Deficiencies (last 4 years)
Deficiencies (over 4 years)
4.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Re-licensure
Capacity: 62
Deficiencies: 8
Oct 17, 2024
Visit Reason
Multiple deficiencies identified including failure to ensure changes of condition were evaluated and referred to RN, failure to complete timely RN assessments for significant changes, medication administration record inaccuracies, self-administration evaluations missing, acuity based staffing tool and staffing plan discrepancies, training deficiencies for new and existing staff, and lack of annual fire and life safety training for residents.
Findings
Multiple deficiencies identified including failure to ensure changes of condition were evaluated and referred to RN, failure to complete timely RN assessments for significant changes, medication administration record inaccuracies, self-administration evaluations missing, acuity based staffing tool and staffing plan discrepancies, training deficiencies for new and existing staff, and lack of annual fire and life safety training for residents.
Deficiencies (8)
| Description |
|---|
| OAR 411-054-0040 (1-2) Change of Condition and Monitoring — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0045 (1)(a-f)(A)(C-F) Resident Health Services — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0055 (2) Systems: Medication Administration — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0055 (5) Systems: Self-Administration of Meds — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0070 (5 & 9-10) Training Within 30 Days of Hire – Direct Care Staff — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0070 (6-8) Annual and Biennial Inservice for All Staff — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0090 (5) Fire and Life Safety: Training for Residents — Topic of regulation (ALL deficiencies merged) |
Inspection Report
State Licensure
Capacity: 62
Deficiencies: 1
Jul 22, 2024
Visit Reason
Findings from kitchen inspection revealed failure to maintain kitchen in good repair and sanitary manner with multiple food safety and sanitation violations. Revisit showed substantial compliance.
Findings
Findings from kitchen inspection revealed failure to maintain kitchen in good repair and sanitary manner with multiple food safety and sanitation violations. Revisit showed substantial compliance.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 — Topic of regulation (ALL deficiencies merged) |
Inspection Report
Complaint Investigation
Capacity: 62
Deficiencies: 2
Jun 25, 2024
Visit Reason
Facility failed to ensure safe medication administration system and failed to have a training program that includes competency evaluation for direct care staff.
Findings
Facility failed to ensure safe medication administration system and failed to have a training program that includes competency evaluation for direct care staff.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0030 Systems: Treatment Orders — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0070 Staffing Rqmt and Training: Training Rqmts — Topic of regulation (ALL deficiencies merged) |
Inspection Report
State Licensure
Capacity: 62
Deficiencies: 1
Sep 14, 2023
Visit Reason
Kitchen inspection found facility in substantial compliance with resident services meals and food sanitation rules.
Findings
Kitchen inspection found facility in substantial compliance with resident services meals and food sanitation rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 — Topic of regulation (ALL deficiencies merged) |
Inspection Report
State Licensure
Capacity: 62
Deficiencies: 1
Aug 17, 2022
Visit Reason
Kitchen inspection found facility in substantial compliance with resident services meals and food sanitation rules.
Findings
Kitchen inspection found facility in substantial compliance with resident services meals and food sanitation rules.
Deficiencies (1)
| Description |
|---|
| OAR 411-054-0030 Resident Services - Meals and Oregon Health Service Food Sanitation Rules OARs 333-150-0000 — Topic of regulation (ALL deficiencies merged) |
Inspection Report
Complaint Investigation
Capacity: 62
Deficiencies: 3
Jul 28, 2022
Visit Reason
Complaint investigation found deficiencies related to licensing complaint investigation, staffing requirements and training, and acuity-based staffing tool implementation.
Findings
Complaint investigation found deficiencies related to licensing complaint investigation, staffing requirements and training, and acuity-based staffing tool implementation.
Deficiencies (3)
| Description |
|---|
| OAR 411-054-0030 Licensing Complaint Investigation — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0070 Staffing Requirements and Training: Staffing — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0070 Acuity-Based Staffing Tool — Topic of regulation (ALL deficiencies merged) |
Inspection Report
Validation
Capacity: 62
Deficiencies: 2
May 26, 2021
Visit Reason
Re-licensure survey and revisit found deficiencies related to change of condition monitoring, heating and ventilation safety, and failure to thoroughly investigate falls and monitor fall interventions.
Findings
Re-licensure survey and revisit found deficiencies related to change of condition monitoring, heating and ventilation safety, and failure to thoroughly investigate falls and monitor fall interventions.
Deficiencies (2)
| Description |
|---|
| OAR 411-054-0040 Change of Condition and Monitoring — Topic of regulation (ALL deficiencies merged) |
| OAR 411-054-0070 Heating and Ventilation — Topic of regulation (ALL deficiencies merged) |
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