Heritage House of Woodburn

Last inspection

July 17, 2025

Inspections

5, 28 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

9

Regulatory actions

0

Fines assessed

$188.00 (1 violation)

Current owner since

February 1, 2022

Inspections

• July 17, 2025: Re-Licensure, 11 deficiencies cited report
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0280: Resident Health Services severity level 3, scope L3 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Pattern
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated
  Show all 11

  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • H1511: Individual Rights Settings Right to Freedom severity level 2, scope L2 Isolated
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance with Rules Health Care severity level 3, scope L3 Isolated
  • Z0164: Activities severity level 2, scope L2 Isolated
• April 23, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 24, 2023: Complaint Investig., 4 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0301: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • C0450: Inspections and Investigations severity level 2, scope L2 Isolated
• June 2, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 18, 2022: Validation, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread, corrected September 18, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected September 18, 2022
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread, corrected September 18, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected September 18, 2022
  Show all 16

  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected September 18, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected September 18, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected September 18, 2022
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Pattern, corrected September 18, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected September 18, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected December 4, 2022
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected December 4, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected December 4, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected September 18, 2022
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread, corrected December 4, 2022
  • Z0176: Resident Rooms severity level 2, scope L2 Pattern, corrected September 18, 2022

Substantiated abuse or neglect

• May 18, 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) and Witness 1 (W1) are dependent on the facility to meet his/her safety needs. W1 has a history of resident-to-resident altercations and being intrusive with other residents. According to an investigation, on or about May 18, 2025, AV and W1 were seated next to each other in the dining room when W1 tried to take AV's walker and struck AV on the shoulder and on the arm. W1's service plan did not include interventions for W1's intrusive or aggressive behaviors with other residents at the time of the incident. The facility failed to properly plan care to address resident behaviors and provide a safe environment for AV which is a violation of resident rights, is neglect of care which constitutes abuse.

Substantiated licensing violations

• March 30, 2026: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• February 24, 2026: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• July 18, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to administer medication as ordered for the Alleged Victim. The failure is a violation of Oregon Administrative Rules. The allegation that AP2 neglected AV was investigated and determined to be not substantiated.

• July 18, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to administer medication as ordered for the Alleged Victim. The failure is a violation of Oregon Administrative Rules. The allegation that AP3 neglected AV was investigated and determined to be not substantiated.

• June 2, 2024: Failed to provide safe environment 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)
  State’s findings

  The Alleged Perpetrator 2 (AP2) used physical force by grabbing the Alleged Victim's (AV) arm and pushing him/her into their room causing bruising to him/her arm. AP2's actions are considered physical abuse. The facility failed to provide a safe environment by failing to protect AV from physical abuse, 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.