Spring Valley Assisted Living

Last inspection

February 24, 2026

Inspections

10, 23 deficiencies cited

Substantiated abuse

7

Substantiated licensing violations

17

Regulatory actions

0

Fines assessed

$1,939.00 (7 violations)

Current owner since

October 1, 2026

Inspections

• February 24, 2026: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread
• March 6, 2025: Complaint Investig., 3 deficiencies cited report
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0362: Acuity Based Staffing Tool - Abst Time severity level 2, scope L2 Isolated
  • C0363: Acuity Based Staffing Tool - Updates & Plan severity level 2, scope L2 Isolated
• March 6, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• December 18, 2023: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 0, corrected February 16, 2024
• December 15, 2023: Complaint Investig., 1 deficiency cited report
  • C0301: Systems: Medication Administration severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• June 7, 2025: Failed to provide oversight and monitoring of change of condition 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); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  On or about May 23, 2025, it was noted that the Alleged Victim (AV) was not feeling well and showed signs of altered mental status. On May 30, 2025, a urinalysis for suspected urinary tract infection was ordered by AV's physician. Facility staff never collected a urine sample for testing. On or about June 7, 2025, AV suffered a fall, was transported to the hospital and diagnosed with a urinary tract infection. It is suspected that the urinary tract infection lead to AV's fall, placing AV at risk for serious harm. The facility's failure to intervene to a change of condition is a violation of resident rights, is considered neglect of care and constitutes abuse.

• February 16, 2023: Failed to follow care plan 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) relies on the facility to provide appropriate services according to h/her needs. The AV service plan on or about May 25, 2022, indicates toenail trimming provided by licensed staff due to medical diagnosis. AV has not had h/her toenails cut causing toenails to dig into other toes, resulting in pain and unreasonable discomfort. The facility’s failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse

• December 13, 2022: Failed to protect resident from financial exploitation 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) had a piece of jewelry laid out on h/h counter prior to taking a shower. When AV returned after the shower, the jewelry was no longer there. The facility failed to provide a safe environment and did not keep AV free from financial exploitation, which is a violation of resident rights, is neglect of care and constitutes abuse.

• September 19, 2022: Failed to properly plan care 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to provide appropriate services according to the Alleged Victim (AV)needs, the facility failed to appropriately care plan to ensure alert pendant was placed on AV after bathing and dressing. On or about September 19, 2022, AV woke in the night and could not find h/h call pendant for assistance resulting in AV getting out of bed and sustaining bruises from bumping legs on side of bed. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegations that Alleged Perpetrator #2 (AP2) failed to provide service was investigated, and wrongdoing was not substantiated.

• July 31, 2022: 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility and Alleged Perpetrator #2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim (AV) was administer h/h medication as ordered. On or about July 31, 2022, AP2 discontinued the wrong medication, which resulted in AV having high blood pressure due to not receiving h/h blood pressure medication, which is a violation or residents rights, is considered neglect of care and constitutes abuse.

• June 1, 2022: Failed to follow care plan 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 facility failed to follow the care plan. AV is care planned to use a gait belt for all transfers. On or about June 01, 2022, it was discovered AV had bruising on both arms from being transferred without a gait belt, which is a violation of resident rights is neglect of care and constitutes abuse.

• December 12, 2021: Failed to protect resident from financial exploitation 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)
  State’s findings

  The Alleged Victim (AV) had approximately Fifty dollars ($50.00) go missing from his/her room. The money was taken by an unknown Alleged Perpetrator #2 (AP2) and this person is responsible for theft of property, which is considered financial exploitation and constitutes abuse. The facility failed to protect the resident’s property from theft, which is a violation of resident rights is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• June 13, 2025: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide records to the Department upon request in accordance with OAR 411-054-0105(1), which is a violation of Oregon Administrative Rules.

• February 4, 2025: 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 February 4, 2025, it was discovered that Alleged Perpetrator #2 (AP2) had been charging the Alleged Victim (AV) for services while AP2 was employed by the facility. AP2 received two checks for $150.00 from AV. In addition, AP2 also borrowed $50.00 which was never repaid, as well as charged two taxi fares to AV's debit card totaling $140.00. AP2's actions are a violation of resident rights, are considered neglect of care and constitute financial abuse. The facility's failure to protect AV from financial abuse is a violation of Oregon Administrative Rules.

• November 18, 2024: Failed to cooperate with an investigation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0105 (Inspections and Investigations)
  State’s findings

  The facility failed to provide records to the Department upon request which is a violation of Oregon Administrative Rules.

• October 7, 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); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  On or about October 7, 2024, Alleged Perpetrator #2 (AP2) and another staff were assisting the Alleged Victim (AV) with incontinence care. AP2 was admittedly tired and frustrated. While changing AV, he/she expressed discomfort by stating "ow" and "stop". AP2 made a statement in front of AV that "he/she was not going to do this baby crap" and continued to change AV. AP2's verbal actions are a violation of resident rights are considered neglect of care and constitute emotional abuse.

• September 25, 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 provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident per complaint a resident experienced a choking episode in the dining area during a meal and it took staff 30 minutes to respond to multiple residents call lights, 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 63 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.