Comfort Village

Last inspection

February 5, 2026

Inspections

3, 34 deficiencies cited

Substantiated abuse

5

Substantiated licensing violations

7

Regulatory actions

1

Fines assessed

$1,501.00 (5 violations)

Current owner since

February 25, 2022

License conditions and other regulatory actions

• September 14, 2022 to December 7, 2022: License Condition, Failed to provide service RCFCD22-01403; incident: CALMS - 00031816
  The following statement of violations stem from evidence and interviews collected from survey #RIM711 completed September 8, 2022, the facility is not in substantial compliance with Oregon Administrative Rules for Residential Care Facilities and the Facilitys non-compliance places residents in immediate jeopardy.
  Rules: 411-054-0025 (Facility Administration); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)

Inspections

• February 5, 2026: Re-Licensure, 7 deficiencies cited report
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  Show all 8

  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0176: Resident Rooms severity level 2, scope L2 Pattern
• November 21, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 6, 2022: Initial Licensure, 27 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread, corrected November 7, 2022
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread, corrected November 7, 2022
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected November 7, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected November 7, 2022
  Show all 28

  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected November 7, 2022
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected November 7, 2022
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Isolated, corrected November 7, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected November 7, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected November 7, 2022
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected November 7, 2022
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Isolated, corrected November 7, 2022
  • C0545: Plumbing Systems severity level 2, scope L2 Pattern, corrected November 7, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected November 7, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected November 7, 2022
  • Z0155: Staff Training Requirements severity level 2, scope L2 Widespread, corrected November 7, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected November 7, 2022
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern, corrected November 7, 2022
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected November 7, 2022
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread, corrected November 7, 2022

Substantiated abuse or neglect

• August 8, 2024: Failed to provide safe environment 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)
  State’s findings

  Alleged Victim (AV) has a history of elopement and will try the doors to see if they open. AV’s care plan identifies that staff are to ensure all exits are locked and monitor AV exiting the building when other people utilize the exit. On or about August 8, 2024, at around 8:30 p.m., staff realized AV was missing so they searched the facility, however, AV was nowhere to be found. Law enforcement pulled up to the facility and had AV in their car. AV had left the facility without staff knowing and jumped into a neighbor's car, who ended up calling law enforcement. The facility field to document this elopement in an incident report or progress notes, which resulted in AV not having a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• April 14, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care and has a history of exit seeking behaviors. AV is care planned to be redirected to a quiet space or in his/her room for less stimulation and offer a quiet environment when upset. According to an investigation, on or about April 14, 2024, AV was agitated and wanted to go outside. A staff offered to take AV for a walk and took AV out the front of the facility, walking off facility grounds. While out on the walk, AV refused to return and became increasingly agitated near a busy roadway, requiring law enforcement assistance. The facility failed to provide a safe environment, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• January 2, 2024: Failed to provide transportation for medical or social purposes 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)
  State’s findings

  Alleged Victim relies on the facility for his/her care needs. On or about January 2, 2024, at about 8AM AV was transported and dropped off to a medical appointment/doctor visit by medical transport. At about 10:30AM, AV had not returned to the facility after his/her appointment. AV was later found in a different city approximately 70 miles away from where his/her appointment was at, AV was transported back to the facility by LEA. The facility failed to assure AV had transportation from his/her medical appointment, which put AV in risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.

• May 4, 2023: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $375.00; 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’s (AV’s) care plan state he/she need redirection and supervision due to multiple elopement attempts. On or about May 4, 2023, AV, and Witness 1 (W1) eloped from the facility through a malfunctioning door that was not locked. AV and W1 wandered away from the facility and were picked up by a citizen driving by who then took them to a hotel. Citizen observed cognitive impairment and called law enforcement. Law enforcement brought AV and W1 back to the facility. The facility failed to provide a safe environment by failing to assure all door were operating properly and where secure to assure AV would not elope, knowing AV’s history of elopement attempts, which is a violation of resident rights is neglect of care and constitutes abuse.

• May 4, 2023: Failed to provide safe environment 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)
  State’s findings

  Alleged Victim (AV) is care planned to need redirection and supervision due to multiple elopement attempts. On or about May 4, 2023, AV, and Witness 1 (W1) eloped from the facility through a malfunctioning door that was not locked. AV and W1 wandered away from the facility and were picked up by a citizen driving by and took them to a hotel. Citizen observed cognitive impairment and called law enforcement. Law enforcement brought AV and W1 back to the facility. The facility failed to provide a safe environment by failing to assure all door were operating properly and where secure to assure AV would not elope, knowing AV’s history of elopement attempts, which is a violation of resident rights is neglect of care and constitutes abuse.

Substantiated licensing violations

• November 25, 2023: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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. It was determined that Alleged Perpetrator 2 (AP2) used profanities and verbally ridiculing words towards AV while providing care per witnessed statements. AP2’s verbal abuse and ridiculing towards AV had been happening for months until it was finally brought to management's attention. AP2 failed to protect AV from verbal abuse, which is neglect of care and constitutes abuse. The facility failed to protect AV from verbal abuse, which is a violation of Oregon Administrative Rules.

• November 25, 2023: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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. It was determined that Alleged Perpetrator 2 (AP2) used profanities and verbally ridiculing words towards AV while providing care per witnessed statements. AP2’s verbal abuse and ridiculing towards AV had been happening for months until it was finally brought to management's attention. AP2 failed to protect AV from verbal abuse, which is neglect of care and constitutes abuse. The facility failed to protect AV from verbal abuse, which is a violation of Oregon Administrative Rules.

• November 23, 2023: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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. It was determined that Alleged Perpetrator 2 (AP2) used profanities and verbally ridiculing words towards AV while providing care per witnessed statements. AP2’s verbal abuse and ridiculing towards AV had been happening for months until it was finally brought to management's attention. AP2 failed to protect AV from verbal abuse, which is neglect of care and constitutes abuse. The facility failed to protect AV from verbal abuse, which is a violation of Oregon Administrative Rules.

• November 23, 2023: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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. It was determined that Alleged Perpetrator 2 (AP2) used profanities and verbally ridiculing words towards AV while providing care per witnessed statements, AV is deaf and woke up due to incontinence and walked in the common area. AP2’s verbal abuse and ridiculing towards AV had been happening for months until it was finally brought to management's attention. AP2 failed to protect AV from verbal abuse, which is neglect of care and constitutes abuse. The facility failed to protect AV from verbal abuse, which is a violation of Oregon Administrative Rules.

• November 23, 2023: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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. It was determined that Alleged Perpetrator 2 (AP2) used profanities and verbally ridiculing words towards AV while providing care per witnessed statements. AP2’s verbal abuse and ridiculing towards AV had been happening for months until it was finally brought to management's attention. AP2 failed to protect AV from verbal abuse, which is neglect of care and constitutes abuse. The facility failed to protect AV from verbal abuse, which is a violation of Oregon Administrative Rules.

• March 21, 2023: Failed to protect resident from physical abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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. Incident report shows that Alleged Perpetrator 2 (AP2) was witnessed smacking AV on the back and AV yelling for AP2 to get out of the room. AP2 failed to protect AV from physical abuse, which neglect of care and constitutes abuse. The facility failed to protect AV from physical abuse, which is a violation of Oregon Administrative Rules.

• April 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 April 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 March 1, 2022 to March 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 51 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.