The Springs at Carman Oaks

Last inspection

June 26, 2025

Inspections

7, 4 deficiencies cited

Substantiated abuse

2

Substantiated licensing violations

4

Regulatory actions

0

Fines assessed

$438.00 (2 violations)

Current owner since

October 10, 2019

Inspections

• June 26, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• February 27, 2025: Re-Licensure, 1 deficiency cited report
  • C0260: Service Plan: General severity level 2, scope L2 Isolated
• January 31, 2025: Complaint Investig., 1 deficiency cited report
  • C0363: Acuity Based Staffing Tool - Updates & Plan severity level 2, scope L2 Widespread
• May 30, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 9, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 21, 2022: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 4, 2022
• December 7, 2021: Validation, 0 deficiencies cited report
  • C0000: Comment severity level 0

Substantiated abuse or neglect

• May 21, 2023: Failed to have medication available Abuse: Neglect; 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  The facility failed to ensure medication was ordered to have medication available to the Alleged Victim (AV). The failure resulted in the AV to miss six doses of a heart medication which put the resident at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• April 24, 2022: Failed to provide a safe medication administration system 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); 411-054-0055 (Medications and Treatments)
  State’s findings

  According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV) who receives numerous injectable medications. On or about April 24, 2022, the Alleged Perpetrator (AP2) administered 20 units of the incorrect insulin medication placing the AV at risk for harm. AP2’s failure to provide a safe medication administration system is considered neglect of care and constitutes abuse. The facility’s failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• March 10, 2023: 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.

• November 1, 2022: Failed to submit timely or adequate staffing documentation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-061-0010
  State’s findings

  On or about November 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days

• April 26, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0055 (Medications and Treatments)
  State’s findings

  Based on interview and record review it was confirmed that the facility failed to carry out medication and treatment orders as prescribed, which is a violation of Oregon Administrative Rules.

• April 26, 2022: Failed to provide appropriate staffing Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility allegedly failed to provide appropriate staffing, which 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.