Inspection Reports for Wellsprings Assisted Living Facility
2104 W IDAHO AVE, OR, 97914
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Kitchen
Capacity: 38
Deficiencies: 1
Date: Jun 5, 2025
Visit Reason
Facility failed to ensure the kitchen was maintained in accordance with Food Sanitation Rules. Multiple areas in kitchen, warewashing, dry food storage, and dining room were unclean or in disrepair. Staff acknowledged findings.
Findings
Facility failed to ensure the kitchen was maintained in accordance with Food Sanitation Rules. Multiple areas in kitchen, warewashing, dry food storage, and dining room were unclean or in disrepair. Staff acknowledged findings.
Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
Inspection Report
Capacity: 38
Deficiencies: 28
Date: Sep 19, 2024
Visit Reason
Multiple deficiencies including failure to implement quality improvement program, resident rights violations, failure to investigate abuse, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments for significant changes, medication administration and delegation issues, infection control failures, and staffing and training deficiencies. All deficiencies were not corrected at revisit.
Findings
Multiple deficiencies including failure to implement quality improvement program, resident rights violations, failure to investigate abuse, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments for significant changes, medication administration and delegation issues, infection control failures, and staffing and training deficiencies. All deficiencies were not corrected at revisit.
Deficiencies (28)
OAR 411-054-0025 — Facility Administration: Quality Improvement
OAR 411-054-0027 — Resident Rights and Protection
OAR 411-054-0028 — Reporting & Investigating Abuse-Other Action
OAR 411-054-0034 — Resident Move-in and Eval: 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 411-054-0045 — RN Delegation and Teaching
OAR 411-054-0045 — Res Hlth Srvc: On- and Off-Site Health Srvc
OAR 411-054-0050 — Infection Prevention & Control
OAR 411-054-0055 — Systems: Medications and Treatments
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: Medication & Treatment-General
OAR 411-054-0055 — Systems: Self-Administration of Meds
OAR 411-054-0055 — Systems: Psychotropic Medication
OAR 411-054-0060 — Restraints and Supportive Devices
OAR 411-054-0070 — Staffing Rqmt and Training: Training Rqmts
OAR 411-054-0070 — Staffing Rqmts and Training: Caregiver Rqmts
OAR 411-054-0070 — Training within 30 days: Direct Care Staff
OAR 411-054-0090 — Fire and Life Safety: Safety
OAR 411-054-0105 — Inspections and Investigation: Insp Interval
OAR 411-054-0300 — General Building: Doors-Walls, Cleanable
OAR 411-004-0020 — Individual Rights Settings: Privacy, Dignity
OAR 411-004-0020 — Physical Setting: Individual Accessible
OAR 411-004-0020 — Individual Visitors: Any Time
OAR 411-004-0040 — Limitations: Threats To Health And Safety
Inspection Report
Capacity: 38
Deficiencies: 1
Date: Dec 18, 2023
Visit Reason
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Findings
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
Inspection Report
Complaint Investigation
Capacity: 38
Deficiencies: 4
Date: Oct 6, 2022
Visit Reason
Complaint investigation identified deficiencies in medication administration observation, failure to administer medications as ordered, and acuity-based staffing tool compliance.
Findings
Complaint investigation identified deficiencies in medication administration observation, failure to administer medications as ordered, and acuity-based staffing tool compliance.
Deficiencies (4)
OAR 411-054-0000 — Licensing Complaint Investigation
OAR 411-054-0055 — Systems: Medication Administration
OAR 411-054-0055 — Systems: Treatment Orders
OAR 411-054-0070 — Acuity-Based Staffing Tool
Inspection Report
Capacity: 38
Deficiencies: 1
Date: Aug 18, 2022
Visit Reason
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Findings
Kitchen inspection found initial deficiencies with food sanitation and kitchen cleanliness and repair. Revisit showed substantial compliance with Food Sanitation Rules.
Deficiencies (1)
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
Inspection Report
Capacity: 38
Deficiencies: 11
Date: Jul 26, 2021
Visit Reason
Re-licensure survey with multiple deficiencies including failure to implement effective complaint resolution, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments, medication administration issues, staffing and training deficiencies, and fire and life safety training failures. Some deficiencies were corrected at revisit.
Findings
Re-licensure survey with multiple deficiencies including failure to implement effective complaint resolution, incomplete resident evaluations and service plans, inadequate change of condition monitoring, lack of RN assessments, medication administration issues, staffing and training deficiencies, and fire and life safety training failures. Some deficiencies were corrected at revisit.
Deficiencies (11)
OAR 411-054-00154 — Facility Administration: Policy & Procedure
OAR 411-054-0030 — Resident Services Meals, Food Sanitation Rule
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 411-054-0310 — Systems: Medication Administration
OAR 411-054-0325 — Systems: Self-Administration of Meds
OAR 411-054-0372 — Training Within 30 Days: Direct Care Staff
OAR 411-054-0422 — Fire and Life Safety: Training For Residents
OAR 411-054-0455 — Inspections and Investigation: Insp Interval
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