Bayside Terrace Assisted Living

Last inspection

July 22, 2026

Inspections

8, 37 deficiencies cited

Substantiated abuse

9

Substantiated licensing violations

16

Regulatory actions

1

Fines assessed

$5,279.00 (10 violations)

Current owner since

April 1, 2026

License conditions and other regulatory actions

• June 16, 2023 to April 26, 2024: License Condition, Failed to provide safe environment ALFCD23-00419; incident: CALMS - 00043722
  The following statement of violations stem from evidence and interviews collected from Re-Licensure Survey #XC9W11 on June 8, 2023.
  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); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)

Inspections

• July 22, 2026: Change of Owner, 8 deficiencies cited report
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
• July 22, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• April 23, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• July 31, 2024: Complaint Investig., 1 deficiency cited report
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• April 23, 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 October 21, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected October 21, 2024

Substantiated abuse or neglect

• September 18, 2024: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; 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); 411-054-0030 (Resident Services)
  State’s findings

  The Alleged Victim (AV) is a resident of the assisted living facility with his/her spouse. On or about September 18, 2024, AV was taken by staff to the memory care side of the building due to AV's spouse being out of the facility for a medical event. While AV was in the the memory care, AV had been sitting in the dining room. AV got up from the dining room and wandered down the hallway and fell. Emergency services were contacted and AV was transported the hospital and diagnosed with a fractured hip. The facility's failure to ensure a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 29, 2024: Failed to answer call light in a timely manner Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $2,500.00; 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); 411-054-0030 (Resident Services); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The Alleged Victim (AV) was known to choke on food. On or about June 4, 2024, AV had a choking incident while eating in his/her room. AV's family member happened to be with AV and cleared AV's airway. AV's service plan requests staff to encourage AV to eat in the dining area and AV's food was to be cut up. On or about July 29, 2024, AV pressed his/her call light for staff assistance. Two staff were working that day. One staff member thought the other was assisting with call lights, however, the other staff was sick and was in the bathroom at the time the call light was pressed. AV was found in his/her room unresponsive 15 minutes later when staff checked. EMS was called and were unsuccessful at resuscitating AV. The facility's failure to ensure there were enough staff to ensure a safe environment for the resident is a violation of resident rights, is considered neglect of care and constitutes abuse.

• February 13, 2024: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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) is prescribed pain medication daily to cope with his/her pain. On or about February 13, 2024, AV's pain medication was not re-ordered timely, leaving AV without his/her needed pain medication for 3 days. AV was in severe pain and miserable. The facility's failure to re-order AV's pain medication timely caused AV unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 20, 2023: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $376.00; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) has an ostomy bag, which he/she can change independently mostly, however, does need some assistance and will ask staff to assist when necessary. AV's service plan does not specify what tasks or processes that staff need to assist AV with regarding his/her ostomy bag, even though several chart notes document AV's frustration with the bag. The facility's failure to provide assistance with AV's bag led to a loss of personal dignity for AV. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 18, 2023: Failed to have medication available Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $376.00; 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) is prescribed medication every 6 hours for breathing treatment. On or about December 20. 2023, it was discovered by staff that AV's breathing treatment medication was not ordered timely and AV missed 9 breathing treatments. AV suffered shortness of breath due to not reeving his/her treatments timely. The facility's failure to re-order AV's medications timely caused AV unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• June 1, 2026: Failed to use an 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, which is a violation of Oregon Administrative Rules.

• April 17, 2026: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) was complaining to staff about how he/she was spoken to by Alleged Perpetrator #2 (AP2). AV felt angry, sad and humiliated about how he/she was spoken to by AP2, which was in a rude tone and aggressive. AP2's actions are a violation of resident rights, are considered neglect of care and constitute verbal abuse, as outlined in 411-020-0002 (1)(d)(A)(ii). Respondent failed to ensure staff treated residents with dignity and respect, which is a violation of Oregon Administrative Rules.

• July 29, 2025: Failed to provide service 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) requires care of an ostomy bag by facility staff. Alleged Perpetrator #3 (AP3) has trained Alleged Perpetrator #2 (AP2) on how to care for and change AV's ostomy bag. On or about July 29, 2025, AP2 was caring for AV's ostomy bag and changing it out for a new one. After AP2 completed this task, AV advised AP2 that the bag was cut incorrectly and it was hurting AV. AP2's response was "it's the best i can do" and walked away from AV. AV was found to have been cut by the improperly cut bag. AP2's failure to provide correct ostomy care to AV caused a cut and unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 20, 2025: 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is a full assist with mobility. AV is care planned to be transferred using his/her walker to transfer him/her to their wheelchair. AV is also care planned to have non skid socks on during transfers. On or about June 20, 2025, Alleged Perpetrator #2 (AP2) was assisting AV with going to the bathroom. AP2 did not transfer AV to his/her wheelchair, instead used AV's walker to escort AV to the bathroom. AV was not wearing non skid socks. AV stated they weren't able to continue walking and became unsteady. AV began to fall and AP2 assisted AV to the floor. AV immediately cried out "my foot, my foot". AV was transferred to the hospital and diagnosed with a fractured ankle. AP2's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to ensure care plans are followed is a violation of Oregon Administrative Rules.

• May 7, 2024: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  On or about May 7, 2024, Alleged Perpetrator #2 (A2) got into a verbal disagreement with the Alleged Victim (AV) over unplugging an air freshener, and yelled at AV. AV was upset regarding the incident. AP2's actions are a violation of resident rights, are considered neglect of care and constitute verbal abuse. The facility's failure to protect AV from verbal abuse 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 57 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.