Sweet Bye N Bye Memory Care Facilities

Last inspection

August 13, 2026

Inspections

5, 12 deficiencies cited

Substantiated abuse

6

Substantiated licensing violations

5

Regulatory actions

0

Fines assessed

$1,813.00 (5 violations)

Current owner since

January 1, 2020

Inspections

• August 13, 2026: Re-Licensure, 4 deficiencies cited report
  • C0260: Service Plan: General severity level 2, scope L2 Isolated
  • H1501: Integrated Settings: Community Life severity level 2, scope L2 Isolated
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Isolated
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Isolated
• April 9, 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
• February 8, 2024: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected April 8, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected April 8, 2024
• January 22, 2024: Licensure Complaint, 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 3, scope L3 Isolated
• January 31, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected April 1, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected April 1, 2023

Substantiated abuse or neglect

• April 25, 2026: Failed to address resident's behavior Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $375.00; 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 a safe environment. According to an investigation, AV and Witness 1 (W1) have a history of resident-to-resident altercations. On April 25, 2026, AV was having behaviors when W1 approached and confronted AV to see what AV was upset about. AV and W1 started having a physical altercation that included hitting and punching each other multiple times. As a result of this altercation, AV sustained a broken nose. This was not the first altercation between AV and W1 that had resulted in physical violence. The facility failed to implement interventions into the service plans for W1 and AV to mitigate the resident-to-resident altercations, which is a violation of resident rights and is neglect which constitutes abuse.

• June 8, 2025: Failed to provide safe environment 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 Alleged Victim (AV) relies on the facility for care and to provide a safe environment. According to an investigation, on or about June 8, 2025, Witness 1 (W1) and AV were hitting each other and has to be separated by a staff member. At the time of the incident, staff were to be monitoring AV and W1 when they were together in common areas of the facility, and that was not being done. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect which constitutes abuse.

• June 8, 2025: Failed to provide safe environment Abuse: Neglect; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for care and to provide a safe environment. According to an investigation, on or about June 8, 2025, Witness 1 (W1) and AV were hitting each other and has to be separated by a staff member. At the time of the incident, staff were to be monitoring AV and W1 when they were together in common areas of the facility, and that was not being done. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect which constitutes abuse.

• May 1, 2023: Failed to assist with toileting Abuse: Neglect; Level 3 - Moderate harm or potential for serious 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); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  On or about May 1, 2023, the Alleged Victim (AV) was found sitting in urine and feces, with urine soaked through his/her chair and leaking onto the floor. On or about May 6, 2023, AV was again found in his/her room, soaked through his/her incontinence brief with his/her recliner soaked, and urine dripping off him/her when he/she stood up. According to documentation, the facility was not changing AV's incontinence brief regularly, causing AV to have have redness and a sore on his/her buttocks, leading to unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 16, 2022: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately monitor Witness 1 (W1) according to his/her known behavior and prior altercations. The failure resulted in a physical altercation in which W1 hit the Alleged Victim (AV) in the stomach, causing unreasonable discomfort to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 14, 2022: Failed to provide a safe medication administration system Abuse: Neglect; Level 3 - Moderate harm or potential for serious 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  On or about July 14, 2022, Alleged Perpetrator 2 (AP2) directed Alleged Perpetrator 3 (AP3) to administer previously refused medications to a facility resident. AP3 mistakenly administered the medication to Alleged Victim (AV) instead of the resident the medication was prescribed for, resulting in AV's blood pressure and oxygen levels dropping below normal range and AV was transported to hospital for treatment. Based on interviews and facility documentation, AP3 was not trained to administer medication to residents and was not a Medication Technician; AP2 was responsible for administering medications to residents at the facility. AP2 failed to provide a safe medication administration system to ensure resident medications were administered as ordered. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide training, support, and supervision to AP2 and AP3, resulting in harm to AV. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that AP3 failed to administer medication as ordered was investigated and findings determined no wrongdoing or abuse occurred by AP3.

Substantiated licensing violations

• July 21, 2023: Failed to provide appropriate staffing 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 that only one caregiver is on night shift with residents who require two person assists.

• May 14, 2023: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about May 14, 2023, Alleged Victim (AV) left the locked memory care facility without assistance and without injury. Based on facility documentation and interviews, AV has a history of exit seeking with a high risk for elopement. The facility's failure to provide a safe environment for AV is a violation of Oregon Administrative Rules.

• May 12, 2023: 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

  The facility failed to have an updated Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population and their care needs. Inconsistencies were identified between the resident roster, care plans, posted staffing plan and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• September 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 September 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 August 1, 2022 to August 31, 2022, for a total of 30 days.

• February 7, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents. The facility's failure 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 30 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.