Mary's Woods Marie Rose Center - Assisted Living

Last inspection

January 7, 2026

Inspections

3, 10 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

2

Regulatory actions

0

Fines assessed

$188.00 (1 violation)

Current owner since

March 1, 2003

Inspections

• January 7, 2026: Re-Licensure, 9 deficiencies cited report
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  Show all 9

  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0435: Emergency and Disaster Planning severity level 2, scope L2 Widespread
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • L0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
• January 25, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• January 23, 2023: Validation, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected March 26, 2023

Substantiated abuse or neglect

• April 24, 2022: Failed to follow care plan 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

  According to documentation the facility failed to follow the Alleged Victim’s (AV) care plan. AV’s care plan states AV needs to wear h/h wander guard on h/h wrist due to wandering and elopement risk. The failure resulted in AV being found by security outside of the facility, on or about April 24, 2022, putting AV in risk of harm. The facility failed to ensure care plans were followed, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• July 22, 2024: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to provide a safe medication administration system to ensure the Alleged Victim’s (AV) medications were administered as ordered. There was no observable or documented evidence of a negative outcome. The failure is a violation of Oregon Administrative Rules.

• August 11, 2023: 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

  Based on observation and record review, the facility failed to consistently staff to the posted staffing plan. 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 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.