Ihome Care

Last inspection

May 7, 2026

Inspections

7, 42 deficiencies cited

Substantiated abuse

7

Substantiated licensing violations

14

Regulatory actions

2

Fines assessed

$43,000.00 (13 violations)

Current owner since

May 1, 2023

License conditions and other regulatory actions

• July 23, 2026 to September 21, 2026: License Condition, Failed to provide safe environment RCFCD26-00675; 2 incidents: CALMS - 00118662, CALMS - 00118406
  The following statement of violations stem from evidence and interviews collected from Re-licensure Survey RV1 #RL011724 completed on or about July 14, 2026, and Kitchen Survey RV1 #KIT011030 completed on or about June 24, 2026.
  Rules: 411-054-0025 (Facility Administration); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training); 411-054-0200 (Residential Care Facility Building Requirements)
• March 24, 2023 to April 26, 2024: License Condition, Failed to use an ABST RCFCD23-00392; incident: CALMS - 00039684
  Based on observation, interview and record review, the facility failed to update the ABST (Acuity Based Staffing Tool) before a resident moved in, with a significant change of condition and quarterly.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• May 7, 2026: Re-Licensure, 12 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern
  • C0301: Systems: Medication Administration severity level 2, scope L2 Pattern
  Show all 14

  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing 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 Pattern
  • C0455: Inspections and Investigation: Insp Interval 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
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Pattern
  • L0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
• April 22, 2026: Kitchen, 3 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
• July 28, 2025: Kitchen, 1 deficiency cited report
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
• January 2, 2024: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread, corrected June 15, 2024
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected June 15, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected June 15, 2024
• May 22, 2023: Complaint Investig., 3 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Isolated
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
• January 3, 2023: Validation, 21 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread, corrected July 30, 2023
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread, corrected March 7, 2023
  • C0154: Facility Administration: Policy & Procedure severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Widespread, corrected July 30, 2023
  Show all 27

  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected March 7, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected July 30, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected February 16, 2024
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected February 16, 2024
  • C0295: Infection Prevention & Control severity level 2, scope L2 Isolated, corrected March 7, 2023
  • C0301: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected July 30, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected July 30, 2023
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected February 16, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected February 16, 2024
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected March 7, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected February 16, 2024
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected March 7, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected February 16, 2024
  • C0522: Common Use Areas: Social severity level 2, scope L2 Pattern, corrected March 7, 2023
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread, corrected March 7, 2023
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected March 7, 2023
• August 3, 2022: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0151: Facility Administration: Criminal History severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• January 31, 2025: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $750.00; 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

  Alleged Victim (AV) is a resident of residential care facility. AV is bed bound and requires assistance with transferring and turning. AV has history of having pressure ulcer, and has wound care treatment in place. AV is on a repositioning and turning schedule every 2 hours. During investigation it was discovered facility staff missed reposition AV 2-3 times each day. The facility staff failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• May 21, 2023: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 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

  According to documentation, the facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV) skin condition. On or about May 21, 2023, AV was found with a pressure ulcer on h/h left buttocks and was sent to the Emergency Department. The failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 6, 2022: Failed to follow care plan Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 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

  According to documentation the facility failed to follow the Alleged Victim’s (AV) care plan. AV care planned to be checked every two hours. According to documentation AV experienced a fall on or about December 06, 2022. The failure resulted in AV being sent to the hospital for treatment and experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 17, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $1,000.00; report
  Rules: 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

  According to documentation the facility failed to follow the Alleged Victim’s (AV) care plan. AV’S care plan states AV needs assistants with brief changing. The failure resulted in AV being found not wearing briefs, covered in urine and feces. The failure resulted in AV experiencing a loss of dignity and unreasonable discomfort. The facility failed to ensure care plans were followed, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.

• November 17, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $1,000.00; report
  Rules: 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

  According to documentation the facility failed to follow the Alleged Victim’s (AV) care plan. AV’S care planned for wound care two times per week. On or about November 17, 2022, AV was found with multiple deep tissue injuries. The failure resulted in AV experiencing pain and unreasonable discomfort. The facility failed to ensure care plans were followed, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.

• August 29, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 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

  According to documentation the facility failed to follow The Alleged Victim (AV) care plan for nail care. The failure resulted in AV experiencing pain and unreasonable discomfort. The facility failed to ensure care plans were followed, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.

• February 15, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 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 facility failed to appropriately care plan and provide care for the Alleged Victim (AV) after his/her change of condition. AV was found to have a pressure ulcer in his/her buttocks area that required to be turned/re positioned. Staff were not repositioning AV as ordered and the condition worsened causing unreasonable discomfort. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• July 21, 2026: Failed to provide safe environment Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The facility allegedly failed to ensure reasonable precautions that threaten the health, safety, or welfare of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• July 14, 2026: Failed to properly plan care Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0036 (Service Plan – General)
  State’s findings

  The facility allegedly failed to provide a safe medication administration system for the Alleged Victim. An investigation determined this is a violation of Oregon Administrative Rules.

• April 25, 2023: Failed to administer medication as ordered 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 carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f) per complaint that residents are not receiving their late night medications.

• April 25, 2023: Failed to follow care plan 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 the implementation of services in accordance with OAR 411-054-0036(2)(g) per complaint that a resident is not re positioned every few hours as planned, a resident is not receiving toe nail care, and residents are left in bed all day.

• April 25, 2023: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The facility failed to evaluate, refer to the facility nurse, document the change and update the service plan as needed for a resident that experienced a significant change of condition that is a major deviation in the resident ' s health 411-054-0040(1)(b & c).

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 64 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.