Juniper House Memory Care

Last inspection

June 3, 2026

Inspections

5, 23 deficiencies cited

Substantiated abuse

5

Substantiated licensing violations

2

Regulatory actions

1

Fines assessed

$2,938.00 (5 violations)

Current owner since

August 1, 2018

License conditions and other regulatory actions

• August 7, 2023 to November 1, 2023: License Condition, Failed to use an ABST RCFCD23-00889; incident: CALMS - 00045047
  The facility failed to review the Acuity-Based Staffing Tool (ABST) following a significant change of condition and no less than quarterly.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• June 3, 2026: Re-Licensure, 5 deficiencies cited report
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
• May 12, 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
• November 25, 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
• June 26, 2023: Validation, 12 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern, corrected August 4, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected August 4, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected August 4, 2023
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected August 4, 2023
  Show all 13

  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected August 4, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected August 4, 2023
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected August 4, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected August 4, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected August 4, 2023
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected August 4, 2023
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Isolated, corrected August 4, 2023
  • Z0176: Resident Rooms severity level 2, scope L2 Pattern, corrected August 4, 2023
• July 7, 2022: 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 September 7, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected September 7, 2022

Substantiated abuse or neglect

• February 10, 2026: Failed to provide service 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV is care planned as independent with toileting, requires standby assistance for showers, and requires physical assistance with personal hygiene and grooming. AV was known to have frequent accidents when toileting, struggled to get to the bathroom, and would smear AV’s own waste. According to an investigation, AV went to the doctor multiple times for continued eye complications and on or about January 6, 2026, diagnosed with a bacterial eye infection. The facility failed to provide appropriate services, to include care planning, implementing interventions and provide or assist with proper hygiene, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 12, 2025: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV had an order to be checked every hour and apply barrier cream and was known to refuse cares. According to an investigation, on or about October 27, 2025, AV was found with AV’s brief, pad and bedding soaked with urine. AV developed skin reddening and breakdown. The facility failed to provide services, to include properly care planning and/or implementing interventions and following medication and treatment orders, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 23, 2024: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) resides at the facility and has a recent history of a previous fall. According to an investigation, on or about December 23, 2024, AV fell out of bed, resulting in treatment at the emergency room, pain and a fractured clavicle. AV had a previous fall out of bed on December 20, 2024. AV's care plan had not been updated following the fall on December 20, 2024, to reflect AV's need for fall interventions. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• August 31, 2024: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0030 (Resident Services)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. AV's care planned fall interventions were that AV may require assistance during times of dizziness. According to an investigation, on or about August 31, 2024, AV reported to staff he/she was feeling dizzy and fell a few minutes later while left alone in h/h room, resulting in a hip fracture. The facility failed to provide appropriate care, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• August 19, 2022: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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)
  State’s findings

  The Alleged Victim relies on the facility for his or her safety. On or about August 19, 2022, it was discovered AV had eloped from the facility through a side door. Law enforcement agency (LEA) was contacted, and AV was found approximately thirty (30) minutes later across the street. LEA walked AV back to the facility. The facility failed to provide a safe environment and failed to protect resident from leaving the facility without assistance, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• February 5, 2025: Failed to follow care plan 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) resides at the facility and relies on the facility to meet his/her daily needs. According to an investigation, on or about February 5, 2025, the Alleged Perpetrator 2 (AP2) was pulling AV's hands and AV's feet were sliding across the floor while AV was saying "Let go of me", resulting in AV feeling unreasonable discomfort. AP2's actions are a violation of resident's rights, are considered physical abuse and constitutes abuse. The facility failed to protect AV from physical abuse, which is a violation of Oregon Administrative Rules.

• September 3, 2022: Failed to protect resident from verbal abuse 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

  According to documentation, the Alleged Perpetrator 2 (AP2) was verbally abusive toward the Alleged Victim (AV) and used threatening language in his/her presence. The failure caused AV emotional harm, which is constitutes abuse. The facility failed to protect AV from emotional/verbal 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 16 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.