Hawthorne House of Salem

Last inspection

April 22, 2025

Inspections

4, 9 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

2

Regulatory actions

0

Fines assessed

$500.00 (1 violation)

Current owner since

February 1, 2022

Inspections

• April 22, 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
• March 14, 2024: 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 May 13, 2024
  • Z0142: Administration Compliance severity level 0, corrected May 13, 2024
• May 11, 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 July 10, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected July 10, 2023
• May 23, 2022: Validation, 3 deficiencies cited report
  • C0000: Comment severity level 0
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected July 23, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected July 23, 2022
  • Z0164: Activities severity level 2, scope L2 Widespread, corrected July 23, 2022

Substantiated abuse or neglect

• December 31, 2025: Failed to provide safe environment 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)
  State’s findings

  The Alleged Victim (AV) has cognitive deficits and relies on the facility for his/her care. According to an investigation, on or about December 31, 2025, a laundry room door was left propped open and AV wandered through the doorway into the garage area of the facility. Staff noticed AV in the garage area and AV lost their balance, resulting in a fall with fractured hip. The laundry room door was supposed to remain closed at all times and the garage area was not intended to be accessible to residents. The facility failed to provide a safe environment which is a violation of resident’s rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• September 5, 2024: Failed to provide inservice 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 meet his/her daily needs. According to an investigation, on or about September 5, 2024, the Alleged Perpetrator 2 (AP2) failed to follow the care plan for AV when AP2 placed AV in a dining room chair that did not have arms for support, resulting in AV falling out of the chair and sustaining skin injuries. AP2's failure to follow the care plan is considered neglect and constitutes abuse. The facility failed to provide a safe environment, which violates Oregon Administrative Rules.

• February 5, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 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 Victim (AV) relies on the facility to administer his/her medications. On or about February 5, 2022, AV was coming in and out of the office and was getting on Alleged Perpetrator 2’s (AP2’s) nerves. AP2 was visibly upset and continued to redirect AV. At about 4:30 pm, AP2 crushed medications and put them in a cup of milk and had AV drink the medication. AV does have a PRN anxiety medication for the hours between 9 pm – 2 am, but that was not marked as given. AP2’s failed to provide a safe medication administration system to AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, 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 15 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.