Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Inspection: OGT5

Provider Information


Prestige Senior Living Five Rivers

3500 12TH STREET
Tillamook, OR 97141

Provider ID
70A279
Administrator
Taylor Tarpley
Phone
(503) 842-0918
Email
taylor.tarpley@prestigecare.com

Inspection Details


Date
8/16/2023
Event ID
OGT5
Inspection type(s)
Licensure Complaint
Deficiencies cited
4

Citation Details


C0010: Licensing Complaint Investigation


Visit Number
1
Visit Date
8/16/2023
Corrected Date
N/A
Details

The findings of the on-site investigation, conducted 08/16/23 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.



Abbreviations possibly used in this document:


ADL:activities of daily living

bid:twice a day

CBG:capillary blood glucose or

blood sugar

cc:cubic centimeter

CG:caregiver

cm:centimeter

F:Fahrenheit

HH:Home Health

HS or hs:hour of sleep

LPN:Licensed Practical Nurse

MA:Medication Aide

MAR:Medication Administration

Record

MCCMemory Care Community

mg:milligram

ml:milliliter

O2 sats:oxygen saturation in the

blood

OT:Occupational Therapist

PT: Physical Therapist

PRN:as needed

qd:every day or daily

qid:four times a day

RN:Registered Nurse

SP:service plan

TAR:Treatment Administration

Record

tid:three times a day







C0154: Facility Administration: Policy & Procedure


Visit Number
1
Visit Date
8/16/2023
Corrected Date
N/A
Details


C0240: Resident Services Meals, Food Sanitation Rule


Visit Number
1
Visit Date
8/16/2023
Corrected Date
N/A
Details


C0513: Doors, Walls, Elevators, Odors


Visit Number
1
Visit Date
8/16/2023
Corrected Date
N/A
Details