Provider Details - Blue Haven Memory Care - Independence | Licensed Long-Term Care Settings Search

Blue Haven Memory Care - Independence

202 SOUTH 9TH STREET
Independence, OR 97351

(503) 838-0330
carma.rowell@skyvalleygroup.com

Administrator name: Carma Rowell

ID: 50R225
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.

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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 - Blue Haven Memory Care - Independence
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
6/8/2026	KIT012411	Kitchen	2
2/13/2024	OR4W	State Licensure	2
10/9/2023	RGYK	Validation	12
5/16/2023	GDQQ	Complaint Investig.	4
3/16/2023	E2IZ	State Licensure	2
2/7/2023	IU8L	Complaint Investig.	5
12/6/2021	KJ3Y	Validation	17

7 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 - Blue Haven Memory Care - Independence
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to assure that a qualified caregiver was present Failed to assure timely medical treatment Failed to follow care plan Failed to intervene when resident's condition changed Failed to perform adequate screening or assessment Failed to properly plan care Failed to provide oversight and monitoring of change of condition Failed to provide safe environment	Level Level Between And	Type Type Abuse: Financial abuse Abuse: Neglect
5/29/2023	00264641-AP-221105	Failed to provide safe environment	3	Abuse: Neglect
3/20/2023	00266350-AP-221364	Failed to assure timely medical treatment	4	Abuse: Neglect
3/15/2023	00264641-AP-220104	Failed to properly plan care	3	Abuse: Neglect
3/4/2023	00264641-AP-220107	Failed to provide safe environment	2	Abuse: Neglect
1/3/2023	00239504-AP-196413	Failed to follow care plan	2	Abuse: Neglect
7/18/2022	00210551-AP-170207	Failed to provide safe environment	2	Abuse: Neglect
8/17/2021	00173606-AP-137875	Failed to provide safe environment	2	Abuse: Neglect
6/29/2020	00090912-AP-068398		2	Abuse: Neglect
9/24/2019	00051165AP-035584	Failed to administer medication as ordered	3	Abuse: Neglect
8/16/2019	00045289AP-031651	Failed to provide safe environment	2	Abuse: Neglect

25 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.

Provider Details - Blue Haven Memory Care - Independence
Date Date From To	Report number Report number	Allegation Allegation Failed to assure resident rights Failed to comply with move-out, transfer or discharge requirements Failed to follow care plan Failed to maintain a safe physical environment Failed to perform adequate screening or assessment 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 inservice Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to update staffing plan based on ABST	Level Level Between And	Type Type Licensing Violation
9/30/2025	CALMS - 00090094	Failed to update staffing plan based on ABST	2	Licensing Violation
9/30/2025	CALMS - 00090095	Failed to properly plan care	2	Licensing Violation
9/28/2025	00430087-AP-381872	Failed to provide inservice	2	Licensing Violation
9/27/2025	CALMS - 00090096	Failed to maintain a safe physical environment	2	Licensing Violation
4/20/2023	OR0004190301	Failed to provide appropriate staffing	2	Licensing Violation
4/20/2023	OR0004190302	Failed to follow care plan	2	Licensing Violation
4/20/2023	OR0004190304	Failed to provide a safe medication administration system	2	Licensing Violation
4/20/2023	OR0004190305	Failed to assure resident rights	2	Licensing Violation
1/6/2023	OR0003963401	Failed to provide a safe medication administration system	2	Licensing Violation
1/6/2023	OR0003963402	Failed to provide appropriate staffing	2	Licensing Violation

28 records found | Page 1 of 3

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 - Blue Haven Memory Care - Independence
	Sanction Sanction	Allegation Allegation Failed to meet the scheduled and unscheduled needs of residents Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	RCFCD23-00387	Failed to meet the scheduled and unscheduled needs of residents	License Condition	3/24/2023	5/26/2023
	RCFCD23-00387	Failed to use an ABST	License Condition	3/24/2023	5/26/2023

2 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 - Blue Haven Memory Care - Independence

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Provider Details - Blue Haven Memory Care - Independence

About these reports

Annual reporting requirements

Available reports

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