Emerald Valley Assisted Living

Last inspection

June 9, 2025

Inspections

7, 13 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

7

Regulatory actions

2

Fines assessed

$813.00 (3 violations)

Current owner since

October 1, 2026

License conditions and other regulatory actions

• April 17, 2025 to May 30, 2025: License Condition, Failed to provide appropriate staffing ALFCD25-00164; incident: CALMS - 00076897
  The following statement of violations stem from preliminary information from Adult Protective Services Investigation #00395204
  Rules: 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services); 411-054-0070 (Staffing Requirements and Training)
• August 29, 2023 to December 5, 2023: License Condition, Failed to use an ABST ALFCD23-00566; incident: OR0004348000
  The facility failed to fully implement and update an acuity-based staffing tool in accordance with OAR 411-054-0037(1).
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• June 9, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• March 4, 2025: Complaint Investig., 1 deficiency cited report
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
• April 15, 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 June 5, 2024
• October 30, 2023: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected February 10, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected February 10, 2024
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Isolated, corrected February 10, 2024
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected February 10, 2024
  Show all 10

  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected February 10, 2024
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected February 10, 2024
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected February 10, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected February 10, 2024
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected February 10, 2024
• July 26, 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 13, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• November 14, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• November 7, 2024: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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 known fall risk and had suffered falls three times in the month of October 2024. On or about November 7, 2024, AV was found on the floor next to his/her bed, with his/her blanket and pillow and blood covering AV. AV was sent to the hospital immediately and diagnosed with a fractured nasal bone, bruising and multiple skin tears. The facility's failure to implement interventions to prevent AV from falling is a violation of resident rights, is considered neglect of care and constitutes abuse.

• February 12, 2022: Failed to provide safe environment 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)
  State’s findings

  Alleged Victim (AV) relies on the facility for h/h care and for a safe environment. Facility is responsible for ordering AV medication, and AV is responsible for storing and self-administering medications. On or about February 19, 2022, it was discovered that one (1) of AV's narcotic pills were missing. The facility failed to provide a safe environment and did not keep AV free from financial exploitation, which is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that AP2 financially exploited AV was investigated, and wrongdoing was unable to be determined.

• January 17, 2022: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  On or about January 4, 2022, the facility discovered the Alleged Victim (AV) had one (1) full controlled medication card missing. There had been no administration from the prescription, explanation of destruction or evidence of discontinuance. Facility was not completing narcotic count or narcotic disposal per Facility policy. There is no direct evidence indicating that Alleged Perpetrator 2 (AP2) took the Oxycodone. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• April 17, 2025: Failed to provide inservice 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 failed to ensure all employees completed pre-service orientation prior to beginning their job responsibilities in accordance with OAR 411-054-0070(3-4); as identified during the course of an investigation, which is a violation of Oregon Administrative Rules.

• April 12, 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 report of a serious event, which is a violation of Oregon Administrative Rules.

• April 12, 2025: Failed to provide medical treatment as ordered 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 in accordance with OAR 411-054-0055(1)(f);Per a report of a serious event, which is a violation of Oregon Administrative Rules.

• August 15, 2024: Failed to provide safe environment 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 failed to verify that direct care staff have demonstrated satisfactory performance in any duty they are assigned, and document that they have observed and evaluated the individual's ability to perform safe medication and treatment administration unsupervised in accordance with OAR 411-054-0070(5)(a) and (b)(G) per complaint that staff are not properly trained in medication administration and insulin delegation, which is a violation of Oregon Administrative Rules.

• June 15, 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 in accordance with OAR 411-054-0055(1)(f) per complaint resident received two doses of Zolpiderm instead of Bupinorpine, which is a violation of Oregon Administrative Rules.

• May 29, 2023: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility to administer his/her medications. From approximately May 31, 2023, to June 08, 2023, AV was not given h/h Cancer Medication. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.

• November 19, 2021: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to have toileting assistance and transferring. On or about November 19, 2021, Alleged Perpetrator #2 (AP2) did not check AV’s bed pad after an accident or help AV back to bed. 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.