Forest Meadows

Last inspection

July 30, 2026

Inspections

6, 39 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

6

Regulatory actions

1

Fines assessed

$21,188.00 (6 violations)

Current owner since

August 2, 2004

License conditions and other regulatory actions

• September 26, 2022 to November 7, 2022: License Condition, Failed to use an ABST RCFCD22-01429; incident: CALMS - 00031807
  The facility failed to fully implement an ABST.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)

Inspections

• July 30, 2026: Re-Licensure, 5 deficiencies cited report
  • C0280: Resident Health Services severity level 2, scope L2 Isolated
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
• May 21, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• May 7, 2025: Re-Licensure, 17 deficiencies cited report
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
  • C0156: Facility Administration: Quality Improvement severity level 2, scope L2 Widespread
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  Show all 18

  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Widespread
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Isolated
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • L0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • L0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
• August 14, 2023: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 4, scope L4 Widespread, corrected March 30, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected March 30, 2024
• August 11, 2022: State Licensure, 3 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread, corrected October 10, 2022
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected October 10, 2022
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected October 10, 2022
• December 9, 2021: Validation, 12 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected February 8, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected February 8, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected February 8, 2022
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Isolated, corrected February 8, 2022
  Show all 13

  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Isolated, corrected February 8, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Isolated, corrected February 8, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected February 8, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected February 8, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected February 8, 2022
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected February 8, 2022
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected February 8, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected February 8, 2022

Substantiated abuse or neglect

• September 8, 2024: Failed to administer medication as ordered 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on facility staff to administer medications. According to an investigation, on or about, September 8, 2024, Alleged Perpetrator 2 (AP2) administered another resident's medication to AV, resulting in AV being transferred to the hospital. AP2's actions exposed AV to a risk of potential serious harm, are considered neglect and constitutes abuse. Based on the investigation, it was determined that the facility failed to ensure AV's medication was administered as ordered. The facility exposed AV to potential serious harm, which is a violation of resident rights, is neglect of care which constitutes abuse.

• July 8, 2024: Failed to provide safe environment 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs, has cognitive deficits and a history of wandering and leaving the facility. AV's care planned intervention was for staff to provide 15-minute safety checks. According to an investigation, on or about July 8, 2024, AV was observed by staff to be "antsy" and was later discovered to have left the facility unsupervised. AV was found several hours later, several miles from the facility, in a ditch. As a result, AV was found with wounds to legs and evidence of heat exposure requiring hospitalization. The facility failed to ensure AV's service plan included interventions to address cognitive deficits and wandering behaviors to keep AV safe which is a violation of resident rights, is neglect of care which constitutes abuse.

Substantiated licensing violations

• April 25, 2025: Failed to protect resident from verbal abuse 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)
  State’s findings

  The Alleged Victim (AV) relies on facility staff to ensure resident’s rights. According to an investigation, the Alleged Perpetrator 2 (AP2) verbally threatened the AV. AP2’s actions are considered verbal abuse and constitutes abuse. The facility did not keep AV free from verbal abuse, which is a violation of Oregon Administrative rules.

• September 8, 2024: Failed to administer ordered medication Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  Based on interview and record review, conducted during a site visit on 01/21/26, the facility’s failure to carry out medication orders as prescribed was substantiated, which is a violation of Oregon Administrative Rules.

• July 8, 2024: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $375.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility allegedly failed to administer medications as ordered to the Alleged Victim (AV). An investigation determined the allegation to be Inconclusive. According to an investigation, on or about July 8, 2024, the facility failed to keep an accurate medication administration record. The failure is a violation of Oregon Administrative Rules.

• September 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $6,750.00; report
  Rules: 411-061-0010
  State’s findings

  On or about September 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 August 1, 2022 to August 31, 2022, for a total of 30 days.

• August 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $6,750.00; report
  Rules: 411-061-0010
  State’s findings

  On or about August 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 July 1, 2022 to July 31, 2022, for a total of 30 days.

• May 2, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $6,750.00; report
  Rules: 411-061-0010
  State’s findings

  On or about May 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 April 1, 2022 to April 30, 2022, for a total of 30 days.

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.” 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.