Provider Details - Carlty Gardens | Licensed Long-Term Care Settings Search

Carlty Gardens

2669 S CLOVERLEAF LOOP
Springfield, OR 97477

Administrator name: Lisa Junod

ID: 50M172
Status: Open
Type: Residential Care Facility
Licensed beds: 28
Accepts Medicaid: Yes
Memory Care: Yes

Owner: Ohana Springfield Operations, LLC

352 Northwest 2nd Avenue
Canby, OR 97013

(971) 979-0067

Owner since: 7/1/2026

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

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 - Carlty Gardens
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
4/23/2026	KIT011400	Kitchen	2
5/7/2025	RL004195	Re-Licensure	21
12/31/2024	KIT001945	Kitchen	3
11/20/2024	KCWY	Complaint Investig.	2
4/3/2024	4YXQ	Complaint Investig.	6
1/3/2024	DSDQ	Complaint Investig.	3
9/14/2023	96BZ	Complaint Investig.	1
9/14/2023	72CJ	Complaint Investig.	2
9/14/2023	Z68U	Complaint Investig.	3
6/30/2023	R84R	State Licensure	2

11 records found | Page 1 of 2

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 - Carlty Gardens
Date Date From To	Report number Report number	Allegation Allegation Failed to address resident's behavior Failed to adequately care plan related to falls Failed to assure resident rights Failed to follow care plan Failed to have medication available Failed to properly plan care Failed to protect resident from inappropriate sexual contact Failed to protect resident from rough treatment 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 transportation for medical or social purposes	Level Level Between And	Type Type Abuse: Neglect Abuse: Physical Abuse Abuse: Verbal/Mental abuse
12/10/2024	00371749-AP-322128	Failed to properly plan care	2	Abuse: Neglect
11/30/2024	00399178-AP-349899	Failed to provide a safe medication administration system	2	Abuse: Neglect
11/26/2024	00369061-AP-319300	Failed to provide safe environment	2	Abuse: Neglect
11/26/2024	00369061-AP-319300A	Failed to provide safe environment	2	Abuse: Neglect
11/26/2024	00369066-AP-319309	Failed to provide a safe medication administration system	2	Abuse: Neglect
11/26/2024	00369109-AP-319357	Failed to provide a safe medication administration system	2	Abuse: Neglect
11/25/2024	00369045-AP-319285	Failed to provide safe environment	2	Abuse: Neglect
11/24/2024	00400155-AP-350961	Failed to provide a safe medication administration system	3	Abuse: Neglect
11/13/2024	00365904-AP-318409	Failed to have medication available	2	Abuse: Neglect
11/13/2024	00365904-AP-322726	Failed to follow care plan	2	Abuse: Neglect

41 records found | Page 1 of 5

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 - Carlty Gardens
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to assure a qualified caregiver was present Failed to assure resident rights Failed to follow care plan Failed to properly plan care Failed to provide a safe medication administration system Failed to provide inservice Failed to provide safe environment Failed to provide transportation for medical or social purposes Failed to report potential or suspected abuse Failed to use an ABST Falsified records	Level Level Between And	Type Type Licensing Violation
9/3/2025	CALMS - 00090313	Failed to assure resident rights	2	Licensing Violation
9/3/2025	CALMS - 00090314	Failed to assure resident rights	2	Licensing Violation
9/3/2025	CALMS - 00090315	Failed to use an ABST	2	Licensing Violation
5/14/2025	00405297-AP-356305	Failed to assure resident rights	2	Licensing Violation
3/24/2025	CALMS - 00090308	Failed to assure resident rights	2	Licensing Violation
12/11/2024	CALMS - 00090301	Failed to use an ABST	2	Licensing Violation
12/5/2024	CALMS - 00090299	Failed to provide inservice	2	Licensing Violation
11/14/2024	CALMS - 00068320	Failed to provide safe environment	2	Licensing Violation
11/14/2024	CALMS - 00068321	Failed to provide safe environment	2	Licensing Violation
11/14/2024	CALMS - 00068322	Failed to provide safe environment	2	Licensing Violation

40 records found | Page 1 of 4

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 - Carlty Gardens
Sanction Sanction	Allegation Allegation Failed to provide safe environment Failed to staff as indicated by ABST Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To
RCFCD25-00496	Failed to provide safe environment	License Condition	5/16/2025	8/29/2025
RCFCD24-01245	Failed to staff as indicated by ABST	License Condition	12/13/2024	5/19/2025
RCFCD23-01340	Failed to use an ABST	License Condition	11/6/2023	1/11/2024

3 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 - Carlty Gardens

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Provider Details - Carlty Gardens

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Available reports

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