Roxy Ann Memory Community

Last inspection

September 25, 2025

Inspections

4, 31 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

1

Regulatory actions

0

Fines assessed

$1,500.00 (3 violations)

Current owner since

October 25, 2010

Inspections

• September 25, 2025: Re-Licensure, 12 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring 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
  Show all 12

  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Pattern
  • L0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Widespread
• August 1, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 13, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 22, 2022: Validation, 19 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Pattern, corrected October 23, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected October 23, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected October 23, 2022
  Show all 20

  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected October 23, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected October 23, 2022
  • C0315: Systems: Treatment Administration severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0320: Systems: Medication & Treatment-General severity level 2, scope L2 Widespread, corrected October 23, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected October 23, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected October 23, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected October 23, 2022
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected October 23, 2022
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected October 23, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected October 23, 2022
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected October 23, 2022
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread, corrected October 23, 2022

Substantiated abuse or neglect

• May 1, 2025: Failed to properly plan care 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) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about May 1, 2025, AV fell out of a wheelchair while being assisted by staff, resulting in injury to AV's eye and head. AV's service planned interventions were for staff to give AV an item to hold onto when pushing AV in the wheelchair so AV would not grab onto furniture or try to stand. Staff were aware AV would sometimes put their feet down while being pushed in the wheelchair. The facility did not develop or implement any known changes to AV's care plan to address the behavior of AV putting their feet down. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.

• December 14, 2024: Failed to properly plan care 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) was a known fall risk. On or about December 14, 2024, AV suffered two separate falls. AV suffered another fall on December 15, 2024, resulting in pain in AV's hip. AV was transported to the hospital, but there was no found cause of AV's hip pain. The facility's failure to properly care plan to ensure AV's safety from falls is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 1, 2024: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) receives his/her medication from facility staff. During the month of December 2024, AV failed to receive his/her medication on at least 5 separate occasions. AV receives this medication to prevent heart failure. Missing AV's medication places AV at risk for serious harm. The facility's failure to ensure AV's medication was administered as ordered is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• 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

  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.

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 16 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.