Morningstar Assisted Living of Beaverton

Last inspection

April 16, 2024

Inspections

3, 17 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

1

Regulatory actions

1

Fines assessed

$1,750.00 (2 violations)

Current owner since

January 2, 2020

• Every deficiency from the April 16, 2024 inspection was corrected by November 17, 2024

License conditions and other regulatory actions

• May 3, 2024 to January 27, 2025: License Condition, Failed to provide safe environment ALFCD24-00168; incident: CALMS - 00055835
  Information ?is based on evidence and interviews collected from Re-Licensure Survey (#SLMH11) on April 16, 2024, and evidence and interview collected from first re-visit to the Re-Licensure Survey, (#SLMH12), on October 1, 2024.
  Rules: 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General); 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services); 411-054-0055 (Medications and Treatments); 411-054-0060 (Restraints and Supportive Devices); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety)

Inspections

• April 16, 2024: Validation, 16 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected June 18, 2024
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected June 18, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected June 18, 2024
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected June 18, 2024
  Show all 19

  • C0280: Resident Health Services severity level 2, scope L2 Pattern, corrected June 18, 2024
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected June 18, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected June 18, 2024
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected June 18, 2024
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected June 18, 2024
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected June 18, 2024
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected June 18, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected June 18, 2024
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected November 17, 2024
  • C0372: Training Within 30 Days: Direct Care Staff severity level 4, scope L4 Pattern, corrected November 17, 2024
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected November 17, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected November 17, 2024
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected November 17, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected November 17, 2024
• September 14, 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 November 13, 2023
• July 27, 2022: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• July 15, 2024: Failed to properly plan care Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $1,500.00; 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

  On or about July 15, 2024, the Alleged Victim (AV) was receiving shower cares from staff. AV's care plan was not up to date and listed AV as being independent and moderate assist with bathing. The facility's old system did not remove old interventions from the service plan, leaving staff confused on how to assist AV during showers. AV had a fall during the shower, and suffered a broken hip, requiring surgical intervention. Two care staff were present during the fall, one staff was placing items on the counter as the other staff were turning on the water and placing the shower chair for AV. The facility's failure to properly care plan so staff understood AV's needs is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 17, 2021: 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to follow Alleged Victim's (AV) medical order to be re-positioned every two hours as needed for pressure ulcer relief and facility failed to apply AV's barrier cream as prescribed. Based on facility documentation and interviews, AV receives assistance with his/her Activities of Daily Living by both facility care staff and private caregivers. The facility failed to properly care plan for AV's care needs by failing to provide oversight and coordination of care with both facility care staff and private caregivers in which the facility is ultimately responsible for AV's overall care and well-being. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• February 8, 2022: 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 carry out medication orders 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.” This community is licensed for 75 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.