplete resident evaluations, inadequate service plans, insufficient monitoring of changes of condition, incomplete health services assessments, medication system failures, psychotropic medication issues, fire and life safety noncompliance, and lack of individualized activity and behavior plans.

Deficiencies (18)
OAR 411-054-0020 Resident Rights and Protection - General
OAR 411-054-0028 Reporting & Investigating Abuse-Other Action
OAR 411-054-0034 Resident Move-In and Evaluation
OAR 411-054-0036 Service Plan: General
OAR 411-054-0040 Change of Condition and Monitoring
OAR 411-054-0045 Resident Health Services
OAR 411-054-0055 Systems: Medications and Treatments
OAR 411-054-0055 Systems: Tracking Control Substances
OAR 411-054-0055 Systems: Treatment Orders
OAR 411-054-0055 Systems: Medication Administration
OAR 411-054-0055 Systems: Psychotropic Medication
OAR 411-054-0060 Restraints and Supportive Devices
OAR 411-054-0070 Training Within 30 Days of Hire – Direct Care Staff
OAR 411-054-0090 Fire and Life Safety: Safety and Training for Residents
OAR 411-054-0105 Inspections and Investigation: Inspection Interval
OAR 411-054-0200 General Building Exterior and Interior Maintenance
OAR411-004-0020 Individual Rights Settings: Privacy, Dignity, Own Unit, Door Locks
OAR 411-057-0140 Administration Compliance

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