Whitewood Gardens

Last inspection

May 15, 2025

Inspections

4, 25 deficiencies cited

Substantiated abuse

3

Substantiated licensing violations

0

Regulatory actions

0

Fines assessed

$876.00 (3 violations)

Current owner since

July 12, 2013

Inspections

• May 15, 2025: Re-Licensure, 17 deficiencies cited report
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
  • C0156: Facility Administration: Quality Improvement severity level 2, scope L2 Widespread
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0252: Resident Move-in & Evaluation: Res Evaluation severity level 2, scope L2 Isolated
  Show all 17

  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Widespread
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Pattern
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • H1518: Individual Door Locks: Key Access severity level 2, scope L2 Widespread
  • L0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
• June 6, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 7, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• April 11, 2022: Validation, 8 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected June 12, 2022
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected June 12, 2022
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated, corrected June 12, 2022
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Widespread, corrected June 12, 2022
  Show all 9

  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected June 12, 2022
  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected June 12, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected June 12, 2022
  • C0422: Fire and Life Safety: Training For Residents severity level 2, scope L2 Widespread, corrected June 12, 2022

Substantiated abuse or neglect

• May 13, 2024: Failed to provide safe environment 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)
  State’s findings

  According to the documentation, the facility failed to provide a safe environment for the Alleged Victim (AV) by not securing the facility and allowing them to elope. The facility had installed a tracking device in the AV’s shoes due to exit seeking behavior. On or about May 12, 2024, the AV was unable to be located in the facility during a med pass. the AV’s tracking system was turned on and the facility was able to locate the AV approximately three blocks away from the facility, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• August 10, 2023: Failed to assist with transfer 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); 411-054-0036 (Service Plan – General)
  State’s findings

  According to the documentation, the facility failed to provide transfer assistance for the Alleged Victim (AV) when they wanted to get up. AV is a 2-person assist with Hoyer lift for transferring. The AV requested to be transferred but there were not available staff to assist at the time of the request so they could attend activities. The AV experienced discomfort and was not able to participate in preferred activities due to staff not transferring the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• January 5, 2023: 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 facility failed to properly care plan for the Alleged Victim’s pressure wounds preventing the wounds from healing. The failure resulted in staff placing multiple incontinence products on the AV and their bed preventing the wound from healing and causing prolonged unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

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 39 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.