Provider Details - Blue Haven Memory Care - Dallas
280 SE UGLOW ST
Dallas, OR 97338
(503) 623-0300
crivera@skyvalleygroup.com
- Administrator name
- Catherine Rivera
- ID
- 50M227
- Status
- Open
- Type
- Residential Care Facility
- Licensed beds
- 16
- Accepts Medicaid
- Yes
- Memory Care
- Yes
- Owner
-
Sky Valley NW, LLC
1926 49TH PL SW
Everett, 98203
(425) 791-9330
- Owner since
- 7/1/2022
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Event ID | Inspection type(s) Inspection type(s) | Deficiencies cited | Actions | |
|---|---|---|---|---|---|
| 6/26/2024 | VJQX | State Licensure | 2 | ||
| 1/8/2024 | 26RL | Validation | 4 | ||
| 5/18/2023 | 2UMP | State Licensure | 2 | ||
| 1/3/2022 | KHJO | Validation | 12 |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 5/21/2020 | 00086844-AP-064993 | Failed to protect resident from physical abuse | 2 | Abuse: Neglect | ||
| 3/3/2020 | 00074817-AP-055024 | Failed to have medication available | 3 | Abuse: Neglect | ||
| 5/17/2019 | 00035018AP-024640 | Failed to adequately care plan related to falls | 3 | Abuse: Neglect | ||
| 2/14/2019 | 00026481AP-018805 | Failed to provide appropriate skin care | 3 | Abuse: Neglect | ||
| 8/9/2018 | 00004094AP-003069 | Failed to adequately care plan related to falls | 4 | Abuse: Neglect | ||
| 11/30/2011 | DA118695 | Failed to assure resident was safe | 3 | Abuse: Neglect | ||
| 3/2/2011 | CO11043 | Failed to perform adequate screening or assessment | 3 | Abuse: Neglect |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 6/1/2020 | 00087610-AP-065646 | Failed to protect resident from mental or emotional abuse | 2 | Licensing Violation | ||
| 6/11/2019 | SR19260 | Failed to report potential or suspected abuse | 2 | Licensing Violation | ||
| 4/23/2019 | CO19214 | Failed to provide safe environment | 3 | Licensing Violation | ||
| 3/7/2019 | OR0001789701 | Failed to provide appropriate staffing | 1 | Licensing Violation | ||
| 3/7/2019 | OR0001789702 | Failed to provide oversight and monitoring of change of condition | 1 | Licensing Violation | ||
| 2/14/2019 | SR19167 | Failed to report potential or suspected abuse | 2 | Licensing Violation | ||
| 12/21/2014 | DA159853 | Failed to provide safe environment | 2 | Licensing Violation | ||
| 10/31/2012 | DA121609 | Failed to provide a safe medication administration system | 2 | Licensing Violation | ||
| 2/5/2011 | DA116287 | Failed to provide service | 2 | Licensing Violation | ||
| 7/2/2010 | DA104748 | Failed to provide a safe medication administration system | 2 | Licensing Violation |
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| No Results 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