Lancaster Village 2

Last inspection

December 12, 2024

Inspections

6, 17 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

3

Regulatory actions

2

Fines assessed

$375.00 (1 violation)

Current owner since

June 30, 2020

License conditions and other regulatory actions

• January 23, 2025 to March 31, 2025: License Condition, Failed to use an ABST ALFCD25-00016; 2 incidents: CALMS - 00069841, CALMS - 00069840
  The facility failed to have sufficient staff to meet the scheduled and unscheduled needs of the residents.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)
• May 3, 2023 to September 14, 2023: License Condition, Failed to use an ABST ALFCD23-00359; incident: OR0003981600
  The facility failed to fully implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• December 12, 2024: Re-Licensure, 6 deficiencies cited report
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0362: Acuity Based Staffing Tool - ABST Time 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
  • C0610: General Building Exterior severity level 2, scope L2 Widespread
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
• August 2, 2024: 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 October 1, 2024
• September 15, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 16, 2023: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• September 8, 2022: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Pattern, corrected September 23, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected September 23, 2022
• November 2, 2021: Validation, 6 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected December 31, 2021
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected December 31, 2021
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected December 31, 2021
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected December 31, 2021
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected December 31, 2021
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected December 31, 2021

Substantiated abuse or neglect

• January 8, 2023: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The Alleged Victim (AV) was on hospice care. On or about January 8, 2023, the Alleged Perpetrator #2 (AP2) was the medication technician on duty. On this day, AV needed his/her scheduled pain medication. AP2 was unaware of how to give this medication or how to correctly pull this medication for administration to AV. AP2 administered 2.5 ml of AV's narcotic medication instead of .5 ml as instructed on the medication record, placing AV at risk for serious harm. AP2's actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility's failure to ensure staff are properly trained is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• April 1, 2023: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about April 1, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents, and staff, to the proper authority as required by law. This failure has been ongoing from March 1, 2023 to March 31, 2023, for a total of 30 days.

• February 23, 2023: Failed to provide proper food/nutrition Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide three daily nutritious, palatable meals with snacks available seven days a week, which is a violation of Oregon Administrative Rules.

• January 23, 2023: Failed to assure food safety Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide three daily nutritious palatable meals with snacks available seven days a week per complaint that residents are served small portions of inedible and unpalatable food, and recently residents were served dried out pasta and tomato soup that had curdled, 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 50 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.