Pacific Living Centers of Grants Pass at Heidi

Last inspection

July 29, 2026

Inspections

3, 15 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

2

Regulatory actions

1

Fines assessed

$376.00 (2 violations)

Current owner since

February 1, 2026

License conditions and other regulatory actions

• July 21, 2021 to June 27, 2022: License Condition, Failed to provide safe environment RCFCD21-02733; incident: CALMS - 00016208
  Re-licensure Survey # X3J211 was completed July 13, 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.
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0030 (Resident Services); 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); 411-054-0060 (Restraints and Supportive Devices); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety); 411-054-0200 (Residential Care Facility Building Requirements)

Inspections

• July 29, 2026: Kitchen, 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
• July 2, 2026: Change of Owner, 11 deficiencies cited report
  • C0200: Resident Rights and Protection - General 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
  • C0280: Resident Health Services severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  Show all 11

  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
• October 21, 2024: Kitchen, 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

Substantiated abuse or neglect

• March 9, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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 the Alleged Victim’s (AV) care plan to provide one on one interventions when AV is in his/her wheelchair. On several occasions, AV was left unattended in his/her wheelchair and experienced multiple falls causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• December 7, 2024: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility to manage their medications. According to an investigation, beginning on or about December 7, 2024, the Alleged Perpetrator 2 (AP2) did not follow proper procedure for medication administration and gave the AV the incorrect dose of medication on multiple occasions, placing the AV at risk of harm. AP2’s actions are a violation of resident rights, considered neglect, and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules. The allegation that Alleged Perpetrator 3 (AP3) neglected the AV was investigated and determined to be not substantiated.

• March 9, 2024: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)
  State’s findings

  The Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim’s (AV) or Witness 1’s (w1) care plans related to behaviors and agitation. On or about March 9, 2024, W1 was exhibiting signs of agitation toward AV for over an hour and was unable to be redirected. AV became upset and screaming for assistance. W1 and AV were not separated, causing a physical altercation resulting in AV being struck in the face and receiving a bloody nose. AP2’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility’s failure to provide a safe environment 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.