Haven House Retirement Center

Last inspection

October 10, 2024

Inspections

3, 9 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

0

Regulatory actions

0

Fines assessed

$500.00 (1 violation)

Current owner since

May 24, 2000

Inspections

• October 10, 2024: Re-Licensure, 7 deficiencies cited report
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Isolated
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
• August 15, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 13, 2022: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread, corrected September 13, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected September 13, 2022

Substantiated abuse or neglect

• August 12, 2024: Failed to follow care plan 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0045 (Resident Health Services)
  State’s findings

  Alleged Victim (AV) service plan dated on or about July 11, 2024, indicates AV has history of a brain aneurysm, forgets many things including recent events, is able to make desires and needs known, is unable to make big decision, staff must contact POA for important matters, has history of falls prior to moving to the facility, ambulates with walker independently, sometimes forgets about h/h walker and staff to remind AV to use walker for safety. AV has a VP Shunt, per AV family, if AV falls in the future, call 911 immediately to make sure there is no damage to AV's VP shunt from the fall. On or about August 1, 2024, AV was found lying on floor by bathroom on h/h stomach. AV reported "I fell on my way to the bathroom last night" and reported back pain and hip pain. AV refused 911. AV continued to complain of pain from approximately August 1, 2024, to August 6, 2024. On or about August 6, 2024, AV had an appointment and Xray’s. AV was diagnosed with a spinal fracture and UTI. The facility failed to follow the service plan, by not calling 911 immediately after a AV's fall to make sure there is no damage to AV's VP shunt, and not contacting AV POA for important matters, and letting AV refuse staff to call 911, as AV is unable to make big decision, resulting in AV not receiving timely medical attention, and being in unreasonable discomfort, which is a violation of resident’s rights is neglect of care and constitutes abuse.

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 19 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.