Riverview Terrace

Last inspection

August 15, 2023

Inspections

2, 3 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

0

Regulatory actions

1

Fines assessed

$1,500.00 (1 violation)

Current owner since

July 7, 2007

License conditions and other regulatory actions

• February 21, 2025 to April 2, 2025: License Condition, Failed to follow care plan RCFCD25-00200; incident: CALMS - 00072504
  The Respondent failed to assure the care plan for AV was being followed in regard to cutting up AVs meat/food in AVs plate. Which caused AV to choke on his/her food.
  Rules: 411-054-0036 (Service Plan – General)

Inspections

• August 15, 2023: 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 October 14, 2023
• May 24, 2022: Validation, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected May 27, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected May 27, 2022

Substantiated abuse or neglect

• February 14, 2025: Failed to follow care plan Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $1,500.00; 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) lives at the facility and is care planned for a modified diet. AV requires steak to be cut up into small pieces, which is to be completed by facility staff. On or about February 14, 2025, AV was served steak in his/her room for his/her meal by staff. Staff delivered the meal and continued to deliver other residents meals. AV was sitting in the hallway by his/her room when staff found AV unconscious. Staff began Heimlich maneuver, abdominal thrust and mouth sweep and called emergency services. AV was intubated and transferred to the hospital. AV passed away at the hospital two days later. Respondent failed to ensure staff followed the service plan to cut up AV's steak in smaller pieces, which caused AV to choke. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).

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 20 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.