Meadow Creek Village Assisted Living

Last inspection

October 14, 2025

Inspections

5, 13 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

9

Regulatory actions

0

Fines assessed

$876.00 (3 violations)

Current owner since

May 1, 2015

Inspections

• October 14, 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 2, scope L2 Widespread
• June 10, 2024: Validation, 10 deficiencies cited report
  • C0000: Comment severity level 0
  • C0154: Facility Administration: Policy & Procedure severity level 2, scope L2 Widespread, corrected November 24, 2024
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected August 12, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected November 24, 2024
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected August 12, 2024
  Show all 14

  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected November 24, 2024
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected August 12, 2024
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected August 12, 2024
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected August 12, 2024
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected August 12, 2024
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected August 12, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected November 24, 2024
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected August 12, 2024
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 0, corrected August 12, 2024
• March 5, 2024: Complaint Investig., 1 deficiency cited report
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• January 9, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• February 2, 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 February 23, 2023

Substantiated abuse or neglect

• July 1, 2025: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) receives his/her medication from facility staff. Facility staff are to order and ensure that AV's medications are available for dispensing to AV. On or about July 1, 2025, the facility ran out of AV's seizure medication. AV did not receive two doses of his/her medication that day, leaving AV at risk for serious harm. The facility's failure to ensure a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.

• April 25, 2025: Failed to have medication available Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; 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)
  State’s findings

  The Alleged Victim (AV) is scheduled to take narcotic pain medication three times per day. AV was to have a pain clinic appointment on March 21, 2025, which AV missed. According to documentation, staff were aware that AV needed to have an appointment to have his/her pain medication prescription refilled. Staff made an appointment for AV on April 15, 2025 for the pain clinic, but didn't check to ensure AV had enough pain medication to last until that time. AV ran out of his/her pain medication on April 11, 2025. AV missed 12 scheduled doses of his/her pain medication, causing AV unreasonable discomfort. The facility's failure to ensure that AV"s medication was re-ordered timely is a violation of resident rights, is considered neglect of care and constitutes abuse.

• August 3, 2023: 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) had a history of falls. AV was bed bound, however, was able to move to the edge of the bed. AV was care planned to have a fall mat at the edge of his/her bed on the floor. On or about August 3, 2023, AV was found on the floor by staff. AV's fall mat was not in place. AV suffered a bruise to his/her hand as a result of the fall. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• December 23, 2025: Failed to assure resident rights 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

  On or about December 14, 2025, Alleged Perpetrator #2 (AP2) came up behind the Alleged Victim (AV), who was sitting in their wheelchair and began pushing AV in his/her wheelchair down a hallway that was not towards his/her room. AV stated "ouch" and "no" to AP2 and put his/her feet down to stop the movement of the wheelchair. AV is independent with his/her wheelchair and does not liked to be pushed. AP2's actions caused AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to protect AV from unreasonable discomfort is a violation of Oregon Administrative Rules.

• November 18, 2025: Failed to protect resident from financial exploitation 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) had money go missing from his/her room. The money was taken by an unknown individual, and this person is responsible for theft of property, which is a violation of resident rights, is considered neglect of care and constitutes financial abuse. The facility failed to protect AV’s property from theft which is a violation of Oregon Administrative Rules.

• December 24, 2024: Failed to answer call light in a timely manner 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); 411-054-0030 (Resident Services); 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  On or about December 24, 2024, the Alleged Victim (AV) pressed his/her call light for assistance. No staff members answered AV's call light. AV tried to transfer him/herself to the restroom and slid off his/her wheelchair to the floor. A staff member that was working was found sleeping on shift and did not answer AV's call for assistance. AV was not injured, however, AV was placed at risk for harm. The facility's failure to ensure they have qualified awake caregivers to answer call lights timely is a violation of Oregon Administrative Rules.

• August 3, 2024: Failed to provide oversight and monitoring of change of condition Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  On or about August 3, 2024, the Alleged Victim (AV) suffered a fall and was sent to the hospital. Upon AV's return, AV had a change of condition, needing a higher level of care. The facility failed to complete a change of condition assessment to address AV's change in care needs. Failure to provide a change of condition assessment is a violation of Oregon Administrative Rules.

• April 19, 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about April 19, 2024, Alleged Perpetrator #2 (AP2) was assisting the Alleged Victim (AV) with a transfer using a gait belt. AV is a two person assist with a gait belt for transfers. AP2 placed the gait belt across AV's chest and used one hand on the gait belt to assist AV. AV complained it was too much pressure on the belt assisting AV. A couple days later, AV complained of chest pain and shortness of breath and was sent to the ER. It was determined that AV suffered from bruising to the chest area. AP2's failure to properly assist AV with transfer, causing bruising, is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to ensure staff are properly executing care 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 52 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.