Sellwood Senior Living

Last inspection

May 20, 2026

Inspections

5, 21 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

13

Regulatory actions

2

Fines assessed

$1,188.00 (4 violations)

Current owner since

June 1, 2021

License conditions and other regulatory actions

• May 30, 2024 to August 2, 2024: License Condition, Failed to provide safe environment ALFCD24-00205; incident: CALMS - 00056538
  The facility allegedly failed to operate is substantial compliance with Oregon Administrative Rules.
  Rules: 411-054-0055 (Medications and Treatments); 411-054-0105 (Inspections and Investigations)
• September 18, 2023 to December 15, 2023: License Condition, Failed to use an ABST ALFCD23-00627; incident: CALMS - 00046854
  The facility failed to implement an acuity-based staffing tool (ABST) which met the regulation.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• May 20, 2026: Re-Licensure, 5 deficiencies cited report
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
• February 3, 2025: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Plan severity level 2, scope L2 Isolated
• April 25, 2024: 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 April 25, 2024
• August 28, 2023: Validation, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected October 30, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected October 30, 2023
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected June 8, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected October 30, 2023
  Show all 15

  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern, corrected January 14, 2024
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected October 30, 2023
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Pattern, corrected October 30, 2023
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected October 30, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected January 14, 2024
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected October 30, 2023
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected October 30, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected October 30, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected June 8, 2024
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected October 30, 2023
• January 26, 2023: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Pattern, corrected May 14, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected May 14, 2023

Substantiated abuse or neglect

• April 20, 2024: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $375.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. The failure resulted in AV experiencing unreasonable discomfort and withdrawal symptoms, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 16, 2023: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to provide a safe medication administration system to ensure the Alleged Victim’s (AV) medications were administered as ordered. The failure resulted in unreasonable discomfort and emotional harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 2, 2022: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered. The failure resulted in the AV going approximately two months without his/her anti-coagulation medication, placing him/her at risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 20, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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

  The facility failed to appropriately care plan related to AV’s needs for assistance with ambulation. The failure resulted in AV experiencing a fall while ambulating independently and received a contusion to the head and a skin tear, causing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• February 12, 2026: Failed to use an 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 implement and maintain an Acuity-Based Staffing Tool in accordance with OAR 411-054-0037(1-7), which is a violation of Oregon Administrative Rules.

• February 8, 2026: Failed to update staffing plan based on 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 implement and maintain an Acuity-Based Staffing Tool which is a violation of Oregon Administrative Rule.

• November 21, 2025: Failed to use an 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 develop, maintain, and implement an Acuity Based Staffing Tool which is a violation of Oregon Administrative Rule.

• October 24, 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 records to the Department upon request, which is a violation of Oregon Administrative Rules.

• October 14, 2025: Failed to use an 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 develop, maintain, and implement an Acuity Based Staffing Tool, which 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 100 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.