Bartlett House of Medford

Last inspection

March 18, 2024

Inspections

3, 11 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

3

Regulatory actions

0

Fines assessed

$626.00 (3 violations)

Current owner since

February 1, 2022

• Every deficiency from the March 18, 2024 inspection was corrected by May 18, 2024

Inspections

• March 18, 2024: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected May 18, 2024
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected May 18, 2024
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected May 18, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Pattern, corrected May 18, 2024
  Show all 10

  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected May 18, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected May 18, 2024
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected May 18, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected May 18, 2024
  • Z0165: Behavior severity level 2, scope L2 Isolated, corrected May 18, 2024
• December 28, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected February 26, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected February 26, 2024
• November 14, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• November 27, 2025: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious 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 Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about November 27, 2025, the Alleged Perpetrator 2 (AP2) marked the narcotics log that AV's "as needed" pain medication was administered, but the medication was not administered to the AV, resulting in ongoing unreasonable discomfort. The pain medication was not administered to AV but was marked as "administered in the narcotics log on November 27, 29th and December 3, 2025. AP2 admitted to stealing the narcotics medication. AP2's actions are considered neglect and constitutes abuse. The facility failed to protect the AV from neglect and ensure a safe medication administration system, which violates Oregon Administrative Rules, is considered neglect and constitutes abuse.

• January 25, 2025: Failed to provide inservice 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); 411-054-0045 (Resident Health Services)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. According to an investigation, on or about January 25, 2025, AV had a fall after coming out of AV’s room while shaking the railing in the hallway and stepping backwards. AV was crying out in pain and holding onto AV's arm. Staff took AV's vitals, performed range of motion and assisted AV into a wheelchair. AV was taken by a family member to the hospital and had sustained a fractured shoulder. Emergency services were not contacted following the fall. The facility failed to follow provide appropriate care, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• December 5, 2025: 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); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about December 4, 2025, and December 5, 2025, the Alleged Perpetrator 2 (AP2) marked the narcotics log that AV's "as needed" pain medication was administered, but the medication was not administered to the AV, resulting in financial loss. AP2 admitted to stealing the narcotics medication. AP2's actions are considered financial exploitation and constitutes abuse. The facility failed to protect the AV from financial exploitation, which violates Oregon Administrative Rules.

• November 27, 2025: Failed to provide a safe medication administration system Licensing Violation; 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about November 27, 2025, the Alleged Perpetrator 2 (AP2) marked the narcotics log that AV's "as needed" pain medication was administered, but the medication was not administered to the AV. During the investigation, AP2 admitted to stealing AV's narcotics medication at least weekly over a period of approximately one and a half years, resulting in financial loss. AP2's actions are considered financial exploitation and constitutes abuse. The facility failed to protect the AV from financial exploitation, which is a violation of resident's rights, is considered neglect of care and constitutes abuse.

• January 25, 2025: Failed to update staffing plan based on ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to develop, maintain, and implement an Acuity Based Staffing Tool. The facility’s failure 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 15 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.