Provider Details - Dallas Retirement Village Health Center | Licensed Long-Term Care Settings Search

Dallas Retirement Village Health Center

377 NW JASPER STREET
Dallas, OR 97338

(503) 623-5581

ssanborn@drvhome.com

Administrator name: Stefanie Sanborn

ID: 385207
Status: Open
Type: Nursing Facility
Licensed beds: 121
Accepts Medicaid: Yes
Memory Care: No

Owner: Dallas Mennonite Retirement Community

377 Northwest Jasper Street
Dallas, OR 97338

(503) 623-5581

Owner since: 10/27/1993

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
6/30/2026	236CCB	Complaint, Re-Licensure	0
4/10/2026	22CD1F	Complaint, Re-Licensure, Recertification	7
10/29/2025	1DA1B8	Complaint, Re-Licensure	0
8/15/2025	1D3AD1	Complaint, Re-Licensure	0
7/15/2025	17UA	Complaint, State Licensure	0
3/26/2025	SRLI	Complaint, Licensure Complaint, State Licensure	0
12/6/2024	ER4M	Complaint, Licensure Complaint, Re-Licensure, Recertification, State Licensure	4
11/13/2024	JEER	Complaint, Licensure Complaint, State Licensure	2
10/30/2024	PSXG	Complaint, Licensure Complaint, State Licensure	0
5/14/2024	KOB4	Complaint, Licensure Complaint, State Licensure	0

20 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 adequately care plan related to falls Failed to administer medication as ordered Failed to assure resident rights Failed to assure timely medical treatment Failed to investigate injury of unknown origin to rule out abuse Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from inappropriate sexual contact Failed to protect resident from mental or emotional abuse Failed to provide a safe medication administration system Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service Failure to provide a system that prevents theft or misuse of medication	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Verbal/Mental abuse
8/1/2022	OR0003690400	Failed to assure resident rights	3	Abuse: Neglect
4/13/2022	OR0004179200	Failed to provide safe environment	2	Abuse: Neglect
9/25/2021	OR0003232200	Failed to protect resident from inappropriate sexual contact	2	Abuse: Neglect
9/23/2021	OR0003227400	Failed to protect resident from inappropriate sexual contact	2	Abuse: Neglect
9/19/2021	OR0003223500	Failed to protect resident from inappropriate sexual contact	2	Abuse: Neglect
12/24/2020	OR0002754300	Failed to assure resident rights	3	Abuse: Neglect
11/4/2020	OR0002753700	Failed to provide service	3	Abuse: Neglect
4/5/2020	OR0002427903	Failed to provide service	3	Abuse: Neglect
6/20/2019	OR0001955000	Failed to protect resident from mental or emotional abuse	3	Abuse: Verbal/Mental abuse
9/21/2017	OR0001369000	Failed to investigate injury of unknown origin to rule out abuse	2	Abuse: Neglect

24 records found | Page 1 of 3

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 adequately plan discharge Failed to administer medication as ordered Failed to assist with transfer Failed to assure resident rights Failed to assure resident was safe Failed to assure timely medical treatment Failed to care plan in accordance with assessment Failed to communicate necessary information Failed to follow care plan Failed to intervene when resident's condition changed Failed to notify family Failed to protect resident from financial exploitation Failed to protect resident from physical abuse Failed to provide a safe medication administration system Failed to provide appropriate skin care Failed to provide appropriate staffing Failed to provide or assist with hygiene Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide service	Level Level Between And	Type Type Licensing Violation
3/3/2025	926147 - 1434114	Failed to administer medication as ordered	2	Licensing Violation
10/27/2024	OR0005486600	Failed to protect resident from physical abuse	2	Licensing Violation
10/27/2024	OR0005471001	Failed to protect resident from physical abuse	2	Licensing Violation
10/2/2024	OR0005187405	Failed to assure resident rights	1	Licensing Violation
10/27/2023	CALMS - 00050421	Failed to provide appropriate staffing	2	Licensing Violation
7/18/2023	OR0004377100	Failed to assure resident rights	2	Licensing Violation
7/8/2023	OR0004354800	Failed to assure resident rights	2	Licensing Violation
5/22/2023	OR0004342301	Failed to assure resident rights	2	Licensing Violation
5/7/2023	OR0004233900	Failed to provide service	2	Licensing Violation
4/12/2023	OR0004167100	Failed to provide safe environment	2	Licensing Violation

68 records found | Page 1 of 7

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 - Dallas Retirement Village Health Center

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