Mckillop Residence

Last inspection

October 29, 2025

Inspections

6, 17 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

4

Regulatory actions

1

Fines assessed

$500.00 (2 violations)

Current owner since

February 5, 2002

License conditions and other regulatory actions

• May 7, 2024 to March 12, 2025: License Condition, Failed to meet the scheduled and unscheduled needs of residents ALFCD24-00143; 2 incidents: OR0004458501, OR0004458500
  The facility failed to fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)

Inspections

• October 29, 2025: Re-Licensure, 6 deficiencies cited report
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General 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 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
• July 16, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 4, scope L4 Widespread
• May 14, 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 September 1, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected September 1, 2024
• November 13, 2023: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• August 3, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 8, 2022: Validation, 7 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern, corrected September 30, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected September 30, 2022
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Pattern, corrected September 30, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected September 30, 2022
  Show all 8

  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Widespread, corrected September 30, 2022
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected September 30, 2022
  • C0655: Call System severity level 2, scope L2 Widespread, corrected September 30, 2022

Substantiated abuse or neglect

• August 25, 2023: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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 follow the Alleged Victim’s (AV) care plan. AV’S care plan states AV needs to be assisted with toileting and brief change. On or about August 25, 2023, AV was found with soiled briefs. The failure resulted in AV experiencing unreasonable discomfort and a loss of dignity, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• May 12, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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 the Alleged Victim’s (AV) fall history. On or about June 05, 2022, AV suffered from an unwitnessed fall and sustained a cut on h/h head. The failure resulted in AV experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• April 25, 2024: Failed to protect resident from physical abuse 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

  According to the documentation, the Alleged Perpetrator 2 (AP2) failed to protect the Alleged Victim (AV) from physical abuse. The AV reported on numerous occasion the AP2 intentionally throwing candy at their head and hitting them and hitting their legs knowing the AV has a diagnosis that may contribute to leg pain, which is a violation of resident rights and is considered abuse. The facility failed to provide a safe environment which is a violation of Oregon administrative rules.

• February 7, 2024: Failed to provide inservice Licensing Violation; Level 3 - Moderate harm or potential for serious 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 meet his/her daily needs. According to an investigation, on or about February 7, 2024, the Alleged Perpetrator 2 (AP2) failed to follow the care plan when he/she attempted to use a hoyer lift to transfer AV without another person to assist, resulting in AV having a fall with fractured tibia/fibula. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe environment, which violates Oregon Administrative Rules.

• October 15, 2023: Failed to answer call light in a timely manner Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The allegation that the facility allegedly failed to answer the call light in a timely manner for the Alleged Victim was verified.

• January 6, 2023: 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 have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their needs. Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. An investigation determined this 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 60 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.