River Terrace Memory Care
A residential care facility in Oregon City, Oregon 97045
950 South End Rd, Oregon City, Oregon 97045. (503) 387-5013.
Watch and the shortlist are kept with a free account, on every device. Your watch list. Oregon’s own record is on ltclicensing.oregon.gov.
The short answer
Record last released by Oregon Department of Human Services, Aging and People with Disabilities on Nov 2, 2026. We couldn’t read Oregon Department of Human Services, Aging and People with Disabilities’ list since Nov 2, 2026; this record is as of then.
- 39 substantiated violations in the last three years Middle in Clackamas County: 4
- 19 at the state’s most serious level, in three years (needs attention)
- 54 beds, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean7
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- The state’s most serious level
- Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
- Memory care
- Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list.
- Accepts Medicaid
- The state’s own list says the place takes part in a Medicaid program (a waiver, a contract or a program like Illinois’s supportive living) that can pay for care for people who qualify. Source: Each state’s list.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 inspections on record since Sep 15, 2022, the latest on May 21, 2026, citing 39 deficiencies in all.
39 A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency. violations in the last three years, 19 of them abuse findings.
Oregon Department of Human Services, Aging and People with Disabilities, Inspections and Substantiated violations. Released Nov 2, 2026. Updated daily.
When those citations happened
37 citations in 18 months of the last 36. Last cited Feb 2026. The last 3 years, to Nov 2, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each citation, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.
Feb 26, 2026: substantiated violation1 citation
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Failed to use an ABST
Jan 13, 2026: substantiated violation1 citation
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Failed to properly plan care
Sep 21, 2025: substantiated violation1 citation
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Failed to provide service
Aug 26, 2025: substantiated violation1 citation
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Failed to provide service
Aug 24, 2025: substantiated violation1 citation
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Failed to administer medication as ordered
Mar 27, 2025: substantiated violation1 citation
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Failed to administer medication as ordered
Feb 21, 2025: substantiated violation1 citation
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Failed to provide a safe medication administration system
Feb 16, 2025: substantiated violation1 citation
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Failed to administer medication as ordered
Feb 7, 2025: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jan 17, 2025: substantiated violation1 citation
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Failed to provide service
Jan 13, 2025: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jan 8, 2025: substantiated violation1 citation
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Failed to administer medication as ordered
Jan 7, 2025: substantiated violation1 citation
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Failed to provide a safe medication administration system
Dec 28, 2024: substantiated violation1 citation
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Failed to provide service
Dec 20, 2024: substantiated violation1 citation
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Failed to provide safe environment
Dec 7, 2024: substantiated violation1 citation
-
Failed to provide service
Nov 3, 2024: substantiated violation1 citation
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Failed to provide service
Sep 7, 2024: substantiated violation1 citation
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Failed to follow care plan
Aug 10, 2024: substantiated violation1 citation
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Failed to follow care plan
Jul 15, 2024: substantiated violation3 citations
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Failed to provide service
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Failed to report potential or suspected abuse
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Failed to report potential or suspected abuse
Jun 21, 2024: substantiated violation1 citation
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Failed to provide or assist with hygiene
Jun 3, 2024: substantiated violation1 citation
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Failed to use an ABST
May 20, 2024: substantiated violation1 citation
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Failed to follow care plan
May 19, 2024: substantiated violation1 citation
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Failed to provide safe environment
Apr 24, 2024: substantiated violation1 citation
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Failed to use an ABST
Mar 26, 2024: substantiated violation1 citation
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Failed to provide safe environment
Mar 14, 2024: substantiated violation1 citation
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Failed to use an ABST
Mar 2, 2024: substantiated violation1 citation
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Failed to properly plan care
Jan 27, 2024: substantiated violation1 citation
-
Failed to properly plan care
Jan 22, 2024: substantiated violation1 citation
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Failed to follow care plan
Jan 11, 2024: substantiated violation1 citation
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Failed to properly plan care
Jan 9, 2024: substantiated violation1 citation
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Failed to administer medication as ordered
Jan 1, 2024: substantiated violation1 citation
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Failed to follow care plan
Dec 31, 2023: substantiated violation1 citation
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Failed to administer ordered medication
Dec 1, 2023: substantiated violation1 citation
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Failed to report potential or suspected abuse
Nov 29, 2023: substantiated violation2 citations
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Failed to provide service
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Failed to provide service
Aug 21, 2023: substantiated violation1 citation
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Failed to provide safe environment
Aug 7, 2023: substantiated violation1 citation
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Failed to protect resident from verbal abuse
May 11, 2023: substantiated violation2 citations
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Failed to provide safe environment
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Failed to protect resident from financial exploitation
Feb 28, 2023: substantiated violation1 citation
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Failed to follow care plan
Feb 21, 2023: substantiated violation1 citation
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Failed to properly plan care
Jan 23, 2023: substantiated violation3 citations
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Failed to assure resident rights
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Failed to administer medication as ordered
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Failed to properly plan care
Jan 20, 2023: substantiated violation1 citation
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Failed to protect resident from physical abuse
Dec 1, 2022: substantiated violation1 citation
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Failed to submit timely or adequate staffing documentation
Sep 11, 2022: substantiated violation2 citations
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Failed to provide safe environment
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Failed to provide safe environment
Aug 29, 2022: substantiated violation1 citation
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Failed to provide safe environment
Aug 25, 2022: substantiated violation1 citation
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Failed to provide service
Jun 17, 2022: substantiated violation1 citation
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Failed to properly plan care
Apr 17, 2022: substantiated violation1 citation
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Failed to properly plan care
Feb 22, 2022: substantiated violation1 citation
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Failed to provide appropriate staffing
Dec 5, 2021: substantiated violation1 citation
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Failed to protect resident from physical abuse
Nov 18, 2021: substantiated violation1 citation
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Failed to properly plan care
Oct 11, 2021: substantiated violation1 citation
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Failed to provide a safe medication administration system
Oct 5, 2021: substantiated violation1 citation
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Failed to provide safe environment
Sep 24, 2021: substantiated violation2 citations
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Failed to protect resident from physical abuse
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Failed to protect resident from involuntary seclusion
Aug 27, 2021: substantiated violation1 citation
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Failed to properly plan care
Aug 25, 2021: substantiated violation2 citations
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Failed to provide service
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Failed to provide safe environment
Aug 22, 2021: substantiated violation1 citation
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Failed to protect resident from verbal abuse
Aug 15, 2021: substantiated violation1 citation
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Failed to provide safe environment
Aug 10, 2021: substantiated violation1 citation
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Failed to provide service
Aug 9, 2021: substantiated violation1 citation
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Failed to provide service
Jul 24, 2021: substantiated violation2 citations
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Failed to provide a safe medication administration system
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Failed to provide a safe medication administration system
Jun 23, 2021: substantiated violation1 citation
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Failed to use restraint properly
Jun 1, 2021: substantiated violation1 citation
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Failed to protect resident from verbal abuse
May 3, 2021: substantiated violation1 citation
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Failed to follow care plan
Apr 19, 2021: substantiated violation1 citation
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Failed to provide appropriate staffing
Dec 20, 2020: substantiated violation1 citation
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Failed to properly plan care
Nov 30, 2020: substantiated violation1 citation
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Failed to protect resident from physical abuse
Oct 20, 2020: substantiated violation1 citation
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Failed to properly plan care
Oct 2, 2020: substantiated violation1 citation
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Failed to protect resident from financial exploitation
Aug 28, 2020: substantiated violation1 citation
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Failed to administer ordered medication
Aug 7, 2020: substantiated violation1 citation
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Failed to provide safe environment
Feb 13, 2020: substantiated violation1 citation
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Failed to follow care plan
Jan 18, 2020: substantiated violation1 citation
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Failed to provide safe environment
Dec 20, 2019: substantiated violation1 citation
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Failed to assure a qualified caregiver was present
All 7 visits on record
| Date | Visit | What the record says |
|---|---|---|
| May 21, 2026 | Inspection (Kitchen) | 2 deficiencies cited |
| Jul 16, 2024 | Inspection (Complaint Investigation) | 6 deficiencies cited |
| Dec 18, 2023 | Inspection (Licensure Complaint) | 1 deficiency cited |
| Oct 24, 2023 | Inspection (Validation) | 23 deficiencies cited |
| Oct 11, 2023 | Inspection (State Licensure) | No deficiencies cited |
| Feb 14, 2023 | Inspection (Complaint Investigation) | 7 deficiencies cited |
| Sep 15, 2022 | Inspection (State Licensure) | No deficiencies cited |
Is it licensed?
- Residential care facility, licensed by the Oregon Department of Human Services for 54 residents.
- Licensed to offer Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list..
- Accepts Medicaid.
- Oregon provider ID 50R472.
- Licensed for Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list..
Oregon Department of Human Services, Aging and People with Disabilities, Providers and Regulatory actions. Released Nov 2, 2026. Updated daily.
Has the state acted against it?
- 1 regulatory action on record: licence condition.
- 19 abuse findings A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency. in the last three years.
Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions and Substantiated violations. Released Nov 2, 2026. Updated daily.
| Date | What | Detail |
|---|---|---|
| Apr 20, 2023 | Licence condition | Failed to staff as indicated by ABST. In effect Apr 20, 2023 to Mar 27, 2024. |
Who does the caring?
- Oregon’s lists don’t include staffing levels.
Who holds the licence?
- Oregon’s lists don’t name owners or licensees.
How is it rated?
- Oregon links annual quality reports for assisted living and residential care facilities on its own site; they aren’t read here.
How does it compare nearby?
- Among 73 facilities of this kind in Clackamas County, the middle value for substantiated violations in the last three years was 4; this one had 39.
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.
| Place | Substantiated violations in the last three years |
|---|---|
| Heritage Heights Senior Living | 3 |
| Mcloughlin Memory Care of Oregon | 31 |
| River Terrace Memory Care This assisted living facility | 39 |
| Gilman Grove Assisted Living | 24 |
| Mcloughlin Place Senior Living | 22 |
| Autumn Garden Memory Rcf | 0 |
| Brookdale River Valley Tualatin | 12 |
| Bonaventure of Milwaukie Memory Care | 0 |
| Brookdale Wilsonville | 5 |
| Clackamas Heights Senior Living | 0 |
| Willamette View Terrace | 1 |
| Ivy Court Senior Living | 0 |
What the record doesn’t say
- Oregon doesn’t show complaints still being investigated, or findings under appeal.
- Oregon’s lists name the kind of failure behind each violation, not the rule cited or the inspectors’ words; Oregon’s own record has the reports.
- Oregon’s inspection list covers about the last five years; its violations go back to 2010.
Sources
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Oregon Department of Human Services, Aging and People with Disabilities, Providers (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
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Oregon Department of Human Services, Aging and People with Disabilities, Inspections (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
-
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
-
Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
If you believe something here is wrong, a correction starts with the agency whose record this copies: Oregon Department of Human Services, Aging and People with Disabilities. Oregon’s own record is on ltclicensing.oregon.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 2, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.