Spring Meadows Assisted Living Facility

Last inspection

June 11, 2026

Inspections

7, 32 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

4

Regulatory actions

1

Fines assessed

$1,750.00 (2 violations)

Current owner since

August 11, 2001

License conditions and other regulatory actions

• December 28, 2022 to July 5, 2023: License Condition, Failed to use an ABST ALFCD22-01188; incident: OR0003776801
  The facility failed to fully implement and update an Acuity Based Staffing Tool (ABST) in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• June 11, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• June 25, 2025: Complaint Investig., 0 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 0
• June 11, 2025: Re-Licensure, 6 deficiencies cited report
  • 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
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
• June 14, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 23, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 18, 2022: 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 Pattern
• April 25, 2022: Validation, 24 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 3, scope L3 Isolated, corrected September 26, 2022
  • C0156: Facility Administration: Quality Improvement severity level 3, scope L3 Isolated, corrected September 26, 2022
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Isolated, corrected September 26, 2022
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected September 26, 2022
  Show all 25

  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected September 26, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected September 26, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected September 26, 2022
  • C0270: Change of Condition and Monitoring severity level 3, scope L3 Isolated, corrected September 26, 2022
  • C0280: Resident Health Services severity level 3, scope L3 Isolated, corrected September 26, 2022
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Pattern, corrected September 26, 2022
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected September 26, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected September 26, 2022
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected September 26, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated, corrected September 26, 2022
  • C0325: Systems: Self-Administration of Meds severity level 2, scope L2 Pattern, corrected September 26, 2022
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Pattern, corrected September 26, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Isolated, corrected September 26, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected September 26, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected September 26, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected September 26, 2022
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected September 26, 2022
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected September 26, 2022
  • C0630: House Keeping and Sanitation severity level 2, scope L2 Widespread, corrected September 26, 2022
  • C0640: Heating and Ventilation severity level 2, scope L2 Widespread, corrected September 26, 2022

Substantiated abuse or neglect

• August 22, 2022: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; 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 Victims (AV) medication orders were administered as prescribed. It was discovered AV did not received h/h prescribed medication from approximately August 22, 2022, to August 24, 2022, which resulted in AV being in intense pain and transported to the emergency room. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 29, 2021: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0025 (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

  Alleged Victim (AV) relies on the facility for his/her care. AV was out of medication for approximately six (6) days before a request was made for a refill, and AV was not administered h/h medication for approximately eleven (11) days. The facility failed to provide a safe medication administration system, which is violation of resident’s rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• February 15, 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

  Based on interview and record review, the facility failed to complete or update and review the Acuity-Based Staffing Tool (ABST) evaluation for each resident quarterly as required. The facility’s failure is a violation of Oregon Administrative Rules.

• June 10, 2023: 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  On or about June 9, 2023, the Alleged Victim (AV) pulled his/her call light and was found on his/her bed holding his/her arm. AV had fallen out of bed and hit his/her arm on the bedside table. AV and Alleged Perpetrator #2 (AP2) engaged in a verbal altercation, where AP2 used verbal assaults at AV. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to protect AV from verbal abuse is a violation of Oregon Administrative Rules.

• August 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about August 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing from July 1, 2022 to July 31, 2022, for a total of 30 days.

• May 3, 2022: 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

  Alleged Perpetrator 2 (AP2) failed to administer medication as ordered. Alleged Victim (AV) PRN medication has instructions on the MAR that says Must contact hospice prior to each use. AP2 administered AV medication and did not call hospice prior to administering PRN medication. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system 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 44 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.