Settler's Park Assisted Living Community

Last inspection

July 9, 2026

Inspections

6, 12 deficiencies cited

Substantiated abuse

6

Substantiated licensing violations

8

Regulatory actions

0

Fines assessed

$2,563.00 (4 violations)

Current owner since

February 1, 2024

Inspections

• July 9, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• March 12, 2026: Re-Licensure, 1 deficiency cited report
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
• December 16, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• August 29, 2024: Change of Owner, 8 deficiencies cited report
  • C0252: Resident Move-in and Eval: Res Evaluation severity level 2, scope L2 Isolated
  • 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
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated
  Show all 8

  • C0365: Staffing Rqmt and Training: Training Rqmts severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
• August 28, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 12, 2022: 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 November 17, 2022
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread, corrected November 17, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected November 17, 2022

Substantiated abuse or neglect

• March 11, 2025: Failed to provide a safe medication administration system 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about, March 8, 2025, AV was given an incorrect dosage of medication, resulting in AV being dizzy and unable to sleep. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined to be not substantiated.

• May 5, 2024: Failed to administer medication as ordered Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; 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) relies on the facility to manage his/her medications. On or about September 19, 2024, it was reported that AV missed his/her required medication. According to an investigation, AV missed his/her required medications on multiple occasions in May 2024, which resulted in repeated unreasonable discomfort. The facility failed to provide a safe medication administration system to ensure AV’s medication was available to be administered as ordered. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 24, 2024: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, AV’s antibiotic medication was not ordered timely, resulting in AV missing approximately three days of his/her medication, placing AV at serious risk of harm. The facility failed to provide a safe medication administration to ensure AV’s medication was available to be administered as ordered, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

• December 12, 2023: Failed to administer medication as ordered Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; 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 Alleged Victim (AV)’s medication was available to be administered as ordered. According to an investigation, AV did not receive his/her antidepressant medication for approximately 7 days, which resulted in AV experiencing withdrawal symptoms. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 23, 2022: Failed to provide safe environment 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)
  State’s findings

  On or about March 23, 2022, Alleged Victim had an unwitnessed fall and was found on the floor with h/h dresser and television on h/h. AV sustained laceration to face and abrasion to right knee. The facility failed to maintain a safe and hazard-free environment, which is violation of resident’s rights, is considered neglect of care and constitutes abuse.

• January 6, 2022: 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

  Alleged Victim (AV) relies on the facility to administer his/her medication. On or about January 4, 2022, AV had gone without his/her pain medication for three (3) days resulting in AV having unreasonable discomfort. AV missed his/her pain medication when the facility did not order medication before AV ran out. The facility failed to provide a safe medication administration system to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• November 1, 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 update the ABST quarterly as required. The facility’s failure is a violation of Oregon Administrative Rules.

• September 25, 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. The facility’s failure is a violation of Oregon Administrative Rules.

• July 6, 2025: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; 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) relies on the facility to manage his/her medications. According to an investigation, on or about July 6, 2025, Alleged Perpetrator 2 (AP2) administered AV medications not prescribed to AV. AV experienced side effects due to the medication error. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.

• July 14, 2024: Failed to assist with transfer Licensing Violation; Level 3 - Moderate harm or potential for serious harm; 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 assist with transfers and stand by assistance for toilet use. According to an investigation, on or about July 14, 2024, Alleged Perpetrator 2 (AP2) assisted the AV onto the toilet, stated they would not stay to assist the AV off the toilet, and left the AV without their call pendant. Approximately three hours later the AV was found in the bathroom by the next shift. The AV was distressed and no longer wanted to utilize their wheelchair to use the bathroom. AP2’s actions are a violation of resident rights, considered neglect, and constitutes abuse. The facility did not keep the AV free from neglect, which is a violation of Oregon Administrative rules.

• June 16, 2024: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections)
  State’s findings

  On or about June 16, 2024, Alleged Perpetrator 2 (AP2) was verbally aggressive towards the Alleged Victim (AV) during medication administration, which resulted in the Alleged Victim (AV) experiencing unreasonable discomfort and loss of personal dignity. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes verbal abuse. The facility failed to protect AV from verbal abuse, 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 56 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.