The Pines at Juniper Springs

Last inspection

April 8, 2026

Inspections

7, 25 deficiencies cited

Substantiated abuse

4

Substantiated licensing violations

1

Regulatory actions

0

Fines assessed

$1,438.00 (4 violations)

Current owner since

October 1, 2025

Inspections

• April 8, 2026: Change of Owner, 5 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Pattern
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
• July 15, 2024: Re-Licensure, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern, corrected January 15, 2025
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected September 15, 2024
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected September 15, 2024
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected September 15, 2024
  Show all 10

  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected September 15, 2024
  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Pattern, corrected January 15, 2025
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Pattern, corrected September 15, 2024
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected January 15, 2025
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Isolated, corrected September 15, 2024
• July 2, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• December 15, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 13, 2023: Complaint Investig., 0 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 0
• November 22, 2022: 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 January 21, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected January 21, 2023
• October 19, 2021: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected December 20, 2021
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected December 20, 2021
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected December 20, 2021
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected December 20, 2021
  Show all 11

  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected December 20, 2021
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected March 11, 2022
  • C0555: Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable severity level 2, scope L2 Widespread, corrected December 20, 2021
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected December 20, 2021
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected March 11, 2022
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected December 20, 2021

Substantiated abuse or neglect

• November 23, 2025: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. According to an investigation, on or about November 23, 2025, AV experienced an unwitnessed fall in their apartment, resulting in an abrasion to their right finger and a scalp hematoma on the forehead that turned into a bruise. It was discovered that the motion sensors that AV’s PCP ordered were not added to the care plan and/or put into AV's tasks to be completed by care staff when they arrived in October 2025. The facility failed to appropriately care plan and/or implement interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 21, 2025: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV is considered high fall risk with a history of falls. AV is care planned for non-slip socks while in bed at night and wearing proper footwear throughout the day. AV is also care planned for alarms to be checked "frequently" to ensure that they are activated/on, including tab alarm for AV's clothing and pressure pad alarms in AV's wheelchair/bed/recliner. According to an investigation, on or about November 21, 2025, experienced a fall, resulting in redness to the right temple. At the time of the fall AV was barefoot and the tab alarms and pressure pad alarms were not activated/on. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• October 19, 2025: Failed to provide service 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. According to an investigation, on or about October 19, 2025, AV experienced a fall at approximately 2:39 am resulting in significant pain. The facility did not address AV’s pain until approximately 1:00 pm leaving AV in continued pain for several hours, causing AV to not feel well. The facility failed to provide appropriate services regarding pain management, which is a violation of resident rights, is neglect of care which constitutes abuse.

• July 10, 2024: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. Fall interventions documented in AV's care plan include use of a pressure pad alarm when AV is sitting in recliner. Staff are instructed to ensure the alarm pad is in place and working correctly at all times. According to an investigation, on or about July 10, 2024, AV was found on the floor near their recliner, resulting in laceration to the eyebrow area and requiring treatment at the hospital. The fall intervention of placing the pressure pad alarm on the recliner and ensuring it was functioning had not been provided prior to the fall. The facility failed to follow the AV's care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.

Substantiated licensing violations

• June 9, 2026: Failed to follow care plan 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV is care planned for Staff to ensure that the fall mat is in place by his/her bed while AV is in bed and a pressure pad to be positioned correctly under them. According to an investigation, AV experienced a fall on or about June 9, 2026, resulting in a laceration to AV’s forearm and bruising to their elbow. Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) did not follow AV’s care plan. AP2 and AP3’s actions are considered neglect of care which constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(i).

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 24 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.