Arcadia Senior Living

Last inspection

June 23, 2025

Inspections

5, 5 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

4

Regulatory actions

1

Fines assessed

$250.00 (1 violation)

Current owner since

August 2, 2017

License conditions and other regulatory actions

• October 18, 2023 to November 8, 2023: License Condition, Failed to use an ABST ALFCD23-00678; incident: OR0004230500
  The facility failed to fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• June 23, 2025: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated
• January 15, 2025: Re-Licensure, 2 deficiencies cited report
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0374: Annual and Biennial Inservice for All Staff severity level 2, scope L2 Pattern
• March 12, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 13, 2023: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
  • C0380: Involuntary Move-Out Criteria severity level 2, scope L2 Isolated
• March 16, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• February 17, 2024: Failed to protect resident from physical abuse Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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)
  State’s findings

  Alleged Victim (AV) receives assistance with activities of daily living, including skin care and bed mobility. Staff are to assist AV with regular repositioning and brief changes. AV has chronic pain and requires staff to be gentle with slow movements during care. On or about February 17, 2024 Alleged Perpetrator 2 (AP2) was assisting with AV's brief change. AP2 repositioned AV and pulled AV's incontinence pad out quickly causing AV to cry out in pain. Witness 2 (W2) intervened to stop AP2 from being rough with AV. AP2 has a history of being rough with AV in the past, and AV has requested AP2 be gentle during cares. AV is fearful of AP2 responding to AV's care needs, so AV often does not request assistance with care. AP2 has been trained in direct care aspects. Facility management has been made aware of complaints against AP2 and about AP2 being rough during cares, however no formal documentation or action has been taken to address or correct AP2's behavior. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute physical abuse. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• June 23, 2025: 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. The facility’s failure is a violation of Oregon Administrative Rules.

• August 24, 2023: Failed to perform adequate screening or assessment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0080 (Involuntary Move-out Criteria)
  State’s findings

  The facility failed to evaluate the resident's health, medical, behavioral or care needs within a reasonable time, but no later than 24 hours after the resident has been deemed ready for discharge. An investigation determined this is a violation of Oregon Administrative Rules.

• November 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 November 01, 2022 the Oregon Health Authority reported to the Department that Responded 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.

• March 24, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0055 (Medications and Treatments)
  State’s findings

  On or about March 24, 2022, it was discovered AV did not receive h/h medications as ordered. The facility failed to provide a safe medication administration system to ensure the Alleged Victims (AV) medication orders were administered as prescribed, 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 74 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.