Hazelwood Enhanced Memory Care

Last inspection

May 19, 2026

Inspections

5, 46 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

7

Regulatory actions

1

Fines assessed

$18,625.00 (6 violations)

Current owner since

August 1, 2023

License conditions and other regulatory actions

• July 9, 2025 to August 27, 2025: License Condition, Failed to provide safe environment RCFCD25-00726; incident: CALMS - 00082816
  Based on preliminary information from Adult Protective Services (APS) Investigation Intake #00411727, opened on July 7, 2025. ODHS concludes that Respondents acts or omissions create a situation that necessitates ODHS to issue a license condition because the preliminary findings place residents at risk for serious harm. ODHS finds that the residents of the facility are at risk of immediate jeopardy. That is because the facilitys failure to comply with ODHS rules has caused or is likely to cause serious injury, serious harm, serious impairment, or death to a resident or residents. ODHS further concludes that this finding of immediate jeopardy is likely to present an immediate jeopardy to future residents upon admission. As a result, ODHS is authorized to impose a condition restricting admissions to the facility.
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)

Inspections

• May 19, 2026: 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
• June 24, 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
• February 5, 2024: Change of Owner, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected April 18, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected April 18, 2024
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected April 18, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Pattern, corrected July 14, 2024
  Show all 15

  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected April 18, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected July 14, 2024
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected April 18, 2024
  • C0545: Plumbing Systems severity level 2, scope L2 Widespread, corrected April 18, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected July 14, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected April 18, 2024
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern, corrected April 18, 2024
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected April 18, 2024
  • Z0165: Behavior severity level 2, scope L2 Pattern, corrected April 18, 2024
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread, corrected April 18, 2024
• April 3, 2023: Validation, 29 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 3, scope L3 Isolated
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern
  Show all 30

  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Isolated
  • C0280: Resident Health Services severity level 3, scope L3 Isolated
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread
  • C0545: Plumbing Systems severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 3, scope L3 Isolated
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
  • Z0162: Compliance With Rules Health Care severity level 3, scope L3 Isolated
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Isolated
  • Z0164: Activities severity level 2, scope L2 Pattern
  • Z0168: Outside Area severity level 2, scope L2 Widespread
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread
  • Z0176: Resident Rooms severity level 2, scope L2 Pattern
• January 13, 2023: State Licensure, 0 deficiencies cited report
  • Z0000: General Comments severity level 0

Substantiated abuse or neglect

• October 7, 2025: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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); 411-057-0170 (Physical Design, Environment, and Safety)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a known elopement history. According to an investigation, on or about October 7, 2025, AV eloped from the secured unit by climbing over a courtyard gate, resulting in AV being exposed to potential serious harm. The courtyard gate was found to be less than 6 feet in height. AV was not located for at least 12 hours and was found out in the community by law enforcement. The facility failed to ensure a safe environment and prevent elopement, which is a violation of resident rights, is neglect of care which constitutes abuse.

• July 3, 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of exit seeking behaviors. According to an investigation, on or about July 3, 2025, AV eloped from the secured unit by exiting through a partially open window and climbing over a gate. The window alarm on the window does not sound if the window is partially open. The facility failed to ensure effective interventions to prevent elopement were provided to ensure a safe environment for AV which is a violation of resident rights, is neglect of care which constitutes abuse.

• December 8, 2023: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; 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)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of attempting to elope from prior facilities. According to an investigation, on or about December 8, 2023, AV eloped multiple times from the secured unit by disarming window alarm, exiting through a window and climbing a fence. AV's service planned interventions included frequent safety checks and replacing the window alarm, however the interventions were ineffective. The facility failed to properly plan care and prevent AV's elopement which is a violation of resident rights, is neglect of care which constitutes abuse.

• April 21, 2023: Failed to properly plan care 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)
  State’s findings

  The facility failed to develop a comprehensive care plan for the Alleged Victim (AV) to ensure facility care staff were properly trained when AV suffered a seizure. Based on facility documentation and interviews, AV has a long history of experiencing seizures due to his/her medical diagnosis. A care plan was completed for AV on the day of admission, which was April 13, 2023. However, the care plan was not shared with facility care staff. AV experienced a seizure on the morning of April 21, 2023. At the time of AV's seizure on April 21, 2023, facility staff had not been provided any training or given written instruction regarding how to recognize a seizure or how to ensure AV's safety during and after a seizure which caused AV unreasonable discomfort and put AV at risk of serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• January 21, 2026: 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 January 21, 2026, the Alleged Perpetrator 2 (AP2) failed to use restraints properly when he/she applied a gait belt strap to AV who had a history of recent falls and was seated in a wheelchair. AP2 applied the belt with the clasp located out of reach and AV could not self-release it, resulting in AV being restrained, upset and at risk of injury. AP2's actions are considered wrongful restraint and constitutes abuse. The facility failed to provide a safe physical environment, which violates Oregon Administrative Rules.

• October 7, 2025: Failed to maintain a safe physical environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-057-0170 (Physical Design, Environment, and Safety)
  State’s findings

  The facility failed to ensure fences surrounding the perimeter of the outdoor recreation area must be no less than six feet in height, constructed to reduce the risk of resident elopement, and maintained in functional condition. The facility’s failure is a violation of Oregon Administrative Rules.

• October 7, 2025: Failed to properly plan care Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to ensure that the service plan must reflect the resident's needs. The facility’s failure is a violation of Oregon Administrative Rules.

• July 7, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0050 (Infection Prevention and Control)
  State’s findings

  Based on observation and interview, conducted during a site visit on 07/14/25, the facility’s failure to establish and maintain infection prevention and control protocols to provide a safe, sanitary, and comfortable environment was substantiated. The facility’s failure is a violation of Oregon Administrative Rules.

• July 3, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Based on observation, interview, and record review, conducted during a site visit on 07/14/25, the facility’s failure to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of residents was substantiated for 1 of 1 sampled resident.

• December 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $7,500.00; report
  Rules: 411-061-0010
  State’s findings

  On or about December 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from November 1, 2022 to November 30, 2022, for a total of 30 days.

• November 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $7,500.00; report
  Rules: 411-061-0010
  State’s findings

  On or about November 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from October 1, 2022 to October 31, 2022, for a total of 30 days.

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.