Senior Haven RCF

Last inspection

May 8, 2025

Inspections

4, 31 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

7

Regulatory actions

0

Fines assessed

$250.00 (1 violation)

Current owner since

February 1, 2020

Inspections

• May 8, 2025: Re-Licensure, 21 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Pattern
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  Show all 22

  • C0282: RN Delegation and Teaching severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Pattern
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Pattern
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Widespread
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Widespread
  • 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 Pattern
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread
• May 10, 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 September 16, 2024
• June 22, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 8, 2022: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected April 20, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected April 20, 2022
  • C0282: Rn Delegation and Teaching severity level 2, scope L2 Pattern, corrected April 20, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected April 20, 2022
  Show all 10

  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected April 20, 2022
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Pattern, corrected April 20, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected April 20, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected April 20, 2022
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected April 20, 2022

Substantiated abuse or neglect

• October 26, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $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)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide a safe environment. According to an investigation, on or about October 26, 2024, the food pushcart was under the control of Alleged Perpetrator 2 (AP2) when it made contact with AV. AV reported that AV then fell and experienced pain. According to the Department’s investigation, the facility (AP1) failed to provide AV with a safe environment, which is a violation of resident rights, is neglect which constitutes abuse. The allegation against AP2 was investigated and determined to be not substantiated.

Substantiated licensing violations

• March 1, 2026: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  Based on interview and record review, conducted during an investigation on 05/27/26, the facility’s failure to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required was substantiated, which is a violation of Oregon Administrative Rules.

• October 30, 2025: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  Based on interview and record review, conducted during an investigation on 05/27/26, the facility’s failure to complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required was substantiated, which is a violation of Oregon Administrative Rules.

• September 3, 2025: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  Based on interview and record review, conducted during an investigation on 06/01/26, the facility’s failure to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident] and/or [select and implement an Acuity-Based Staffing Tool (ABST) and complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required was substantiated, which is a violation of Oregon Administrative Rules.

• August 13, 2024: Failed to protect resident from financial exploitation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care needs. AV manages his/her own funds. On or about August 13, 2024, Alleged Perpetrator 2 (AP2) has asked AV to borrow $40. AV gave AV’s debit card and PIN number to AP2, AP2 then retrieved $40 cash from an ATM and kept the funds and returned the debit card to AV. AP2 understood that it was not okay to accept a loan of any amount from any resident. AP2 failed to protect AV from financial exploitation, which is neglect of care and constitutes abuse. The facility failed to protect AV from financial exploitation, which is a violation of Oregon Administrative Rules.

• September 9, 2022: Failed to report potential or suspected abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The facility allegedly failed to immediately notify the local Department office of any incident of abuse or suspected abuse. The facility’s failure is a violation of Oregon Administrative Rules.

• August 24, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  On or about August 24, 2022, Alleged Perpetrator 2 (AP2) brought his/her dog to the facility. AP2's dog jumped on Alleged Victim (AV) and scratched AV's left hand causing skin tears. AP2 failed to provide a safe environment for AV. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.

• January 21, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) took medication from Alleged Victim (AV) while working as a facility employee at time of incident. AP2's and AP3's actions are considered financial exploitation which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrator 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 49 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.