Somerset Assisted Living

Last inspection

December 1, 2025

Inspections

6, 18 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

5

Regulatory actions

1

Fines assessed

$188.00 (1 violation)

Current owner since

November 30, 2001

License conditions and other regulatory actions

• November 17, 2025 to March 20, 2026: License Condition, Failed to assure resident rights ALFCD25-01050; incident: CALMS - 00093627
  The following statement of violation(s) stem from evidence and interviews collected from ODHSs re-licensure survey number RL0007673 completed from November 3, 2025, to November 6, 2025.
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0045 (Resident Health Services); 411-054-0050 (Infection Prevention and Control); 411-054-0055 (Medications and Treatments)

Inspections

• December 1, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• November 6, 2025: Re-Licensure, 10 deficiencies cited report
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Widespread
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Pattern
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0280: Resident Health Services severity level 2, scope L2 Pattern
  • C0295: Infection Prevention & Control severity level 2, scope L2 Pattern
  Show all 11

  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
• December 4, 2024: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• January 24, 2024: Complaint Investig., 2 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
• October 3, 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 November 8, 2023
• August 16, 2022: Validation, 3 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 27, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected August 27, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Isolated, corrected August 27, 2022

Substantiated abuse or neglect

• October 22, 2024: Failed to administer medication as ordered 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility to manage his/her medications. The AV is care planned to have AV a meal within thirty minutes after receiving insulin. According to an investigation, on or about October 22, 2024, AV was not able to eat before getting on a bus for a medical appointment, causing AV to experience low blood sugar, placing AV at serious risk of harm. The facility failed to provide a safe medication administration system and failed to administer medication as ordered, which is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected the AV was investigated and determined to be not substantiated.

Substantiated licensing violations

• August 30, 2023: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to carry out medication orders as prescribed. An investigation determined this is a violation of Oregon Administrative Rules.

• February 6, 2023: Failed to provide proper food/nutrition Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  The facility failed to provide three nutritious, palatable meals daily. An investigation determined this is a violation of Oregon Administrative Rules.

• December 27, 2022: Failed to protect resident from financial exploitation 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

  On or about, December 27, 2022, it was discovered that an unknown Alleged Perpetrator 3 (unknown, AP3) had taken approximately $40-50 from AV's wallet. AP3's actions are considered financial exploitation and constitutes abuse. The facility did not keep AV free from financial exploitation, which is a violation of Oregon Administrative Rules.

• November 24, 2021: Failed to provide proper food/nutrition Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0030 (Resident Services)
  State’s findings

  he facility failed to provide three daily nutritious, palatable meals, which is a violation of Oregon Administrative Rules.

• November 15, 2021: 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. On or about November 17, 2021, AV reported $3.00 in quarters missing from AV’s apartment. Quarters were taken but dollar bills were untouched. This is the second time AV has discovered AV’s change missing, but the dollar bills untouched. It is believed an Alleged Perpetrator 2 (AP2) may have taken the money. 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.

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.