Brookside Memory Care

Last inspection

January 9, 2024

Inspections

3, 17 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

1

Regulatory actions

0

Fines assessed

$1,188.00 (3 violations)

Current owner since

August 9, 2019

• No deficiencies cited at the last inspection (January 2024)
• Every deficiency from the December 12, 2023 inspection was corrected by October 13, 2024

Inspections

• January 9, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• December 12, 2023: Validation, 15 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected February 12, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected February 12, 2024
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Isolated, corrected February 12, 2024
  • C0280: Resident Health Services severity level 3, scope L3 Isolated, corrected February 12, 2024
  Show all 17

  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected February 12, 2024
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected February 12, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected February 12, 2024
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected February 12, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected October 13, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected February 12, 2024
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected February 12, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected October 13, 2024
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected February 12, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected October 13, 2024
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected February 12, 2024
  • Z0162: Compliance With Rules Health Care severity level 3, scope L3 Isolated, corrected February 12, 2024
• January 12, 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 March 13, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected March 13, 2023

Substantiated abuse or neglect

• October 20, 2023: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  According to the documentation, the facility failed to properly care plan for the Alleged Victim’s (AV) care needs to prevent future falls. On or about October 20, 2023, the AV’s family had a care conference about not leaving the AV alone in their room in their wheelchair after dinner as an intervention for the AV’s known history of anxiety and self-transfers. On or about October 20, 2023, the AV was left alone in his/her bedroom in their wheelchair after dinner at approximately 5:30 pm. The AV was found at approximately 8:00 pm on the floor in their room. The facility staff assisted the AV up off the floor and into a chair, then to their bed before calling 911. EMS took the AV to the hospital where they were diagnosed with a fractured hip which required surgery, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 2, 2022: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
  Rules: 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) relies on the facility for his/her care. On or about June 2, 2022, at about 8:11pm, law enforcement was dispatched to a missing person who was confused and located approximately 1.5 miles from the facility. AV’s family called the facility to notify them that law enforcement was bringing AV back to the facility. AV had previously eloped from the facility. The facility failed to provide AV with a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• March 15, 2022: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  Witness #1 (W1) is known to be physically aggressive with other residents. On or about March 12, 2022, W1 was observed placing a pillow over the Alleged Victim's (AV) face, causing AV unreasonable discomfort. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• May 31, 2022: Failed to comply with move-out, transfer or discharge requirements 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 first provide a 30-day notice to the resident before engaging the resident in an involuntary move out from the facility in accordance with OAR 411-054-0080(4)(a) per complaint that the facility did not issue a move-out notice to the resident.

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 42 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.