The Amber Senior Living

Last inspection

October 29, 2025

Inspections

5, 21 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

2

Regulatory actions

2

Fines assessed

$2,250.00 (3 violations)

Current owner since

November 1, 2021

License conditions and other regulatory actions

• February 5, 2026 to March 9, 2026: License Condition, Failed to update staffing plan based on ABST ALFCD26-00052; incident: CALMS - 00101245
  The following statement of violations stem from evidence and interviews collected from Substantiated Licensing Complaint Unit Report #LCU-00097950 and LCU-00097951 completed January 27, 2026.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0070 (Staffing Requirements and Training)
• February 10, 2023 to March 7, 2023: License Condition, Failed to use an ABST ALFCD23-00096; 2 incidents: OR0003883602, OR0003883601
  The facility failed to maintain wiring systems in good repair in accordance with OAR 411-054-0200 (10) (a) per observation the wiring was exposed near the bed of a resident.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0200 (Residential Care Facility Building Requirements)

Inspections

• October 29, 2025: Re-Licensure, 6 deficiencies cited report
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0340: Restraints and Supportive Devices severity level 2, scope L2 Isolated
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
• January 4, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• November 29, 2022: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
  • C0550: Wiring Systems severity level 2, scope L2 Isolated
• October 3, 2022: Complaint Investig., 0 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 0
• June 21, 2022: Validation, 13 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 22, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected August 22, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected August 22, 2022
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected August 22, 2022
  Show all 14

  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected August 22, 2022
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected August 22, 2022
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern, corrected August 22, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected August 22, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected August 22, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected August 22, 2022
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected August 22, 2022
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected August 22, 2022
  • C0640: Heating and Ventilation severity level 2, scope L2 Widespread, corrected August 22, 2022

Substantiated abuse or neglect

• February 16, 2026: Failed to provide safe environment 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 to provide a safe environment. AV was sharing a room with Witness 1 (W1) who is known to have aggressive behaviors towards other residents. W1 admitted to punching AV in the face for not turning out the lights in the room. The facility failed to provide a safe environment for AV, resulting in AV getting injured by W1 which is neglect of care and constitutes abuse.

• December 17, 2021: Failed to assure timely medical treatment 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

  On or about November 26, 2021, Alleged Victim (AV) was discharged to the facility from the hospital with a doctor’s order for facility to follow-up with AV’s primary physician to ensure AV received continued medical care and oversight to address AV’s change in medical condition. AV was not seen by his/her primary physician until December 22, 2021. The facility’ failure to ensure that AV received necessary medical treatment according to hospital’s discharge medical orders, left AV without necessary care, which is a is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 7, 2021: Failed to follow care plan 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); 411-054-0036 (Service Plan – General); 411-054-0040 (Change of Condition and Monitoring)
  State’s findings

  Alleged Victim (AV) relies on the facility for his/her care. AV was care planned for treatment of ulcer/skin impairment. On or about, December 7, 2021, AV was sent to the hospital where he/she presented with a pressure injury that was in various stages of injury. According to witnesses and documentation, the facility, failed to follow the care plan, resulting in AV experiencing pain and skin breakdown, which is a violation of resident rights, is neglect of care which constitutes abuse.

Substantiated licensing violations

• December 21, 2021: Failed to provide appropriate staffing Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The allegation that the facility failed to have sufficient staff to meet the scheduled and scheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that there is an ongoing staff shortage and the nurse is covering shifts for other employees was verified.

• December 21, 2021: Failed to provide safe environment Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0200 (Residential Care Facility Building Requirements)
  State’s findings

  The allegation that the facility failed to keep all equipment in good repair in accordance with OAR 411-054-0200(4)(i) per complaint of drywall that is not repaired and pipes are exposed was verified.

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 40 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.