Deficiencies per Year
16
12
8
4
0
Unclassified
Inspection Report
Re-licensure
Capacity: 55
Deficiencies: 16
Nov 22, 2024
Visit Reason
Facility failed to meet multiple regulatory requirements including resident move-in evaluations, service plan updates, change of condition monitoring, medication administration, staffing, fire safety, and resident rights. None of the 16 deficiencies were corrected as of the revisit on 4/15/2025.
Findings
Facility failed to meet multiple regulatory requirements including resident move-in evaluations, service plan updates, change of condition monitoring, medication administration, staffing, fire safety, and resident rights. None of the 16 deficiencies were corrected as of the revisit on 4/15/2025.
Deficiencies (16)
| Description |
|---|
| OAR 411-054-0034 — Resident Move-in & Evaluation: 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 411-054-0055 — Systems: Treatment Orders |
| OAR 411-054-0055 — Systems: Resident Right to Refuse |
| OAR 411-054-0055 — Systems: Medication Administration |
| OAR 411-054-0055 — Systems: Self-Administration of Meds |
| OAR 411-054-0055 — Systems: Psychotropic Medication |
| OAR 411-054-0070 — Staffing Requirements and Training: Staffing |
| OAR 411-054-0037 — Acuity Based Staffing Tool - ABST Time |
| OAR 411-054-0037 — Acuity Based Staffing Tool - Updates & Staffing Plan |
| OAR 411-054-0090 — Fire and Life Safety: Safety |
| OAR 411-054-0090 — Fire and Life Safety: Training for Residents |
| OAR 411-054-0300 — Resident Units |
| OAR411-004-0020 — Individual freedom & Support: Activities |
Inspection Report
Capacity: 55
Deficiencies: 1
Jan 10, 2024
Visit Reason
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Findings
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 — Comment |
Inspection Report
Capacity: 55
Deficiencies: 1
Jan 24, 2023
Visit Reason
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Findings
Kitchen inspection found the facility in substantial compliance with relevant OARs for Resident Services - Meals and Food Sanitation Rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 — Comment |
Inspection Report
Re-licensure
Capacity: 55
Deficiencies: 5
Jun 28, 2021
Visit Reason
Re-licensure survey identified 5 deficiencies including failure to investigate abuse allegations, kitchen cleanliness issues, medication administration errors, call system deficiencies, and resident services meal sanitation problems. Some deficiencies were corrected by revisit in October 2021.
Findings
Re-licensure survey identified 5 deficiencies including failure to investigate abuse allegations, kitchen cleanliness issues, medication administration errors, call system deficiencies, and resident services meal sanitation problems. Some deficiencies were corrected by revisit in October 2021.
Deficiencies (5)
| Description |
|---|
| OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action |
| OAR 411-054-0240 — Resident Services Meals, Food Sanitation Rule |
| OAR 411-054-0303 — Systems: Treatment Orders |
| OAR 411-054-0310 — Systems: Medication Administration |
| OAR 411-054-0655 — Call System |
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