The Cottages Senior Living

Last inspection

July 17, 2025

Inspections

4, 30 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

5

Regulatory actions

0

Fines assessed

$675.00 (3 violations)

Current owner since

March 1, 2021

Inspections

• July 17, 2025: Re-Licensure, 17 deficiencies cited report
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • C0260: Service Plan: General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  Show all 17

  • C0280: Resident Health Services severity level 2, scope L2 Pattern
  • C0295: Infection Prevention & Control severity level 2, scope L2 Pattern
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated
  • C0310: Systems: Medication Administration severity level 2, scope L2 Isolated
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • C0540: Heating and Ventilation severity level 2, scope L2 Pattern
  • C0545: Plumbing Systems severity level 2, scope L2 Pattern
  • H1517: Individual Privacy: Own Unit severity level 2, scope L2 Pattern
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • Z0142: Administration Compliance severity level 2, scope L2 Pattern
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Widespread
• June 4, 2025: Kitchen, 4 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
• April 10, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 7, 2023: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0160: Reasonable Precautions severity level 2, scope L2 Pattern, corrected May 7, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected May 7, 2023
  • C0510: General Building Exterior severity level 2, scope L2 Pattern, corrected May 7, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Pattern, corrected May 7, 2023
  Show all 10

  • Z0142: Administration Compliance severity level 2, scope L2 Pattern, corrected May 7, 2023
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected May 7, 2023
  • Z0163: Nutrition and Hydration severity level 2, scope L2 Isolated, corrected May 7, 2023
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected May 7, 2023
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Pattern, corrected May 7, 2023

Substantiated abuse or neglect

• August 25, 2025: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  On August 25, 2025, ODHS Adult Protective Services (APS) conducted investigation #00422396 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) lived at Respondent’s facility. On or about August 25, 2025, the Alleged Victim (AV) was discovered in their bed with an overfilled incontinence brief saturated with urine and feces. Fecal matter was also observed on AV’s bedding, and AV emitted a strong odor of urine and feces, indicating prolonged exposure. Based on facility documentation and interviews, AV requires frequent changing as AV becomes uncomfortable and agitated when even slightly soiled. At time of incident, AV's incontinence brief was visibly observed saturated, and AV exhibited nonverbal signs of agitation prior to being changed. These signs were consistent with AV’s known care needs and documented behavioral responses to soiling. The delay in providing appropriate incontinence care resulted in AV remaining in a soiled condition for an extended period, causing unreasonable discomfort which is a violation of resident rights, is considered neglect of care, which constitutes abuse.

• May 3, 2025: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  On January 7, 2026, ODHS Adult Protective Services (APS) completed investigation #00399604 and issued a written investigation report, which is incorporated here by reference. The Alleged Victim (AV) relies on the facility for care, supervision, and safety. AV is diagnosed with a major neurocognitive disorder and has some disorientation and deficits in judgement. AV's service plan reflected AV ambulates independently without an assistive device and at risk of elopement. On or about May 3, 2025, facility staff discovered AV was missing from the facility. Based on facility documentation and interviews, AV had eloped from the secured facility through a broken section of the facility's fence and was able to ambulate 1.5 miles away from the facility on a high-use road and necessitated AV crossing intersections. The APS investigation determined that the facility failed to provide appropriate supervision to the AV according to his/her care needs. The failure resulted in AV eloping the secured building, without staff knowledge, placing him/her at serious risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 3, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; 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’s (AV) care needs for nail care. Based on facility documentation and interviews, AV has a diagnosis of a blood sugar disorder and requires full assistance for blood sugar disorder foot and toenail care. On or about July 3, 2024, AV was observed to have overgrown toenails with skin breakdown on the toes where the toenails rubbed and/or grown into the surrounding skin. AV suffered pain in the toes and AV toes hurt when AV tried to walk. The facility's failure to follow AV's care plan resulted in AV’s condition worsening causing further unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• June 14, 2026: Failed to report potential or suspected abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  On or about June 14, 2026, the facility failed to immediately notify the local Department office, or the local AAA, of any incident of abuse or suspected abuse. An investigation determined the facility's failure is a violation of Oregon Administrative Rules.

• April 21, 2026: 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

  On or about April 21, 2026, the facility failed to have an Acuity-Based Staffing Tool (ABST) that accurately reflected the resident population, their needs, and all required Activities of Daily Living (ADL). Inconsistencies were identified between the resident roster, care plans, and the data entered into the ABST. Facility was not staffed to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• June 25, 2025: Failed to provide safe environment 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)
  State’s findings

  On June 25, 2025, during a routine fire drill at the facility, staff observed that the Alleged Victim (AV) had a strong odor of alcohol on his/her breath. An empty half-pint bottle of liquor was also found in AV’s room. When questioned, AV disclosed that Alleged Perpetrator 2 (AP2), an employee of the facility, had provided the alcohol after AV mentioned not having had a drink of alcohol in a long time. AV further stated that he/she gave AP2 $4.00 in cash, which was all AV stated he/she had as payment for the alcohol. AP2 accepted the money from AV. AP2's actions is considered financial exploitation, which is considered abuse because AP2, being a facility employee, accepted money from AV who is a resident of the facility and is considered to be a vulnerable adult. The facility failed to provide a safe environment for AV by failing to protect AV from financial exploitation by AP2. AV has the right to be free from financial exploitation and to live a in a safe and homelike environment. The facility's failure is a violation AV's resident rights which is a violation of Oregon Administrative Rules. AP2 allegedly neglected AV. An investigation determined no neglect occurred by AP2.

• September 3, 2024: 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, and the data entered into the ABST. An investigation determined this is a violation of Oregon Administrative Rules.

• March 21, 2024: 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 a department approved and 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, and the data entered into the ABST. An investigation determined this 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 114 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.