Sunset Rose

Last inspection

April 8, 2026

Inspections

3, 18 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

4

Regulatory actions

1

Fines assessed

$188.00 (1 violation)

Current owner since

October 1, 2025

License conditions and other regulatory actions

• September 6, 2023 to August 19, 2024: License Condition, Failed to use an ABST RCFCD23-01114; incident: CALMS - 00046549
  The facility failed to ensure all residents were entered into the staffing tool and ABST entries were not reflective of the resident's current care needs.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• April 8, 2026: Change of Owner, 2 deficiencies cited report
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
• July 14, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• August 8, 2023: Validation, 15 deficiencies cited report
  • C0000: Comment severity level 0
  • C0153: Facility Administration: Notification severity level 2, scope L2 Widespread, corrected November 7, 2023
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected November 7, 2023
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread, corrected November 7, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected November 7, 2023
  Show all 17

  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected November 7, 2023
  • C0262: Service Plan: Service Planning Team severity level 2, scope L2 Pattern, corrected November 7, 2023
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Widespread, corrected July 4, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected November 7, 2023
  • C0365: Staffing Rqmt and Training: Training Rqmts severity level 2, scope L2 Widespread, corrected November 7, 2023
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected November 7, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected July 4, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected July 4, 2024
  • C0510: General Building Exterior severity level 2, scope L2 Widespread, corrected July 4, 2024
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected November 7, 2023
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected November 7, 2023
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Pattern, corrected November 7, 2023

Substantiated abuse or neglect

• May 25, 2023: 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

  The facility failed to follow the Alleged Victim's (AV) care plan to ensure s/he uses a 4-wheel walker for ambulation, due to AV's instability and fall history. The failure resulted in AV being found outside without his/her walker and had experienced a fall, and was sent to the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• December 13, 2025: Failed to protect resident from mental or emotional 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

  The Alleged Victim (AV) relies on the facility to protect AV from mental and emotional abuse and provide care. The Alleged Perpetrator 2 (AP2) called AV a derogatory name and refused to provide care to AV after having a verbal interaction. The failure of the facility to protect AV from emotional abuse and neglect is a violation of Oregon Administrative Rule. AP2 failed to protect AV from emotional abuse and neglect of care, which constitutes abuse.

• April 2, 2024: 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  AP2 financially exploited AV as defined in OAR 411-020-0002(1)(e)(A) by wrongfully taking medication belonging to AV by means of theft from a facility. The facility's failure to ensure a safe medication administration system is a violation of Oregon Administrative Rules.

• April 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; RCFCP22-00765 $0.00 fine assessed; report
  Rules: 411-061-0010
  State’s findings

  On or about April 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 March 1, 2022 to March 31, 2022, for a total of 30 days.

• February 28, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; RCFCP22-00765 $0.00 fine assessed; report
  Rules: 411-061-0010
  State’s findings

  On or about March 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 February 1, 2022 to February 28, 2022, for a total of 27 days.

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 15 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.