Deerfield Village Assisted Living

Last inspection

September 18, 2025

Inspections

6, 43 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

8

Regulatory actions

1

Fines assessed

$1,357.00 (4 violations)

Current owner since

October 1, 2026

License conditions and other regulatory actions

• August 17, 2022 to October 12, 2022: License Condition, Failed to meet the scheduled and unscheduled needs of residents ALFCD22-00773; incident: CALMS - 00030425
  The Facility failed to implement an Acuity-Based Staffing Tool as required by Oregon Administrative Rules
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• September 18, 2025: Re-Licensure, 16 deficiencies cited report
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern
  • C0295: Infection Prevention & Control severity level 2, scope L2 Pattern
  Show all 16

  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated
  • C0340: Restraints and Supportive Devices 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
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0374: Annual and Biennial Inservice for All Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Pattern
  • H1511: Individual Rights Settings Right to Freedom severity level 2, scope L2 Isolated
• July 10, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• July 3, 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 20, 2024
• August 3, 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 August 22, 2023
• April 20, 2023: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• July 19, 2022: Validation, 23 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 3, scope L3 Pattern, corrected December 11, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected December 11, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected December 11, 2022
  Show all 25

  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Pattern, corrected December 11, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected December 11, 2022
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected December 11, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected December 11, 2022
  • C0315: Systems: Treatment Administration severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected December 11, 2022
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected December 11, 2022
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected December 11, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected December 11, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected December 11, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected December 11, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected March 31, 2023
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Pattern, corrected March 31, 2023

Substantiated abuse or neglect

• January 7, 2025: 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 Alleged Victim (AV) is a resident of the facility and requires facility supervision. AV does use oxygen and has a history of smoking. AV's care plan states staff supervision for smoking. On or about January 7, 2025, staff were in AV's room and smelled smoke. It was discovered that AV's oxygen tube was on fire, along with AV's bed and AV's pants. AV was transferred to the hospital and diagnosed with second degree burns on his/her legs. The facility's failure to follow the care plan to ensure AV's safety from smoking is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 4, 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

  Alleged Victim (AV) is a high fall risk and is care planned for an escort while out of the community. On or about November 04, 2022, AV fell while walking in the park without an escort. AV had pain and swelling to the right lower rib cage and was transferred to the hospital. AV was diagnosed with displaced and broken ribs. The facility failed to follow AVs care plan, which is a violation of resident’s rights is neglect of care and constitutes abuse.

• May 22, 2022: Failed to provide service 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide appropriate services according to the Alleged Victim (AV)’s needs, resulting in no one responding to AV call light timely after AV fell and hurt h/h knee sustaining an abrasion and swelling. Documentation provided to the department shows AV on or about May 22, 2022, fell and pressed h/h call button. The call light was not answered, AV scooted h/h-self out to hallway and used the hallway handrails to get h/h-self up. AV walked to the office and notified staff of the fall. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegations Alleged Perpetrator allegedly failed to answer the call light in a timely manner for the Alleged Victim was investigated and determined no licensing violation or abuse occurred.

• December 31, 2021: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $169.00; 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility to administer his/her medications. AV was not administered his/her medication approximately from June 23, 2021 - December 30, 2021. The facility failed to provide a safe medication administration system to ensure AV was administered medications as prescribed, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 14, 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 develop, maintain, and implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037(1-7); per a complaint a newly moved-in resident was not added to the facility's ABST and are not staffing to meet resident's needs, which is a violation of Oregon Administrative Rules.

• May 26, 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 develop, maintain, and implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037(1-7), which is a violation of Oregon Administrative Rules.

• January 26, 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 fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037, which is a violation of Oregon Administrative Rules.

• September 24, 2024: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is care planned as a two person transfer. AV has fallen previously while being assisted by Alleged Perpetrator #2 (AP2). On or about September 24, 2024, AP2 was transferring AV alone, and trying to pull up AV's pants when AV became weak and AP2 had to assist AV to the ground. AV was not injured, however, AV did complain of pain after the incident. AP2's actions of not following AV's care plan is a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to ensure AV's care plan was followed is a violation of Oregon Administrative Rules.

• February 4, 2023: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV) relies on the facility for h/h care. AV is care planned for a two-person assist transfer to toilet. On or about February 04, 202, Alleged Perpetrator #2 (AP2) attempted to transfer AV alone, when AV experienced a muscle spasm in h/h leg. AP2 lowered AV to the floor in an "assisted fall" while AV was experiencing a bowel movement, causing AV unreasonable discomfort and loss of dignity. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, 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.” This community is licensed for 48 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.