The Springs at Sunnyside

Last inspection

February 26, 2025

Inspections

6, 26 deficiencies cited

Substantiated abuse

5

Substantiated licensing violations

9

Regulatory actions

1

Fines assessed

$2,000.00 (5 violations)

Current owner since

November 15, 2025

License conditions and other regulatory actions

• June 13, 2024 to February 26, 2025: License Condition, Failed to provide safe environment ALFCD24-00231; incident: CALMS - 00057240
  The facility failed to operate in substantial compliance with Oregon Administrative Rules.
  Rules: 054-054-0028; 411-054-0025 (Facility Administration); 411-054-0034 (Resident Move-In and Evaluation); 411-054-0036 (Service Plan – General); 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services); 411-054-0055 (Medications and Treatments); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety); 411-054-0105 (Inspections and Investigations); 411-054-0300 (Assisted Living Facility Building Requirements)

Inspections

• February 26, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• September 24, 2024: Complaint Investig., 1 deficiency cited report
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
• June 3, 2024: Validation, 20 deficiencies cited report
  • C0000: Comment severity level 0
  • C0150: Facility Administration: Operation severity level 4, scope L4 Widespread, corrected August 6, 2024
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected December 20, 2024
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected December 20, 2024
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected December 20, 2024
  Show all 22

  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected December 20, 2024
  • C0280: Resident Health Services severity level 2, scope L2 Pattern, corrected December 20, 2024
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated, corrected August 6, 2024
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Pattern, corrected August 6, 2024
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected August 6, 2024
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected August 6, 2024
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Isolated, corrected August 6, 2024
  • C0360: Staffing Requirements and Training: Staffing severity level 4, scope L4 Widespread, corrected August 6, 2024
  • C0361: Acuity-Based Staffing Tool severity level 4, scope L4 Widespread, corrected August 6, 2024
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected August 6, 2024
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected August 6, 2024
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected August 6, 2024
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected December 20, 2024
  • C0611: General Building Interior severity level 2, scope L2 Widespread, corrected August 6, 2024
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected August 6, 2024
  • C0630: House Keeping and Sanitation severity level 2, scope L2 Widespread, corrected August 6, 2024
  • C0655: Call System severity level 2, scope L2 Widespread, corrected August 6, 2024
• December 13, 2023: 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 February 11, 2024
• December 7, 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 January 31, 2023
• August 25, 2022: Complaint Investig., 2 deficiencies cited report
  • C0231: Reporting & Investigating Abuse-Other Action severity level 1, scope L1 Widespread
  • C0360: Staffing Requirements and Training: Staffing severity level 1, scope L1 Widespread

Substantiated abuse or neglect

• June 16, 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for care, is known fall risk, and is known to have a diagnosis that affects AVs memory. According to an investigation, between May 3, 2025, and June 16, 2025, AV had approximately six (6) falls, some resulting to injury to include skin tears, bruising, swollen limbs and a head injury. Despite AV continuing to fall, and the facility being aware of AVs lack of cognition, the facility failed to implement a higher level of care for resident safety. The facility failed to provide appropriate services according to AV’s needs, regarding care planning, safety checks and monitoring, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 19, 2024: Failed to answer call light in a timely manner Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 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 October 23, 2023, Alleged Victim (AV) was having a phone appointment with medical professionals and showed signs of having slurred speech. The medical professionals asked AV to press his/her call pendant during the phone appointment to get help because the medical professionals were concerned for AV's well-being. However, the facility staff did not respond. The medical professionals on AV's phone appointment called 911 and AV was taken to the hospital for treatment. Based on facility documentation, the facility failed to answer AV's call pendant in a timely manner several times. The facility's failure to respond to AV's call light quick enough to meet resident's needs caused AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 11, 2022: 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

  On or about June 11, 2022, the facility failed to follow Alleged Victim's (AV) care plan, which stated to check on AV once a shift and notify nurse if AV misses a meal. It was unclear if staff checked on AV and the nurse was not notified after AV missed two (2) meals. AV was later found on the floor in their room by his/her family, with soiled pants. AV’s bed appeared to not have been slept in, AV appeared to be wearing clothes from the day before, and AVs medications were not taken all day. AV was transported to the hospital where he/she was admitted. Failure to follow the care plan resulted in causing AV a loss of personal dignity and risk of serious harm. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 17, 2022: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately monitor Witness 1 (W1) according to his/her known behavior and prior altercations. The facility's failure resulted in a physical altercation in which W1 grabbed a dull steak knife and pointed it at Alleged Victim's (AV) chest, causing emotional harm to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 11, 2022: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; 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

  On or about March 12, 2022, Witness 1 (W1) grabbed a knife during an argument with Alleged Victim (AV). W1 is known for having both physical and verbal aggressive behavior which leads to altercations with other residents. The facility failed to provide a safe environment for AV which put AV at risk of significant harm and caused AV emotional harm. The facility's failure is a violation of resident rights, is considered neglect of care which constitutes abuse.

Substantiated licensing violations

• April 9, 2024: Failed to meet the scheduled and unscheduled needs of residents 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 failed to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. An investigation determined this is a violation of Oregon Administrative Rules.

• July 31, 2023: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  Alleged Victim (AV) had money go missing from his/her room. The money was 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. This failure 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 from October 1, 2022 to October 31, 2022, for a total of 30 days.

• June 10, 2022: Failed to protect resident from physical abuse Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The allegation that the facility failed to investigate all reports of abuse and suspected abuse and take measures necessary to protect residents and prevent the reoccurrence of abuse in accordance with OAR 411-054-0028(3) per complaint that a resident fell, and an incident report was completed but there does not appear to be an investigation was verified.

• June 10, 2022: Failed to provide appropriate staffing Licensing Violation; Level 1 - No harm or potential for minor harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The allegation that the facility failed to provide enough qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident in accordance with OAR 411-054-0070(1) per complaint that staff did not have enough time to go back and check on a resident due to the lack of staffing was verified.

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 77 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.