Friendsview Retirement Community

Last inspection

June 3, 2026

Inspections

5, 20 deficiencies cited

Substantiated abuse

14

Substantiated licensing violations

10

Regulatory actions

1

Fines assessed

$7,727.00 (14 violations)

Current owner since

October 26, 1993

License conditions and other regulatory actions

• August 4, 2023 to November 29, 2023: License Condition, Failed to update staffing plan based on ABST RCFCD23-00887; incident: CALMS - 00045041
  The facility failed to develop a staffing plan based on care minutes calculated by the acuity-based staffing tool (ABST) and to update the ABST to accurately reflect the time needed to provide care.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• June 3, 2026: Re-Licensure, 6 deficiencies cited report
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
• November 19, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• December 5, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• June 26, 2023: Validation, 11 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected August 27, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected August 27, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected August 27, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected August 27, 2023
  Show all 12

  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected August 27, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected August 27, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected August 27, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected August 27, 2023
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected August 27, 2023
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected August 27, 2023
  • Z0164: Activities severity level 2, scope L2 Isolated, corrected August 27, 2023
• October 19, 2022: 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 November 30, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected November 30, 2022

Substantiated abuse or neglect

• April 27, 2025: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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 Alleged Victim (AV) relies on the facility for care and is a fall risk. AV is care planned to have a motion mat/alarm in place, and staff are to move the mat from the bed to the wheelchair and back again depending on where AV is. On or about April 27, 2025, AV had an unwitnessed fall out of bed, resulting in latent bruises to the left hand and forearm. According to an investigation, AV's motion mat was left in the wheelchair and was not in place under the AV in bed per the care plan. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• September 6, 2024: 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)
  State’s findings

  On or about September 6, 2024, Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) were transferring the Alleged Victim (AV) using a hoyer lift. AV slid out of the sling and hit his/her head, causing a laceration to his/her head. The sling that was used was too large for AV, causing him/her to slip. While the facility had trained AP2 and AP3 on using the hoyer lift, the training did not include how to select the correct size to fit each resident. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 21, 2024: Failed to provide or maintain resident care equipment 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); 411-054-0200 (Residential Care Facility Building Requirements)
  State’s findings

  Alleged Victim (AV) has a history of falls, 8 between January 1, 2024 - April 26, 2024. AV is service planned to have a motion mat in place. LPN, CN, and management were notified that AV's motion mat was not working Friday July 19th. AV's motion mat was not working over the weekend, Saturday and Sunday. On or about July 21st, staff found AV on the ground after a fall. AV sustained a skin tear on AV's right hand as well as bruising on AV's right hand. The facility failed to keep all equipment necessary for the health, safety, and comfort of the resident in good repair.

• May 11, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  Alleged Victim (AV ) is a high fall risk with a history of falls. AV Service Plan is a one (1 ) person assist stand by transfer and AV uses manual wheelchair due to weakness in self-propelling. AV's ability to use the call light is unreliable. On or about May 11, 2024, AV called for assistance and waited 18 minutes. AV was tired of waiting and started to self-transfer. AV fell while attempting to self-transfer from a recliner to h/h wheelchair. Caregiver came back from lunch and found AV sitting on the floor upright in front of recliner chair with back leaning on the chair. AV sustained bruising to h/h tailbone area. The facility failed to provide a safe environment, answer call light in a timely manner and sufficient direct care staff to meet the 24-hour scheduled and unscheduled needs of each resident, providing services for residents that include assistance with activities of daily living, supervision, and support.

• March 30, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $375.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  Alleged Victim (AV) has a history of falls. AV's Service Plan indicates AV needs 1-person standby assistance to transfer and use AV's manual wheelchair, to offer toileting assistance to AV with each interaction and to remind AV to stay seated until staff can assist with transfer. On or about March 30, 2024, Alleged Perpetrator 2 (AP2) worked h/h first shift at the facility. The facility did not provide training or orientation to AP2 prior to AP2's first shift on or about March 30, 2024. The facility did not give AP2 access to AV's Service Plan or time to review AV's Service Plan prior to AP2's first shift on or about March 30, 2024. On or about March 30, 2024 AV asked AP2 for assistance to the restroom, AP2 left AV without assisting, and AV attempted to self-transfer and fell. The allegation that AP2 failed to follow care plan was investigated and the determination was not substantiated. The facility failed to follow the care plan and provided appropriate supervision and training to AP2 which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• June 22, 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)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care. According to an investigation, on or about June 22, 2025, AV had gotten the Alleged Perpetrator 2's (AP2) attention and AP2 responded to AV by telling them not everything revolves around AV, and that AV was not the sun. AV appeared confused upset and stated that thought AP2 was being mean. AP2 interrupted AV and again stated it's not all about you to AV. AP2 actions are considered verbal/emotional abuse. The facility failed to protect AV from verbal/emotional abuse which is a violation of Oregon Administrative Rules.

• June 1, 2025: Failed to follow care plan 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 Victim (AV) relies on the facility for care and is care planned for a 1-person stand and pivot for transfers using a gait belt. On or about June 1, 2025, the Alleged Perpetrator 2 (AP2) failed to follow AV's care plan when he/she hooked their arm under AV's arm to transfer AV, resulting in a bruise to AV's right bicep. AP2’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure a safe environment, which is a violation of Oregon Administrative Rules.

• April 1, 2025: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is a fall risk and care planned to have non skid socks on and a motion mat in place. On or about April 1, 2025, AV suffered a fall without injury. AV's motion mat was not in place, nor was AV wearing non skid socks. The facility's failure to follow the care plan is a violation of Oregon Administrative Rules.

• April 18, 2024: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV) has a history of falls and was showing signs of nearing end of life by being restless and not sleeping well at night. Alleged Perpetrator 2 (AP2) worked at this facility before and has access to resident records. Witness 4 (W4) informed AP2, AV was a fall risk and needed to be watched with stand by assist for transfer and ambulation. On or about April 19, 2024 AV had an unwitnessed injury fall in the living room. AP2 claimed to be in the bathroom when fall occurred, but was reportedly seen on camera in the living room when the fall happened. AV and AP2 were reported as only persons in the room at the time and AP2 was seated in a row of chairs behind AV. AV was seen rocking back and forth trying to get up from the chair before falling with AP2 still seated behind AV in the living room not looking in AV's direction. AP2 did not provide basic care and services by assisting AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure a safe environment for AV, which is a violation of Oregon Administrative rules.

• January 26, 2024: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV) is care planned to have footrest down on recliner in AVs room. AV MAR indicates *Elevate AV’s legs for one hour in h/h bed or common area recliner (NOT the recliner in h/h room!) for 1 hour after meals for edema. On or about January 26, 2024, Alleged Perpetrator #2(AP2) AV was found on the floor by the recliner by h/h bed and the foot of the recliner was up. AV was getting up from the recliner, fell and hit h/h head. AV was sent to the ER. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, 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 155 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.