Meadowlark Memory Care

Last inspection

October 8, 2025

Inspections

6, 34 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

11

Regulatory actions

2

Fines assessed

$30,250.00 (5 violations)

Current owner since

January 1, 2025

License conditions and other regulatory actions

• April 9, 2025 to June 24, 2025: License Condition, Failed to provide safe environment RCFCD25-00381; incident: CALMS - 00076340
  On April 8, 2025, due to a complaint, and based on preliminary information ODHS concludes that Respondents acts or omissions create a situation where the residents of the facility and future residents are at risk of immediate jeopardy. Failure to comply with Oregon Administrative Rules constitutes a threat to the health, safety, and welfare of its residents.
  Rules: 411-054-0025 (Facility Administration); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training)
• September 13, 2024 to February 7, 2025: License Condition, Failed to provide safe environment RCFCD24-00912; incident: CALMS - 00060218
  On August 5, 2024, through August 8, 2024, Oregon Department of Human Services (ODHS) conducted a Re-licensure Survey (SMCO11) which confirmed the facility is not in substantial compliance with Oregon Administrative Rules for Residential Care Facilities and the Facilitys non-compliance places residents at risk of serious harm.
  Rules: 411-054-0030 (Resident Services); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0055 (Medications and Treatments); 411-054-0060 (Restraints and Supportive Devices); 411-054-0065 (Administrator Qualifications and Requirements); 411-054-0070 (Staffing Requirements and Training); 411-055-0040; 411-057-0140 (Responsibilities of Administration); 411-057-0160 (Resident Services in a Memory Care Community)

Inspections

• October 8, 2025: Change of Owner, 15 deficiencies cited report
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  Show all 15

  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Isolated
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Isolated
  • Z0164: Activities severity level 2, scope L2 Pattern
  • Z0177: Exit Doors severity level 2, scope L2 Widespread
• August 5, 2024: Re-Licensure, 11 deficiencies cited report
  • C0000: Comment severity level 0
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  Show all 12

  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Widespread
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
• August 1, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 19, 2023: Complaint Investig., 5 deficiencies cited report
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern
  • C0350: Administrator Qualification and Requirements severity level 2, scope L2 Pattern
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
  • C0380: Involuntary Move-Out Criteria severity level 2, scope L2 Pattern
  • C0450: Inspections and Investigations severity level 2, scope L2 Pattern
• September 12, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 20, 2022: State Licensure, 3 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 3, scope L3 Widespread, corrected August 25, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 25, 2022
  • Z0142: Administration Compliance severity level 3, scope L3 Widespread, corrected August 25, 2022

Substantiated abuse or neglect

• October 7, 2023: Failed to assure timely medical treatment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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); 411-054-0030 (Resident Services)
  State’s findings

  Alleged Victim (AV) had a history of UTIs. AV showed signs of having a UTI around end of August 2023. The facility staff contacted the AV’s doctor on or around September 01, 2023 and October 2, 2023. The doctor’s office asked for AV to be brought in for an appointment or tele visit. The facility said that AV could not come to the appointment due to lack of transportation. The facility did not set up a tele visit. The doctor agreed to a Urine analysis, but AV still needed an appointment to follow up. A urine sample was collected to test for UTI approximately on a Sunday. AP2 was reported as throwing A urine sample out. The allegation that AP2 threw AV's urine sample out was investigated, and wrongdoing was unable to be determined. AV’s doctor’s office nor the lab ever received a UA for AV. AV was not treated or seen by AV’s doctor for UTI from September 01, 2023- October 5, 2023. AV was placed on hospice care on October 5, 2023 without the knowledge of AV’s doctor. Facility failed to assure that staff planned and arranged for services outside of the facility, or that come from outside the facility, that are necessary for the resident's health and quality of life.

Substantiated licensing violations

• June 19, 2026: 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

  Based on interview and record review, the facility failed to complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required. The facility’s failure is a violation of Oregon Administrative Rules.

• April 1, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The facility allegedly failed to implement a written policy that prohibits the falsification of records. The facility’s failure is a violation of Oregon Administrative Rules.

• February 21, 2025: 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); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility allegedly failed to implement and update an Acuity Based Staffing Tool (ABST), by not having qualified staff working according to rule. The facility's failure is a violation of Oregon Administrative Rules.

• October 14, 2023: Failed to follow care plan Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Perpetrator 2 (AP2) failed to provide appropriate services according to Alleged Victim's (AV) toileting care needs. Based on facility documentation and interviews, on or about October 15, 2023, AV was found wet, laying on top of three completely soaked through disposable chucks and two completely soaked regular chucks totally five wet chucks. AV was observed soaked from AV's buttocks all the way to the top of AV's head with urine. AP2 failed to perform the toileting activities as described in AV's care plan, including: frequency, duration, and monitoring effectiveness of the toileting activities which cased AV unreasonable discomfort. AP2's actions is considered neglect of care which constitutes abuse. The facility is responsible for the supervision, training, and overall conduct of staff when staff are acting within the scope of his/her employment duties. The facility's failure to provide oversight that AP2 followed AV's care plan is a violation of Oregon Administrative Rules.

• August 8, 2023: Failed to assure resident rights Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0065 (Administrator Qualifications and Requirements)
  State’s findings

  The facility failed to employ a full-time administrator scheduled to be on-site in the facility at least 40 hours per week. 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 13 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.