Editorial Independence

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StarlynnCare
Oregon · Coos Bay

New Friends of Coos Bay.

New Friends of Coos Bay is Grade D, ranked in the bottom 38% of Oregon memory care with 44 OR DHS citations on record; last inspected Feb 2026.

ALF · Memory Care55 licensed beds · largeDementia-trained staff
955 Kentucky Ave · Coos Bay, OR 97420LIC# 0000050491
Facility · Coos Bay
A 55-bed ALF · Memory Care with 44 citations on file — most recent Dec 2025.
Last inspection · Feb 2026 · citedSource · OR-DHS
Licensed beds
55
Memory care
✓ Yes
Last inspection
Feb 2026
Last citation
Dec 2025
Operated by
Phone
§ 01 · Snapshot

A large 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
11th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
3th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

New Friends of Coos Bay has 44 citations on record. Know the moment anything changes.

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

§ 03 · The Record

Citation history, plotted month by month.

44 deficiencies on record. Each bar is a month with a citation.

100weighted score · 24 mo
Last citation: DEC 2025. Compared against peer median (dashed).
peer median
DEC 2025
Jun 2024May 2026

Finding distribution

57 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G19
H
I
Sev 2
D
E
F
Sev 1
A38
B
C
2026-02-06
Annual Compliance Visit
OR-DHS
No findings
2025-12-10
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-10-30
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-09-24
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-09-18
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-08-28
Annual Compliance Visit
OR-DHS
No findings
2025-07-06
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-07-04
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-06-29
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-06-14
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-05-05
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-05-03
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-04-30
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-02-24
Complaint Investigation
OR-DHS
1 · Licensing Violation
2025-02-11
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2025-01-26
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-12-13
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-12-11
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-11-14
Complaint Investigation
OR-DHS
No findings
2024-10-26
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-10-12
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-09-23
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-09-22
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-09-02
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-08-29
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-07-31
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-07-29
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-07-15
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-07-11
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-07-10
Complaint Investigation
OR-DHS
No findings
2024-07-04
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-06-25
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-05-23
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-05-06
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-05-03
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-04-24
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-04-19
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-03-29
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-27
Complaint Investigation
OR-DHS
1 · Abuse: Neglect
2024-03-25
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-17
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-15
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-14
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-03-11
Complaint Investigation
OR-DHS
No findings
2024-02-19
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-02-16
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-02-10
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-02-08
Complaint Investigation
OR-DHS
1 · Licensing Violation
2024-01-18
Complaint Investigation
OR-DHS
1 · Licensing Violation
2023-12-12
Annual Compliance Visit
OR-DHS
No findings
§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to New Friends of Coos Bay's record and state requirements.

01 /

Oregon DHS records show 104 inspection reports on file with 93 deficiencies cited — can you walk us through the most common deficiency themes found during inspections, and provide copies of your corrective action plans for the most recent findings?

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

02 /

The facility holds an Oregon DHS Memory Care Endorsement — can you provide written documentation of the specific dementia care training staff complete to meet endorsement requirements, and confirm how often that training is refreshed?

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

03 /

Records show 100 complaints were filed with Oregon DHS over the inspection history — were any of those complaints substantiated, and can you share documentation of how the facility responded to 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.

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

50
reports on file
44
total deficiencies
2026-02-06
Annual Compliance Visit
No findings
2025-12-10
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No licensing violation was found.

Abuse: NeglectOAR §__or_828bd2749b717a3f0e7dbffccd8486c0
Verbatim citation text · OAR §__or_828bd2749b717a3f0e7dbffccd8486c0

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-10-30
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation found a licensing violation related to environmental safety. The facility was required to correct this deficiency.

Abuse: NeglectOAR §__or_6b643df3cbe345a859c5038fe13ad60f
Verbatim citation text · OAR §__or_6b643df3cbe345a859c5038fe13ad60f

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-09-24
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to provide inservice training. The investigation found a licensing violation related to staff training requirements.

Licensing ViolationOAR §__or_76c57ebf75dec25d354632cac8bb1811
Verbatim citation text · OAR §__or_76c57ebf75dec25d354632cac8bb1811

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2025-09-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No violations were found.

Licensing ViolationOAR §__or_a47687e91619e4bdddaebf0580a60203
Verbatim citation text · OAR §__or_a47687e91619e4bdddaebf0580a60203

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-08-28
Annual Compliance Visit
No findings
2025-07-06
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to provide inservice training. The investigation found a licensing violation in this area. The facility did not meet the requirement to provide staff with required in-service training.

Licensing ViolationOAR §__or_c17be2018a73db65e4bd54818ded0279
Verbatim citation text · OAR §__or_c17be2018a73db65e4bd54818ded0279

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2025-07-04
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide inservice training. The investigation found a licensing violation related to inservice training requirements.

Licensing ViolationOAR §__or_f2425e4f57ecced25ef7f83f6311eb03
Verbatim citation text · OAR §__or_f2425e4f57ecced25ef7f83f6311eb03

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2025-06-29
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The outcome of that investigation is not specified in the available documentation. Families should contact Oregon DHS Long-Term Care Licensing directly for the final determination on this complaint.

Licensing ViolationOAR §__or_ca7cb274978b9dfbffdfb39f9c2b05ac
Verbatim citation text · OAR §__or_ca7cb274978b9dfbffdfb39f9c2b05ac

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-06-14
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to properly plan care for a resident. The specific details of what care planning deficiencies occurred are not described in the available information.

Abuse: NeglectOAR §__or_eb429aca473e43c74fde582d31917703
Verbatim citation text · OAR §__or_eb429aca473e43c74fde582d31917703

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2025-05-05
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated that the facility failed to follow a resident's care plan. The investigation found a licensing violation related to this failure. The facility was required to correct the violation.

Licensing ViolationOAR §__or_a08fc2c54cae1e9df65cbe7e175d56fc
Verbatim citation text · OAR §__or_a08fc2c54cae1e9df65cbe7e175d56fc

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2025-05-03
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide required inservice training. The specific nature of the inservice requirement that was not met is not detailed in the available documentation.

Licensing ViolationOAR §__or_9c68a0cdf2722ea88dbe64c5bc17e713
Verbatim citation text · OAR §__or_9c68a0cdf2722ea88dbe64c5bc17e713

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2025-04-30
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to provide required in-service training. The specific details of which trainings were not completed or to which staff members are not fully described in the available information.

Abuse: NeglectOAR §__or_1190e9edd6be6edc13f389ee4b5c98a4
Verbatim citation text · OAR §__or_1190e9edd6be6edc13f389ee4b5c98a4

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2025-02-24
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide required in-service training to staff. No further details about the scope or impact of this violation are provided in the inspection record.

Licensing ViolationOAR §__or_57023fce05b5c07b7beffe9b5a29a3f6
Verbatim citation text · OAR §__or_57023fce05b5c07b7beffe9b5a29a3f6

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2025-02-11
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated that the facility failed to provide a safe environment. The outcome of that investigation was not documented in the available records. Families should request the complete inspection report directly from Oregon DHS to learn what specific findings resulted from this complaint.

Abuse: NeglectOAR §__or_cc13cadb5d4361e362e5ad5d546df5da
Verbatim citation text · OAR §__or_cc13cadb5d4361e362e5ad5d546df5da

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2025-01-26
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was received that the facility failed to provide a safe environment. The inspection outcome is listed as N/A, which means the investigation is either pending, in progress, or the final determination has not yet been documented.

Abuse: NeglectOAR §__or_4aa10b75a3934cca9e318340762ff1a2
Verbatim citation text · OAR §__or_4aa10b75a3934cca9e318340762ff1a2

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-12-13
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to provide inservice training. The investigation found a licensing violation related to staff inservice requirements.

Licensing ViolationOAR §__or_ec202a8f6ac412abc4a68821df0c6a4c
Verbatim citation text · OAR §__or_ec202a8f6ac412abc4a68821df0c6a4c

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2024-12-11
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to meet the scheduled and unscheduled needs of residents. This constitutes a licensing violation under Oregon residential care regulations.

Abuse: NeglectOAR §__or_08af7481a60ebf8fa5008614332d4128
Verbatim citation text · OAR §__or_08af7481a60ebf8fa5008614332d4128

Failed to meet the scheduled and unscheduled needs of residents

Full inspector notes

—: Failed to meet the scheduled and unscheduled needs of residents

2024-11-14
Complaint Investigation
No findings
2024-10-26
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to provide inservice training. The investigation found a licensing violation related to inservice training requirements.

Licensing ViolationOAR §__or_81d5a42a9ce600dabeb3a61853fd83fb
Verbatim citation text · OAR §__or_81d5a42a9ce600dabeb3a61853fd83fb

Failed to provide inservice

Full inspector notes

—: Failed to provide inservice

2024-10-12
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was received alleging that the facility failed to provide a service. The investigation did not result in a substantiated finding of a licensing violation.

Licensing ViolationOAR §__or_00c9638ec5124488bb5c076935cfc6c5
Verbatim citation text · OAR §__or_00c9638ec5124488bb5c076935cfc6c5

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-09-23
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to maintain staffing levels as required by the Adult Foster Care Standards Test (ABST). This was a licensing violation related to inadequate staffing.

Licensing ViolationOAR §__or_f9b5f2c950db9ff6706a7de19f4eeedf
Verbatim citation text · OAR §__or_f9b5f2c950db9ff6706a7de19f4eeedf

Failed to staff as indicated by ABST

Full inspector notes

—: Failed to staff as indicated by ABST

2024-09-22
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to follow a resident's care plan. No further details about the specific nature of the care plan violation or its outcome are provided in this summary.

Licensing ViolationOAR §__or_fc529b6b0b14d26c69c6cc676b0e4635
Verbatim citation text · OAR §__or_fc529b6b0b14d26c69c6cc676b0e4635

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-09-02
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to maintain staffing levels as required by the Adult Behavioral Support Team (ABST) plan. No additional details about the specific staffing shortage or its duration were provided in the inspection record.

Licensing ViolationOAR §__or_fa618317d54961368cd72f6ec67f9d45
Verbatim citation text · OAR §__or_fa618317d54961368cd72f6ec67f9d45

Failed to staff as indicated by ABST

Full inspector notes

—: Failed to staff as indicated by ABST

2024-08-29
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to maintain staffing levels as required by the Adult and Family Services rules governing Assisted Living Facilities and Residential Care Facilities. The facility did not meet the minimum staffing standards indicated by the ABST (Acuity-Based Staffing Tool) assessment. This is a licensing violation.

Licensing ViolationOAR §__or_1a7b0befece19e96267156d24117c814
Verbatim citation text · OAR §__or_1a7b0befece19e96267156d24117c814

Failed to staff as indicated by ABST

Full inspector notes

—: Failed to staff as indicated by ABST

2024-07-31
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to meet residents' scheduled and unscheduled needs. The investigation outcome was not substantiated, meaning no violation was found based on the evidence reviewed.

Licensing ViolationOAR §__or_923c8013e8f1e93a268d3e3b940763f1
Verbatim citation text · OAR §__or_923c8013e8f1e93a268d3e3b940763f1

Failed to meet the scheduled and unscheduled needs of residents

Full inspector notes

—: Failed to meet the scheduled and unscheduled needs of residents

2024-07-29
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated that medication was not administered as ordered. The investigation outcome was not substantiated, meaning no violation was found.

Licensing ViolationOAR §__or_4ccba263348199f70e1fb4e93fabc1ac
Verbatim citation text · OAR §__or_4ccba263348199f70e1fb4e93fabc1ac

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-07-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe medication administration system. The investigation found a licensing violation related to medication administration safety. Details regarding the specific deficiency and corrective actions required were documented in the inspection report.

Licensing ViolationOAR §__or_0d8e829360000386185e390af3c34b0a
Verbatim citation text · OAR §__or_0d8e829360000386185e390af3c34b0a

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2024-07-11
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to use an ABST (Aggression/Behavioral Support Technique) when one was indicated for a resident. This constitutes a licensing violation under Oregon's assisted living and residential care rules.

Licensing ViolationOAR §__or_ceb888e531e6ac8f2880ad56864bbf37
Verbatim citation text · OAR §__or_ceb888e531e6ac8f2880ad56864bbf37

Failed to use an ABST

Full inspector notes

—: Failed to use an ABST

2024-07-10
Complaint Investigation
No findings
2024-07-04
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No licensing violations were found.

Abuse: NeglectOAR §__or_66912d436d4c34a5eaced8f50575a60b
Verbatim citation text · OAR §__or_66912d436d4c34a5eaced8f50575a60b

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-06-25
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to follow a resident's care plan. The investigation found a licensing violation for failure to implement the care plan as written. The facility was required to correct this violation.

Licensing ViolationOAR §__or_55cabb295a47e375183c3b07e7bf382e
Verbatim citation text · OAR §__or_55cabb295a47e375183c3b07e7bf382e

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-05-23
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to provide a system that prevents theft or misuse of medication. The outcome of this complaint investigation has not yet been determined or finalized. Families should check back with Oregon DHS for the final inspection report once the investigation is complete.

Licensing ViolationOAR §__or_520ec7f9d476ed70cde8f7d10a20086f
Verbatim citation text · OAR §__or_520ec7f9d476ed70cde8f7d10a20086f

Failure to provide a system that prevents theft or misuse of medication

Full inspector notes

—: Failure to provide a system that prevents theft or misuse of medication

2024-05-06
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated regarding failure to properly plan care. The investigation outcome was not yet finalized at the time this document was generated. Families should contact Oregon DHS Long-Term Care Licensing for the current status and final determination.

Abuse: NeglectOAR §__or_6dc6385e2d468d4b7074a1bcc4c961b2
Verbatim citation text · OAR §__or_6dc6385e2d468d4b7074a1bcc4c961b2

Failed to properly plan care

Full inspector notes

—: Failed to properly plan care

2024-05-03
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide a required service to a resident. No further details about the specific service or outcome of the investigation are available in this summary.

Licensing ViolationOAR §__or_8fffcf0f429e43a573a8c8d2944fa1aa
Verbatim citation text · OAR §__or_8fffcf0f429e43a573a8c8d2944fa1aa

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-04-24
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint investigation found that the facility failed to provide a safe medication administration system. The specific violations and corrective actions required are not detailed in the available information. Families should contact Oregon DHS Long-Term Care Licensing directly for the full inspection report.

Abuse: NeglectOAR §__or_b1981132750dfd9f9993632836127346
Verbatim citation text · OAR §__or_b1981132750dfd9f9993632836127346

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2024-04-19
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was received alleging the facility failed to provide a safe environment. The investigation did not substantiate a licensing violation on this allegation.

Abuse: NeglectOAR §__or_541139fd4e4e4467445ef34df8bcb95f
Verbatim citation text · OAR §__or_541139fd4e4e4467445ef34df8bcb95f

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-03-29
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to administer medication as ordered. The investigation outcome has not yet been determined or finalized.

Licensing ViolationOAR §__or_d7019eba19c301dcbb8941666a223e32
Verbatim citation text · OAR §__or_d7019eba19c301dcbb8941666a223e32

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2024-03-27
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated alleging that the facility failed to provide a required service. The investigation outcome was not substantiated or the details of the finding were not documented in the available record.

Abuse: NeglectOAR §__or_3fe4ed9f0102f397b2496643b58e0b88
Verbatim citation text · OAR §__or_3fe4ed9f0102f397b2496643b58e0b88

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-03-25
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated that the facility failed to follow a resident's care plan. The investigation did not substantiate the complaint, and no licensing violation was found.

Licensing ViolationOAR §__or_20796a719deb3a2fa673204c219f0658
Verbatim citation text · OAR §__or_20796a719deb3a2fa673204c219f0658

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-03-17
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide a required service. No additional details about which service or the circumstances were provided in the inspection record.

Licensing ViolationOAR §__or_c3a8877407a7e74aa00c81693fedc795
Verbatim citation text · OAR §__or_c3a8877407a7e74aa00c81693fedc795

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-03-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that ordered medication was not administered to a resident. The investigation found a licensing violation: the facility failed to administer medication as prescribed. Families should know that proper medication administration is a fundamental requirement for assisted living and memory care facilities under Oregon law.

Licensing ViolationOAR §__or_0c00d835e07e3e8fc36df5a538aeb8e0
Verbatim citation text · OAR §__or_0c00d835e07e3e8fc36df5a538aeb8e0

Failed to administer ordered medication

Full inspector notes

—: Failed to administer ordered medication

2024-03-14
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide a safe medication administration system. This licensing violation means the facility did not have adequate procedures or controls in place to ensure medications were stored, tracked, and given to residents safely and correctly.

Licensing ViolationOAR §__or_af78f57a82d976f9b654b3223dcea38c
Verbatim citation text · OAR §__or_af78f57a82d976f9b654b3223dcea38c

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2024-03-11
Complaint Investigation
No findings
2024-02-19
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to follow a resident's care plan. No further details about the specific care plan requirements or how they were not followed are provided in this summary.

Licensing ViolationOAR §__or_c351fdaa29b09a6424fc947ece095981
Verbatim citation text · OAR §__or_c351fdaa29b09a6424fc947ece095981

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-02-16
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was received alleging that the facility failed to provide a service. The investigation did not substantiate the complaint, and no licensing violation was found.

Licensing ViolationOAR §__or_21afaac92fa1b30b5e6c0dc0d36689c9
Verbatim citation text · OAR §__or_21afaac92fa1b30b5e6c0dc0d36689c9

Failed to provide service

Full inspector notes

—: Failed to provide service

2024-02-10
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging the facility failed to provide a safe environment. The investigation did not substantiate the complaint. No violations were found.

Licensing ViolationOAR §__or_9f4c8d157ce4c74384e390b7f1dfe846
Verbatim citation text · OAR §__or_9f4c8d157ce4c74384e390b7f1dfe846

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-02-08
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to provide a safe medication administration system. The specific deficiency identified indicates the facility did not maintain adequate safeguards for how medications were being managed and given to residents.

Licensing ViolationOAR §__or_736719c17c91e86977963730c0c66c2f
Verbatim citation text · OAR §__or_736719c17c91e86977963730c0c66c2f

Failed to provide a safe medication administration system

Full inspector notes

—: Failed to provide a safe medication administration system

2024-01-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to protect a resident from financial exploitation. The investigation did not substantiate this allegation, and no violation was cited.

Licensing ViolationOAR §__or_d7f4b2b2325b0bdb3fa961220ed101b7
Verbatim citation text · OAR §__or_d7f4b2b2325b0bdb3fa961220ed101b7

Failed to protect resident from financial exploitation

Full inspector notes

—: Failed to protect resident from financial exploitation

2023-12-12
Annual Compliance Visit
No findings
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