Inspection Reports for Oak Lane Residential Care Facility

727 SW ROGUE RIVER AVENUE, OR, 97526

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

34% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

20 15 10 5 0
2021
2022
2023
2024
2025

Inspection Report

Re Licensure
Capacity: 80 Deficiencies: 12 Date: Feb 27, 2025

Visit Reason
Facility failed to report injury of unknown cause to local SPD, service plans not reflective of resident needs, infection prevention and control protocols not maintained, medication orders not carried out as prescribed, acuity-based staffing tool not updated quarterly, general building exterior and environment not maintained in good repair, call systems and exit door alarms not functional, and administration compliance issues.

Findings
Facility failed to report injury of unknown cause to local SPD, service plans not reflective of resident needs, infection prevention and control protocols not maintained, medication orders not carried out as prescribed, acuity-based staffing tool not updated quarterly, general building exterior and environment not maintained in good repair, call systems and exit door alarms not functional, and administration compliance issues.

Deficiencies (12)
OAR 411-054-0028 (1-3) Reporting & Investigating Abuse-Other Action
OAR 411-054-0036 (1-4) Service Plan: General
OAR 411-054-0050(1-5) Infection Prevention & Control
OAR 411-054-0055 (1)(f-h) Systems: Treatment Orders
OAR 411-054-0037 (4-6) Acuity Based Staffing Tool - Updates & Staffing Plan
OAR 411-054-0200 (3) General Building Exterior
OAR 411-054-0200 (4)(d-i) Doors, Walls, Elevators, Odors
OAR 411-054-0200 (11-13) Call Sys, Exit Dr Alarm, Phones, TV, or Cable
OAR 411-057-0140(2) Administration Compliance
OAR 411-057-0160(2b) Compliance with Rules Health Care
OAR 411-057-0160(2)(c)(A)(B) Nutrition and Hydration
OAR 411-057-0160(e) Behavior

Inspection Report

State Licensure Other
Capacity: 80 Deficiencies: 3 Date: Jun 3, 2024

Visit Reason
Kitchen inspection revealed multiple sanitation and maintenance issues including splatters, spills, stains, damaged surfaces, undated and expired foods. Facility was found in substantial compliance upon revisit.

Findings
Kitchen inspection revealed multiple sanitation and maintenance issues including splatters, spills, stains, damaged surfaces, undated and expired foods. Facility was found in substantial compliance upon revisit.

Deficiencies (3)
OAR 411-054-0030 Resident Services- Meals and Oregon Health Service Food Sanitation Rules
OAR 411-054-0030 Resident Services Meals, Food Sanitation Rule
Administration Compliance

Inspection Report

State Licensure Other
Capacity: 80 Deficiencies: 1 Date: Jan 19, 2023

Visit Reason
Kitchen inspection documented; facility found in substantial compliance with relevant OARs.

Findings
Kitchen inspection documented; facility found in substantial compliance with relevant OARs.

Deficiencies (1)
OAR 411-054-0030 Resident Services- Meals

Inspection Report

Complaint Investigation
Capacity: 80 Deficiencies: 3 Date: Nov 2, 2022

Visit Reason
Complaint investigation identified deficiencies related to Assisted Living and Residential Care Facilities compliance with state and local laws, including fire and life safety issues.

Findings
Complaint investigation identified deficiencies related to Assisted Living and Residential Care Facilities compliance with state and local laws, including fire and life safety issues.

Deficiencies (3)
Licensing Complaint Investigation
OAR 411-054-0420 Fire and Life Safety: Safety
OAR 411-054-0421 Fire and Life Safety: Safety

Inspection Report

Complaint Investigation
Capacity: 80 Deficiencies: 6 Date: Oct 6, 2022

Visit Reason
Complaint investigation revealed multiple deficiencies including staffing shortages, inadequate activity programs, medication administration issues, acuity-based staffing tool not updated, and failure to follow licensing rules.

Findings
Complaint investigation revealed multiple deficiencies including staffing shortages, inadequate activity programs, medication administration issues, acuity-based staffing tool not updated, and failure to follow licensing rules.

Deficiencies (6)
Licensing Complaint Investigation
OAR 411-054-0200 Resident Rights and Protection - General
OAR 411-054-0242 Resident Services: Activities
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0360 Staffing Requirements and Training: Staffing
OAR 411-054-0361 Acuity-Based Staffing Tool

Inspection Report

State Licensure
Capacity: 80 Deficiencies: 1 Date: May 3, 2021

Visit Reason
COVID-19 Preparedness Follow up Questionnaire documented; facility found in substantial compliance.

Findings
COVID-19 Preparedness Follow up Questionnaire documented; facility found in substantial compliance.

Deficiencies (1)
General Comments

Inspection Report

Re Licensure
Capacity: 80 Deficiencies: 19 Date: May 3, 2021

Visit Reason
Re-licensure survey identified multiple deficiencies including resident evaluations, service plans, change of condition monitoring, health services, medication administration, staffing training, fire and life safety, building exterior, and activities. Some deficiencies were corrected upon revisit.

Findings
Re-licensure survey identified multiple deficiencies including resident evaluations, service plans, change of condition monitoring, health services, medication administration, staffing training, fire and life safety, building exterior, and activities. Some deficiencies were corrected upon revisit.

Deficiencies (19)
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 411-054-0302 Systems: Tracking Control Substances
OAR 411-054-0303 Systems: Treatment Orders
OAR 411-054-0305 Systems: Resident Right to Refuse
OAR 411-054-0310 Systems: Medication Administration
OAR 411-054-0372 Training Within 30 Days: Direct Care Staff
OAR 411-054-0420 Fire and Life Safety: Safety
OAR 411-054-0510 General Building Exterior
OAR 411-054-0513 Doors, Walls, Elevators, Odors
OAR 411-054-0540 Heating and Ventilation
OAR 411-054-0545 Plumbing Systems
OAR 411-054-0555 Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
OAR 411-057-0142 Administration Compliance
OAR 411-057-0155 Staff Training Requirements
OAR 411-057-0162 Compliance With Rules Health Care
OAR 411-057-0164 Activities

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