Provider Details - Independence Health And Rehabilitation | Licensed Long-Term Care Settings Search

Independence Health And Rehabilitation

1525 MONMOUTH STREET
Independence, OR 97351

(503) 838-0001

Administrator name: Jacob Heiman

ID: 385188
Status: Open
Type: Nursing Facility
Licensed beds: 80
Accepts Medicaid: Yes
Memory Care: No

Owner: Pacific Northwest SNF Operations Holdings (OR) LLC

1777 Avenue of the States
Lakewood, 08701

(503) 838-0001

Owner since: 8/31/2023

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.

Review Consumer Statements

This tab displays five years of inspection history. For inspection information older than five years, please visit ODHS Records Request .
To learn more about inspections see: Provider Information

Records that are highlighted and show the icon, occurred under the current provider owner.

Inspections
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
7/31/2026	2AAD03	Complaint, Re-Licensure	3
5/11/2026	23038B	Complaint, Re-Licensure, Recertification	15
4/14/2026	22E129	Complaint, Re-Licensure	0
1/22/2026	1E1A3B	Complaint, Re-Licensure	0
12/17/2025	1DE7B8	Complaint, Re-Licensure	0
7/11/2025	HQH8	Complaint, Licensure Complaint, State Licensure	0
2/18/2025	YI68	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	11
1/17/2024	RI4E	Federal Monitoring Survey	21
11/17/2023	TCRZ	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	8
8/3/2023	0Q1M	Complaint, Licensure Complaint, State Licensure	3

16 records found | Page 1 of 2

The information on this tab comes from a database called iQIES, which is managed by the Centers for Medicare & Medicaid Services (CMS). Sometimes CMS changes how the data is organized. When that happens, the information may not show up here until our system is updated to match those changes. If this tab is empty and you have questions about a facility’s survey, please email nf.licensing@odhs.oregon.gov for help.

This list shows confirmed (substantiated) instances of abuse from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed. To learn more about abuse definitions, see: Definitions of Abuse

Records that are highlighted and show the icon, occurred under the current provider owner.

Abuse violations
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to administer medication as ordered Failed to follow care plan Failed to intervene when resident's condition changed Failed to perform adequate screening or assessment Failed to protect resident from financial exploitation Failed to protect resident from inappropriate sexual contact Failed to provide medical treatment as ordered Failed to provide oversight and monitoring of change of condition Failed to provide proper food/nutrition Failed to provide service	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Sexual abuse
10/12/2018	00005773AP-004662	Failed to administer medication as ordered	2	Abuse: Neglect
12/4/2017	OR0001407500	Failed to perform adequate screening or assessment	3	Abuse: Neglect
7/19/2017	OR0001331200	Failed to intervene when resident's condition changed	3	Abuse: Neglect
10/3/2016	DA167841	Failed to address resident's behavior	2	Abuse: Neglect
9/9/2016	DA167472A	Failed to protect resident from financial exploitation	3	Abuse: Financial abuse
7/13/2016	OR0001138000	Failed to provide medical treatment as ordered	3	Abuse: Neglect
3/29/2015	DA150886	Failed to protect resident from inappropriate sexual contact	4	Abuse: Sexual abuse
1/17/2015	DA159956	Failed to provide oversight and monitoring of change of condition	3	Abuse: Neglect
1/17/2013	OR0000804400	Failed to provide proper food/nutrition	2	Abuse: Neglect
4/1/2012	DA129685B	Failed to provide medical treatment as ordered	2	Abuse: Neglect

14 records found | Page 1 of 2

This list shows confirmed (substantiated) licensing violations from 2010 onward. Open investigations and complaints that are being appealed by the provider are not listed.

Records that are highlighted and show the icon, occurred under the current provider owner.

Licensing violations
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assist with dressing or grooming Failed to assure resident rights Failed to assure resident was safe Failed to assure timely medical treatment Failed to follow care plan Failed to intervene when resident's condition changed Failed to perform adequate screening or assessment Failed to protect resident from financial exploitation Failed to provide a safe medication administration system Failed to provide appropriate pain control Failed to provide appropriate skin care Failed to provide appropriate staffing Failed to provide medical treatment as ordered Failed to provide or assist with hygiene Failed to provide or maintain resident care equipment Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to submit timely or adequate staffing documentation	Level Level Between And	Type Type Licensing Violation
10/27/2025	CALMS - 00090774	Failed to provide appropriate staffing	2	Licensing Violation
3/10/2025	933407 - 1414830	Failed to provide service	2	Licensing Violation
3/10/2025	933407 - 1412683	Failed to provide service	2	Licensing Violation
3/10/2025	933407 - 1412682	Failed to provide service	2	Licensing Violation
3/10/2025	933407 - 1406557	Failed to provide service	2	Licensing Violation
3/10/2025	933407 - 1406556	Failed to provide service	2	Licensing Violation
3/10/2025	933407 - 1406559	Failed to follow care plan	2	Licensing Violation
3/10/2025	933407 - 1406555	Failed to assure resident was safe	2	Licensing Violation
9/27/2024	OR0005384801	Failed to provide appropriate staffing	2	Licensing Violation
9/27/2024	OR0005384803	Failed to provide appropriate skin care	2	Licensing Violation

58 records found | Page 1 of 6

Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license. This section of the website currently displays only license conditions dating back to 2010 and no other types of regulatory action. Additional records will be added over time as resources allow.

Regulatory actions
	Sanction Sanction	Allegation Allegation	Type Type	Effective date Effective date From To	End date End date From To	Actions
No Results Found

0 records found

Provider Details - Independence Health And Rehabilitation

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