Providence Cully Residential Care

Last inspection

April 30, 2026

Inspections

5, 27 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

3

Regulatory actions

1

Fines assessed

$500.00 (1 violation)

Current owner since

December 31, 2009

License conditions and other regulatory actions

• May 29, 2026 to July 21, 2026: License Condition, Failed to provide safe environment RCFCD26-00562; incident: CALMS - 00109997
  Rules: 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0045 (Resident Health Services); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety); 411-054-0140 (Additional Authority)

Inspections

• April 30, 2026: Re-Licensure, 12 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
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  Show all 12

  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Isolated
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • H1532: Serv Plan Process: Information/Supports severity level 2, scope L2 Pattern
  • L0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Isolated
• December 18, 2024: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• January 11, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• February 6, 2023: Validation, 14 deficiencies cited report
  • C0000: Comment severity level 0
  • C0154: Facility Administration: Policy & Procedure severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected April 9, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected April 9, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected April 9, 2023
  Show all 16

  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected July 9, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected April 9, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected April 9, 2023
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Isolated, corrected July 9, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0522: Common Use Areas: Social severity level 2, scope L2 Widespread, corrected April 9, 2023
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected April 9, 2023
• January 12, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• September 24, 2023: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Victim (AV) relies on the facility to administer his/her medication. On or about September 13, 2023, AV’s medication #1 was discontinued by AV’s doctor. Staff checked AV’s faxed doctor’s order and did not catch that medication #1 was discontinued. Between September 13th, through September 24, 2023, AV was administered medication #1. As a result, for AV being over medicated, AV was admitted to the hospital on or about September 24, 2023, with a gastrointestinal bleed. One of the side effects of taking too much medication #1 is gastrointestinal bleeding. The facility failed to provide a safe medication administration system for AV, placing AV in risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• August 30, 2024: Failed to update staffing plan based on ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to fully implement and update an acuity-based staffing tool which is a violation of Oregon Administrative Rule.

• August 17, 2024: Failed to protect resident from physical 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

  The Alleged Victim (AV) has a chronic skin condition and relies on the facility to manage their care, including skin care. According to an investigation, on or about August 18, 2024, the Alleged Perpetrator 2 (AP2) was rough while providing skin care to the AV, causing discomfort, an open wound, and bleeding. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to keep AV free from rough treatment during care, which is a violation of Oregon Administrative rules.

• January 18, 2023: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about January 18, 2023, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from December 1, 2022, to December 31, 2022, for a total of 30 days.

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 42 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.