Neawanna By The Sea

Last inspection

December 3, 2025

Inspections

4, 13 deficiencies cited

Substantiated abuse

7

Substantiated licensing violations

0

Regulatory actions

0

Fines assessed

$1,350.00 (5 violations)

Current owner since

February 1, 2024

Inspections

• December 3, 2025: Re-Licensure, 5 deficiencies cited report
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0610: General Building Exterior severity level 2, scope L2 Widespread
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
• November 6, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• December 5, 2024: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• October 2, 2023: Validation, 6 deficiencies cited report
  • C0000: Comment severity level 0
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected December 2, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected December 2, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected December 2, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected December 2, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected December 2, 2023
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected December 2, 2023

Substantiated abuse or neglect

• October 31, 2023: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; 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); 411-054-0300 (Assisted Living Facility Building Requirements)
  State’s findings

  The facility failed to provide appropriate services according to resident needs, as it relates to care planning and call light. According to an investigation, AV experienced approximately four falls between September 3, 2023, and October 31, 2023, which resulted in repeated unreasonable discomfort. During the fall on or about October 31, 2023, AV pushed the call button and received no response from care staff, so he/she attempted to go to the restroom on his/her own. According to the staff, AV’s call light had not been working for approximately two weeks. The facilities failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• September 1, 2023: Failed to provide service Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is a known fall risk with a history of falls. According to an investigation AV experienced multiple falls between June 29, 2024, and August 17, 2024. AV had another fall on or about September 1, 2024, where he/she was diagnosed with a brain bleed. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care which constitutes abuse.

• January 15, 2023: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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) has a seizure disorder and is known to have falls in the past. On or about January 15. 2023, AV fell and was found on the ground. The facility failed to appropriately care plan regarding AV's falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 30, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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

  Witness #1 (W1) is known to become agitated and verbally abusive to residents in the facility and is care planned to be removed to a private area to allow W1 to have personal space to reduce anxiety and acting out. W1 entered the dining area and was verbally abusive to the Alleged Victim (AV), swearing at him/her, causing AV unreasonable discomfort. After this incident, staff took W1 to a public area while W1 was still agitated. The facility failed to follow W1's care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 30, 2022: Failed to protect resident from mental or emotional abuse Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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 December 30, 2022, the Alleged Victim (AV) engaged in a verbal altercation in the dining room with Witness #1 (W1), which caused AV to be visibly upset. AV was asked to remove him/herself from the dining room and go to his/her room or to the common area. AV is care planned to be re-directed to a quiet area when in an agitated mood. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 11, 2021: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $450.00; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is a known fall risk and suffered multiple falls with and without injury. AV was care planned to have safety checks, however, there are no safety checks noted for the dates that AV had fallen. AV had fallen on December 13, 2021 resulting in back and neck pain, and fell again on December 14, 2021, resulting in a laceration and a goose egg to his/her head. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 26, 2021: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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) was a known fall risk. AV was care planned to have safety checks to ensure his/her safety. On or about November 28, 2021, AV fell in his/her room and was found by a staff member on the floor. AV did not suffer any injury, however, AV was placed at risk for serious harm by not having safety checks as scheduled. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

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 48 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.