Edgewood Point Memory Care

Last inspection

October 17, 2024

Inspections

5, 9 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

5

Regulatory actions

2

Fines assessed

$1,613.00 (4 violations)

Current owner since

September 1, 2017

License conditions and other regulatory actions

• May 26, 2023 to June 30, 2023: License Condition, Failed to meet the scheduled and unscheduled needs of residents RCFCD23-00695; 2 incidents: OR0003664401, OR0003664400
  The facility failed to fully implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0036(1)
  Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)
• May 28, 2021 to November 4, 2021: License Condition, Failed to provide service RCFCD21-02489; incident: CALMS - 00014220
  Re-licensure Survey # VL1P11 completed May 19, 2021.
  Rules: 411-054-0025 (Facility Administration)

Inspections

• October 17, 2024: Re-Licensure, 3 deficiencies cited report
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • H1515: Physical Setting: Individual Accessible severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• August 20, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 13, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 30, 2023: Licensure Complaint, 4 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Widespread
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
• July 28, 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 September 19, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected September 19, 2022

Substantiated abuse or neglect

• July 12, 2024: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide appropriate supervision to the Alleged Victim (AV) according to his/her needs. The failure resulted in AV eloping the secured building, without staff knowledge, placing him/her at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• February 9, 2023: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $450.00; 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

  The facility failed to provide a safe environment. According to an investigation, Witness 1 (W1) has a history of behaviors and resident-to-resident altercations. On or about February 9, 2023, W1 got upset when the Alleged Victim (AV) was sitting in a chair that W1 preferred to sit in. As a result, W1 yelled at AV, grabbing his/her arm and striking him/her in the face. The facility's failure is a violation of resident rights, is neglect of care and constitutes abuse.

• January 21, 2023: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $450.00; 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 Alleged Victim (AV) relies on the facility for his or her safety. On or about January 21, 2023, facility staff found a rug blocking an exit door from closing in the locked facility. AV was discovered to be missing around 11:23 am and was brought back to the facility approximately 30 minutes later by police. AV was wet, due to the weather, and had traveled approximately 2 miles. The facility failed to provide a safe environment, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.

• October 31, 2022: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $338.00; 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 facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had approximately fifteen (15) falls between August 12, 2022, and October 31, 2022, some resulting in injury including but not limited to skin tears, abrasions, bruising, and a head injury. The facility failed to implement effective interventions to mitigate AV’s increasing fall risk, causing repeated unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• August 11, 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. The facility’s failure is a violation of Oregon Administrative Rules.

• February 21, 2023: 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

  The facility failed to implement safe medication and treatment administration systems. An investigation determined a licensing violation or abuse occurred.

• February 21, 2023: 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

  The facility failed to carry out medication and treatment orders as prescribed. An investigation determined a licensing violation or abuse occurred.

• March 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 March 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 February 1, 2022 to February 28, 2022, for a total of 27 days.

• October 25, 2021: 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

  Alleged Perpetrator 2 (AP2) raised his/her voice in conversation with Alleged Victim (AV) when AP2 was working in the role as AV's caregiver. An investigation determined AP2 ordered AV to shut up and be quiet which resulted in risk of emotional harm to AV. AP2's actions are considered verbal/emotional abuse. The facility failed to provide a safe environment for AV 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 27 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.