Bridgewood Rivers Assisted Living

Last inspection

April 8, 2024

Inspections

2, 9 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

5

Regulatory actions

0

Fines assessed

$250.00 (1 violation)

Current owner since

October 1, 2026

• Every deficiency from the April 8, 2024 inspection was corrected by June 7, 2024

Inspections

• April 8, 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 June 7, 2024
• March 27, 2023: Validation, 8 deficiencies cited report
  • C0000: Comment severity level 0
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected May 28, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected May 28, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected May 28, 2023
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected May 28, 2023
  Show all 9

  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected May 28, 2023
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected May 28, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected May 28, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected May 28, 2023

Substantiated abuse or neglect

• November 26, 2022: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV)s care plan indicates to use a gait belt for all transfer assistance. On or about November 26, 2022, Alleged Perpetrator 2 (AP2) was not using a gait belt when walking AV toward h/h room while AV was using h/h walker. AV fell to h/h knees hitting head on the wall. The allegation that AP2 failed to follow care plan was investigated and determination was Inconclusive. The facility failed to properly plan care and provided clear direction regarding the use of a gait belt during ambulation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• February 14, 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 update 3 of 41 residents on the facilities Acuity-Based Staffing Tool in accordance with Oregon Administrative Rules.

• November 10, 2025: 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 update 3 of 40 residents in the facilities Acuity Based Staffing Tool, which is a violation of Oregon Administrative Rules.

• May 13, 2025: 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 update 4 of 38 residents in the facilities Acuity Based Staffing Tool, which is a violation of Oregon Administrative Rules.

• April 8, 2025: 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 update 5 of 33 residents on the facilities Acuity Based Staffing Tool, which is a violation of Oregon Administrative Rules.

• May 16, 2024: Failed to protect resident from mental or emotional 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

  On or about May 16, 2024, Alleged Perpetrator #2 (AP2) was in the facility hallway yelling. The Alleged Victim (AV) came out of his/her room to see what was happening, AP2 told AV to go back to his/her room as what was happening was not his/her concern. AV returned to his/her room after AP2 yelled at him/her to do so. AV felt embarrassed and like a "kid" after being yelled at by AP2. AP2's actions are a violation of resident rights, are considered neglect of care and constitute emotional abuse. The facility's failure to protect AV from emotional 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 50 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.