The Pines at The Landing

Last inspection

January 6, 2026

Inspections

9, 52 deficiencies cited

Substantiated abuse

8

Substantiated licensing violations

14

Regulatory actions

1

Fines assessed

$5,688.00 (9 violations)

Current owner since

August 24, 2020

License conditions and other regulatory actions

• December 14, 2023 to April 3, 2024: License Condition, Failed to use an ABST RCFCD23-01516; incident: OR0004025600
  The facility failed to fully implement an Acuity Based Staffing Tool in accordance with OAR 411-054-0037.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• January 6, 2026: 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
• October 8, 2025: Re-Licensure, 13 deficiencies cited report
  • 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
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated
  • C0362: Acuity Based Staffing Tool - ABST Time severity level 2, scope L2 Pattern
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • L0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Widespread
• January 14, 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
• April 30, 2024: Complaint Investig., 1 deficiency cited report
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
• April 30, 2024: Complaint Investig., 1 deficiency cited report
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated

Substantiated abuse or neglect

• February 27, 2026: Failed to properly plan care 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care and has a history of falls. According to an investigation, on or about February 27, 2026, AV experienced a fall, resulting in a fracture to their right cheekbone. AV experienced another fall on or about March 2, 2026, resulting in a head injury. The facility failed to appropriately plan care and/or implement interventions to mitigate the risk of injury, which is a violation of resident rights, is neglect of care which constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(i).

• September 3, 2024: Failed to properly plan care 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) is a known fall risk with a history of falls. According to an investigation AV experienced multiple falls between August 1, 2024, and September 2, 2024. AV had another fall on or about September 3, 2024, which resulted in a skin injury on his/her knee and unreasonable discomfort. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care which constitutes abuse.

• July 16, 2024: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,500.00; report
  Rules: 411-054-0036 (Service Plan – General); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care and to administer his/her medications. According to an investigation, on or about July 16, 2024, AV did not receive bathing assistance as scheduled, peri-care as needed and assistance with being turned in bed every two hours. Over a period of at least eight days, AV did not receive narcotic pain medication as ordered, resulting in AV experiencing continued pain and unreasonable discomfort. The facility failed to provide appropriate care and failed to administer medication as ordered, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 19, 2024: Failed to follow care plan 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) was a known fall risk and care planned for monitoring for transferring and ambulation and staff to have a visual on AV in the gathering areas. According to an investigation, on or about March 19, 2024, AV experienced an unwitnessed fall in the dining area, resulting in an injury to his/her eyebrow and bridge of the nose. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care which constitutes abuse.

• November 13, 2023: Failed to follow care plan Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $375.00; 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) was a known fall risk and care planned for an alarm to be placed when AV is sitting in recliner and wheelchair. The facility failed to follow AV’s care plan. According to an investigation, AV was placed in his/her recliner without the alarm. AV attempted to get out of his/her recliner and fell, which resulted in AV hitting his/her head, requiring liquid stitches. This failure is a violation of resident rights, is neglect of care which constitutes abuse.

Substantiated licensing violations

• December 7, 2024: Failed to protect resident from mental or emotional abuse Licensing Violation; 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)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. On or about December 9, 2024, the Alleged Perpetrator 2 (AP2) made inappropriate threatening verbal comments and lunged at the AV, causing the AV to turn quickly, lose balance, and fall into a wall. The AP2’s actions resulted in the AV experiencing fear, unreasonable discomfort, and loss of personal dignity. AP2’s actions are a violation of resident rights, are considered neglect of care, and constitutes verbal/emotional abuse. The facility failed to protect AV from verbal/emotional abuse and the failure is a violation of Oregon Administrative Rules.

• April 20, 2024: Failed to protect resident from verbal abuse 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

  The Alleged Victim (AV) resides at the facility and relies on the facility to meet his/her daily needs. According to an investigation, on or about April 20, 2024, the Alleged Perpetrator 2 (AP2) took a video of AV while AV was laying in bed and water was being sponged into AV’s mouth. AP2 then posted the video to a social media site, resulting in loss of personal dignity. AP2's actions are a violation of resident's rights, are considered neglect of care and constitutes emotional abuse. The facility failed to protect AV from emotional abuse, which is a violation of Oregon Administrative Rules.

• April 1, 2024: Failed to administer medication as ordered Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to carry out medication and treatment orders as prescribed. The facility’s failure is a violation of Oregon Administrative Rules.

• March 22, 2024: Failed to administer ordered medication Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to carry out medication and treatment orders as prescribed. The facility’s failure is a violation of Oregon Administrative Rules.

• March 11, 2024: Failed to administer ordered medication Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to carry out medication and treatment orders as prescribed. 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 21 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.