Regency Village at Bend

Last inspection

May 7, 2026

Inspections

7, 15 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

3

Regulatory actions

0

Fines assessed

$938.00 (3 violations)

Current owner since

April 1, 2010

Inspections

• May 7, 2026: Re-Licensure, 9 deficiencies cited report
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0280: Resident Health Services severity level 2, scope L2 Pattern
  • C0282: RN Delegation and Teaching severity level 2, scope L2 Isolated
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Pattern
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  Show all 10

  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0435: Emergency and Disaster Planning severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
• February 24, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• July 29, 2024: Re-Licensure, 3 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected September 30, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Pattern, corrected September 30, 2024
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected September 30, 2024
• February 27, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• May 18, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 21, 2022: 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, 2022
• December 14, 2021: Validation, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0655: Call System severity level 2, scope L2 Widespread, corrected December 15, 2021

Substantiated abuse or neglect

• March 24, 2026: Failed to provide service 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); 411-054-0036 (Service Plan – General); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  On or about March 24, 2026, the Alleged Victim (AV) needed his/her humidifier filled and contacted facility staff for assistance. Staff filled AV's humidifier and AV found that their blood pressure and oxygen levels were unusually low. AV realized that his/her canula did not have oxygen flowing through it and the tubing needed replaced. Staff were not able to change out AV's tubing so AV did it themselves, although staff are responsible to change out the tubing. Some available staff were not trained properly to change out the tubing. AV was visibly distressed and was caused unreasonable discomfort through this process. Respondent failed to provide service and ensure facility staff were properly trained on the care of residents. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).

• July 22, 2024: Failed to follow care plan Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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

  On or about July 22, 2024, the Alleged Victim (AV) was walking outside and suffered a fall. During this fall, AV was assessed and it was determined AV only suffered a skin abrasion and bruising. On or about July 29, 2024, staff saw additional bruising on AV's arm, from his/her elbow to armpit. AV was sent to the hospital and diagnosed with a fractured arm. AV's behavioral plan states that any time AV suffers a fall, that AV is to be sent out to the hospital. The facility failed to send AV out until a week later, when his/her symptoms progressed. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 20, 2022: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) receives prescribed medication from the facility. On or about June 20, 2022, AV was given 100 units of a medication that controls blood sugar. AV was only to receive 12 units. AV was later found unresponsive and sent to the hospital for treatment. The facility's medication administration system was not clear on how much medication to give AV, resulting in staff giving 100 units rather than 12 units. The facility's failure to have a medication administration system that depicted clear instructions to staff placed AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• September 7, 2023: Failed to provide safe environment Licensing Violation; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Perpetrator 2 (AP2) sexually abused Alleged Victim (AV) by inappropriately exposing AV to sexually explicit language. Based on facility documentation and interviews, during the week of September 4, 2023, AP2 and AV engaged in sexually explicit messaging while AP2 was employed by facility and was in a caregiver role to AV when the messaging occurred. AP2's actions is considered sexual abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.

• April 20, 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 April 1, 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 for a total of 30 days.

• January 5, 2023: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Perpetrator 2 (AP2) financially exploited Alleged Victim (AV) by wrongfully taking AV's debit card for AP2's gain. AP2 is an employee at the facility where AV resides. AP2 used AV's credit card and charged $80.00 on it at a hair salon. AP2's actions is considered financial exploitation which constitutes abuse. The facility failed to protect AV from financial exploitation 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 88 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.