Alpine House Assisted Living

Last inspection

December 16, 2025

Inspections

3, 23 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

7

Regulatory actions

2

Fines assessed

$188.00 (1 violation)

Current owner since

October 20, 2000

License conditions and other regulatory actions

• August 22, 2023 to November 21, 2023: License Condition, Failed to provide safe environment ALFCD23-00569; incident: CALMS - 00046172
  Based on the violations stemming from evidence and interviews collected from Re-Licensure Re-Visit #1 initiated on August 7, 2023, ODHS concludes that Respondents acts or omissions create a situation that necessitates ODHS to issue a license condition. The facilitys failure to comply with Oregon Administrative Rules constitutes a threat to the health, safety, and welfare of its residents.
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety); 411-054-0200 (Residential Care Facility Building Requirements)
• March 8, 2023 to April 3, 2023: License Condition, Failed to use an ABST ALFCD23-00179; incident: CALMS - 00039160
  Based on interview and record review, it was determined the facility failed to implement an acuity based staffing tool (ABST) that met the regulation.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• December 16, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• February 7, 2023: Validation, 21 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 4, scope L4 Widespread, corrected October 23, 2023
  • C0155: Facility Administration: Records severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0156: Facility Administration: Quality Improvement severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0160: Reasonable Precautions severity level 4, scope L4 Widespread, corrected October 23, 2023
  Show all 30

  • C0200: Resident Rights and Protection - General severity level 4, scope L4 Isolated, corrected October 23, 2023
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0243: Resident Services: Adls severity level 2, scope L2 Pattern, corrected April 10, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected April 10, 2023
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0301: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected April 10, 2023
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected October 23, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected April 10, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected October 23, 2023
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Isolated, corrected October 23, 2023
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected October 23, 2023
  • C0420: Fire and Life Safety: Safety severity level 0, corrected October 23, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0645: Plumbing Systems severity level 2, scope L2 Widespread, corrected October 23, 2023
  • C0655: Call System severity level 2, scope L2 Widespread, corrected October 23, 2023
• May 26, 2022: Complaint Investig., 1 deficiency cited report
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread

Substantiated abuse or neglect

• January 8, 2023: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim has a history of wandering outside of the facility and AV’s care plan states AV can often be found walking down the highways. The facility failed to implement interventions or appropriately care plan for AV’s wondering behaviors. On or about January 8, 2022, AV left the facility and could not be located, placing AV at risk for serious harm. AV was found the next morning in pajamas, slippers and missing his/her coat. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 15, 2025: Failed to use an ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  State’s findings

  The facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• May 1, 2023: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about May 1, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days.

• April 19, 2023: Failed to cooperate with an investigation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  On February 9, 2023, the re-licensure survey was completed, and the report was sent to the facility on February 16, 2023, with a due date for the facility’s plan of correction of March 3, 2023. On March 7, 2023, the Plan of Correction request was resent to the facility. On April 12, 2023, a letter was sent to the facility that the Plan of Correction was not accepted. The facility failed to appropriately respond to the request for a plan of correction, which is a violation of Oregon Administrative rules. Further rule violation(s) may result in civil penalties or further corrective action.

• September 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about September 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from August 1, 2022 to August 31, 2022, for a total of 30 days.

• May 13, 2022: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)
  State’s findings

  The Alleged Perpetrator 2 (AP2) made hurtful verbal comments towards the Alleged Victim (AV) when providing care. AP2 failed to protect the AV from hurtful verbal comments and his/her actions are considered verbal abuse. The facility failed to protect AV from verbal abuse, which is a violation or Oregon Administrative Rules.

• May 2, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about May 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from April 1, 2022 to April 30, 2022, for a total of 30 days.

• November 5, 2021: Failed to provide safe environment Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The allegation that the facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents in accordance with OAR 411-054-0025(4) per complaint that staff and visitors were not wearing masks in the facility were verified.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 36 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.