Pacific Living Centers of Prineville

Last inspection

December 4, 2025

Inspections

4, 12 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

2

Regulatory actions

2

Fines assessed

$2,438.00 (4 violations)

Current owner since

May 1, 2023

License conditions and other regulatory actions

• March 10, 2026 to March 24, 2026: License Condition, Failed to provide safe environment RCFCD26-00273; incident: CALMS - 00104176
  The facility failed to comply with Oregon Administrative Rules, posing a threat to the health, safety, and welfare of its residents.
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)
• August 26, 2021 to February 15, 2022: License Condition, Failed to provide safe environment RCFCD21-02940; incident: CALMS - 00018382
  Based on evidence and interviews collected from visits August 3, 2021 August 18, 2021. DHS concludes that Respondents acts or omissions create a situation that necessitates DHS to issue a license condition. In addition, DHS finds that the residents of the facility are at risk of immediate jeopardy.
  Rules: 411-054-0025 (Facility Administration)

Inspections

• December 4, 2025: 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
• May 28, 2024: Validation, 6 deficiencies cited report
  • C0000: Comment severity level 0
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected July 29, 2024
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected July 29, 2024
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected July 29, 2024
  • H1515: Physical Setting: Individual Accessible severity level 0, corrected July 29, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected July 29, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Isolated, corrected July 29, 2024
• December 11, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• February 7, 2022: Validation, 4 deficiencies cited report
  • C0000: Comment severity level 0
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected April 8, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected April 8, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected April 8, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected June 23, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected June 23, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected June 23, 2022

Substantiated abuse or neglect

• March 5, 2026: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $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)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of wandering and exit seeking from the secured unit. According to an investigation, on or about March 5, 2026, AV eloped from the secured unit by exiting through a garage access door located in the back courtyard. AV was found by staff when AV knocked on the door of the front entrance of the facility. The garage door had been manually pulled open by AV. The facility failed to provide a safe environment and prevent an elopement, which is a violation of resident rights, is neglect of care which constitutes abuse.

• September 9, 2025: Failed to provide safe environment Abuse: Neglect; 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  Alleged Victim (AV) relies on facility staff to meet his/her daily needs and has impaired cognition. According to an investigation, on or about, September 9, 2025, the Alleged Perpetrator 2 (AP2) used his/her body to move AV out of a room then pushed AV down onto a couch, pointed a finger at AV and scolded AV. W1 was contacted twice during the shift regarding AP2's actions towards AV. W1 did not immediately remove AP2 from their duties. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe environment and assure resident's rights, which is considered neglect of care and constitutes abuse.

• June 12, 2025: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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); 411-057-0170 (Physical Design, Environment, and Safety)
  State’s findings

  The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of wandering behavior. According to an investigation, on or about June 12, 2025, AV eloped from the secured unit by exiting through an unlocked courtyard gate. The facility failed to properly address AV's behavior and provide a safe environment for AV which is a violation of resident rights, is neglect of care which constitutes abuse.

• October 21, 2022: Failed to properly plan care Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $1,500.00; report
  Rules: 411-054-0027 (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 implement interventions and appropriately care plan related to the Alleged Victim's (AV) fall history. The failure resulted in AV experiencing an unwitnessed fall, was transferred to the hospital and and diagnosed with a fractured hip requiring surgery and later passed away, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• August 26, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0093 (Emergency and Disaster Planning)
  State’s findings

  The facility failed to prepare and maintain a written emergency preparedness plan for a prolonged power failure. The facility’s failure is a violation of Oregon Administrative Rules.

• September 26, 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  On two separate occasions, Alleged Perpetrator #2 (AP2) had a verbal alteration with the Alleged Victim (AV). AP2 yelled at AV and told him/her to shut up on one occasion, and on the second occasion, AP2 approached AV while AV was trying to discuss the earlier altercation with another staff and yelled at AV not to talk to other staff about the incident. AP2's actions were very attacking towards AV. AP2's actions are a violation of resident rights, are considered neglect of care and constitute verbal abuse. The facility failed to protect AV from verbal abuse, 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.