Golden Years Manor N. Oregon

Last inspection

October 8, 2024

Inspections

4, 7 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

2

Regulatory actions

0

Fines assessed

$750.00 (2 violations)

Current owner since

May 1, 2025

Inspections

• October 8, 2024: Re-Licensure, 3 deficiencies cited report
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
• June 26, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 1, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 24, 2022: Validation, 4 deficiencies cited report
  • C0000: Comment severity level 0
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected December 25, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected December 25, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected December 25, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected December 25, 2022

Substantiated abuse or neglect

• December 8, 2021: Failed to protect resident from verbal abuse 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about December 8, 2021, Alleged Perpetrator #2 (AP2) found the Alleged Victim (AV) on the floor due to a fall. AV was being uncooperative, and AP2 was overheard cursing within hearing range of AV. AP2's actions are a violation of resident rights, considered neglect of care and constitute verbal abuse. The facility failed to properly care plan for AV's behaviors and protect AV from verbal abuse. The facility's failures are a violation of resident rights, are considered neglect of care and constitute abuse.

• November 4, 2021: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; 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); 411-054-0045 (Resident Health Services)
  State’s findings

  The facility, AP2 and AP3 failed to provide appropriate services according to the Alleged Victim's (AV) needs and injury requiring additional medical attention. Due to the length of time between the fall on 10/03/2021 and AV's follow up appointment on 11/04/2021, AV's fracture had already begun to heal, and no further action could be taken without surgery, which was declined. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 22, 2025: Failed to provide service 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 for assistance with care and to ensure their rights. According to an investigation, the Alleged Perpetrator 2 (AP2) consistently refused to provide assistance to the AV when requested. The AV experienced a loss of personal dignity. The facility did not keep AV free from neglect, which is a violation of Oregon Administrative rules.

• September 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); 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 ensure their rights. According to an investigation, the Alleged Perpetrator 2 (AP2) spoke to the AV in a condescending and dismissive manner. The AV felt unsafe, disrespected, and unsupported, leading to emotional harm. The facility did not keep AV free from verbal and emotional abuse, 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 14 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.