Desire For Healing

Last inspection

July 29, 2025

Inspections

4, 4 deficiencies cited

Substantiated abuse

10

Substantiated licensing violations

4

Regulatory actions

0

Fines assessed

$5,875.00 (11 violations)

Current owner since

July 1, 2019

Inspections

• July 29, 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
• June 24, 2024: Validation, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 30, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 5, 2022: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected December 4, 2022
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected December 4, 2022

Substantiated abuse or neglect

• June 24, 2025: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care and has a history of falls. AV is known not to use AV’s call light and is care planned for one-person assist for transfers. According to an investigation, on or about, between April 1, 2025, and June 12, 2025, AV experienced approximately fourteen falls. On or about, June 24, 2025, AV was found with bruising on their shoulder. On or about June 27, 2025, the bruising worsened, and AV was sent to the ER. AV was diagnosed with a fracture of the left clavicle. The facility failed to implement interventions to mitigate the risk of injury due to AV's increase in falls. This failure is a violation of resident rights, is neglect of care which constitutes abuse.

• April 17, 2025: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility for medication administration. According to an investigation, AV went approximately five days without receiving their pain medication, resulting in repeated pain. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.

• August 9, 2024: Failed to provide service 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) requires assistance for activities of daily living, including the use of a Hoyer Lift for all transfers. According to an investigation, on or about August 9, 2024, the Alleged Perpetrator 2 (AP2) was using the Hoyer Lift to transfer the AV into bed with the assistance of Witness1 (W1), a staff in training. The Hoyer Sling was not securely attached to the lift, became disconnected and the sling fell, causing the AV’s right leg to become tangled in the sling straps. The AV complained of pain and was sent to the emergency department on August 13, 2024, and diagnosed with a fractured right femur. AP2’s actions are a violation of resident rights, are considered neglect of care, and constitutes abuse. The facility failed to provide appropriate services, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.

• May 19, 2022: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  Witness #1 (W1) has a history of wandering around the facility, exit seeking, and agitation/aggression towards other residents and members of the care team. On or about May 19, 2022, W1 wandered into Alleged Victim (AV) room and attacked AV unprovoked striking AV in the face and scratching h/h arms. AV had swelling and bruising around h/h eye and scratches on h/h arms. The facility failed to properly plan care and provided interventions appropriate to mitigate W1 wandering and aggressive behaviors towards other residents which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• May 19, 2022: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  Witness #1 (W1) has a history of wandering around the facility, exit seeking, and agitation/aggression towards other residents and members of the care team. On or about May 19, 2022, W1 wandered into Alleged Victim (AV) room and attacked AV unprovoked. The facility failed to properly plan care and provided interventions appropriate to mitigate W1 wandering and aggressive behaviors towards other residents which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• November 8, 2025: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to properly care plan, regarding lack of clear direction for toileting before and after dinner. According to an investigation, AV experienced no negative outcome. The failure is a violation of Oregon Administrative Rules.

• April 17, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $500.00; report
  Rules: 411-054-0025 (Facility Administration); 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) relies on the facility to manage his/her medications. On or about August 30,2025, Alleged Perpetrator 2 (AP2) gave AV the wrong medication, resulting in sleepiness, AV having a hard time thinking, and AV feeling out of it. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.

• May 8, 2024: Failed to provide safe environment 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim's (AV's) Care Plan dated April 1, 2024 indicates AV is an elopement risk. AV used to just leave home prior to admission and walk to town disappearing for days at time. On or about May 8, 2024 AV removed or kicked out the window screen in h/h room and left, eloping from the facility (AP1). Staff entered AV room to take out the garbage and noticed AV was not in h/h room. Staff looked out back and saw AV on the hill behind AP1, but still on AP1's property. Staff followed AV on foot and called the police. When police arrived, staff were with AV. AV was never off the property unsupervised. AV did not want to return to AP1. AV believed s/he had been at an alcohol rehab, had done h/h time and was seeking "a 40 and a joint". Witness 6 (W6) got AV in W6's car, and was to take AV to the hospital for evaluation. W6 later called AP1 and said s/he didn't take AV to the hospital but to the family home. AV has not returned to the AP1. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.

• April 23, 2023: Failed to protect resident from verbal abuse 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

  Alleged Perpetrator 2 (AP2) answered Alleged Victim (AV) call light. AP2 and AV entered a conversation were AP2 began making statements calling AV “narcissist” and telling AV there was a lot of things in h/h file about h/h behaviors and that no one liked h/h. AV became emotionally upset, which is considered verbal/emotional abuse. The facility failed to protect AV from verbal/emotional abuse 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 50 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.