Rosewood Court Residential Care

Last inspection

March 20, 2025

Inspections

4, 12 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

3

Regulatory actions

0

Fines assessed

$1,313.00 (2 violations)

Current owner since

February 13, 2003

Inspections

• March 20, 2025: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• March 21, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• February 26, 2024: Validation, 8 deficiencies cited report
  • C0000: Comment severity level 0
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected April 24, 2024
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected April 24, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected April 24, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected May 23, 2024
  Show all 10

  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected April 24, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected April 24, 2024
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected April 24, 2024
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected May 23, 2024
  • Z0176: Resident Rooms severity level 2, scope L2 Widespread, corrected April 24, 2024
• January 17, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected May 26, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected May 26, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected May 26, 2023

Substantiated abuse or neglect

• July 31, 2024: Failed to provide safe environment 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)
  State’s findings

  According to the documentation, the facility failed to provide a safe environment to ensure the Alleged Victim (AV) could not leave the secured facility unsupervised. On or about July 31, 2024, the AV was able to use approximately three doors which were supposed to be locked to exit the facility. The oncoming night shift staff saw the AV outside the secured facility and was able to redirect the resident back into the facility. The failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 8, 2021: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,125.00; report
  Rules: 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 November 8, 2021, Alleged Victim (AV) unsafely left the facility without assistance and sustained an injury while out of the facility. AV has a history of eloping and is care planned for risk of eloping from facility. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• January 29, 2026: Failed to cooperate with an investigation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide documentation upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• January 29, 2026: 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 consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility was not staffed to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• December 1, 2025: Failed to cooperate with an investigation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide documentation upon request. An investigation determined this 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 50 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.