Jurgens Park Senior Living

Last inspection

September 2, 2026

Inspections

8, 53 deficiencies cited

Substantiated abuse

14

Substantiated licensing violations

35

Regulatory actions

2

Fines assessed

$6,502.00 (14 violations)

Current owner since

December 1, 2022

License conditions and other regulatory actions

• June 26, 2025 to August 13, 2025: License Condition, Failed to provide safe environment RCFCD25-00664; incident: CALMS - 00081971
  Based on preliminary information from Licensing Complaint Unity (LCU) during an investigation opened on or about June 26, 2025, the facility is not in substantial compliance with Oregon Administrative Rules for Residential Care Facilities and the Facilitys non-compliance places residents in immediate jeopardy.
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)
• October 2, 2024 to November 7, 2024: License Condition, Failed to provide safe environment RCFCD24-00999; incident: CALMS - 00062921
  Based on preliminary information from Adult Protective Services (APS) during an investigation opened on or about September 26, 2024, the facility is not in substantial compliance with Oregon Administrative Rules for Residential Care Facilities and the Facilitys non-compliance places residents in immediate jeopardy.
  Rules: 411-054-0025 (Facility Administration)

Inspections

• September 2, 2026: Re-Licensure, 8 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • 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 Pattern
• July 9, 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
• December 19, 2024: Change of Owner, 19 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 3, scope L3 Isolated
  • C0160: Reasonable Precautions severity level 3, scope L3 Isolated
  • C0200: Resident Rights and Protection - General severity level 3, scope L3 Isolated
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring 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
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Pattern
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • 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 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 3, scope L3 Isolated
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 3, scope L3 Isolated
  • Z0162: Compliance with Rules Health Care severity level 3, scope L3 Isolated
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
• May 2, 2024: 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 July 1, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected July 1, 2024
• February 7, 2024: Complaint Investig., 7 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Widespread
  • C0260: Service Plan: General severity level 3, scope L3 Isolated
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Isolated
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread
  • Z0155: Staff Training Requirements severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• February 21, 2026: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. AV and Witness 1 (W1) have a history of resident-to-resident altercations and W1 made threats towards AV on multiple occasions between January 13, 2026, and February 21, 2026. According to an investigation, on or about February 21, 2026, W1 approached AV, punched, slapped and shook AV, resulting in AV falling to the ground and hitting AV's head against a chair. As a result of the fall and related injuries, AV was sent to the emergency department. At the time of the incident, W1's service plan identified a need for staff to assist with behavior management and included interventions of redirecting W1 to preferred activities. There were no specific interventions identified to address the threats W1 made towards AV in the days and weeks leading up to the incident on 2/21/26. The facility failed to properly care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• June 17, 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)
  State’s findings

  The Alleged Victim (AV) has cognitive deficits and is dependent on facility staff to meet his/her care needs. According to an investigation, on or about June 17, 2025, AV was visited by a previously terminated employee, Witness 14 (W14), and asked to sign a document, which caused AV to feel deceived, worried and fearful. W14 made multiple visits to AP1 since being terminated in January 2025. The facility had not taken any action to restrict W14's visits, which was against facility policy. The facility failed to protect AV from emotional abuse, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 9, 2025: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; 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 his/her care. According to an investigation, on or about, June 9, 2025, AV was discovered unresponsive and sweating in the courtyard. The ambient temperature was determined to be around 98 degrees, and AV had been in the courtyard between thirty minutes to an hour, resulting in a sunburn and risk of harm. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• May 13, 2025: Failed to provide safe environment 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)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about May 13, 2025, AV fell after walking to the dining room and trying to sit on a chair, hitting their head on a piece of furniture. AV's service planned interventions were for staff to provide escorts to meals and for staff to monitor and re-direct AV as needed related to lower extremity weakness. At the time of the incident, AV did not have an escort to direct or assist as specified in the service plan, resulting in a fall with injury. The facility failed to follow the care plan for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.

• April 28, 2025: Failed to properly plan care 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)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about April 21, 20245 AV fell. There was no documented evidence of monitoring AV after the fall. On or about April 28, 2025, redness was observed by a care staff on AV's hip and on April 30, 2025, the hip showed a bruise with swelling. On or about April 30, 2025, AV's forearm was observed with redness, warmth and swelling. Progress notes on April 21, 2025, showed interventions for staff to increase monitoring at night and assist AV with sitting, but these interventions were not on the service plan or communicated to staff. The facility did not implement any known changes to AV's care plan following the fall and monitor for injury. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.

Substantiated licensing violations

• March 6, 2026: Failed to use an 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 develop, maintain, and implement an Acuity Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• February 28, 2026: 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 implement and maintain an Acuity-Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• February 21, 2026: Failed to use an 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 implement and maintain an Acuity-Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• February 13, 2026: Failed to use an 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 implement and maintain an Acuity-Based Staffing Tool. The facility’s failure is a violation of Oregon Administrative Rules.

• August 29, 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's failure to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. The facility’s failure 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 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.