Provider Details - Elena's Manor | Licensed Long-Term Care Settings Search

Elena's Manor

351 SE 5TH ST
Hillsboro, OR 97123

Administrator name: Ericka Forman

ID: 50M049
Status: Open
Type: Residential Care Facility
Licensed beds: 62
Accepts Medicaid: Yes
Memory Care: Yes

Owner: GIVING SEA COMPANY LLC

6400 Southeast Lake Road, Suite 265
Portland, OR 97222

(503) 309-5430

Owner since: 5/1/2025

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

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Licensing inspections evaluate a provider’s compliance with rules and laws. Licensing surveyors look at a variety of factors, including quality of care and services provided, as well as the condition of the provider’s physical structure, equipment, staffing levels, policies, procedures and finances. Under federal requirements, nursing facilities receive recertification inspections and inspections following a complaint investigation. The inspections represent a snapshot of the provider’s compliance with regulatory requirements at the time the inspection took place.

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

Provider Details - Elena's Manor
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
2/19/2026	CHOW009503	Change of Owner	17
3/6/2024	INN4	State Licensure	0
6/6/2023	EJQT	Validation	21
3/30/2023	WINZ	Licensure Complaint	4
2/15/2023	QPB5	State Licensure	0
7/29/2022	5ZGX	Complaint Investig.	2

6 records found

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.

Provider Details - Elena's Manor
Date Date From To	Report number Report number	Allegation Allegation Failed to administer ordered medication Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from rough treatment Failed to provide safe environment	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect Abuse: Physical Abuse
1/28/2020	00068447-AP-049663	Failed to provide safe environment	2	Abuse: Neglect
8/22/2018	HB189880A	Failed to properly plan care	2	Abuse: Neglect
2/3/2017	HB179597	Failed to administer ordered medication	2	Abuse: Neglect
7/28/2015	HB152254	Failed to protect resident from financial exploitation	2	Abuse: Financial abuse
7/3/2015	HB151808	Failed to protect resident from rough treatment	2	Abuse: Physical Abuse

5 records found

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.

Provider Details - Elena's Manor
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to investigate injury of unknown origin to rule out abuse Failed to provide appropriate staffing Failed to provide or maintain resident care equipment Failed to report potential or suspected abuse Failed to report vaccination status Failed to submit timely or adequate staffing documentation Failed to use an ABST	Level Level Between And	Type Type Licensing Violation
12/18/2025	CALMS - 00111702	Failed to use an ABST	2	Licensing Violation
5/22/2025	CALMS - 00111694	Failed to use an ABST	2	Licensing Violation
9/1/2024	CALMS - 00062670	Failed to report vaccination status	2	Licensing Violation
6/5/2024	00335128-AP-286150	Failed to administer medication as ordered	2	Licensing Violation
12/1/2022	CALMS - 00035595	Failed to submit timely or adequate staffing documentation	2	Licensing Violation
7/28/2022	OR0003701800	Failed to provide or maintain resident care equipment	2	Licensing Violation
10/27/2021	OR0003279400	Failed to provide appropriate staffing	1	Licensing Violation
6/7/2021	OR0003037801	Failed to investigate injury of unknown origin to rule out abuse	1	Licensing Violation
8/22/2018	SR18117	Failed to report potential or suspected abuse	3	Licensing Violation

9 records found

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.

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

Provider Details - Elena's Manor
Sanction Sanction	Allegation Allegation Failed to meet the scheduled and unscheduled needs of residents Failed to properly plan care Failed to report potential or suspected abuse Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To
RCFCD23-00700	Failed to meet the scheduled and unscheduled needs of residents	License Condition	6/14/2023	1/9/2024
RCFCD23-00700	Failed to use an ABST	License Condition	6/14/2023	1/9/2024
RCFCD23-00700	Failed to report potential or suspected abuse	License Condition	6/14/2023	1/9/2024
RCFCD23-00700	Failed to properly plan care	License Condition	6/14/2023	1/9/2024

4 records found

The Oregon Department of Human Services publishes annual reports about assisted living and residential care facilities, including those with memory care endorsements. The reports show how facilities are doing in areas like staffing, safety, and resident experience.

Facilities submit this information once each year using an online reporting tool. The results reflect how each facility operated during that year. The information is self-reported by facilities and is not independently audited by the department. This means the reports show what facilities report about their own performance.

Each year, assisted living and residential care facilities must report information on:

Retention of direct care staff
Compliance with staff training requirements
Number of resident falls that result in injury
Incidence of use of antipsychotic medications for non-standard purposes
Results of an annual resident satisfaction survey conducted by an independent entity

Facilities submit this information electronically each year. Reporting began in 2020. Instructions and definitions are updated annually and published on the Residential Care Quality Metrics Program web page

Provider Details - Elena's Manor

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Provider Details - Elena's Manor

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Available reports

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