Sweet Home RCF

Last inspection

August 13, 2024

Inspections

4, 1 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

0

Regulatory actions

0

Fines assessed

$750.00 (2 violations)

Current owner since

January 1, 2021

• No deficiencies cited at the last 2 inspections (October 2023 to August 2024)

Inspections

• August 13, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• October 4, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 1, 2023: 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 Widespread
• September 13, 2022: Initial Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• January 15, 2026: 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility for care and services. AV suffered multiple noninjury falls from January 3 thru January 15, 2025, and the facility failed to implement any additional intervention to try and mitigate AV from falling. The facility failed to add new interventions to AV's service plan, which is a violation of resident rights and is neglect which constitutes abuse.

• June 17, 2022: Failed to properly plan care Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) is care planned for one person assist with transfers and has a history of falls, several related to self-transferring without assistance. AV had approximately 22 falls between March 2022, and May 2022, resulting in injuries, including bruises and abrasions to his/her back, abrasions to knees, redness to forehead, swollen ankle, and bruising on hand. The facility failed to properly care plan to mitigate risk of falls and self-transferring. This failure is a violation of resident rights, is neglect of care which constitutes abuse.

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 18 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.