Provider Details - Assumption Village | Licensed Long-Term Care Settings Search

Assumption Village

9121 N BURR AVENUE
Portland, OR 97203

Administrator name: Fatafehi Ponaveitongo

ID: 70A278
Status: Open
Type: Assisted Living Facility
Licensed beds: 84
Accepts Medicaid: Yes
Memory Care: No

Owner: Assumption Village LLC

Owner since: 5/29/2002

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 - Assumption Village
Date Date From To	Event ID	Inspection type(s) Inspection type(s)	Deficiencies cited Deficiencies cited Between And
4/30/2026	RL011544	Re-Licensure	10
8/27/2025	RL006395	Re-Licensure	7
7/23/2025	KIT005721	Kitchen	1
6/30/2025	YYSN	Complaint Investig.	3
5/15/2024	TZKB	State Licensure	1
6/13/2022	S6WW	Validation	20

6 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 - Assumption Village
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to assure resident was safe Failed to follow care plan Failed to have medication available Failed to intervene when resident's condition changed Failed to properly plan care Failed to protect resident from financial exploitation Failed to protect resident from rough treatment Failed to provide a safe medication administration system Failed to provide safe environment 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
2/2/2026	00460234-AP-412503	Failed to administer medication as ordered	2	Abuse: Neglect
1/3/2026	00448985-AP-401092	Failed to have medication available	2	Abuse: Neglect
9/5/2025	00435085-AP-386987	Failed to administer medication as ordered	2	Abuse: Neglect
8/15/2025	00426037-AP-377649	Failed to follow care plan	2	Abuse: Neglect
5/6/2025	00399797-AP-350575	Failed to provide a safe medication administration system	2	Abuse: Neglect
11/26/2024	00368570-AP-318827	Failed to provide a safe medication administration system	2	Abuse: Neglect
5/6/2024	00330305-AP-281590	Failed to provide a safe medication administration system	2	Abuse: Neglect
12/20/2023	00302914-AP-256354	Failed to provide a safe medication administration system	2	Abuse: Neglect
2/2/2023	00246171-AP-202358	Failed to protect resident from financial exploitation	3	Abuse: Neglect
7/7/2021	00206228-AP-166350	Failed to properly plan care	2	Abuse: Neglect

29 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 - Assumption Village
Date Date From To	Report number Report number	Allegation Allegation Failed to administer medication as ordered Failed to administer ordered medication Failed to answer call light in a timely manner Failed to assure physician services Failed to assure resident rights Failed to assure resident was safe Failed to follow care plan Failed to intervene when resident's condition changed Failed to keep resident record current or accurate Failed to provide a safe medication administration system Failed to provide appropriate activities Failed to provide appropriate staffing Failed to provide safe environment Failed to provide service Failed to report potential or suspected abuse Failed to report vaccination status Failed to staff as indicated by ABST Failed to submit timely or adequate staffing documentation Failed to use an ABST	Level Level Between And	Type Type Licensing Violation
1/20/2026	CALMS - 00102654	Failed to provide a safe medication administration system	3	Licensing Violation
1/20/2026	CALMS - 00102655	Failed to provide a safe medication administration system	3	Licensing Violation
1/20/2026	CALMS - 00102656	Failed to use an ABST	2	Licensing Violation
1/17/2026	CALMS - 00102657	Failed to keep resident record current or accurate	2	Licensing Violation
7/8/2025	CALMS - 00111855	Failed to administer medication as ordered	2	Licensing Violation
6/14/2025	00408059-AP-359313	Failed to follow care plan	2	Licensing Violation
6/14/2025	CALMS - 00088053	Failed to provide service	2	Licensing Violation
6/14/2025	CALMS - 00088054	Failed to provide service	2	Licensing Violation
5/16/2025	CALMS - 00088052	Failed to provide service	2	Licensing Violation
5/5/2025	CALMS - 00088046	Failed to administer ordered medication	2	Licensing Violation

41 records found | Page 1 of 5

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 - Assumption Village
	Sanction Sanction	Allegation Allegation Failed to use an ABST	Type Type License Condition	Effective date Effective date From To	End date End date From To	Actions
	ALFCD26-00056	Failed to use an ABST	License Condition	2/10/2026	8/3/2026
	ALFCD23-00348	Failed to use an ABST	License Condition	5/2/2023	8/4/2023

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 - Assumption Village

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Provider Details - Assumption Village

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Available reports

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