Fox Hollow

Last inspection

June 10, 2026

Inspections

5, 8 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

6

Regulatory actions

0

Fines assessed

$169.00 (1 violation)

Current owner since

November 1, 2026

Inspections

• June 10, 2026: Change of Owner, 1 deficiency cited report
  • C0160: Reasonable Precautions severity level 3, scope L3 Isolated
• January 29, 2025: Re-Licensure, 5 deficiencies cited report
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0374: Annual and Biennial Inservice for All Staff severity level 2, scope L2 Pattern
• January 7, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• August 21, 2023: 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 October 20, 2023
• August 16, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• August 1, 2024: Failed to obtain appropriate consultation 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide basic care and coordination of services. According to an investigation, on or about August 1, 2024, AV's lab results were faxed to AV's physician indicating further treatment was needed. The facility failed to follow up with AV's physician to coordinate care for AV, which is a violation of resident rights and is considered neglect, which constitutes abuse.

Substantiated licensing violations

• February 4, 2026: Failed to provide safe environment Licensing Violation; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Victim (AV) died by suicide while under the facility’s care and supervision. Alleged Perpetrator 2 (AP2), an employee of the facility, did not perform required safety checks despite AV being identified as a suicide risk. Documentation and interviews show that on February 2, 2026, the facility implemented a temporary safety plan after learning that AV had requested weapons and expressed intent to kill self while visiting a family home. The plan required hourly safety checks for 72 hours and restricted AV’s access to metal utensils. It was communicated to staff through a binder accessible to all employees and through verbal communication during shift changes. At the start of AP2’s shift or about February 4, 2026, multiple staff members informed AP2 of the expectation to complete hourly checks on AV. Shortly after 5:00 a.m., AV was found unresponsive with oxygen tubing around AV’s neck and was determined to be deceased. AV was cold when found, indicating AV may have been alone for longer than an hour or that more than an hour had passed since death. Staff reported that AV had been doing well prior to the start of AP2’s shift and that required checks were being completed as expected prior to the start of AP2's shift. AP2’s failure to perform the required safety checks created a risk of serious harm and is considered neglect of care, which constitutes abuse. The facility failed to provide a safe environment for AV which resulted in AV's death by suicide which is a violation of Oregon Administrative Rules.

• October 14, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  On or about November 12, 2025, Alleged Perpetrator 2 (AP2), an employee of the facility, took two of Alleged Victim's (AV) bank cards and began using them at local stores, successfully charging a total of $838. In addition to these fraudulent charges, AP2 reportedly stole $100 in cash and a pair of shoes from AV, a resident of the facility. Witness 1 (W1) obtained video evidence from a local video game store where AV’s card had been used, confirming that AP2 was the individual who used AV’s card at that location. AP2’s actions constitute theft and abuse by means of financial exploitation. Furthermore, the facility failed to provide a safe environment for AV, which is a violation of Oregon Administrative Rules.

• October 14, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  On or about November 17, 2025, Alleged Perpetrator 2 (AP2), an employee of the facility, took Alleged Victim's (AV) debit card, a resident of the facility, and made four fraudulent charges on AV's debit card including three attempted charges for pizza, only one of which was approved by AV's bank and a $10 charge for a Wi-Fi pass. AP2 also stole a little over $20 in cash from AV. AP2 is responsible for theft of Av's property, which is considered financial exploitation and constitutes abuse. Furthermore, the facility failed to provide a safe environment for AV, which is a violation of Oregon Administrative Rules.

• August 15, 2025: Failed to staff as indicated by 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 which is a violation of Oregon Administrative Rules.

• April 7, 2025: Failed to use restraint properly 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 the facility to provide a safe environment. According to an investigation Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) were assisting AV up from the floor. AP2 grabbed AV's arm roughly, which caused AV discomfort. AP3 witnessed AP2's treatment of AV and did not report this timely to the facility management as required. AV was later sent to the hospital and diagnosed with a fracture of the arm. The facility failed to provide a safe environment for AV, which is a violation of Oregon Administrative Rules. The actions of AP2 and AP3 are a violation of resident rights, are considered neglect of care and constitutes abuse.

• July 19, 2023: 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

  The Alleged Perpetrator 2 (AP2) filmed the Alleged Victim (AV) while providing care and posted the video(s) to social media causing loss of personal dignity to AV, which 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.

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 54 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.