Forest Grove Beehive Memory Care

Last inspection

July 16, 2025

Inspections

2, 22 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

3

Regulatory actions

0

Fines assessed

$1,001.00 (4 violations)

Current owner since

February 1, 2019

Inspections

• July 16, 2025: 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
• April 29, 2024: Validation, 20 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Pattern, corrected July 2, 2024
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected July 2, 2024
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected July 2, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected December 15, 2024
  Show all 23

  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected December 15, 2024
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected December 15, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected December 15, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected July 2, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected December 15, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected December 15, 2024
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected July 2, 2024
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected July 2, 2024
  • C0515: Resident Units severity level 2, scope L2 Widespread, corrected July 2, 2024
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread, corrected July 2, 2024
  • C0545: Plumbing Systems severity level 2, scope L2 Pattern, corrected July 2, 2024
  • H1518: Individual Door Locks: Key Access severity level 1, scope L1 Widespread, corrected July 2, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected December 15, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected December 15, 2024
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern, corrected July 2, 2024
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected July 2, 2024
  • Z0168: Outside Area severity level 2, scope L2 Widespread, corrected July 2, 2024
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread, corrected December 15, 2024

Substantiated abuse or neglect

• October 27, 2024: Failed to provide safe environment 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); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about October 27, 2024, AV fell while trying to self-transfer and on October 31, 2024, AV fell while slipping out of bed. AV's service planned interventions were for staff to remind AV to use a pull cord to call for assistance and wear non-slip socks. The facility did not develop or implement any known changes to AV's care plan following the falls. The facility failed to develop fall interventions to address AV’s fall risk, resulting in injury and a skin tear. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.

• March 24, 2023: 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 facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had multiple documented falls between January 6, 2023, and March 26, 2023, some resulting in injury including but not limited to a head injury, a black eye, skin tears, abrasions, and bruising. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 13, 2023: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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) was care planned to be escorted to and from the dining room for every meal. According to an investigation, on or about March 13, 2023, the AV fell while using his/her walker to ambulate on his/her own to the dining room for lunch. As a result of the fall, AV experienced unreasonable discomfort and bruising to his/her back and lower leg area. The facility failed to follow AV’s care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• February 25, 2022: Failed to properly plan care 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

  The facility failed to ensure supervision and staff support regarding known behaviors related to Alleged Victim (AV) and Witness #1 (W1). AV and W1 engaged in multiple altercations, placing the residents at risk for harm. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 12, 2024: Failed to cooperate with an investigation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide documentation upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• December 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 December 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 November 1, 2022 to November 30, 2022, for a total of 30 days.

• September 30, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide a safe secure environment, as stated in the service plan, which resulted in the Alleged Victim (AV) eloping on September 30, 2022 and again on October 31, 2022. The 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 22 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.