Provider Details - Evergreen Court of Molalla | Licensed Long-Term Care Settings Search

Evergreen Court of Molalla

250 KENNEL STREET
Molalla, OR 97038

(503) 829-2424
laura@evergreencourtofmolalla.com

ID: 50R305
Status: Closed
Type: Residential Care Facility
Licensed beds: 0
Accepts Medicaid: Yes
Memory Care: Yes

This provider was closed on 8/11/2020.

Owner: Assisted Living Of Molalla, LLC

1110 NEWPORT BEACH DR
Gilbert, 85233

(503) 453-2042

Owner since: 5/1/2018

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.

Provider Details - Evergreen Court of Molalla
	Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And	Actions
No Results Found

0 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 - Evergreen Court of Molalla
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 administer medication as ordered Failed to assist with dressing or grooming 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 protect resident from financial exploitation Failed to protect resident from mental or emotional abuse Failed to protect resident from rough treatment Failed to provide a safe medication administration system 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 Abuse: Verbal/Mental abuse
6/9/2020	00087431-AP-065700	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087678-AP-065704	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087679-AP-065706	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087683-AP-065709	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087687-AP-065714	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087689-AP-065715	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087691-AP-065717	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087694-AP-065722	Failed to protect resident from financial exploitation	2	Abuse: Neglect
6/9/2020	00087696-AP-065725	Failed to protect resident from financial exploitation	2	Abuse: Neglect
5/30/2020	00086359-AP-064563	Failed to follow care plan	3	Abuse: Neglect

74 records found | Page 1 of 8

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 - Evergreen Court of Molalla
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to answer call light in a timely manner Failed to assure a qualified caregiver was present Failed to assure food safety Failed to assure proper hydration Failed to assure resident rights Failed to assure resident was safe Failed to assure that a qualified caregiver was present Failed to assure timely medical treatment Failed to control pests Failed to follow care plan Failed to hire according to administrative rules Failed to investigate injury of unknown origin to rule out abuse Failed to keep medication record current or accurate Failed to keep resident record current or accurate Failed to maintain a safe physical environment Failed to obtain medication order Failed to perform adequate screening or assessment Failed to properly plan care Failed to protect resident from rough treatment Failed to provide a homelike environment Failed to provide a safe medication administration system Failed to provide appropriate housekeeping services Failed to provide appropriate staffing Failed to provide infection control Failed to provide or assist with hygiene Failed to provide oversight and monitoring of change of condition Failed to provide safe environment Failed to provide sanitary food service conditions Failed to provide service Failed to report potential or suspected abuse	Level Level Between And	Type Type Licensing Violation
12/12/2020	OR0002315700	Failed to provide appropriate housekeeping services	1	Licensing Violation
7/9/2020	OR0002546200	Failed to administer medication as ordered	2	Licensing Violation
7/9/2020	OR0002546201	Failed to provide a safe medication administration system	1	Licensing Violation
7/9/2020	OR0002546202	Failed to provide a safe medication administration system	2	Licensing Violation
6/23/2020	OR0002524701	Failed to provide appropriate staffing	1	Licensing Violation
6/12/2020	OR0002507600	Failed to provide service	1	Licensing Violation
5/13/2020	OR0002470300	Failed to provide safe environment	1	Licensing Violation
5/13/2020	OR0002470301	Failed to assure resident was safe	1	Licensing Violation
5/7/2020	OR0002458400	Failed to provide a safe medication administration system	1	Licensing Violation
5/7/2020	OR0002458402	Failed to administer medication as ordered	1	Licensing Violation

98 records found | Page 1 of 10

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 - Evergreen Court of Molalla
	Sanction Sanction	Allegation Allegation Failed to provide safe environment	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	RCFCD20-00013	Failed to provide safe environment	License Condition	2/21/2020	9/1/2020

1 record 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 - Evergreen Court of Molalla

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Provider Details - Evergreen Court of Molalla

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