Hearth Record

Gilman Grove Assisted Living

An assisted living facility in Oregon City, Oregon 97045

2205 Gilman Drive, Oregon City, Oregon 97045. (503) 657-5700.

Oregon’s own record, on ltclicensing.oregon.gov

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.

The last 24 months 24 citations in 11 months of the last 36. Last cited Jul 2026. Every month

Each figure’s source sits beside it, in its section below.

What these words mean6
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.
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?

11 inspections on record since Sep 13, 2022, the latest on Jan 8, 2026, citing 43 deficiencies in all.

24 violations in the last three years, 2 of them abuse findings.

Source:

Oregon Department of Human Services, Aging and People with Disabilities, Inspections and Substantiated violations. Released Nov 2, 2026. Updated daily.

When those citations happened

24 citations in 11 months of the last 36. Last cited Jul 2026. The last 3 years, to Nov 2, 2026.

24 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.

Jul 17, 2026: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

Jul 6, 2026: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

May 28, 2026: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

May 22, 2026: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

May 10, 2026: substantiated violation1 citation

  • Failed to staff as indicated by ABST

    Rule Licensing Violation.

Apr 14, 2026: substantiated violation1 citation

  • Failed to staff as indicated by ABST

    Rule Licensing Violation.

Apr 5, 2026: substantiated violation2 citations

  • Failed to use an ABST

    Rule Licensing Violation.

  • Failed to staff as indicated by ABST

    Rule Licensing Violation.

Apr 1, 2026: substantiated violation1 citation

  • Failed to staff as indicated by ABST

    Rule Licensing Violation.

Mar 28, 2026: substantiated violation1 citation

  • Failed to staff as indicated by ABST

    Rule Licensing Violation.

Jan 13, 2026: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

Jul 22, 2025: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

Jul 4, 2025: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

May 2, 2025: substantiated violation2 citations

  • Failed to protect resident from physical abuse

    Rule Licensing Violation.

  • Failed to use an ABST

    Rule Licensing Violation.

Apr 23, 2025: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

Apr 5, 2025: substantiated violation2 citations

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

  • Failed to use an ABST

    Rule Licensing Violation.

Apr 3, 2025: substantiated violation2 citations

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

  • Failed to use an ABST

    Rule Licensing Violation.

Apr 1, 2025: substantiated violation1 citation

  • Failed to use an ABST

    Rule Licensing Violation.

Mar 20, 2025: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Sep 29, 2024: substantiated violation1 citation

  • Failed to follow care plan

    Rule Licensing Violation.

Apr 2, 2024: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Oct 7, 2023: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Sep 27, 2023: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Sep 25, 2023: substantiated violation1 citation

  • Failed to properly plan care

    Rule Abuse: Neglect.

Aug 25, 2023: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

Aug 7, 2023: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Jul 27, 2023: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Jun 15, 2023: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Mar 26, 2023: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Mar 21, 2023: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Mar 17, 2023: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Mar 13, 2023: substantiated violation1 citation

  • Failed to provide appropriate skin care

    Rule Abuse: Neglect.

Feb 7, 2023: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Feb 1, 2023: substantiated violation1 citation

  • Failed to protect resident from inappropriate sexual contact

    Rule Abuse: Neglect.

Dec 25, 2022: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Nov 1, 2022: substantiated violation1 citation

  • Failed to submit timely or adequate staffing documentation

    Rule Licensing Violation.

Oct 31, 2022: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Oct 15, 2022: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Oct 1, 2022: substantiated violation1 citation

  • Failed to submit timely or adequate staffing documentation

    Rule Licensing Violation.

Sep 4, 2022: substantiated violation1 citation

  • Failed to protect resident from involuntary seclusion

    Rule Licensing Violation.

Aug 20, 2022: substantiated violation2 citations

  • Failed to provide service

    Rule Licensing Violation.

  • Failed to provide a homelike environment

    Rule Licensing Violation.

Aug 17, 2022: substantiated violation1 citation

  • Failed to assist with dressing or grooming

    Rule Abuse: Neglect.

Aug 9, 2022: substantiated violation1 citation

  • Failed to assure resident rights

    Rule Licensing Violation.

Jun 20, 2022: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Jun 17, 2022: substantiated violation2 citations

  • Failed to provide a homelike environment

    Rule Licensing Violation.

  • Failed to provide safe environment

    Rule Licensing Violation.

May 19, 2022: substantiated violation2 citations

  • Failed to communicate necessary information

    Rule Licensing Violation.

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

May 17, 2022: substantiated violation2 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

May 11, 2022: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Licensing Violation.

May 9, 2022: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Apr 28, 2022: substantiated violation2 citations

  • Failed to assure resident rights

    Rule Licensing Violation.

  • Failed to provide safe environment

    Rule Licensing Violation.

Mar 9, 2022: substantiated violation2 citations

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

  • Failed to properly plan care

    Rule Licensing Violation.

Feb 4, 2022: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Nov 23, 2021: substantiated violation1 citation

  • Failed to answer call light in a timely manner

    Rule Abuse: Neglect.

Oct 22, 2021: substantiated violation2 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide infection control

    Rule Licensing Violation.

Oct 13, 2021: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Abuse: Neglect.

Sep 21, 2021: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Aug 12, 2021: substantiated violation2 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to assist with toileting

    Rule Licensing Violation.

Aug 7, 2021: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Aug 5, 2021: substantiated violation3 citations

  • Failed to provide safe environment

    Rule Abuse: Neglect.

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to hire according to administrative rules

    Rule Licensing Violation.

Jun 28, 2021: substantiated violation1 citation

  • Failure to provide a system that prevents theft or misuse of medication

    Rule Licensing Violation.

Jun 7, 2021: substantiated violation1 citation

  • Failed to provide infection control

    Rule Abuse: Neglect.

May 12, 2021: substantiated violation2 citations

  • Failed to provide service

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Apr 26, 2021: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Apr 25, 2021: substantiated violation1 citation

  • Failed to have medication available

    Rule Abuse: Neglect.

Apr 16, 2021: substantiated violation1 citation

  • Failed to provide service

    Rule Abuse: Neglect.

Feb 9, 2021: substantiated violation1 citation

  • Failed to properly plan care

    Rule Abuse: Neglect.

Feb 5, 2021: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Feb 4, 2021: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Dec 22, 2020: substantiated violation2 citations

  • Failed to provide proper food/nutrition

    Rule Licensing Violation.

  • Failed to assure resident rights

    Rule Licensing Violation.

Dec 18, 2020: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Dec 12, 2020: substantiated violation1 citation

  • Failed to have medication available

    Rule Abuse: Neglect.

Nov 2, 2020: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Oct 23, 2020: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Oct 22, 2020: substantiated violation1 citation

  • Failed to follow care plan

    Rule Abuse: Neglect.

Oct 20, 2020: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Oct 16, 2020: substantiated violation1 citation

  • Failed to assure timely medical treatment

    Rule Abuse: Neglect.

Oct 1, 2020: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Sep 30, 2020: substantiated violation1 citation

  • Failed to administer medication as ordered

    Rule Abuse: Neglect.

Sep 10, 2020: substantiated violation2 citations

  • Failed to provide service

    Rule Abuse: Neglect.

  • Failed to administer medication as ordered

    Rule Abuse: Neglect.

Aug 20, 2020: substantiated violation1 citation

  • Failed to administer medication as ordered

    Rule Abuse: Neglect.

Aug 16, 2020: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Aug 12, 2020: substantiated violation4 citations

  • Failed to follow care plan

    Rule Abuse: Neglect.

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Aug 9, 2020: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Jul 28, 2020: substantiated violation4 citations

  • Failed to assure resident was safe

    Rule Licensing Violation.

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to comply with nursing delegation requirement

    Rule Licensing Violation.

  • Failed to administer medication as ordered

    Rule Licensing Violation.

Jun 20, 2020: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Jun 15, 2020: substantiated violation2 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to maintain a safe physical environment

    Rule Licensing Violation.

May 14, 2020: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Mar 13, 2020: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Mar 10, 2020: substantiated violation2 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Feb 23, 2020: substantiated violation1 citation

  • Failed to protect resident from physical abuse

    Rule Licensing Violation.

Feb 11, 2020: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Feb 4, 2020: substantiated violation2 citations

  • Failed to administer medication as ordered

    Rule Licensing Violation.

  • Failed to administer medication as ordered

    Rule Licensing Violation.

Jan 29, 2020: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Jan 21, 2020: substantiated violation1 citation

  • Licensing Violation

    Rule Licensing Violation.

Jan 20, 2020: substantiated violation1 citation

  • Failed to assure timely medical treatment

    Rule Abuse: Neglect.

Jan 12, 2020: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Licensing Violation.

Jan 11, 2020: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Dec 16, 2019: substantiated violation2 citations

  • Failed to answer call light in a timely manner

    Rule Abuse: Neglect.

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Dec 11, 2019: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Sep 25, 2019: substantiated violation9 citations

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

  • Failed to protect resident from financial exploitation

    Rule Abuse: Neglect.

Sep 22, 2019: substantiated violation2 citations

  • Failed to assure a qualified caregiver was present

    Rule Abuse: Neglect.

  • Failed to provide or assist with hygiene

    Rule Abuse: Neglect.

Aug 1, 2019: substantiated violation1 citation

  • Failure to provide a system that prevents theft or misuse of medication

    Rule Licensing Violation.

Jul 31, 2019: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Licensing Violation.

Jun 11, 2019: substantiated violation1 citation

  • Failed to follow care plan

    Rule Abuse: Neglect.

May 7, 2019: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Licensing Violation.

Mar 16, 2019: substantiated violation1 citation

  • Failed to administer medication as ordered

    Rule Abuse: Neglect.

Feb 11, 2019: substantiated violation2 citations

  • Failed to provide safe environment

    Rule Abuse: Neglect.

  • Failed to report potential or suspected abuse

    Rule Licensing Violation.

Jan 21, 2019: substantiated violation2 citations

  • Failed to assure timely medical treatment

    Rule Abuse: Neglect.

  • Failed to report potential or suspected abuse

    Rule Licensing Violation.

Jan 18, 2019: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Jan 16, 2019: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Dec 27, 2018: substantiated violation2 citations

  • Failed to intervene when resident’s condition changed

    Rule Abuse: Neglect.

  • Failed to report potential or suspected abuse

    Rule Licensing Violation.

Dec 14, 2018: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Dec 13, 2018: substantiated violation1 citation

  • Failed to administer medication as ordered

    Rule Licensing Violation.

Dec 8, 2018: substantiated violation1 citation

  • Failed to protect resident from financial exploitation

    Rule Abuse: Financial abuse.

Dec 6, 2018: substantiated violation1 citation

  • Failed to answer call light in a timely manner

    Rule Licensing Violation.

Nov 11, 2018: substantiated violation1 citation

  • Failed to provide service

    Rule Abuse: Neglect.

Nov 9, 2018: substantiated violation2 citations

  • Failed to answer call light in a timely manner

    Rule Abuse: Neglect.

  • Failed to report potential or suspected abuse

    Rule Licensing Violation.

Nov 7, 2018: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Nov 1, 2018: substantiated violation1 citation

  • Failed to administer ordered medication

    Rule Abuse: Neglect.

Oct 25, 2018: substantiated violation1 citation

  • Failed to answer call light in a timely manner

    Rule Licensing Violation.

Oct 21, 2018: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Oct 11, 2018: substantiated violation1 citation

  • Failed to protect resident from rough treatment

    Rule Abuse: Physical Abuse.

Aug 21, 2018: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Aug 2, 2018: substantiated violation2 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide or maintain resident care equipment

    Rule Licensing Violation.

Jul 20, 2018: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Jun 8, 2018: substantiated violation2 citations

  • Failed to follow care plan

    Rule Abuse: Neglect.

  • Failed to report potential or suspected abuse

    Rule Licensing Violation.

May 9, 2018: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Apr 3, 2018: substantiated violation1 citation

  • Failed to administer medication as ordered

    Rule Licensing Violation.

Feb 15, 2018: substantiated violation1 citation

  • Failed to provide appropriate housekeeping services

    Rule Licensing Violation.

Feb 14, 2018: substantiated violation2 citations

  • Failed to answer call light in a timely manner

    Rule Licensing Violation.

  • Failed to make facility or resident records accessible

    Rule Licensing Violation.

Jan 31, 2018: substantiated violation1 citation

  • Failed to adequately care plan related to falls

    Rule Licensing Violation.

Jan 5, 2018: substantiated violation5 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

  • Failed to provide a homelike environment

    Rule Licensing Violation.

  • Failed to communicate necessary information

    Rule Licensing Violation.

  • Failed to provide appropriate housekeeping services

    Rule Licensing Violation.

Dec 1, 2017: substantiated violation1 citation

  • Failed to administer medication as ordered

    Rule Abuse: Neglect.

Sep 8, 2017: substantiated violation3 citations

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

  • Failed to provide medical treatment as ordered

    Rule Licensing Violation.

  • Failed to assure that a qualified caregiver was present

    Rule Licensing Violation.

Jun 21, 2017: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Jan 9, 2017: substantiated violation1 citation

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Dec 22, 2016: substantiated violation1 citation

  • Failed to provide or assist with hygiene

    Rule Licensing Violation.

Dec 3, 2016: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Oct 21, 2016: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Financial abuse.

Oct 8, 2016: substantiated violation1 citation

  • Failed to assist with toileting

    Rule Licensing Violation.

Sep 10, 2016: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Financial abuse.

Aug 17, 2016: substantiated violation2 citations

  • Failed to maintain functional door alarm or call system

    Rule Licensing Violation.

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

Jul 31, 2016: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Licensing Violation.

May 20, 2016: substantiated violation1 citation

  • Failed to provide appropriate pain control

    Rule Abuse: Neglect.

May 14, 2016: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Financial abuse.

May 2, 2016: substantiated violation3 citations

  • Failed to provide appropriate staffing

    Rule Licensing Violation.

  • Failed to provide service

    Rule Licensing Violation.

  • Failed to assure adequate supply or equipment

    Rule Licensing Violation.

Mar 21, 2016: substantiated violation1 citation

  • Failed to provide proper food/nutrition

    Rule Licensing Violation.

Dec 9, 2015: substantiated violation1 citation

  • Failed to comply with move-out, transfer or discharge requirements

    Rule Licensing Violation.

May 15, 2015: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Neglect.

Dec 24, 2014: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Licensing Violation.

Jan 22, 2014: substantiated violation1 citation

  • Failed to provide a safe medication administration system

    Rule Abuse: Neglect.

Aug 5, 2011: substantiated violation1 citation

  • Failed to provide safe environment

    Rule Abuse: Financial abuse.

All 11 visits on record
Visits on record
DateVisitWhat the record says
Jan 8, 2026Inspection (Kitchen)1 deficiency cited
Aug 5, 2024Inspection (Change of Owner)19 deficiencies cited
Jul 29, 2024Inspection (Complaint Investigation)5 deficiencies cited
Dec 27, 2023Inspection (State Licensure)No deficiencies cited
Jan 5, 2023Inspection (Complaint Investigation)2 deficiencies cited
Jan 5, 2023Inspection (Complaint Investigation)7 deficiencies cited
Jan 5, 2023Inspection (Complaint Investigation)3 deficiencies cited
Jan 5, 2023Inspection (Complaint Investigation)2 deficiencies cited
Jan 5, 2023Inspection (Complaint Investigation)2 deficiencies cited
Jan 5, 2023Inspection (Complaint Investigation)1 deficiency cited
Sep 13, 2022Inspection (State Licensure)1 deficiency cited

Is it licensed?

  • Assisted living facility, licensed by the Oregon Department of Human Services for 101 residents.
  • Not licensed for .
  • Accepts Medicaid.
  • Oregon provider ID 70M031.
Source:

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?

  • 4 regulatory actions on record: licence condition.
  • 2 abuse findings in the last three years.
Source:

Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions and Substantiated violations. Released Nov 2, 2026. Updated daily.

On record, newest first
DateWhatDetail
Jan 14, 2026Licence conditionFailed to use an ABST. In effect Jan 14, 2026 to Jun 26, 2026.
Jan 17, 2025Licence conditionFailed to provide safe environment. In effect Jan 17, 2025 to Jul 22, 2025.
Mar 15, 2023Licence conditionFailed to provide appropriate staffing. In effect Mar 15, 2023 to Aug 21, 2024.
Mar 15, 2023Licence conditionFailed to use an ABST. In effect Mar 15, 2023 to Aug 21, 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 24.
Source:

Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.

11 of the 73 in Clackamas County, as the source lists them, by name
PlaceSubstantiated violations in the last three years
Heritage Heights Senior Living3
Mcloughlin Memory Care of Oregon31
River Terrace Memory Care39
Gilman Grove Assisted Living This assisted living facility24
Mcloughlin Place Senior Living22
Autumn Garden Memory Rcf0
Brookdale River Valley Tualatin12
Bonaventure of Milwaukie Memory Care0
Brookdale Wilsonville5
Clackamas Heights Senior Living0
Willamette View Terrace1
Ivy Court Senior Living0

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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