Columbia Place Assisted Living

Last inspection

June 25, 2026

Inspections

6, 37 deficiencies cited

Substantiated abuse

14

Substantiated licensing violations

18

Regulatory actions

0

Fines assessed

$24,250.00 (8 violations)

Current owner since

September 1, 2024

Inspections

• June 25, 2026: Re-Licensure, 4 deficiencies cited report
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0280: Resident Health Services severity level 2, scope L2 Pattern
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
• August 27, 2025: Change of Owner, 9 deficiencies cited report
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  Show all 9

  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Pattern
  • C0610: General Building Exterior severity level 2, scope L2 Widespread
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
• July 22, 2024: Complaint Investig., 6 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Isolated
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Isolated
• April 16, 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
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
• May 9, 2023: 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 9, 2023
• January 31, 2022: Validation, 16 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Pattern, corrected February 2, 2022
  Show all 17

  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected February 2, 2022
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected February 2, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected February 2, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected February 2, 2022
  • C0615: Resident Units severity level 2, scope L2 Widespread, corrected February 2, 2022

Substantiated abuse or neglect

• December 8, 2025: Failed to administer ordered medication Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) is care planned to receive assistance from staff with self-administration of all medications and treatments. Staff are to re-order all medications in a timely manner, to ensure that medication is received as ordered by the provider. AV returned from the hospital on or about December 4, 2025, for cough and generalized weakness. AV was to take [antibiotic medication] for four (4) days starting December 5, 2025. AV did not receive prescribed [antibiotic medication] from December 5, 2025 – December 7, 2025 . Alleged Perpetrator 2 (AP2) put the physician order in "medication queue" in Medication Administration Record (MAR) system on December 4, 2025, and faxed order to AV's pharmacy. The facility stopped doing the "medication queue " in March 2025 due to residents not receiving medication on time. AP2 was aware/trained that the "medication queue" process was ended in March 2025; AP2 forgot that the "medication queue" process was changed when processing the new medication order. On or about December 8, 2025, Witness 4 (W4) noticed that AV’s [antibiotic medication] had not yet been administered and followed up with medical provider. AP2 failed to administer ordered medication, which is neglect of care and constitutes abuse. Respondent failed to administer order medication, to ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).

• February 6, 2025: Failed to provide oversight and monitoring of change of condition 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); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) has multiple chronic wounds, and staff are to document or report any new or worsening wounds. On or about February 6, 2025, staff informed home health of an untreated wound on AV's right hip. Staff claims to have notified other facility staff a couple weeks prior, however, no documentation exists of this occurring. AV's wound was unstageable and necrotic on February 6, 2025, when reported to home health. Had the wound been followed up on earlier, treatment options would have been available to prevent the wound from degrading to the level it was found by home health. Respondent failed to ensure staff followed protocol to ensure nursing staff were made aware of a change of condition, causing AV unreasonable discomfort. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).

• June 13, 2024: Failed to provide appropriate staffing Abuse: Neglect; 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); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  On or about June 13, 2024, it was discovered that the Alleged Victim (AV) had bruising in his/her chest area. AV is a transfer with a gait belt, and the bruising was consistent with the improper use of a gait belt. All staff at the facility were not properly trained on proper placement of the gait belt and were placing the gait belt under AV's chest. Due to the misplacement and improper training, AV suffered a bruise and risk for harm. The facility's failure to properly train staff placed AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• May 21, 2024: Failed to provide a safe medication administration system Abuse: Neglect; 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) had a kidney stone that was causing him/her pain. AV was scheduled for surgery in February 2024, however, the facility was not made aware to hold AV's medications prior to surgery, so the surgery was re-scheduled for May 2024. On the day of AV's surgery, the hospital noticed that AV bruised during placing an IV. The hospital called the facility and learned that AV had been receiving medication that was to be held to complete the surgery. AV's surgery had to be cancelled again, placing AV in unreasonable discomfort. Respondent failed to ensure AV's medications were held to ensure AV could have surgery. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).

• April 7, 2024: Failed to properly plan care Abuse: Neglect; 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) had suffered a fall in March 2024, which resulted in a fractured hip. AV's care plan was updated on March 29, 2024, to check on AV frequently throughout the night. AV was to be checked multiple times per shift, but the care plan did not indicate at what time. On or about April 7, 2024, around 6:30 AM, AV was found face down on the floor, with soiled clothes and dried feces. It' is unknown how long AV was on the ground. AV sustained an abrasion to his/her knee. The facility's failure to ensure AV's care plan was updated so staff understood when AV should be checked on left AV at risk for serious harm. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• July 30, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  Based on interview and record review, conducted during an investigation on 12/22/25, the facility failed to accurately document written, signed physician or other legally recognized practitioner orders in the resident's facility record for all medications the facility is responsible to administer. The facility’s failure is a violation of Oregon Administrative Rules.

• May 19, 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

  Based on interview and record review, it was determined the facility failed to use the results of an ABST to develop and update the facility’s posted staffing plan. The facility’s failure is a violation of Oregon Administrative Rules.

• May 19, 2025: Failed to meet the scheduled and unscheduled needs of residents Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  Based on interview and record review, it was determined the facility failed to consistently have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. The facility’s failure is a violation of Oregon Administrative Rules.

• February 6, 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 have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• July 22, 2024: Failed to provide safe environment 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 fully implement and update an acuity-based staffing tool, which 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.” 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.