Provider Details - Elmer Grubb
3749 EDGEWOOD DR
North Bend, OR 97459
- Administrator name
- GRUBB ELMER L
- ID
- 511906
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 0
- Licensed beds
- 1
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Elmer Grubb
3749 EDGEWOOD DR
North Bend, 97459
- Owner since
- 12/22/2009
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.
This tab displays five years of inspection history.
For inspection information older than five years, please visit
ODHS Records Request
.
To learn more about inspections see:
Provider Information
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 | |
|---|---|---|---|---|---|
| 11/13/2023 | O2RI | Re-Licensure | 0 | ||
| 9/5/2023 | 3T77 | Other | 0 | ||
| 3/8/2023 | YBJX | Other | 0 | ||
| 11/8/2022 | 9RJY | Re-Licensure | 4 | ||
| 9/1/2022 | 6S5S | Other | 0 | ||
| 5/12/2022 | 0C3F | Other | 0 | ||
| 3/3/2022 | BCZ8 | Other | 0 | ||
| 11/9/2021 | 2497 | Re-Licensure | 0 | ||
| 9/20/2021 | I756 | Other | 0 |
Records that are highlighted and show the icon, occurred under the current provider owner.
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| 3/4/2015 | NB150470A | Failed to provide service | 3 | Abuse: Neglect | ||
| 3/4/2015 | NB150470C | Failed to protect resident from verbal abuse | 2 | Abuse: Verbal/Mental abuse | ||
| 3/4/2015 | NB150470B | Failed to protect resident from rough treatment | 2 | Abuse: Physical Abuse |
| Date | Report number Report number | Allegation | Level | Type | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||
| Sanction Sanction | Allegation | Type | Effective date | End date | Actions | |
|---|---|---|---|---|---|---|
| No Results Found | ||||||