Applegate Place

Last inspection

June 25, 2025

Inspections

6, 26 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

8

Regulatory actions

1

Fines assessed

$688.00 (2 violations)

Current owner since

January 14, 2011

License conditions and other regulatory actions

• December 6, 2023 to January 4, 2024: License Condition, Failed to use an ABST ALFCD23-00742; incident: OR0003993600
  The facility failed to fully implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• June 25, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• October 23, 2024: Complaint Investig., 1 deficiency cited report
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
• June 25, 2024: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected November 29, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected November 29, 2024
• October 4, 2023: Complaint Investig., 5 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Widespread
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Isolated
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Widespread
• June 13, 2023: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 12, 2023
• March 28, 2022: Validation, 17 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread, corrected September 30, 2022
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected June 17, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected September 8, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected September 30, 2022
  Show all 20

  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected June 17, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected June 17, 2022
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected September 30, 2022
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected June 17, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected January 5, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected January 5, 2023
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected September 30, 2022
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected September 30, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected January 5, 2023
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Isolated, corrected June 17, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected June 17, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected June 17, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected January 5, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected June 17, 2022
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected September 8, 2022

Substantiated abuse or neglect

• March 15, 2023: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility and Alleged Perpetrator #2 (AP2) failed to provide a safe medication administration system. It was discovered AP2 administered the Alleged Victim (AV) medication that belonged to another resident for approximately two (2) days in a row resulting in AV not feeling well and throwing up. The failure is a violation of resident rights is considered neglect of care and constitutes abuse.

• December 11, 2021: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; 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

  On or about December 10, 2021, Alleged Victim (AV) was sent to the hospital for treatment due to AV suffering a fall with injury. Per EMS records, AV was found covered in his/her own urine and stool and AV's room at facility had strong urine and feces smell. AV was treated/discharged from hospital but was sent back to hospital again on December 11, 2021, for further treatment due to AV showing signs of having an altered mental state. Per EMS records, AV was found covered in urine and feces again, lying on the floor in the sheet that AV was discharged with from the hospital the day prior. An investigation determined that the facility failed to provide appropriate care to AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• August 23, 2024: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to have a system approved by a pharmacist consultant or registered nurse for tracking controlled substances and for disposal of all unused, outdated or discontinued medications administered by the facility per complaint residents narcotics card of Oxycodone 30 qty. went missing, which is a violation of Oregon Administrative Rules.

• August 6, 2024: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to carry out medication and treatment orders as prescribed Per complaint facility "has not been on top of reordering [resident's] seizure medications and [he/she] has gone a couple days without". "This happened in June as well as last month" and "recently happened again with another of [his/her] medications, which is a violation of Oregon Administrative Rules.

• August 23, 2023: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility failed to provide staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident, per complaint there is not enough staffing during evening shift. The facility's failure is a violation of Oregon Administrative Rules.

• August 23, 2023: Failed to assist with toileting Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to ensure service plan reflects the resident's needs as identified in the evaluation and include resident preferences that support the principles of dignity, privacy, choice, individuality, and independence per complaint resident is left soiled on evening shift, which is a violation of Oregon Administrative Rules.

• August 23, 2023: Failed to investigate injury of unknown origin to rule out abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The facility failed to immediately investigate and report abuse or suspected abuse to the Department, per compliant a resident Is physically assaulting other residents and nothing is being reported, which is a violation of Oregon Administrative Rules.

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.