Deficiencies (last 4 years)
Deficiencies (over 4 years)
9.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Routine
Capacity: 39
Deficiencies: 3
Date: Jun 5, 2025
Visit Reason
Facility failed to maintain kitchen sanitation and serve food at proper temperatures and textures per Food Sanitation Rules. Multiple areas of contamination and repair needs identified. Staff acknowledged findings. Repeated deficiencies noted.
Findings
Facility failed to maintain kitchen sanitation and serve food at proper temperatures and textures per Food Sanitation Rules. Multiple areas of contamination and repair needs identified. Staff acknowledged findings. Repeated deficiencies noted.
Deficiencies (3)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-057-0140 — Administration Compliance
Inspection Report
Complaint Investigation
Capacity: 39
Deficiencies: 4
Date: Mar 25, 2025
Visit Reason
Facility failed to carry out medication and treatment orders as prescribed and failed to have a fully implemented and updated Acuity-Based Staffing Tool (ABST). Staffing plan deficiencies noted. Findings substantiated and acknowledged by staff.
Findings
Facility failed to carry out medication and treatment orders as prescribed and failed to have a fully implemented and updated Acuity-Based Staffing Tool (ABST). Staffing plan deficiencies noted. Findings substantiated and acknowledged by staff.
Deficiencies (4)
OAR 411-054-0303 — Systems: Treatment Orders
OAR 411-054-0360 — Staffing Requirements and Training: Staffing
OAR 411-054-0362 — Acuity Based Staffing Tool - Abst Time
OAR 411-054-0363 — Acuity Based Staffing Tool - Updates & Plan
Inspection Report
Capacity: 39
Deficiencies: 4
Date: Apr 11, 2024
Visit Reason
Kitchen inspection found multiple sanitation and repair issues. Several deficiencies corrected by 09/16/2024 revisit. Administration compliance and inspection interval deficiencies also noted with some corrected at revisit.
Findings
Kitchen inspection found multiple sanitation and repair issues. Several deficiencies corrected by 09/16/2024 revisit. Administration compliance and inspection interval deficiencies also noted with some corrected at revisit.
Deficiencies (4)
OAR 411-054-0000 — Comment
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-057-0140 — Administration Compliance
Inspection Report
Complaint Investigation
Capacity: 39
Deficiencies: 4
Date: Sep 22, 2023
Visit Reason
Investigation found failures in licensing complaint investigation, resident rights and protection, medication administration, inspections and investigations. Facility failed to provide safe and home-like environment and failed to make records available to the Department. No plan of correction provided.
Findings
Investigation found failures in licensing complaint investigation, resident rights and protection, medication administration, inspections and investigations. Facility failed to provide safe and home-like environment and failed to make records available to the Department. No plan of correction provided.
Deficiencies (4)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0200 — Resident Rights and Protection - General
OAR 411-054-0303 — Systems: Treatment Orders
OAR 411-054-0450 — Inspections and Investigations
Inspection Report
Capacity: 39
Deficiencies: 9
Date: Mar 6, 2023
Visit Reason
Re-licensure survey found multiple deficiencies including reporting and investigating abuse, service plan general, training within 30 days for direct care staff, facility maintenance, administration compliance, staff training requirements, health care compliance, and secure outdoor recreation area. Many deficiencies corrected by revisit in June 2023.
Findings
Re-licensure survey found multiple deficiencies including reporting and investigating abuse, service plan general, training within 30 days for direct care staff, facility maintenance, administration compliance, staff training requirements, health care compliance, and secure outdoor recreation area. Many deficiencies corrected by revisit in June 2023.
Deficiencies (9)
OAR 411-054-0000 — Comment
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0260 — Service Plan: General
OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff
OAR 411-054-0513 — Doors, Walls, Elevators, Odors
OAR 411-057-0140 — Administration Compliance
OAR 411-057-0155 — Staff Training Requirements
OAR 411-054-0162 — Compliance With Rules Health Care
OAR 411-057-0173 — Secure Outdoor Recreation Area
Inspection Report
Complaint Investigation
Capacity: 39
Deficiencies: 4
Date: Jan 12, 2023
Visit Reason
Complaint investigation found failures in licensing complaint investigation, resident rights and protection, service plan updates, and treatment orders. All deficiencies were not corrected at time of visit.
Findings
Complaint investigation found failures in licensing complaint investigation, resident rights and protection, service plan updates, and treatment orders. All deficiencies were not corrected at time of visit.
Deficiencies (4)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0210 — Resident Rights and Protection: Personal Relations
OAR 411-054-0260 — Service Plan: General
OAR 411-054-0303 — Systems: Treatment Orders
Inspection Report
Capacity: 39
Deficiencies: 4
Date: Jan 3, 2023
Visit Reason
Kitchen inspection found immediate jeopardy due to unsanitary conditions and lack of knowledge in safe food handling. Immediate plan of correction implemented and kitchen operations suspended temporarily. Multiple deficiencies related to food sanitation, staffing, and administration compliance noted with some corrected by revisit in June 2023.
Findings
Kitchen inspection found immediate jeopardy due to unsanitary conditions and lack of knowledge in safe food handling. Immediate plan of correction implemented and kitchen operations suspended temporarily. Multiple deficiencies related to food sanitation, staffing, and administration compliance noted with some corrected by revisit in June 2023.
Deficiencies (4)
OAR 411-054-0000 — Comment
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
OAR 411-054-0455 — Inspections and Investigation: Insp Interval
OAR 411-057-0140 — Administration Compliance
Inspection Report
Complaint Investigation
Capacity: 39
Deficiencies: 6
Date: Oct 20, 2022
Visit Reason
Complaint investigation found failures in abuse reporting and investigation, service plan updates, medication administration, staffing requirements, and acuity-based staffing tool implementation. All deficiencies were not corrected at time of visit.
Findings
Complaint investigation found failures in abuse reporting and investigation, service plan updates, medication administration, staffing requirements, and acuity-based staffing tool implementation. All deficiencies were not corrected at time of visit.
Deficiencies (6)
OAR 411-054-0010 — Licensing Complaint Investigation
OAR 411-054-0231 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0260 — Service Plan: General
OAR 411-054-0310 — Systems: Medication Administration
OAR 411-054-0360 — Staffing Requirements and Training: Staffing
OAR 411-054-0361 — Acuity-Based Staffing Tool
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