Deficiencies (last 3 years)
Deficiencies (over 3 years)
16.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
143% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
90% occupied
Based on a August 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 53
Capacity: 59
Deficiencies: 19
Aug 22, 2025
Visit Reason
Seventeen deficiencies identified including issues with resident self-administration of medications, abuse and neglect, misappropriation, physical and chemical restraints, care planning, accident hazards, nursing staff sufficiency, medication errors, food safety, therapy services, infection prevention, and reporting. Most deficiencies were corrected by 9/17/2025.
Findings
Seventeen deficiencies identified including issues with resident self-administration of medications, abuse and neglect, misappropriation, physical and chemical restraints, care planning, accident hazards, nursing staff sufficiency, medication errors, food safety, therapy services, infection prevention, and reporting. Most deficiencies were corrected by 9/17/2025.
Deficiencies (19)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0554 - Resident Self-Admin Meds-Clinically Approp |
| F0600 - Free from Abuse and Neglect |
| F0602 - Free from Misappropriation/Exploitation |
| F0604 - Right to be Free from Physical Restraints |
| F0605 - Right to be Free from Chemical Restraints |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0725 - Sufficient Nursing Staff |
| F0732 - Posted Nurse Staffing Information |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0761 - Label/Store Drugs and Biologicals |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| F0825 - Provide/Obtain Specialized Rehab Services |
| F0880 - Infection Prevention & Control |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 59
Deficiencies: 2
Jul 9, 2024
Visit Reason
No deficiencies identified. Two citations noted as initial comments with visit history showing not corrected status.
Findings
No deficiencies identified. Two citations noted as initial comments with visit history showing not corrected status.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 59
Deficiencies: 14
May 17, 2024
Visit Reason
Eleven deficiencies identified including failure to implement care plans, provide ADL care, quality of care, accident hazards, respiratory care, drug regimen review, medication errors, food safety, staffing, and administrative rules. Some deficiencies corrected by 6/7/2024, others not corrected.
Findings
Eleven deficiencies identified including failure to implement care plans, provide ADL care, quality of care, accident hazards, respiratory care, drug regimen review, medication errors, food safety, staffing, and administrative rules. Some deficiencies corrected by 6/7/2024, others not corrected.
Deficiencies (14)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0677 - ADL Care Provided for Dependent Residents |
| F0684 - Quality of Care |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0759 - Free of Medication Error Rts 5 Prcnt or More |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Census: 53
Capacity: 59
Deficiencies: 1
Feb 12, 2024
Visit Reason
One deficiency related to failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Findings
One deficiency related to failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Census: 53
Capacity: 59
Deficiencies: 1
Jan 2, 2024
Visit Reason
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Findings
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 59
Deficiencies: 9
Dec 7, 2023
Visit Reason
Six deficiencies including abuse and neglect, failure to report and investigate abuse allegations, failure to prevent abuse, failure to ensure resident rights, and failure of administration to implement policies to prevent abuse. Some deficiencies corrected, others not corrected.
Findings
Six deficiencies including abuse and neglect, failure to report and investigate abuse allegations, failure to prevent abuse, failure to ensure resident rights, and failure of administration to implement policies to prevent abuse. Some deficiencies corrected, others not corrected.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0600 - Free from Abuse and Neglect |
| F0609 - Reporting of Alleged Violations |
| F0610 - Investigate/Prevent/Correct Alleged Violation |
| F0658 - Services Provided Meet Professional Standards |
| F0835 - Administration |
| F0868 - QAA Committee |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Census: 53
Capacity: 59
Deficiencies: 1
Nov 6, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Findings
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Census: 53
Capacity: 59
Deficiencies: 1
Sep 25, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Findings
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Census: 53
Capacity: 59
Deficiencies: 1
May 15, 2023
Visit Reason
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Findings
One deficiency for failure to report complete COVID-19 information to CDC's NHSN during a required seven-day period. Deficiency not corrected at revisit.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
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