Harvest Homes Assisted Living

Last inspection

December 7, 2023

Inspections

3, 5 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

3

Regulatory actions

0

Fines assessed

$1,688.00 (4 violations)

Current owner since

June 1, 2023

• Every deficiency from the December 7, 2023 inspection was corrected by April 29, 2024

Inspections

• December 7, 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 April 29, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected April 29, 2024
• January 30, 2023: Validation, 4 deficiencies cited report
  • C0000: Comment severity level 0
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated
  • C0280: Resident Health Services severity level 2, scope L2 Isolated
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0640: Heating and Ventilation severity level 2, scope L2 Pattern
• January 19, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• December 29, 2024: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is a known elopement risk and is care planned to for 2 hour safety checks. If staff do not see AV at dinner or AV misses a med pass, staff are to contact the administrator or Nurse. On or about December 29, 2024, AV was not present for dinner, missed his/her med pass, and was not signed out of the facility. At about 9:21 pm, a supervisor was contacted regarding AV being missing. Per video footage, AV left the facility at 3:15 pm and was found at 9:00 am the next day. AV experienced back pain from sleeping outside on the ground. The facility's failure to follow AV's care plan placed AV in unreasonable discomfort and at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 31, 2024: Failed to provide oversight and monitoring of change of condition 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); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) was care planned to have his/her weight checked weekly. The facility only weighed AV one time during December 2023. AV lost 20 pounds between November 2023 and January 2024. Staff noticed that AV did not look well January 31, 2024. Facility staff contacted AV's physician on February 2, 2024 to ask to send AV to the hospital. AV was transferred to the hospital and was diagnosed with severe malnutrition. The facility's failure to have oversight and respond to AV's change of condition is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 2, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; 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

  Alleged Victim (AV) is at high risk for falls and has a history of falls with and without injury. From approximately January 02, 2022, to February 16, 2022, AV had approximately ten (10) unwitnessed falls, resulting in AV hitting h/h head and having a reddened knee. The facility failed to properly plan care, which provided reasonable interventions, and services appropriate for AVs care needs at the time of his/her falls and injuries, which is a violation of resident’s rights is neglect of care and constitutes abuse.

Substantiated licensing violations

• December 29, 2024: Failed to provide appropriate staffing 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 have qualified awake direct care staff in sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required. This failure is a violation of Oregon Administrative Rules.

• November 21, 2024: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  On or about November 21, 2024, Alleged Perpetrator #2 (AP2) was administering medications and preparing to administer medication to the Alleged Victim (AV). AP2 as interrupted by other residents requesting medication and assisted them before returning to AV. Once AP2 administered medication to AV, he/she immediately realized he/she gave the incorrect medication to AV. AP2 immediately notified AV and the RN. AV was sent to the hospital where AV suffered from vomiting and disorientation. AP2's failure to ensure a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.

• February 16, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure The Alleged Victim's (AV) medications were administered as ordered. On or about February 16, 2022, AP2 administered AV fast acting injectable blood sugar lowering medication, instead of long acting injectable blood sugar lowering medication, placing AV at risk of serious harm. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system 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 49 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.