Morningstar Assisted Living at Laurelhurst

Last inspection

April 1, 2025

Inspections

2, 15 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

6

Regulatory actions

0

Fines assessed

$1,000.00 (2 violations)

Current owner since

August 4, 2023

Inspections

• April 1, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• March 12, 2024: Initial Licensure, 14 deficiencies cited report
  • C0000: Comment severity level 0
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Widespread, corrected May 14, 2024
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected May 14, 2024
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected May 14, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected May 14, 2024
  Show all 16

  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected October 20, 2024
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected May 14, 2024
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected May 14, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected October 20, 2024
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected May 14, 2024
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected October 20, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected May 14, 2024
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected May 14, 2024
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected May 14, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected May 14, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected October 20, 2024

Substantiated abuse or neglect

• December 6, 2024: Failed to provide service 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relied on the facility for care, was independent with most tasks and their care plan indicated AV to use their call pendant to request help when necessary. Between May 15, 2024, and December 5, 2024, AV had approximately eight (8) falls, some resulting in injury to include elbow, back, and head. According to an investigation, the facility did not implement progressive interventions to address AV's repeated falls and while it was stressed to AV to push their call light for assistance, AV's call light was not always answered timely. During this same timeframe AV's call button broke and AV was given a replacement button. The replacement button went missing, and it was stated that the Alleged Perpetrator 2 (AP2) took it out of AV's room. While the facility acknowledges the call button went missing, the allegation that AP2 took AV's call light from them, leaving them unable to call for help was investigated and found to be inconclusive. The facility failed to provide appropriate services, to include proper care planning and/or the implementation of effective interventions and resident monitoring, resulting in repeated falls and unreasonable discomfort, and placed AV at repeated risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(i) and (ii).

• October 25, 2024: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relied on the facility for care. According to an investigation, on or about October 25, 2024, in AV's room there was fecal matter on bathroom surfaces, AV's commode was not cleaned out, AV's bedding was soiled, garbage and laundry was not removed, and there were paper towels placed over AV's dog's waste on the floor in AV's room. The facility failed to provide appropriate services, to include following AV's care plan and/or the implementation of effective interventions and resident monitoring, resulting in unreasonable discomfort and a loss of personal dignity, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(i).

Substantiated licensing violations

• January 28, 2026: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  Based on interview and record review, the facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• November 22, 2025: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  Based on interview and record review, the facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• September 29, 2025: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  Based on interview and record review, the facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• July 7, 2025: 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’s failure 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.

• June 1, 2025: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  Based on interview and record review, the facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• May 16, 2025: 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 have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and/or 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.

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 98 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.