Harvest Homes Memory Care

Last inspection

June 13, 2025

Inspections

3, 11 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

1

Regulatory actions

0

Fines assessed

$626.00 (3 violations)

Current owner since

June 1, 2023

Inspections

• June 13, 2025: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• December 7, 2023: 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 April 29, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected April 29, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected April 29, 2024
• January 11, 2022: Validation, 7 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected February 26, 2022
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected February 26, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected February 26, 2022
  • C0515: Resident Units severity level 2, scope L2 Pattern, corrected February 26, 2022
  Show all 8

  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected February 26, 2022
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected February 26, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Isolated, corrected February 26, 2022

Substantiated abuse or neglect

• September 25, 2025: 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); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about September 25, 2025, the Alleged Victim (AV) needed to be escorted to the hospital for lab work. Alleged Perpetrator #2 (AP2) accompanied AV to the hospital AV told AP2 he/she needed to use the restroom. AP2 was calling the transport company to come back to pick them up earlier and did not see AV exit the bathroom. AV left the hospital and boarded a bus to his/her old business. Staff found AV at his/her old business about 40 minutes later. An investigation determined that AP2 wasn't properly trained prior to escorting AV. The investigation determined no abuse by AP2. The facility's failure to ensure that AP2 was properly trained on escorting staff placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 1, 2024: Failed to provide appropriate skin care 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); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  On or about December 2024, it was noted that the Alleged Victim (AV) had some discolored skin on his/her backside. On or about December 20, 2024, a temporary service plan was put into place regarding AV's discolored skin and instructed care staff to report any further concerns to the Nurse. Staff were to encourage AV to come out of his/her room and to apply lotion to AV's backside. On or about March 10, 2025, it was discovered that AV had multiple skin discolorations and it appeared no care had been provided to AV to ensure his/her skin condition was being monitored. AV was taken to his/her physician, who determined it was likely AV's skin discolorations could have developed into worsening pressure injuries if not treated. The facility's failure to provide proper skin care is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 30, 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

  Witness #2 (W2) has a history of being verbally aggressive and not complying with the Alleged Victim's (AV) care plan. AV is care planned to have visits with W2 in the common area only. On or about October 30, 2024, W2 and AV were found in AV's room alone. Staff walked into AV's room and found W2 on top of AV, and got up and slapped AV on the lower extremity of AV. The facility's failure to follow the care plan placed AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• December 15, 2023: 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); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about December 15, 2023, Alleged Perpetrator #2 (AP2) was assisting the Alleged Victim (AV) with cares when AV became agitated and began hitting and scratching. AP2 requested that Alleged Perpetrator #3 (AP3) assist him/her with cares of AV. AP2 asked AP3 to hold AV's hands so AP2 could finish with AV's care needs. Later that evening, AV was found with a large bruise on his/her wrist. AP2 did not attempt any interventions or re approaching AV to de-escalate the situation. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. AP3's actions were found to be not substantiated in this case. The facility's failure 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 40 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.