Brookdale Beaverton

Last inspection

May 1, 2024

Inspections

7, 20 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

13

Regulatory actions

2

Fines assessed

$30,939.00 (8 violations)

Current owner since

April 4, 2014

• Every deficiency from the May 1, 2024 inspection was corrected by June 10, 2024

License conditions and other regulatory actions

• July 8, 2025 to August 29, 2025: License Condition, Failed to provide safe environment RCFCD25-00714; 2 incidents: CALMS - 00083067, CALMS - 00082691
  The fire exits in Hallways A, B, C, D, E, and F have a delayed egress of 15 seconds then remains unlocked for an unknown period, allowing residents in a secured memory care access to an unsecured outdoor area.
  Rules: 411-054-0025 (Facility Administration)
• March 13, 2023 to February 26, 2025: License Condition, Failed to assist with toileting RCFCD23-00267; 3 incidents: OR0003674906, OR0003674901, OR0003674900
  Facility failure to adopt an acuity-based staffing tool (ABST) to determine appropriate staffing levels for the facility and address activities of daily living and other tasks related to care, as outlined in OAR 411-054-0030 and 411-054-0034 per OAR 411-054-0037(1)& (5).
  Rules: 411-054-0030 (Resident Services); 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0050 (Infection Prevention and Control)

Inspections

• May 1, 2024: 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 June 10, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected June 10, 2024
• June 13, 2023: Validation, 10 deficiencies cited report
  • C0000: Comment severity level 0
  • C0243: Resident Services: Adls severity level 2, scope L2 Isolated, corrected August 12, 2023
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected August 12, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Pattern, corrected August 12, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected February 19, 2025
  Show all 12

  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected August 12, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected February 19, 2025
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread, corrected January 1, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected February 19, 2025
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected August 12, 2023
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected August 12, 2023
  • Z0176: Resident Rooms severity level 2, scope L2 Pattern, corrected August 12, 2023
• May 16, 2023: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0154: Facility Administration: Policy & Procedure severity level 2, scope L2 Isolated
  • C0243: Resident Services: Adls severity level 2, scope L2 Isolated
• October 10, 2022: Complaint Investig., 3 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0243: Resident Services: Adls severity level 2, scope L2 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• October 10, 2022: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0243: Resident Services: Adls severity level 2, scope L2 Isolated
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Isolated
• October 10, 2022: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0160: Reasonable Precautions severity level 2, scope L2 Isolated
• August 3, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• September 3, 2024: Failed to provide safe environment 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)
  State’s findings

  According to the documentation, the facility failed to provide a safe environment for the Alleged Victim (AV) by not ensuring the courtyard gate was secured. On or about September 03, 2024, the lawn maintenance company who performed landscaping at the facility failed to securely lock the gate to the courtyard. The facility staff did not check the gate to ensure it was locked. The AV was able to elope from the facility unnoticed. A staff member noticed the gate was wide open and immediately got a count of the residents and noticed the AV was missing. Local law enforcement found the AV about a mile away from the facility wandering near a four-lane highway putting them at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 1, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV) fall history. On or about December 01, 2022, AV suffered an unwitnessed fall, resulting in a fractured collar bone. The failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• May 23, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV) fall history. The failure resulted in AV experiencing injury and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• April 6, 2022: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0030 (Resident Services)
  State’s findings

  On or about April 6, 2022, the Alleged Victim (AV) exited the facility and was found outside the facility by staff, walking on a path. Staff failed to arm the doors to alert staff of someone leaving the facility. AV was not harmed during the elopement, however, AV was placed at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• November 8, 2024: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  State’s findings

  The facility failed to failed to make records available to the Department in accordance with OAR 411-054-0105(1)(a).

• August 21, 2024: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $7,500.00; report
  Rules: 411-061-0010
  State’s findings

  On or about August 01, 2024, the Oregon Health Authority reported to the Department that Respondent 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 from April 01, 2024 to August 01, 2024, for a total of approximately 122 days.

• April 12, 2023: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide assistance with household services essential for the health and comfort of the resident in accordance with OAR 411-054-0030(1)(g) per complaint that a resident's room was not clean and there was food debris all over the carpet.

• April 12, 2023: Failed to assure resident rights Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The facility failed to develop and implement effective methods of responding to and resolving resident complaints in accordance with OAR 411-054-0025(7)(c) per complaint that the resident's family has brought up concerns about the resident's room several times and nothing has been done about it.

• September 19, 2022: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide household services essential for the health and comfort of the resident in accordance with OAR 411-054-0030(1)(g) per complaint the floor was gummy, sticky, and smelled of urine. The closet floor was wet with urine.

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 60 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.