Providence Irvington Village Assisted Living

Last inspection

May 7, 2024

Inspections

4, 11 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

5

Regulatory actions

2

Fines assessed

$2,200.00 (4 violations)

Current owner since

December 31, 2009

License conditions and other regulatory actions

• September 22, 2026: License Condition, Failed to use an ABST ALFCD26-00334; incident: CALMS - 00129500
  The facility failed to implement and maintain an Acuity-Based Staffing Tool in accordance with OAR 411-054-0037(1-7).
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
• September 18, 2023 to November 1, 2023: License Condition, Failed to use an ABST ALFCD23-00626; incident: CALMS - 00046853
  The facility failed to update the acuity-based staffing tool (ABST) no less than quarterly.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• May 7, 2024: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
• February 26, 2024: 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 April 26, 2024
• August 22, 2023: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Widespread, corrected October 20, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected October 20, 2023
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected October 20, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected October 20, 2023
  Show all 10

  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Pattern, corrected October 20, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Isolated, corrected October 20, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected October 20, 2023
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected October 20, 2023
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected October 20, 2023
• January 26, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• October 24, 2025: Failed to intervene when resident's condition changed Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $450.00; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide care and services. The resident moved into the facility on or about 10/24/25 and was receiving wound care. As part of the care and services the facility should have been assisting AV with wound care. The AV also had a change in weight bearing status that was not noted by the facility in the service plan. The facility failed to provide care and services for AV, which is a violation of resident rights and is neglect which constitutes abuse.

• May 24, 2025: Failed to assure resident was safe 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide services and care. According to an investigation on or about May 24, 2025, AV suffered a fall at the facility and hit their head. The staff did not put in place and monitoring of AV post the fall until May 27, 2025, putting AV at risk of harm due to the lack of care and oversight of AV after the fall. The facility failed to ensure that AV was safe post fall, which is a violation of resident rights, is neglect of care which constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) failed to ensure AV's safety was investigated and determined to be not substantiated.

• June 24, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $1,000.00; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide care. According to an investigation, on or about June 24, 2025, AV was seen at a clinic for wound care services. It was noted by the medical staff that AV's wounds are not healing, and this is due to the facility not following AV's care plan for incontinence changes, wound care and nursing follow up at the facility. The facility failed to follow the care plan for AV, which is a violation of resident rights, and considered neglect with constitutes abuse.

• August 4, 2023: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0036 (Service Plan – General)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care. On or about August 4, 2023, AV passed away and it was discovered that AV had dry, cracked skin that was dirty and falling off in pieces shortly after AV’s passing. AV also had sores going up and down his/her legs. AV’s physician was not aware that AV had dry skin. It was also known that AV would refuse lotion care and for about two weeks and a half, AV did not accept lotion assistance but once. The facility failed to care plan around AV’s refusal to lotion care, leading to his/her poor dry and cracked skin condition, which is a violation of resident rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• October 4, 2025: Failed to use an 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 develop, maintain, and implement an Acuity Based Staffing Tool which is a violation of Oregon Administrative Rule.

• October 1, 2025: Failed to properly admit or re-admit 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

  The facility failed to conduct an initial screening to determine the prospective resident's service needs and preferences and failed to ensure the evaluation was completed before the resident moves into the facility. This failure is a violation of Oregon Administrative Rule.

• April 9, 2025: Failed to use an 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 develop and maintain acuity-based staffing which is a violation of Oregon Administrative Rule.

• December 29, 2023: Failed to use an 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. Based on observation, interview, and record review, conducted during a site visit on 05/07/24 and 05/14/24, it was confirmed the facility failed to fully implement and update an acuity-based staffing tool for 1 of 3 sampled residents. An investigation determined no licensing violation or abuse occurred.

• November 12, 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) relies on the facility to administer his/her pain medication. On or about November 12, 2022, between 5:30 PM and 6:00 PM, AV asked a caregiver for medication to relieve pain in his/her feet. A caregiver reportedly contacted Alleged Perpetrator 2 (AP2) several times who said he/she was busy and didn’t have time to respond. AP2 said AV would have to wait. The pain medication is scheduled for application at 8:00 PM, but it can be applied within an hour window beginning at 7:00 PM. AP2 knowns a schedule medication can be applied one hour before the scheduled time. AP2 failed to provide a safe medication administration system for AV, which is a neglect of care and constitutes abuse. The facility failed to assure a safe medication administration system was provided to AV, 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 130 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.