Inspection Reports for Wellsprings Assisted Living Facility
2104 W IDAHO AVE, OR, 97914
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Kitchen
Capacity: 38
Deficiencies: 1
Jun 5, 2025
Visit Reason
Facility failed to ensure the kitchen was maintained in accordance with Food Sanitation Rules. Multiple areas in kitchen, warewashing, dry food storage, and dining room were unclean or in disrepair. Staff acknowledged findings.
Findings
Facility failed to ensure the kitchen was maintained in accordance with Food Sanitation Rules. Multiple areas in kitchen, warewashing, dry food storage, and dining room were unclean or in disrepair. Staff acknowledged findings.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
Inspection Report
Capacity: 38
Deficiencies: 28
Sep 19, 2024
Visit Reason
Multiple deficiencies including failure to implement quality improvement program, resident rights violations, failure to investigate abuse, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments for significant changes, medication administration and delegation issues, infection control failures, and staffing and training deficiencies. All deficiencies were not corrected at revisit.
Findings
Multiple deficiencies including failure to implement quality improvement program, resident rights violations, failure to investigate abuse, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments for significant changes, medication administration and delegation issues, infection control failures, and staffing and training deficiencies. All deficiencies were not corrected at revisit.
Deficiencies (28)
| Description |
|---|
| OAR 411-054-0025 — Facility Administration: Quality Improvement |
| OAR 411-054-0027 — Resident Rights and Protection |
| OAR 411-054-0028 — Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0034 — Resident Move-in and Eval: Res 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 411-054-0045 — RN Delegation and Teaching |
| OAR 411-054-0045 — Res Hlth Srvc: On- and Off-Site Health Srvc |
| OAR 411-054-0050 — Infection Prevention & Control |
| OAR 411-054-0055 — Systems: Medications and Treatments |
| OAR 411-054-0055 — Systems: Treatment Orders |
| OAR 411-054-0055 — Systems: Resident Right to Refuse |
| OAR 411-054-0055 — Systems: Medication Administration |
| OAR 411-054-0055 — Systems: Medication & Treatment-General |
| OAR 411-054-0055 — Systems: Self-Administration of Meds |
| OAR 411-054-0055 — Systems: Psychotropic Medication |
| OAR 411-054-0060 — Restraints and Supportive Devices |
| OAR 411-054-0070 — Staffing Rqmt and Training: Training Rqmts |
| OAR 411-054-0070 — Staffing Rqmts and Training: Caregiver Rqmts |
| OAR 411-054-0070 — Training within 30 days: Direct Care Staff |
| OAR 411-054-0090 — Fire and Life Safety: Safety |
| OAR 411-054-0105 — Inspections and Investigation: Insp Interval |
| OAR 411-054-0300 — General Building: Doors-Walls, Cleanable |
| OAR 411-004-0020 — Individual Rights Settings: Privacy, Dignity |
| OAR 411-004-0020 — Physical Setting: Individual Accessible |
| OAR 411-004-0020 — Individual Visitors: Any Time |
| OAR 411-004-0040 — Limitations: Threats To Health And Safety |
Inspection Report
Capacity: 38
Deficiencies: 1
Dec 18, 2023
Visit Reason
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Findings
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
Inspection Report
Complaint Investigation
Capacity: 38
Deficiencies: 4
Oct 6, 2022
Visit Reason
Complaint investigation identified deficiencies in medication administration observation, failure to administer medications as ordered, and acuity-based staffing tool compliance.
Findings
Complaint investigation identified deficiencies in medication administration observation, failure to administer medications as ordered, and acuity-based staffing tool compliance.
Deficiencies (4)
| Description |
|---|
| OAR 411-054-0000 — Licensing Complaint Investigation |
| OAR 411-054-0055 — Systems: Medication Administration |
| OAR 411-054-0055 — Systems: Treatment Orders |
| OAR 411-054-0070 — Acuity-Based Staffing Tool |
Inspection Report
Capacity: 38
Deficiencies: 1
Aug 18, 2022
Visit Reason
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Findings
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
Inspection Report
Capacity: 38
Deficiencies: 11
Jul 26, 2021
Visit Reason
Re-licensure survey with multiple deficiencies including failure to implement effective complaint resolution, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments, medication administration issues, staffing and training deficiencies, and fire and life safety training failures. Some deficiencies were corrected at revisit.
Findings
Re-licensure survey with multiple deficiencies including failure to implement effective complaint resolution, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments, medication administration issues, staffing and training deficiencies, and fire and life safety training failures. Some deficiencies were corrected at revisit.
Deficiencies (11)
| Description |
|---|
| OAR 411-054-00154 — Facility Administration: Policy & Procedure |
| OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0252 — Resident Move-In and Eval: Res Evaluation |
| OAR 411-054-0260 — Service Plan: General |
| OAR 411-054-0270 — Change of Condition and Monitoring |
| OAR 411-054-0280 — Resident Health Services |
| OAR 411-054-0310 — Systems: Medication Administration |
| OAR 411-054-0325 — Systems: Self-Administration of Meds |
| 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 |
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