Pioneer Place Assisted Living

Last inspection

May 13, 2026

Inspections

5, 37 deficiencies cited

Substantiated abuse

0

Substantiated licensing violations

3

Regulatory actions

0

Current owner since

April 16, 2004

Inspections

• May 13, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
• May 13, 2026: Re-Licensure, 7 deficiencies cited report
  • C0154: Facility Administration: Policy & Procedure severity level 2, scope L2 Pattern
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
  • C0655: Call System severity level 2, scope L2 Widespread
• October 10, 2024: Re-Licensure, 15 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  Show all 19

  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Widespread
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • 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
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
  • 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
• May 16, 2023: 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 August 17, 2023
• May 23, 2022: Validation, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected October 29, 2022
  Show all 19

  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected October 29, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Isolated, corrected July 24, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected July 24, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected October 29, 2022
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected October 29, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected July 24, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected July 24, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected July 24, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected July 24, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected October 29, 2022
  • C0655: Call System severity level 2, scope L2 Widespread, corrected July 24, 2022

Substantiated licensing violations

• November 7, 2023: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care. On or about November 4, 2023, AV was given medication that belonged to a different resident. Witness knowledge and documentary evidence indicated hat on the evening of November 4, 2023, Alleged Perpetrator 2 (AP2) was distracted during the evening med pass and gave AV other resident’s medications. There was a total of six (6) medication given by AP2 to AV. AV failed to provide a safe medication system to AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of Oregon Administrative Rules.

• May 18, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) is scheduled to receive eye drops 3x a day at 8am, 11:30am and 8pm. Between May 1st through May 18th, 2022, Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) provided AV with his/her eye drops. AP2 provided AV’s eye drops a total of six (6) times and AP3 provided AV’s eyes drops a total of 12 times. Both AP2 and AP3 gave AV the eye drops between one (1) hour and up to three (3) hours past 8am. AP2 and AP3 failed to provide a safe medication administration system for AV, which constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administration Rules.

• November 16, 2021: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility to administer his/her medication. On or about November 13, 2021, Alleged Perpetrator 2 (AP2) grabbed the wrong medication from the medication cart and administered the wrong blood sugar medication to AV. AP2 failed to provide a safe medication administration system to AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, 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 31 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.