Sea Aire Assisted Living Community

Last inspection

September 16, 2025

Inspections

5, 12 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

15

Regulatory actions

1

Fines assessed

$39,250.00 (9 violations)

Current owner since

June 1, 2021

License conditions and other regulatory actions

• December 20, 2023 to April 25, 2024: License Condition, Failed to use an ABST ALFCD23-00754; incident: CALMS - 00050107
  The facility failed to ensure all residents were entered into the Acuity-Based Staffing Tool (ABST).
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• September 16, 2025: Complaint Investig., 2 deficiencies cited report
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Plan severity level 2, scope L2 Isolated
• March 18, 2025: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
• April 3, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 2, 2023: Validation, 7 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected December 4, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected December 4, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected December 4, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected December 4, 2023
  Show all 9

  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected March 15, 2024
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected March 15, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected March 15, 2024
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected March 15, 2024
• April 13, 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 June 12, 2023

Substantiated abuse or neglect

• January 29, 2026: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $2,250.00; 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) relied on the facility for care. According to an investigation, on or about January 29, 2026, AV had an unwitnessed fall around 3:09 pm and declined staff assistance to get up from the floor. There was no Temporary Service Plan or new interventions added to AV's Service Plan to ensure AV's safety and prevent future falling. Then later the same day, at approximately 7:39 pm, AV fell again breaking their ribs. The facility failed to provide appropriate services, to include proper care planning and/or the implementation of effective interventions and resident monitoring, resulting in repeated falls, broken ribs, and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(i).

• January 29, 2026: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $2,250.00; 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) relied on the facility for care and had a history of falls. On or about February 18, 2026, the Alleged Perpetrator 2 (AP2) went to AV rooms, when AV suddenly stood up and attempted to ambulate and fell, resulting in a head injury. According to an investigation, after a previous fall the facility implemented an intervention to ensure caregivers kept their eyes and hands on AV anytime they were in AV's room. Not all staff were aware there was a new hands-on approach implemented and there was no training on what the new approach looked like until after this fall. The allegation that AP2 failed to follow AV's care plan was investigated and unsubstantiated. The facility failed to provide appropriate services, to include proper care planning and/or the implementation of effective interventions, and ensure staff were fully trained, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(i).

• January 29, 2026: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $2,250.00; 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) relied on the facility for care and had a history of falls. According to an investigation, there were no fall prevention interventions implemented after AV's falls on February 12, 2026, February 13, 2026, February 17, 2026, February 18, 2026, and February 21, 2026. After a fall on February 17, 2026, the facility recognized AV's need for 1:1 staff but did not implement the intervention, resulting in repeated falls. The facility failed to provide services, to include appropriately care planning and/or that interventions were implemented, placing AV at risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(ii).

• January 29, 2026: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $2,250.00; 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) relied on the facility for care, had a history of falls, and used a fall alarm to alert staff of AV getting up. Between February 6, 2026, and February 16, 2026, the facility documented five (5) falls that AV's fall alarm did not sound prior to staff finding AV on the floor. According to an investigation, the facility indicated the alarms are "finicky" and expensive, and the facility attempted to have staff "pair" AV's fall alarm prior to purchasing a new, functional unit. The facility failed to provide services, to include ensuring proper care planning and/or interventions were implemented and that equipment was in good working order, placing AV at risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined by OAR 411-020-0002(1)(b)(A)(ii).

Substantiated licensing violations

• July 17, 2026: Failed to submit timely or adequate staffing documentation 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 records to the Department upon request. An investigation determined this is a violation of Oregon Administrative Rules.

• July 17, 2026: Failed to make facility or resident records accessible 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 records to the Department upon request which is a violation of Oregon Administrative Rules.

• July 17, 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.

• April 20, 2026: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  Based on interview and record review, the facility failed to provide records to the Department upon request. The facility’s failure is a violation of Oregon Administrative Rules.

• April 20, 2026: Failed to make facility or resident records accessible Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  Based on interview and record review, the facility failed to provide records to the Department upon request. The facility’s failure 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.