Nyssa Gardens Assisted Living Facility

Last inspection

June 25, 2026

Inspections

5, 25 deficiencies cited

Substantiated abuse

0

Substantiated licensing violations

2

Regulatory actions

0

Current owner since

May 22, 2000

Inspections

• June 25, 2026: Re-Licensure, 11 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0252: Resident Move-in & Evaluation: 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 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Isolated
  Show all 11

  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Widespread
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Widespread
  • 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
  • C0655: Call System severity level 2, scope L2 Widespread
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
• March 14, 2024: 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 May 13, 2024
• May 16, 2023: Validation, 11 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected April 28, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected July 17, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected April 28, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected July 17, 2023
  Show all 13

  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected April 28, 2024
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected July 17, 2023
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected July 17, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Pattern, corrected July 17, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected July 17, 2023
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Pattern, corrected July 17, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected April 28, 2024
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected July 17, 2023
• November 1, 2022: 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 December 31, 2022
• May 24, 2022: Complaint Investig., 1 deficiency cited report
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread

Substantiated licensing violations

• July 11, 2023: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim's (AV) medications were administered as ordered. On or about July 11, 2023, AP2 administered AV medication that belonged to another resident causing unreasonable discomfort and placing him/her at risk of serious harm. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.

• January 10, 2022: Failed to provide safe environment Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The allegation that the facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents in accordance with OAR 411-054-0025 (4) per complaint staff are not wearing masks, staff are being made to work while showing symptoms of COVID, and facility is discarding positive test results and changing test results was verified.

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 36 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.