Footsteps at Happy Valley

Last inspection

February 12, 2024

Inspections

2, 13 deficiencies cited

Substantiated abuse

10

Substantiated licensing violations

2

Regulatory actions

0

Fines assessed

$4,371.00 (10 violations)

Current owner since

May 4, 2023

• Every deficiency from the February 12, 2024 inspection was corrected by September 8, 2024

Inspections

• February 12, 2024: Initial Licensure, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Pattern, corrected September 8, 2024
  • C0231: Reporting & Investigating Abuse-Other Action severity level 3, scope L3 Isolated, corrected April 15, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected April 15, 2024
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Isolated, corrected April 15, 2024
  Show all 17

  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected September 8, 2024
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected April 15, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected September 8, 2024
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected September 8, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected September 8, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected April 15, 2024
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected April 15, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected September 8, 2024
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread, corrected April 15, 2024
  • Z0142: Administration Compliance severity level 3, scope L3 Isolated, corrected September 8, 2024
  • Z0162: Compliance With Rules Health Care severity level 3, scope L3 Isolated, corrected September 8, 2024
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected April 15, 2024
• November 7, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• December 30, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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)
  State’s findings

  The facility failed to provide a safe environment for the Alleged Victim (AV) who has a known history of elopements and exit seeking behavior. On or about December 30, 2024, the facility held a fire drill. During the fire drill, another resident’s family member was leaving the facility and when they exited the facility, the AV followed them out the door. The facility staff did not notice the AV leaving the secured memory care facility. The AV was found outside of the secured memory care by staff from another unit and was escorted back to the memory care unit. The facility failed to provide a safe environment allowing the AV to leave the secured memory care without supervision, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 14, 2024: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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)
  State’s findings

  According to the documentation, the facility failed to properly care plan appropriate interventions for the Alleged Victim’s (AV) exit seeking behavior leading to multiple elopements from the secured memory care facility. On or about December 14, 2024, the AV eloped from the secured memory care approximately three times. The AV was able to obtain the code to exit the facility. The AV used the code to leave the facility approximately three times in one day. Due to AV’s cognitive status, they were not able to find their way back to the facility and was found in the parking lot of the assisted living. The AV was able to be redirected back to the secured unit after each elopement. The facility failed to implement appropriate interventions after the initial elopement to ensure the AV was not able to leave the secured unit unaccompanied, placing them at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 13, 2024: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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

  According to the documentation, the facility failed to properly care plan appropriate interventions for the Alleged Victim’s (AV) exit seeking behaviors. On or about October 13, 2024, the AV exited the secured memory care facility by following a staff member out the door at approximately 2:00 pm. The AV was seen outside the locked facility walking on the sidewalk. A facility staff member was able to guide the AV back into the building, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 13, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $169.00; 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 provide a safe environment for the Alleged Victim (AV) by allowing them to exit the secured facility. On or about October 13, 2024, the AV was able to exit the facility by following someone out the front door. According to the AV’s service plan, they are known to try and exit the facility when others are leaving. The AV was found outside in the parking lot and was able to be redirected back into the facility. The facility failed to provide a safe environment by allowing the AV to exit the secured memory care facility, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• September 18, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $900.00; 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 staff failed to follow the care plan for the Alleged Victim’s (AV) known history of exit seeking behavior. AV’s service plan states the staff are to keep eyes on the AV to ensure they do not follow visitors out the door. On or about September 17, 2024, the AV followed a visitor outside of the locked memory care unit and into another part of the campus building. The staff were unaware the AV had exited the secured memory care unit. Staff from another unit notified the memory care a resident had gotten out of the secured unit. The AV was redirected back into the secure unit. The failure to follow the care plan to ensure the AV did not follow a visitor out of the secured unit placed the AV at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 6, 2025: 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)
  State’s findings

  According to the documentation, Alleged Perpetrator 2 (AP2), Alleged Perpetrator 3 (AP3), and Alleged Perpetrator 4 (AP4) failed to follow facility policy to ensure no residents left the secured building behind them and allowed the Alleged Victim (AV) out of the secured memory care. The AV is care planned to have exit seeking behaviors. On or about September 06, 2025, AP2, AP3 and AP4 were exiting the building after their shift ended and did not follow facility procedures to check for residents potentially following them out. During this time, the AV was able to exit the facility behind the three staff members. one of the AP’s noticed the AV walking along the sidewalk when they were by their car. The AP was able to redirect the AV back into the facility. The failure to follow facility procedures to ensure residents did not leave the secured memory care unattended is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.

• January 30, 2024: Failed to assure resident was safe 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)
  State’s findings

  According to the documentation, the Alleged Perpetrator 2 (AP2) used failed to ensure the Alleged Victim (AV) was safe. On or about January 30, 2024, when AP2 used the keypad to enter the locked memory care facility, the AV was at the door and the AP2 let AV out creating a risk of harm to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to prevent elopement 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 32 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.