Fieldstone Village at Keizer Ridge Memory Care

Last inspection

February 17, 2026

Inspections

5, 19 deficiencies cited

Substantiated abuse

5

Substantiated licensing violations

5

Regulatory actions

1

Fines assessed

$1,939.00 (5 violations)

Current owner since

January 1, 2024

License conditions and other regulatory actions

• August 4, 2023 to October 19, 2023: License Condition, Failed to staff as indicated by ABST RCFCD23-00866; incident: CALMS - 00044896
  The facility failed to use the results of an Acuity-Based Staffing Tool (ABST) to develop and routinely update the facility's staffing plan.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• February 17, 2026: 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
• September 25, 2024: Change of Owner, 10 deficiencies cited report
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0280: Resident Health Services severity level 2, scope L2 Isolated
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Pattern
  Show all 10

  • C0372: Training within 30 days: Direct Care Staff severity level 2, scope L2 Pattern
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Pattern
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
• November 14, 2023: 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 January 13, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected January 13, 2024
• May 1, 2023: Validation, 5 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected September 10, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected September 10, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected July 2, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected September 10, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected September 10, 2023
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Isolated, corrected September 10, 2023
• November 29, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• February 5, 2025: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  According to the documentation, the facility failed to properly care plan for Witness 1’s (W1) behaviors of inappropriate touching. W1 has a history of touching other residents inappropriately on their private areas. On or about February 05, 2025, W1 was found standing over the Alleged Victim (AV) in AV’s apartment. W1 was redirected out of the AV’s room. After W1 left the room, the AV notified staff W1 was touching their chest and bottom. Staff are to keep an eye on W1 and redirect them when they enter another residents room. The facility failed to properly care plan appropriate interventions to prevent known inappropriate behaviors towards other residents, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 23, 2023: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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. AV suffered falls in March and April 2023, with no new interventions put into place. On or about June 22, AV fell again and experienced hip pain. was transported to the emergency department and diagnosed with a hip fracture. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 17, 2023: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about March 17, 2023, the Alleged Victim (AV) wandered into Witness #1's (W1) room, where W1 hit AV, causing him/her to fall to the floor and sustain a skin tear on his/her head. W1 has a history of aggression and staff are to redirect W1 from other residents and are to redirect residents away from W1. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 15, 2022: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is a known fall risk and has suffered multiple falls. On or about November 15, 2022, AV fell, suffering a head injury and was transported to the hospital. AV suffered a hematoma and bruising to his/her right eyebrow, as well as shoulder pain. AV fell prior to this date, on November 12, 2022. At that time, the facility did not implement new interventions to address AV's continued falls. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 28, 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); 411-054-0030 (Resident Services)
  State’s findings

  Witness #1 (W1) is known to argue and have altercations when other residents try to share activities with him/her. On or about June 28, 2022, W1 was doing a puzzle alone. The Alleged Victim (AV) came over to help W1. W1 did not want AV's help and pushed AV down. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• November 17, 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 complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly. The failure is a violation of Oregon Administrative Rules.

• November 13, 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’s failure to use the results of an ABST to develop and routinely update the facility’s posted staffing plan and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly. The failure is a violation of Oregon Administrative Rules.

• October 25, 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’s failure to use the results of an ABST to develop and routinely update the facility’s posted staffing plan and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly. The failure is a violation of Oregon Administrative Rules.

• February 5, 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 complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly. The facility’s failure is a violation of Oregon Administrative Rules.

• January 28, 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 complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly. The facility’s failure 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 23 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.