Silver Creek Memory Care Community

Last inspection

March 3, 2026

Inspections

7, 33 deficiencies cited

Substantiated abuse

8

Substantiated licensing violations

8

Regulatory actions

0

Fines assessed

$2,314.00 (7 violations)

Current owner since

February 1, 2024

Inspections

• March 3, 2026: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• September 11, 2025: Change of Owner, 11 deficiencies cited report
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  Show all 11

  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Pattern
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Pattern
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Isolated
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Isolated
  • Z0164: Activities severity level 2, scope L2 Pattern
• August 19, 2025: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• September 11, 2024: Kitchen, 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• December 7, 2023: Complaint Investig., 1 deficiency cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• September 26, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 22, 2022: Validation, 15 deficiencies cited report
  • C0000: Comment severity level 0
  • 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
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected October 23, 2022
  Show all 16

  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0280: Resident Health Services severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected October 23, 2022
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated, corrected October 23, 2022
  • C0420: Fire and Life Safety: Safety 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 Isolated, corrected October 23, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected October 23, 2022
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Pattern, corrected October 23, 2022
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected October 23, 2022
  • Z0165: Behavior severity level 2, scope L2 Isolated, corrected October 23, 2022

Substantiated abuse or neglect

• October 22, 2025: Failed to provide service 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) and Witness 1 (W1) rely on the facility for their care. AV and W1 have a history of behaviors and resident-to-resident altercations. According to an investigation, on or about, October 22, 2025, W1 pushed AV, resulting in AV pushing W1 back, shoving W1 into the wall, and holding W1’s neck. The facility failed to provide services, to include providing a safe environment, properly care planning and/or implementing interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 22, 2025: Failed to provide service 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) and Witness 1 (W1) rely on the facility for their care. AV and W1 have a history of behaviors and resident-to-resident altercations. According to an investigation, on or about, October 22, 2025, W1 pushed AV, resulting in AV pushing W1 back, shoving W1 into the wall, and holding W1’s neck. The facility failed to provide services, to include providing a safe environment, properly care planning and/or implementing interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 30, 2025: 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) and Witness 1 (W1) have history resident-to-resident altercations, including recent altercations with each other. Alleged Victim (AV) is known to introduce themselves to others. W1 has a history of becoming frustrated and upset. According to an investigation, on or about June 30, 2025, AV extended their arm towards AV to shake W1’s hand when W1 grabbed AV’s hand and squeezed it tightly. After W1 released AV’s hand, AV’s pinky finger was red. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• March 6, 2024: Failed to follow care plan 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

  Alleged Victim (AV) relies on the facility for his/her care. AV and Witness 1 (W1) have a history of behaviors and resident-to-resident altercations. AV is care planned for the shared bathroom door to be locked to keep W1 from entering. According to an investigation, on or about March 9, 2024, W1 entered the shared bathroom where he/she hit AV on both sides of his/her face, resulting in pain and redness. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 29, 2024: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $500.00; 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

  The facility failed to provide a safe environment. According to an investigation, on or about January 29, 2024, Witness 1 (W1) was agitated and followed a staff member into the hallway, where he/she punched the Alleged Victim (AV) in the back and in the head, resulting in unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• August 30, 2025: Failed to provide safe environment 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. According to an investigation, on or about August 30, 2025, AP2 was live streaming making inappropriate comments about AV, resulting in loss of dignity. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to provide a safe environment, which is a violation of Oregon Administrative rules.

• August 30, 2025: Failed to assure resident rights 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility to ensure resident rights. According to an investigation, on or about August 30, 2025, Alleged Perpetrator 2 (AP2) was streaming live when AV approached AP2. AV was fully in view on AP’2 live stream when AP2 repeatedly yells in an aggressive tone at AV. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes verbal abuse. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• April 7, 2025: Failed to administer medication as ordered 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); 411-054-0040 (Change of Condition and Monitoring); 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 April 7, 1015, the Alleged Perpetrator 2 (AP2) did not follow proper procedure for medications and gave AV the wrong medication. The AV AS sent to the hospital ns required monitoring and multiple EKG's. The AP2’s actions are a violation of resident rights, considered neglect, and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.

• September 24, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility is not currently staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• January 28, 2024: Failed to follow care plan 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

  The Alleged Victim (AV) relies on the facility to meet his/her daily needs. According to an investigation, on or about January 29, 2024, the Alleged Perpetrator 2 (AP2) restrained AV by giving a "bear hug" while providing a brief change, resulting in AV becoming agitated. AP2's actions are a violation of resident's rights, are considered abuse and constitutes wrongful use of a restraint. The facility failed to protect AV from wrongful restraint, 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 20 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.