Marjorie House Memory Care Community

Last inspection

January 8, 2026

Inspections

4, 8 deficiencies cited

Substantiated abuse

7

Substantiated licensing violations

5

Regulatory actions

1

Fines assessed

$1,502.00 (6 violations)

Current owner since

November 1, 2015

License conditions and other regulatory actions

• December 11, 2025 to March 24, 2026: License Condition, Failed to perform adequate screening or assessment RCFCD25-01450; incident: CALMS - 00095324
  The following statement of violation(s) stem from evidence and interviews collected from the Licensing Complaint Unit Investigation #67363 opened on 12/8/2025.
  Rules: 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services)

Inspections

• January 8, 2026: Re-Licensure, 3 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
• April 17, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• January 8, 2024: Validation, 5 deficiencies cited report
  • C0000: Comment severity level 0
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected March 1, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected March 1, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected March 1, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Isolated, corrected March 1, 2024
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected March 1, 2024
• May 3, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• February 6, 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 to provide a safe environment. Witness 1 (W1) and AV have had multiple residents to resident altercations, and W1 has a history of grabbing AV. Between 2/6 and 2/9/26 AV ad W1 had multiple resident-to-resident altercations, which left AV at risk for serious harm. The facility failed to implement and act on providing a safe environment by ensuring that AV and W1 had adequate interventions in place to ensure safety, which is a violation of resident rights and is neglect which constitutes abuse.

• February 2, 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 to provide a safe environment. Witness 1 (W1) and AV have had multiple resident-to-resident altercations in place. W1 grabbed AV's hands causing bruising, small scratches and nail marks on AV's wrists. W1 was serviced planned to have a one-to-one support and the facility did not have that in place in time of the altercation. The facility failed to provide AV with a safe environment, which is a violation of resident rights and is neglect which constitutes abuse.

• November 9, 2025: Failed to provide safe environment Abuse: Neglect; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide a safe environment. AV and Witness 1 (W1) were known to have prior resident to resident altercations in the past. On or about November 9, 2025, WI and AV had an altercation in the activity room. The facility failed to implement into the service plan interventions for staff when they would see AV and W1 together. The failure to implement safety interventions is a violation of resident rights, considered neglect which constitutes abuse.

• November 4, 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for cares and to provide a safe environment. Witness 1(W1) and AV have had previous altercations at the facility, and the facility did not have any interventions in the service plan to try and mitigate the behaviors between W1 and AV. The facility's failure to implement any interventions to try and prevent behaviors and altercations between AV and W1 is a violation of resident rights, is considered neglect which constitutes abuse.

• April 23, 2024: 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide appropriate supervision according to the Alleged Victim (AV) and Witness 1's (W1) needs. The failure resulted in the residents engaging in an unwitnessed physical altercation causing injury to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• September 21, 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions, appropriately care plan, and provide supervision according to W1's and AV's history of altercations. The failure resulted in a physical altercation causing the AV fear and emotional discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• September 21, 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately care plan related to W1's behaviors and history of altercations with the Alleged Victim. The failure resulted in a verbal altercation between W1 and AV that turned physical when W1 hit AV in the chest, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• March 5, 2026: Failed to update staffing plan based on 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, which is a violation of Oregon Administrative Rule.

• December 1, 2025: Failed to intervene when resident's condition changed Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  The facility failed to comply with Change of Condition and Monitoring requirements. The facility failure is a violation of Oregon Administrative Rules.

• November 29, 2025: Failed to intervene when resident's condition changed Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0045 (Resident Health Services)
  State’s findings

  The facility failed to ensure a Registered nurse (RN) assessment was completed in accordance with facility policy and resident condition. At minimum, the RN must assess all residents with a significant change of condition This is a violation of Oregon Administrative Rules.

• November 27, 2025: Failed to use an ABST Licensing Violation; Level 3 - Moderate harm or potential for serious 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 which is a violation of Oregon Administrative Rules. Condition number RCFCD25-01450, imposed on December 11, 2025. No further action needed.

• July 15, 2024: Failed to provide inservice 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

  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 July 15, 2024, the Alleged Perpetrator 2 (AP2) slapped AV, pulled AV's hair and hit AV's head on the wall, resulting in AV feeling upset and fearful of retaliation. AP2's actions are a violation of resident's rights, are considered abuse and constitutes physical abuse. The facility failed to protect AV from physical 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 46 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.