Deficiencies (last 4 years)
Deficiencies (over 4 years)
5.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Capacity: 33
Deficiencies: 2
Date: Jan 30, 2025
Visit Reason
No deficiencies noted during Re-Licensure, Recertification, State Licensure survey.
Findings
No deficiencies noted during Re-Licensure, Recertification, State Licensure survey.
Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report
Complaint Investigation
Capacity: 33
Deficiencies: 7
Date: Dec 10, 2023
Visit Reason
Facility failed to ensure professional nursing standards after a resident fall resulting in serious injury and death. Immediate jeopardy was identified and removed after corrective actions including staff training and policy updates. Additional deficiencies included failure to maintain accident-free environment, incomplete facility assessment, inadequate in-service training for nurse aides, and other administrative failures.
Findings
Facility failed to ensure professional nursing standards after a resident fall resulting in serious injury and death. Immediate jeopardy was identified and removed after corrective actions including staff training and policy updates. Additional deficiencies included failure to maintain accident-free environment, incomplete facility assessment, inadequate in-service training for nurse aides, and other administrative failures.
Deficiencies (7)
F0000 - INITIAL COMMENTS
F0658 - Services Provided Meet Professional Standards
F0689 - Free of Accident Hazards/Supervision/Devices
F0838 - Facility Assessment
F0947 - Required In-Service Training for Nurse Aides
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 33
Deficiencies: 7
Date: Oct 19, 2023
Visit Reason
Facility failed to ensure proper bowel care, dialysis monitoring, medication error rates below 5%, and timely pharmacy recommendations. Multiple residents were at risk due to these failures. Deficiencies also included administrative and nursing service issues.
Findings
Facility failed to ensure proper bowel care, dialysis monitoring, medication error rates below 5%, and timely pharmacy recommendations. Multiple residents were at risk due to these failures. Deficiencies also included administrative and nursing service issues.
Deficiencies (7)
F0000 - INITIAL COMMENTS
F0684 - Quality of Care
F0698 - Dialysis
F0756 - Drug Regimen Review, Report Irregular, Act On
F0759 - Free of Medication Error Rts 5 Prcnt or More
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Complaint Investigation
Capacity: 33
Deficiencies: 4
Date: Apr 29, 2022
Visit Reason
Facility failed to implement a discharge plan of care regarding discharge medications for a resident, placing residents at risk for unsafe discharge. Medication prescriptions were not sent to the pharmacy as required.
Findings
Facility failed to implement a discharge plan of care regarding discharge medications for a resident, placing residents at risk for unsafe discharge. Medication prescriptions were not sent to the pharmacy as required.
Deficiencies (4)
F0000 - INITIAL COMMENTS
F0660 - Discharge Planning Process
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report
Capacity: 33
Deficiencies: 1
Date: Dec 6, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period, potentially causing harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period, potentially causing harm to all residents.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Capacity: 33
Deficiencies: 1
Date: Nov 29, 2021
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period, potentially causing harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period, potentially causing harm to all residents.
Deficiencies (1)
F0884 - Reporting - National Health Safety Network
Inspection Report
Routine
Capacity: 33
Deficiencies: 1
Date: Sep 28, 2021
Visit Reason
No deficiencies noted during State Licensure survey.
Findings
No deficiencies noted during State Licensure survey.
Deficiencies (1)
M0000 - Initial Comments
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