Hillside Place Memory Care

Last inspection

November 24, 2025

Inspections

5, 31 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

11

Regulatory actions

1

Fines assessed

$2,688.00 (4 violations)

Current owner since

May 14, 2021

License conditions and other regulatory actions

• May 2, 2023 to June 14, 2024: License Condition, Failed to provide or assist with hygiene RCFCD23-00613; 2 incidents: OR0003915403, OR0003915402
  The facility failed to fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037.
  Rules: 411-054-0030 (Resident Services); 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• November 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
• January 29, 2025: Re-Licensure, 10 deficiencies cited report
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  • C0260: Service Plan: General severity level 2, scope L2 Isolated
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Isolated
  Show all 11

  • 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 Pattern
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Isolated
• October 5, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 8, 2023: Complaint Investig., 3 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0243: Resident Services: Adls severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• January 3, 2022: Validation, 16 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Isolated, corrected March 5, 2022
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected October 8, 2022
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread, corrected March 5, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected August 12, 2022
  Show all 19

  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected August 12, 2022
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected March 5, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected October 8, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected March 5, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected March 5, 2022
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Isolated, corrected March 5, 2022
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected March 5, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected March 5, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected March 5, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected October 8, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected March 5, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected October 8, 2022
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected March 5, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected October 8, 2022

Substantiated abuse or neglect

• January 11, 2026: 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

  Alleged Victim (AV) relied on the facility for his/her care and is care planned for a one person assist with ambulation and toileting. On or about January 11, 2026, the Alleged Perpetrator #2 (AP2) assisted AV to the toilet and while ambulating out of the bathroom, in the bathroom doorway, AV fell resulting in a fractured femur. According to an investigation, AV's care plan stated AV was a one person assist while using their walker, but then also said AV was unable to use their walker. AV recently received a commode for toileting, but the care plan encouraged staff to help AV walk to the bathroom for toileting. Progress Notes indicated that since October 2025, AV needed assistance from 2 people for transferring. Facility staff were unsure and inconsistent with interpreting AV's care needs based on the care plan contradictions. The allegation that AP2 failed to follow AV's care plan was investigated and was inconclusive. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(i).

• August 2, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $1,000.00; 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); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care, and is care planned for assistance with transfers. On or about August 4, 2024, the Alleged Perpetrator 2 (AP2) was attempting to transfer AV, when AV and AP2 fell to the floor, resulting in AV sustaining a back fracture. According to an investigation, AP2 was a new caregiver and was not following AV's care plan which resulted in the fall. AP2 was not fully trained prior to the facility scheduling AP2 to work alone. The facility failed to provide services, to include ensuring care plans were followed, qualified staff were present, and provide a safe environment for AV, which is a violation of resident’s rights is neglect of care and constitutes abuse.

• August 2, 2024: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,000.00; 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); 411-054-0045 (Resident Health Services)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care, and is care planned for assistance with transfers. On or about August 4, 2024, the Alleged Perpetrator 2 (AP2) was attempting to transfer AV, when AV and AP2 fell to the floor. Despite AV being in pain after the fall, AV was not sent to the hospital until August 9, 2024, where AV was diagnosed with a back fracture. The facility failed to provide services, to include responses to AV's change of condition and monitoring and to ensure that timely medical treatment is provided, which is a violation of resident’s rights is neglect of care and constitutes abuse.

• June 22, 2024: Failed to provide service 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) relies on the facility for his/her care. Witness 1 (W1) has a history of behaviors and physical altercations. According to an investigation, on or about June 22, 2024, W1 slapped AV on the hand and AV yelled out in pain. W1 then slapped AV on a hand a second time, prior to facility staff intervening. AV was later noted to have bruising to his/her hand from the altercations. The facility failed to provide services to keep AV safe, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 9, 2026: Failed to cooperate with an investigation 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 documentation upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• September 9, 2026: Failed to cooperate with an investigation 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 documentation upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• September 9, 2026: Failed to cooperate with an investigation 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 documentation upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• September 9, 2026: Failed to cooperate with an investigation 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 documentation upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• September 9, 2026: Failed to cooperate with an investigation 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 documentation upon request. An investigation determined this 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 8 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.