The Springs at Mill Creek

Last inspection

July 9, 2025

Inspections

5, 7 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

13

Regulatory actions

0

Fines assessed

$188.00 (1 violation)

Current owner since

March 1, 2017

Inspections

• July 9, 2025: Re-Licensure, 1 deficiency cited report
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
• August 29, 2024: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• February 21, 2024: Complaint Investig., 1 deficiency cited report
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread
• September 25, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 28, 2022: Validation, 4 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected May 30, 2022
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected May 30, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Isolated, corrected May 30, 2022
  • C0302: Systems: Tracking Control Substances severity level 2, scope L2 Isolated, corrected May 30, 2022

Substantiated abuse or neglect

• May 9, 2025: Failed to provide a safe medication administration system 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

  According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV) by administering a discontinued medication for approximately 2.5 months. On or about February 16, 2025, AV’s primary care provider discontinued a medication which potentially had negative side effects from another medication. The facility failed to update the medication administration record for the AV to discontinue this medication. The medication was continued to be administered to the AV until approximately May 09, 2025. The failure to update the medication administration record for the AV put the AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• April 27, 2025: 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)
  State’s findings

  According to the documentation, the Alleged Perpetrator 2 (AP2) failed to follow the service plan for the Alleged Victim (AV) by transferring them by themselves when they are a two-person transfer. On or about April 27, 2025, the AV called for assistance to transfer. AP2 was the only care staff available. The AV was urging AP2 to transfer them, or they were going to self-transfer. Instead of waiting for assistance, AP2 transferred the AV by themselves even though they knew the AV was service planned for a two-person transfer. During the transfer, the AV received a skin tear on their forearm. The AP2 failed to follow the care plan for the AV which led to a skin tear, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.

• November 13, 2023: Failed to protect resident from financial exploitation 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

  According to the documentation, an unknown Alleged Perpetrator (AP2) failed to protect the Alleged Victim (AV) from financial exploitation. The failure resulted in the AV to have four (4) necklaces stolen from their apartment which were unable to be located, which is a violation of resident rights and is considered financial abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.

• February 3, 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 fully implement an Acuity Based Staffing Tool. An investigation determined a licensing violation occurred.

• September 20, 2022: Failed to protect resident from financial exploitation 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)
  State’s findings

  On or about July 1, 2022, the Alleged Victim (AV) reported that he/she was missing approximately $160.00 in cash and another $120.00 about three weeks earlier. AV’s money was taken by an unknown Alleged Perpetrator #2 (AP2). AP2's actions are a violation of resident rights, are considered neglect of care and constitute financial exploitation. The facility failure is a violation of Oregon Administrative Rules.

• August 23, 2022: Failed to protect resident from financial exploitation 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) had money taken by an unknown individual and this person is responsible for theft of property, which is considered financial exploitation and constitutes abuse. The facility failed to protect AV’s property from theft, 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 75 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.