Rivera Mansions RCF

Last inspection

April 1, 2026

Inspections

5, 26 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

4

Regulatory actions

0

Fines assessed

$413.00 (2 violations)

Current owner since

May 10, 2016

Inspections

• April 1, 2026: Re-Licensure, 11 deficiencies cited report
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated
  Show all 12

  • C0360: Staffing Requirements and Training: Staffing 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
  • C0435: Emergency and Disaster Planning severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Pattern
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
• January 6, 2026: 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 27, 2023: Validation, 14 deficiencies cited report
  • C0000: Comment severity level 0
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread, corrected June 1, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected June 1, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected June 1, 2023
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected June 1, 2023
  Show all 15

  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Pattern, corrected June 1, 2023
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected June 1, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected June 1, 2023
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected June 1, 2023
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Isolated, corrected June 1, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected June 1, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected June 1, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected June 1, 2023
  • C0530: Housekeeping and Laundry severity level 2, scope L2 Widespread, corrected June 1, 2023
  • C0540: Heating and Ventilation severity level 2, scope L2 Widespread, corrected June 1, 2023
• January 20, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• April 13, 2026: Failed to provide medical treatment as ordered 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. AV requires staff to provide repositioning assistance every two hours. According to an investigation, on or about April 13, 2026, a new wound was found on AV's upper back and reported to medical staff. At the time of the incident, AV's service plan instructed staff to reposition AV and log the turning every two hours. Staff had not been turning AV consistently as required and there were no interventions for staff to provide when AV refused repositioning, resulting in AV developing an open wound. The facility failed to provide necessary medical treatment, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• February 14, 2024: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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’s (AV’s) care plan states that staff are responsible for AV’s catheter care, monitoring and replacement. AV’s catheter requires exchanging every 4-6 weeks, AV’s last catheter exchange occurred on December 15, 2023. AV had a cancelled appointment on January 16, 2024, due to inclement weather, however, staff did not reschedule AV’s cancelled appointment. On or about February 14, 2024, staff contacted AV’s medical provider stating AV’s catheter had not been drained since February 13, 2024. Staff were advised to bring AV for a clinic appointment that day or to take AV to the ER. On or about February 16, 2024, staff called AV’s medical provider back saying AV’s catheter was still not draining properly. Staff were urged to send AV to the hospital, and he/she was transported to the ER. As a result of the catheter not draining AV experienced bladder pain. The facility failed to provide service around AV’s catheter care, which is a violation of resident rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• June 8, 2025: Failed to staff as indicated by 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 have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident on June 6, 2025. The facility’s failure is a violation of Oregon Administrative Rules.

• December 9, 2024: Failed to provide safe environment 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 Alleged Victim (AV) relies on the facility to meet his/her daily needs. According to an investigation, on or about December 9, 2024, the Alleged Perpetrator 2 (AP2) failed to provide a safe environment when he/she was pushing another staff's hand away and inadvertently came into contact with AV's leg, resulting in AV experiencing pain and unreasonable discomfort. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe environment, which violates Oregon Administrative Rules.

• October 15, 2024: Failed to staff as indicated by 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 staff as indicated by the ABST. The facility’s failure is a violation of Oregon Administrative Rules.

• April 1, 2022: 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, 2022, 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 March 1, 2022 to March 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 36 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.