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StarlynnCare
Oregon · Bend

Desert Sage Memory Care.

Desert Sage Memory Care is Grade C, ranked in the top 45% of Oregon memory care with 13 OR DHS citations on record; last inspected Mar 2024.

ALF · Memory Care43 licensed beds · mediumDementia-trained staff
1025 Ne Purcell Blvd · Bend, OR 97701LIC# 0000005221
Facility · Bend
Desert Sage Memory Care
© Google Street Viewoperator? submit a photo →
A 43-bed ALF · Memory Care with 13 citations on file — most recent Jul 2025.
Last inspection · Mar 2024 · citedSource · OR-DHS
Licensed beds
43
Memory care
✓ Yes
Last inspection
Mar 2024
Last citation
Jul 2025
Operated by
Phone
§ 01 · Snapshot

A medium home, reviewed on public record.

§ 02 · Peer Comparison

Ranked against 118 Oregon facilities.

ALF memory care · 36-month window. Higher percentile = better. Source: Oregon Dept. of Human Services · Long-Term Care Licensing.

Severity rank
38th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
26th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

Desert Sage Memory Care has 13 citations on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Desert Sage Memory Care's record and state requirements.

01 /

Desert Sage holds an Oregon DHS Memory Care Endorsement — can you walk us through the written dementia care program that qualified the facility for this endorsement, and explain how staff training differs from a standard assisted living community?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The most recent inspection on March 6, 2024 is part of a record showing 93 deficiencies across 99 reports — can you provide copies of the corrective action plans submitted to Oregon DHS for the deficiencies cited in that March 2024 visit?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

Ninety-five complaints have been filed with Oregon DHS Long-Term Care Licensing over the facility's history — were any of those complaints substantiated, and what specific changes to policies or operations resulted from substantiated findings?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

§ 06 · Full Inspection Record

Every OR-DHS visit, verbatim.

17 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

17
reports on file
13
total deficiencies
2025-07-14
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated that the facility failed to provide a safe environment. The investigation outcome has not been documented in the available record. No determination of substantiation or violation status is available at this time.

Abuse: NeglectOAR §__or_e079d8554319be90f33f004ea2417ebb
Verbatim citation text · OAR §__or_e079d8554319be90f33f004ea2417ebb

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-05-24
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation outcome is not yet available or has not been documented in this record.

Abuse: NeglectOAR §__or_0fb8f146e9f5e288554eb36a25a64187
Verbatim citation text · OAR §__or_0fb8f146e9f5e288554eb36a25a64187

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-04-08
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated regarding failure to properly plan care at the facility. The outcome of the investigation is not yet available. Families should follow up with Oregon DHS Long-Term Care Licensing for final determination of whether a violation was substantiated.

Abuse: NeglectOAR §__or_ec1cf79f74962c3c03835e5a553a5666
Verbatim citation text · OAR §__or_ec1cf79f74962c3c03835e5a553a5666

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-11-07
Complaint Investigation
No findings
2024-08-30
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The inspection outcome was not yet determined at the time this record was created. Families should contact Oregon DHS Long-Term Care Licensing directly for the final investigation results.

Abuse: NeglectOAR §__or_b926b57089ad0716a7d23edbb071594e
Verbatim citation text · OAR §__or_b926b57089ad0716a7d23edbb071594e

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-08-20
Complaint Investigation
No findings
2024-08-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding staffing levels at the facility. The investigation found a licensing violation related to failure to provide appropriate staffing. No further details about the specific staffing deficiency or corrective actions are provided in the available documentation.

Licensing ViolationOAR §__or_a9e929850b965f217eadb2f70c2f7f88
Verbatim citation text · OAR §__or_a9e929850b965f217eadb2f70c2f7f88

Failed to provide appropriate staffing

Full inspector notes

—: Failed to provide appropriate staffing

2024-08-10
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to properly plan care for a resident. The investigation substantiated this violation of licensing requirements. No additional details about the specific care planning deficiencies or corrective actions are provided in the available inspection record.

Abuse: NeglectOAR §__or_6c494d8ce327cb67803e3b7efec34a05
Verbatim citation text · OAR §__or_6c494d8ce327cb67803e3b7efec34a05

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-08-05
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to assure proper hydration. The investigation outcome has not yet been determined or the outcome category was not specified in the report.

Licensing ViolationOAR §__or_835219db4cf36eeb0b7c5e75426c4bac
Verbatim citation text · OAR §__or_835219db4cf36eeb0b7c5e75426c4bac

Failed to assure proper hydration

Full inspector notes

—: Failed to assure proper hydration

2024-07-11
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to properly plan care for a resident. No further details about the specific nature of the care planning deficiency or its outcome were provided in the inspection record.

Licensing ViolationOAR §__or_9e16bd55eab1d8ef42197f8fa79617b9
Verbatim citation text · OAR §__or_9e16bd55eab1d8ef42197f8fa79617b9

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-07-02
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was received regarding failure to properly plan care. The investigation outcome has not yet been determined or is pending. Families should note that this matter remains under review by Oregon DHS.

Licensing ViolationOAR §__or_6314d0724f2fecedf07e95625c90f5e7
Verbatim citation text · OAR §__or_6314d0724f2fecedf07e95625c90f5e7

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-05-17
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that staff failed to use an anti-bowel straining technique (ABST) as required. No further outcome information was provided in the inspection record.

Licensing ViolationOAR §__or_396ada6481f00a24587438fdebd53c47
Verbatim citation text · OAR §__or_396ada6481f00a24587438fdebd53c47

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2024-05-11
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to provide a safe medication administration system. No further details about the specific violations or corrective actions are provided in the available documentation.

Abuse: NeglectOAR §__or_55bb8fb7d68c2d222a8ced4a58abefd2
Verbatim citation text · OAR §__or_55bb8fb7d68c2d222a8ced4a58abefd2

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2024-05-09
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging that the facility failed to properly plan care for a resident. The investigation did not substantiate this complaint. No licensing violation was found.

Abuse: NeglectOAR §__or_53504c427beb710215ce14a59cabc01d
Verbatim citation text · OAR §__or_53504c427beb710215ce14a59cabc01d

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-03-06
Annual Compliance Visit
No findings
2023-12-20
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding falsified records at this facility. The investigation found that records were altered or created inaccurately. No further outcome information is available at this time.

Licensing ViolationOAR §__or_0b75c8e5170f2e901b1f14394874c89b
Verbatim citation text · OAR §__or_0b75c8e5170f2e901b1f14394874c89b

Falsified records

Full inspector notes

—: Falsified records

2023-05-18
Annual Compliance Visit
No findings

33 older inspections from 2016 are not shown in the free view.

33 older inspections (20162023) are available with a premium membership.

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