Aging and People with Disabilities
Safety, Oversight and Quality
Print Inspection: 6TPV
Provider Information
4650 SW HOLLYHOCK CIRCLE
Corvallis, OR 97333
- Provider ID
- 70A274
- Administrator
- TRAVIS RICE
- Phone
- (541) 758-2026
- travis.rice@sincerisl.com
Inspection Details
- Date
- 8/30/2023
- Event ID
- 6TPV
- Inspection type(s)
- Licensure Complaint
- Deficiencies cited
- 3
Citation Details
C0010: Licensing Complaint Investigation
- Visit Number
- 1
- Visit Date
- 8/30/2023
- Corrected Date
- N/A
- Details
-
The findings of the on-site investigation conducted 08/30/2023 are documented in this report. The investigation was conducted to determine compliance with the OARs 411 Division 54 for Residential Care and Assisted Living Facilities, OARs 411 Division 57 for Memory Care Communities.
Abbreviations possibly used in this document:
ADL:activities of daily living
CBG:capillary blood glucose or blood sugar
CG:caregiver
CS: Compliance Specialist
cm:centimeter
ED:Executive Director
F:Fahrenheit
HH:Home Health
LPN:Licensed Practical Nurse
MT: Medication Tech
MAR:Medication Administration Record
MCC:Memory Care Community
OT:Occupational Therapist
PT: Physical Therapist
PRN:as needed
RCC:Resident Care Coordinator
RN:Registered Nurse
C0360: Staffing Requirements and Training: Staffing
- Visit Number
- 1
- Visit Date
- 8/30/2023
- Corrected Date
- N/A
- Details
-
C0361: Acuity-Based Staffing Tool
- Visit Number
- 1
- Visit Date
- 8/30/2023
- Corrected Date
- N/A
- Details
-