Pacific Living Centers of Grants Pass at Anique

Last inspection

May 8, 2025

Inspections

3, 4 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

3

Regulatory actions

1

Fines assessed

$450.00 (2 violations)

Current owner since

February 1, 2026

License conditions and other regulatory actions

• July 21, 2021 to February 11, 2022: License Condition, Failed to provide safe environment RCFCD21-02731; incident: CALMS - 00016202
  Re-licensure Survey # ZTHD11 was completed July 14, 2021 and determined that the residents of the facility are at risk of immediate jeopardy. That is because the facilitys failure to comply with DHS rules has caused or is likely to cause serious injury, serious harm, serious impairment, or death to a resident or residents. DHS further concludes that this finding of immediate jeopardy is likely to present an immediate jeopardy to future residents upon admission. As a result, DHS is authorized to impose a condition restricting admissions to the facility. Terms of License Condition include: Restriction of Admission; Registered Nurse Consultant with Administrative credentials; RN hours; and Reporting Requirements.
  Rules: 411-054-0025 (Facility Administration); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services); 411-054-0055 (Medications and Treatments); 411-054-0065 (Administrator Qualifications and Requirements); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety); 411-054-0200 (Residential Care Facility Building Requirements)

Inspections

• May 8, 2025: Change of Owner, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• June 3, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• January 19, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected April 26, 2023
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected April 26, 2023

Substantiated abuse or neglect

• December 25, 2021: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The alleged victim (AV) is care planned to receive nail care and cleaning services by the facility. On or about December 25, 2021, AV was found to have overgrown nails and their room was not picked up resulting in unreasonable discomfort. The facility failed to follow AV's care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 3, 2021: Failed to assure resident rights Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide basic assistance with bathing and hygiene to the Alleged Victim (AV). AV arrived to the hospital on or about December 1, 2021, and appeared to have not been bathed for an extended period of time based on observations of hospital staff. This failure resulted in unreasonable discomfort and a loss of personal dignity to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• March 21, 2022: Failed to protect resident from verbal abuse 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)
  State’s findings

  According to documentation, AP3 was intimidating and belittling AV in his/her presence causing unreasonable discomfort and a loss of personal dignity. AP3’s actions are considered verbal/emotional abuse. The facility failed to protect AV from emotional abuse, which is a violation of Oregon Administrative Rules. The allegation that the AP2 failed to protect AV from abuse was investigated and the determination was inconclusive.

• March 21, 2022: Failed to protect resident from verbal abuse 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)
  State’s findings

  According to documentation, AP3 was belittling AV in his/her presence causing unreasonable discomfort and a loss of personal dignity. AP3’s actions are considered verbal/emotional abuse. The facility failed to protect AV from emotional abuse, which is a violation of Oregon Administrative Rules. The allegation that AP2 failed to protect AV from abuse was investigated and determined abuse was not substantiated from AP2.

• November 5, 2021: 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)
  State’s findings

  According to documentation, the Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered. The failure resulted in AV missing a couple doses of his/her antibiotics which placed him/her at risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which 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 15 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.