Provider Details - Maple Valley Memory Care | Licensed Long-Term Care Settings Search

Maple Valley Memory Care

219 NE FIRCREST DR
Mcminnville, OR 97128

(503) 883-9385
hugh.w@chancellorhealthcare.com

Administrator name: Hugh Williams

ID: 50M425
Status: Open
Type: Residential Care Facility
Licensed beds: 28
Accepts Medicaid: Yes
Memory Care: Yes

Owner: Chancellor Health Care Of California XII, Inc.

115 JOHNSON STREET
Windsor, 95492

(707) 687-1919

Owner since: 9/1/2016

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 - Maple Valley Memory Care
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
11/19/2025	RL007879	Re-Licensure	5
5/16/2024	I0OS	State Licensure	2
5/15/2024	5W6G	Complaint Investig.	6
7/7/2023	4RYR	State Licensure	0
8/8/2022	VL6Q	Validation	12

5 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 - Maple Valley Memory Care
Date Date From To	Report number Report number	Allegation Allegation Failed to assist with toileting Failed to follow care plan Failed to intervene when resident's condition changed Failed to properly plan care Failed to protect resident from mental or emotional abuse Failed to provide a safe medication administration system Failed to provide appropriate staffing 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: Physical Abuse Abuse: Sexual abuse
1/3/2025	00375831-AP-326322	Failed to provide appropriate staffing	2	Abuse: Neglect
1/3/2025	00375931-AP-326326	Failed to provide appropriate staffing	2	Abuse: Neglect
9/17/2024	00355512-AP-305891	Failed to provide a safe medication administration system	2	Abuse: Neglect
5/13/2024	00331351-AP-282633	Failed to provide safe environment	2	Abuse: Neglect
4/23/2024	00327684-AP-279031	Failed to assist with toileting	2	Abuse: Neglect
3/3/2024	00317119-AP-269202	Failed to protect resident from mental or emotional abuse	2	Abuse: Neglect
5/27/2021	00141835-AP-111817	Failed to provide safe environment	2	Abuse: Neglect
5/25/2021	00141555-AP-111572	Failed to provide safe environment	2	Abuse: Neglect
5/10/2021	00138867-AP-109269	Failed to properly plan care	2	Abuse: Neglect
4/20/2021	00135605-AP-106455	Failed to provide safe environment	2	Abuse: Neglect

40 records found | Page 1 of 4

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 - Maple Valley Memory Care
Date Date From To	Report number Report number	Allegation Allegation Failed to assure physician services Failed to assure resident rights Failed to follow care plan Failed to properly plan care Failed to protect resident from inappropriate sexual contact Failed to protect resident from mental or emotional abuse Failed to protect resident from physical abuse Failed to protect resident from verbal abuse Failed to provide a homelike environment Failed to provide a safe medication administration system Failed to provide appropriate activities Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to use an ABST Failed to use restraint properly	Level Level Between And	Type Type Licensing Violation
11/3/2024	00364430-AP-314671	Failed to provide a safe medication administration system	2	Licensing Violation
6/14/2024	00337404-AP-288310	Failed to protect resident from physical abuse	2	Licensing Violation
6/14/2024	00337404-AP-288310A	Failed to protect resident from physical abuse	2	Licensing Violation
6/14/2024	00337404-AP-288310B	Failed to protect resident from mental or emotional abuse	2	Licensing Violation
6/14/2024	00337404-AP-288310C	Failed to use restraint properly	2	Licensing Violation
6/14/2024	00337404-AP-288310E	Failed to use restraint properly	2	Licensing Violation
5/15/2024	OR0005060200	Failed to properly plan care	2	Licensing Violation
5/15/2024	OR0005060202	Failed to provide a safe medication administration system	2	Licensing Violation
5/10/2024	00331168-AP-282455	Failed to protect resident from physical abuse	2	Licensing Violation
4/26/2024	OR0005007704	Failed to properly plan care	2	Licensing Violation

39 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 - Maple Valley Memory Care
Sanction Sanction	Allegation Allegation Failed to intervene when resident's condition changed Failed to provide safe environment Failed to update staffing plan based on ABST	Type Type Condition License Condition	Effective date Effective date From To	End date End date From To
RCFCD22-01442	Failed to update staffing plan based on ABST	License Condition	9/27/2022	10/24/2022
RCFCD19-002	Failed to intervene when resident's condition changed	Condition	1/16/2019	5/20/2019
RCFCD16-027	Failed to provide safe environment	Condition	12/12/2016	3/8/2017

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 - Maple Valley Memory Care

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Provider Details - Maple Valley Memory Care

About these reports

Annual reporting requirements

Available reports

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