Cascades of Stayton

Last inspection

July 31, 2026

Inspections

5, 11 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

3

Regulatory actions

1

Fines assessed

$3,125.00 (3 violations)

Current owner since

October 1, 2018

License conditions and other regulatory actions

• July 25, 2023 to September 19, 2023: License Condition, Failed to use an ABST ALFCD23-00480; incident: CALMS - 00044925
  The facility failed to implement an acuity-based staffing tool (ABST) that met the regulation.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• July 31, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• July 31, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• February 29, 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 July 1, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected July 1, 2024
• May 8, 2023: Validation, 8 deficiencies cited report
  • C0000: Comment severity level 0
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected September 8, 2023
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected September 8, 2023
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected September 8, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected September 8, 2023
  Show all 9

  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected September 8, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Pattern, corrected September 8, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected September 8, 2023
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected September 8, 2023
• February 21, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• March 15, 2024: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  AV is a high fall risk and has a history of falls. AV had falls on March 02, 2024, March 03, 2024, March 04, 2024, 2 falls on March 05, 2024, and a fall on March 14, 2024. AV's fall on March 02, 2024, resulted in a fractured left shoulder and the fall on March 14, 2024 resulted in a compression fracture in the spine. AV's care plan at the time of the falls indicated AV is independent with ambulation, uses a 4 wheel walker, AV is independent with transfers and remind AV to lock wheels on walker when not ambulating. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s falls, which resulted in AV fracturing left shoulder, hitting h/h head, and a compression fracture in h/h spine, which is violation of resident rights, is considered neglect of care and constitutes abuse.

• October 1, 2022: Failed to follow care plan 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

  The facility failed to follow the care plan. The Alleged Victim (AV) has history of falls with injury and has interventions in place to wear non-slip socks. On or about, October 01, 2022, AV was found on the floor without non-slip socks on. AV was transported to the hospital and sustained a brain bleed and abrasion to forehead. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 4, 2022: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; 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); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to provide appropriate services according to the Alleged Victim (AV)'s needs, the facility failed to implement a service plan and failed to complete a change of condition. AV experienced significant skin injuries and went without medications, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• May 3, 2025: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide records to the Department upon request in accordance with OAR 411-054-0105(1)(a), which is a violation of Oregon Administrative Rules.

• April 19, 2023: Failed to protect resident from financial exploitation 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) loaned Alleged Perpetrator #2 (AP2), approximately $400.00 with the understanding AP2 would pay h/h back. AP2 never paid AV back and this person is responsible for financial loss to AV, which is considered financial exploitation and constitutes abuse. The facility failed to protect AV from financial exploitation which is a violation of Oregon Administrative Rules

• August 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about August 1, 2022, 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 July 1, 2022 to July 31, 2022, for a total of 30 days.

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 75 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.