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StarlynnCare
Oregon · Springfield

Sweetbriar Villa.

Sweetbriar Villa is Grade B−, ranked in the top 35% of Oregon memory care with 14 OR DHS citations on record; last inspected Jun 2025.

ALF · Memory Care39 licensed beds · mediumDementia-trained staff
6135 E St · Springfield, OR 97478LIC# 0000050108
Facility · Springfield
Sweetbriar Villa
© Google Street Viewoperator? submit a photo →
A 39-bed ALF · Memory Care with 14 citations on file — most recent Apr 2025.
Last inspection · Jun 2025 · citedSource · OR-DHS
Licensed beds
39
Memory care
✓ Yes
Last inspection
Jun 2025
Last citation
Apr 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
71th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
24th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

Sweetbriar Villa has 14 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.

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

15weighted score · 24 mo
Last citation: APR 2025. Compared against peer median (dashed).
peer median
APR 2025
Jun 2024May 2026

Finding distribution

14 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G1
H
I
Sev 2
D
E
F
Sev 1
A13
B
C
§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Sweetbriar Villa's record and state requirements.

01 /

Oregon DHS records show 104 inspection reports on file with 96 deficiencies — can you walk us through the most common themes in those deficiencies and show us the written corrective action plans the facility submitted to address them?

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 families with a copy of the written dementia care program that supports that endorsement, including how staff competency is assessed and documented?

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

03 /

Records indicate 100 complaints were filed with Oregon DHS over the inspection history — without asking you to disclose complaint details, can you explain the facility's internal process for responding to concerns and what documentation families can review to understand how issues are resolved?

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

§ 06 · Full Inspection Record

Every OR-DHS visit, verbatim.

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

18
reports on file
14
total deficiencies
2025-06-05
Annual Compliance Visit
No findings
2025-04-22
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation was conducted, and the facility failed to cooperate with the investigation process. No further details about the underlying complaint or findings are available from this record.

Licensing ViolationOAR §__or_9e2193c63aa13faea0bd48b7baec273e
Verbatim citation text · OAR §__or_9e2193c63aa13faea0bd48b7baec273e

Failed to cooperate with an investigation

Full inspector notes

—: Failed to cooperate with an investigation

2025-03-25
Complaint Investigation
No findings
2025-02-07
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation was conducted, and the facility failed to cooperate with the Oregon DHS investigator. No further outcome information is available in this record.

Licensing ViolationOAR §__or_1b0540e2c365a3bfcad8c85d2faf5b8b
Verbatim citation text · OAR §__or_1b0540e2c365a3bfcad8c85d2faf5b8b

Failed to cooperate with an investigation

Full inspector notes

—: Failed to cooperate with an investigation

2024-11-18
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation was conducted, and the facility failed to cooperate with the investigation. No further outcome details are available.

Licensing ViolationOAR §__or_b1e6f704931d078c1cb1f24a39e5b3d8
Verbatim citation text · OAR §__or_b1e6f704931d078c1cb1f24a39e5b3d8

Failed to cooperate with an investigation

Full inspector notes

—: Failed to cooperate with an investigation

2024-11-15
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to make facility or resident records accessible. No outcome determination is listed in this report.

Licensing ViolationOAR §__or_e8729468303bc48c899c507dd94e68f7
Verbatim citation text · OAR §__or_e8729468303bc48c899c507dd94e68f7

Failed to make facility or resident records accessible

Full inspector notes

—: Failed to make facility or resident records accessible

2024-11-09
Complaint Investigation
1 · Abuse: Neglect

Plain-language summary

A complaint was investigated that the facility failed to provide a safe environment. The specific details of what was found or substantiated are not included in the information provided. To learn whether any violations were identified, families should request the full inspection report from Oregon DHS Long-Term Care Licensing.

Abuse: NeglectOAR §__or_d033d346f152af0b00362449f9cb4ef3
Verbatim citation text · OAR §__or_d033d346f152af0b00362449f9cb4ef3

Failed to provide safe environment

Full inspector notes

—: Failed to provide safe environment

2024-08-14
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 related to medication administration. No further details about the outcome or corrective actions are provided in the available documentation.

Licensing ViolationOAR §__or_e3d0b50bcdfcd8e54c9ed55cf55c764e
Verbatim citation text · OAR §__or_e3d0b50bcdfcd8e54c9ed55cf55c764e

Failed to administer ordered medication

Full inspector notes

—: Failed to administer ordered medication

2024-05-04
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 violation was found.

Licensing ViolationOAR §__or_4743fa241c37c098c3cc160c984b3acf
Verbatim citation text · OAR §__or_4743fa241c37c098c3cc160c984b3acf

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

2024-04-11
Annual Compliance Visit
No findings
2024-03-21
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation was conducted regarding staffing levels. The facility failed to maintain staffing as indicated by the Assisted Living Staffing Template (ABST), which sets minimum staffing requirements based on resident census and care needs.

Licensing ViolationOAR §__or_c43839f3e61887d1fa9dca6461700bda
Verbatim citation text · OAR §__or_c43839f3e61887d1fa9dca6461700bda

Failed to staff as indicated by ABST

Full inspector notes

—: Failed to staff as indicated by ABST

2023-11-09
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that ordered medication was not administered to a resident as prescribed. This constitutes a licensing violation under Oregon's long-term care rules.

Licensing ViolationOAR §__or_cad6d38eee0e566f97bacc398045213b
Verbatim citation text · OAR §__or_cad6d38eee0e566f97bacc398045213b

Failed to administer ordered medication

Full inspector notes

—: Failed to administer ordered medication

2023-11-02
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated alleging that medication was not administered as ordered. The investigation found a licensing violation related to medication administration. The facility failed to follow the prescribed medication regimen for a resident.

Licensing ViolationOAR §__or_0b8af0ee388434e469489e08a6ccd985
Verbatim citation text · OAR §__or_0b8af0ee388434e469489e08a6ccd985

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2023-09-22
Complaint Investigation
No findings
2023-08-03
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated regarding failure to administer medication as ordered. The investigation outcome was not concluded or documented in the materials provided. Families should contact Oregon DHS Long-Term Care Licensing directly for the final determination of whether this complaint was substantiated.

Licensing ViolationOAR §__or_bf9657f908eaa707819926a6889942c6
Verbatim citation text · OAR §__or_bf9657f908eaa707819926a6889942c6

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2023-07-01
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated that a facility failed to administer medication as ordered. The outcome of that investigation has not been determined or documented.

Licensing ViolationOAR §__or_76e477381d28c72bbc79c09a51844018
Verbatim citation text · OAR §__or_76e477381d28c72bbc79c09a51844018

Failed to administer medication as ordered

Full inspector notes

—: Failed to administer medication as ordered

2023-06-28
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint was investigated that the facility failed to protect a resident from financial exploitation. The outcome of this investigation was not determined or documented in the available information. Families should contact Oregon DHS Long-Term Care Licensing directly for the final determination.

Licensing ViolationOAR §__or_954f400276947414ff64163175b760ed
Verbatim citation text · OAR §__or_954f400276947414ff64163175b760ed

Failed to protect resident from financial exploitation

Full inspector notes

—: Failed to protect resident from financial exploitation

2023-05-17
Complaint Investigation
1 · Licensing Violation

Plain-language summary

A complaint investigation found that the facility failed to follow a resident's care plan. The specific details of how the care plan was not followed are not provided in the available documentation. No further outcome information is available at this time.

Licensing ViolationOAR §__or_a62a3f810e590a7b9ed585cd8f95a254
Verbatim citation text · OAR §__or_a62a3f810e590a7b9ed585cd8f95a254

Failed to follow care plan

Full inspector notes

—: Failed to follow care plan

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