Coral Springs Residential Care

Last inspection

September 11, 2025

Inspections

3, 7 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

3

Regulatory actions

1

Fines assessed

$750.00 (2 violations)

Current owner since

March 26, 2014

License conditions and other regulatory actions

• March 2, 2023 to July 5, 2023: License Condition, Failed to use an ABST RCFCD23-00213; incident: CALMS - 00038382
  Based on interview and record review, it was determined the facility failed to implement an acuity-based staffing tool (ABST) that met the regulation.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• September 11, 2025: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• December 13, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• December 13, 2022: Validation, 5 deficiencies cited report
  • C0000: Comment severity level 0
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected February 13, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected February 13, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Pattern, corrected February 13, 2023
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Pattern, corrected February 13, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected March 16, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected March 16, 2023

Substantiated abuse or neglect

• November 3, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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

  Alleged Victim (AV) was homeless and living on the streets prior to moving into the facility on October 24, 2024, directly from a hospital discharge. AV has history of dementia. AV service plan dated on or about October 24, 2024, indicates, staff to take AV on frequent walks throughout the day; staff to report any signs of anxiousness to Med Tech so PRN can be administered; staff to remind AV that s/he is wearing a nicotine patch and that smoking will cause AV to be sick; staff are to monitor wandering; AV becomes anxious and is a high risk for wandering; staff monitor with motion sensor and do safety checks 6-times per shift; AV relies on staff to ensure h/h safety outside of the facility. On or about October 27, 2024, AV progress notes indicate AV gets confused and wants to leave facility to get checks that s/he needs to collect. On or about November 3, 2024, AV was discovered missing when family showed up to facility to visit AV. Emergency Services were called, and staff started looking for AV. AV was located by Law Enforcement at a Fred Meyer gas station. Elopement map indicates three different routes AV could take from facility to location Law Enforcement found AV. Each route is approximately 1 mile from facility and all three routes cross high traffic roads. The facility failed to provide a safe environment and properly plan care, and implement person centered interventions around AV's known dementia, confusion, wandering, and history of wanting to leave facility, which is a violation of resident’s rights is neglect of care and constitutes abuse.

• February 21, 2022: Failed to follow care plan Abuse: Neglect; Level 3 - Moderate harm or potential for serious 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to follow Alleged Victim's (AV) care plan to reduce AV's risk of falls. On or about February 21, 2022, AV fell out of his/her wheelchair in his/her room which resulted in AV getting a hematoma to his/her forehead and AV was sent to the hospital for treatment. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• May 19, 2023: 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 May 1, 2023, 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 for a total of 30 days.

• September 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 September 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 August 1, 2022 to August 31, 2022, for a total of 30 days.

• February 7, 2022: Failed to provide safe environment 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 exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents. An investigation determined the facility violated 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.” This community is licensed for 32 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.