Providence Glendoveer Residential Care

Last inspection

June 25, 2025

Inspections

5, 32 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

10

Regulatory actions

0

Fines assessed

$625.00 (2 violations)

Current owner since

December 31, 2009

Inspections

• June 25, 2025: Re-Licensure, 14 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Isolated
  • C0295: Infection Prevention & Control severity level 2, scope L2 Pattern
  Show all 14

  • C0301: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Isolated
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Isolated
  • C0374: Annual and Biennial Inservice for All Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
• November 25, 2024: Complaint Investig., 1 deficiency cited report
  • C0363: Acuity Based Staffing Tool - Updates & Plan severity level 2, scope L2 Isolated
• June 5, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 2, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• April 19, 2022: Validation, 17 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern, corrected August 31, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected August 31, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected April 23, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Pattern, corrected August 31, 2022
  Show all 22

  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern, corrected April 23, 2023
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected January 26, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected January 26, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected August 31, 2022
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected January 26, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected January 26, 2023
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected January 26, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected August 31, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected August 31, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected August 31, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected August 31, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected August 31, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected April 23, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected August 31, 2022
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected October 1, 2022
  • C0540: Heating and Ventilation severity level 2, scope L2 Widespread, corrected April 23, 2023
  • C0545: Plumbing Systems severity level 2, scope L2 Widespread, corrected January 26, 2023

Substantiated abuse or neglect

• April 2, 2023: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; report
  Rules: 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) has a known history of elopement. AV has traveled to other cities without notifying staff, putting AV in risk of harm. On or about April 2, 2023, AV left the facility before 7am, prior to leaving, care staff noticed that AV was not wearing clothing appropriate for the weather. At 9:15pm on or about April 2, 2023, care staff noticed that AV was not in his/her room. The last time AV was seen prior to this was at 8pm. The facility was searching, and AV was not located. At 11pm, care staff notified police and an officer responded by gathering information about AV. at 12:13am on April 3, 2023, hospital staff called the facility and reported that AV had been bit by a motor vehicle and as a result, had sustained a rib fracture and skull fracture. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• September 23, 2025: Failed to assure resident rights Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to ensure resident service plans were completed quarterly after the resident moved into the facility. The facility's failure is a violation of Oregon Administrative Rules.

• September 15, 2025: Failed to assure resident rights 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 develop, maintain, and implement an Acuity Based Staffing Tool, which is a violation of Oregon Administrative Rules.

• September 15, 2025: Failed to assure resident rights Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0300 (Assisted Living Facility Building Requirements)
  State’s findings

  The facility failed to provide a call system that connects resident units to the care staff center or staff pagers. The facility's failure is a violation of Oregon Administrative Rules.

• September 3, 2025: Failed to provide appropriate staffing 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 develop, maintain, and implement an Acuity Based Staffing Tool which is a violation of Oregon Administrative Rules.

• August 18, 2025: Failed to provide safe environment 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 develop, maintain, and implement an Acuity Based Staffing Tool 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 91 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.