Juniper Springs Senior Living

Last inspection

July 2, 2025

Inspections

6, 9 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

10

Regulatory actions

1

Fines assessed

$1,938.00 (3 violations)

Current owner since

October 1, 2025

License conditions and other regulatory actions

• July 2, 2025 to August 29, 2025: License Condition, Failed to provide safe environment ALFCD25-00293; incident: CALMS - 00082442
  Based on preliminary information, obtained on or about July 2, 2025, during a Licensing Complaint Investigation, ODHS concludes that Respondents acts or omissions create a situation where the residents of the facility and future residents are at risk of immediate jeopardy. Failure to comply with Oregon Administrative Rules constitutes a threat to the health, safety, and welfare of its residents.
  Rules: 411-054-0070 (Staffing Requirements and Training)

Inspections

• July 2, 2025: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Widespread
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• July 2, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 24, 2023: Validation, 4 deficiencies cited report
  • C0000: Comment severity level 0
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Widespread, corrected October 31, 2023
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected October 31, 2023
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected October 31, 2023
  • C0655: Call System severity level 2, scope L2 Widespread, corrected October 31, 2023
• March 10, 2023: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0510: General Building Exterior severity level 2, scope L2 Isolated
• November 22, 2022: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected January 21, 2023
• September 14, 2022: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• October 4, 2025: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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 has a diagnosis of a neurodegenerative disease that affects AV's gait and balance, as well as having memory impairment. AV has a history of falls, is at a high risk for falls and is considered a frequent faller. According to an investigation, on or about October 4, 2025, AV fell in the bathroom, resulting in upper back pain. The facility failed to provide appropriate services related to properly planning care and/or implementing interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined in OAR 411-020-0002 (1)(b)(A)(i) and (ii).

• August 9, 2024: Failed to protect resident from financial exploitation 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)
  State’s findings

  The Alleged Victim (AV) relies on facility staff to ensure resident’s rights. On or about August 12, 2024, it was discovered $200 in cash was missing from the AV's locked drawer. The AV was bed bound and multiple caregivers entered and exited the room. The facility failed to keep the AV free from financial exploitation, which is a violation of resident rights, is neglect of care, and constitutes abuse.

• January 19, 2022: Failed to intervene when resident's condition changed Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $1,500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The Alleged Victim (AV) is care planned for dehydration and is a high fall risk. On or about January 19, 2022, AV had a fall and was sent to the hospital where AV was diagnosed with fractured ribs and fractured vertebrae. Based on interviews, facility documentation and hospital documentation, it was determined that the facility failed to properly assess, intervene, and monitor Alleged Victim (AV) when he/she experienced a change of condition which resulted in AV suffering pain and unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• August 10, 2025: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) relies on the facility staff their care and to ensure resident’s rights. According to an investigation, on or about August 10, 2025, Alleged Perpetrator 2 (AP2) yelled at AV, resulting in emotional distress to AV. AP2's action is considered neglect and constitute abuse as defined in OAR 411-020-0002(1)(b)(A)(i). The facility failed to ensure resident rights and to protect AV from verbal/emotional abuse, which is a violation of Oregon Administrative Rules.

• July 3, 2025: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population, their needs, and all required Activities of Daily Living (ADL). Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. Facility was not staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• July 27, 2023: Failed to comply with move-out, transfer or discharge requirements Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections)
  State’s findings

  The facility failed to implement the resident's right to receive proper notification if requested to move-out of the facility, and to be required to move-out only for reasons allowed and have the opportunity for an administrative hearing. The facility failed to implement resident's rights to receive proper notification for move-out, was denied readmission and transferred to another facility for 2 of 2 sampled residents. An investigation determined this is a violation of Oregon Administrative Rules.

• February 26, 2023: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0300 (Assisted Living Facility Building Requirements)
  State’s findings

  The facility failed to keep clean all exterior materials and surfaces for the health, safety, and comfort of the resident. An investigation determined this is a violation of Oregon Administrative Rules.

• September 11, 2022: 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

  Facility failure to provide reasonable precautions against any condition that may threaten the health, safety, or welfare of residents. 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 91 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.