Mckay Creek Assisted Living

Last inspection

August 26, 2026

Inspections

6, 19 deficiencies cited

Substantiated abuse

6

Substantiated licensing violations

5

Regulatory actions

0

Fines assessed

$902.00 (4 violations)

Current owner since

September 1, 2024

Inspections

• August 26, 2026: Re-Licensure, 3 deficiencies cited report
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Pattern
  • C0615: Resident Units severity level 2, scope L2 Pattern
• June 4, 2025: Change of Owner, 6 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0270: Change of Condition and Monitoring 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
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
• May 24, 2023: 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 July 28, 2023
• February 6, 2023: Validation, 7 deficiencies cited report
  • C0000: Comment severity level 0
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern, corrected April 9, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected April 9, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected April 9, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected April 9, 2023
  Show all 8

  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected April 9, 2023
• February 6, 2023: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
• July 7, 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 November 11, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected November 11, 2022

Substantiated abuse or neglect

• January 30, 2026: Failed to follow care plan 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 care and services. According to an investigation, the facility conducted a fire drill, and a caregiver assisted AV down the stairs during this drill. AV's care plan states that AV uses a wheelchair for ambulation. The facility does have 3 evacuation chairs, but the staff did not know how to operate the chairs. As a result of AV ambulating down the stairs, AV suffered pain and had to go to the hospital. The facility failed to follow the care plan for AV, which is a violation of resident rights, is considered neglect which constitutes abuse.

• June 3, 2025: Failed to administer medication as ordered 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 the facility and Alleged Perpetrator 2 (AP2) to provide a safe medication administration system. According to an investigation, on or about June 3, 2025, AP2 accidentally discontinued AV's medication and did not have a physician's order to stop the medication. AV went without medication for approximately twenty days before it was noticed and then administered to the resident. The facility and AP2 did not provide a safe medication administration system for AV, which is a violation of resident rights and are considered neglect of care, which constitutes abuse.

• October 12, 2024: Failed to answer call light in a timely manner 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 care and services. On or about October 11, 2024, the facility had replaced flooring in the hallway outside of AV's room, and the floor was not dry, and staff were instructed to not walk on the wet flooring. AV called for assistance multiple times throughout the night, but facility staff thought they could not walk on the wet flooring to get to AV's room. According to an investigation, AV experience pain and discomfort due to lack of care. The facility failed to provide care and services to AV, which is a violation of resident rights, and is neglect, which constitutes abuse. The Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) did not provide care and services to AV, which is a violation of resident rights, are considered neglect of care and constitutes abuse.

• April 21, 2024: Failed to provide service 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 for his/her care. According to an investigation, on or about April 22, 2024, a facility staff member transferred AV, resulting in a skin tear on his/her leg. The facility failed to provide appropriate services for AV’s needs, including care planning and lack of instruction, which is a violation of resident rights, is neglect of care which constitutes abuse.

• November 27, 2023: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $338.00; 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)
  State’s findings

  The Alleged Victim (AV) is a known fall risk with a history of falls. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls. According to an investigation, AV experienced multiple falls between September 6, 2023, and November 26, 2023, some with injuries or unreasonable discomfort. On or about November 27, 2023, AV experienced another fall that resulted in a fractured femur. This failure is a violation of resident rights, is neglect of care which constitutes abuse.

• January 7, 2022: Failed to administer medication as ordered 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility to manage his/her medications. From approximately January 7, 2022, to January 10, 2022, AV did not receive his/her blood thinning medication, which exposed AV to potential harm. The facility failed to provide a safe medication administration system to ensure AV blood thinning medication was available to be administered as ordered. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• February 5, 2026: Failed to follow care plan 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 to provide care and services. AV's care plan requires that two caregivers provide assistance with all transfers. According to an investigation, Alleged Perpetrator 2 (AP2) transferred AV without the assistance of another caregiver, which caused AV to suffer unreasonable discomfort. The failure is a violation of Oregon Administrative Rules. AP2's actions are a violation of resident rights, considered neglect and constitutes abuse.

• August 11, 2022: 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 carry out medication orders as prescribed. An investigation determined this is a violation of Oregon Administrative Rules.

• May 6, 2022: 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 carry out medication orders as prescribed. An investigation determined this is a violation of Oregon Administrative Rules.

• February 2, 2022: 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 ensure medication orders are carried out as prescribed. An investigation determined this is a violation of Oregon Administrative Rules.

• October 16, 2021: Failed to administer medication as ordered Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to ensure that all medication and treatment orders are carried out as prescribed..

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.” 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.