Elite Care Larch - Tabor

Last inspection

October 16, 2024

Inspections

4, 12 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

8

Regulatory actions

1

Fines assessed

$1,000.00 (2 violations)

Current owner since

April 25, 2014

License conditions and other regulatory actions

• July 27, 2023 to September 6, 2023: License Condition, Failed to use an ABST RCFCD23-00877; incident: CALMS - 00045021
  The facility failed to ensure an Acuity Based Staffing Tool (ABST) assessment was completed for each resident, and was reviewed and amended for each resident at least quarterly.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• October 16, 2024: Complaint Investig., 2 deficiencies cited report
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • C0450: Inspections and Investigations severity level 2, scope L2 Isolated
• November 16, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• May 15, 2023: Validation, 10 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern, corrected July 17, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected July 17, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected July 17, 2023
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected November 12, 2023
  Show all 12

  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected July 17, 2023
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected July 17, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected September 17, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected July 17, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Isolated, corrected November 12, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected July 17, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected July 17, 2023
• October 5, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• April 4, 2023: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 411-054-0027 (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 facility failed to provide a safe medication administration system to ensure AV's medications were administered as ordered. According to an investigation, AV did not receive his/her medications on multiple occasions between January 25, 2023, and March 16, 2023, placing AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 27, 2023: 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 Alleged Victim (AV) has a history of behaviors and sustaining injuries while using his/her motorized chair. AV’s behavioral plan states to offer to help AV into their motorized chair and spend one-on-one time with AV when he/she becomes agitated. According to an investigation, on or about May 27, 2023, AV was found in his/her motorized chair with a fractured leg and their room in disarray. According to documentation and witnesses, approximately twenty to thirty minutes prior to the incident, the AV was placed into his/her motorized chair and left alone in his/her room as a re-directive method due to continued behaviors. It was also discovered that facility staff has used this re-directive method on several occasions. The facility failed to provide oversight to ensure facility staff followed AV’s behavioral support plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• August 10, 2026: Failed to provide appropriate staffing Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility’s staffing schedule dated 08/10/26 indicated the facility was not staffing to its posted staffing plan for 1 of 2 shifts reviewed, which is a violation of Oregon Administrative Rules.

• July 1, 2026: Failed to provide appropriate staffing Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility’s staffing schedule dated 08/10/26 indicated the facility was not staffing to its posted staffing plan for 2 of 2 shifts reviewed, which is a violation of Oregon Administrative Rules.

• May 12, 2026: 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 implement and maintain an Acuity-Based Staffing Tool, which is a violation of Oregon Administrative Rules.

• May 11, 2026: 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, which is a violation of Oregon Administrative Rules.

• October 3, 2024: 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 per complaint resident missed a dose of their medication, 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 30 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.