Based on interview and record review it was determined the facility failed to employ a qualified social worker for 1 of 1 facility reviewed for social worker. This placed residents at risk for lack of care coordination and unmet social worker care needs. Findings include:The 12/24/25 Facility Assessment revealed the facility was licensed for 121 beds. On 8/21/26 at 10:42 AM, Staff 29 (Social Service Director) stated he was recently hired into the Social Service Director role, had no formal social work training and did not have a bachelor's degree. On 8/21/26 at 3:00 PM, Staff 1 (Executive Director) verified the facility was licensed for 121 beds.
F850 citations in Oregon
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Oregon cites F850 more often than its own record predicts
1.62 times the share F850 takes of citations nationally.
Of every deficiency written in Oregon in 2023, this is the portion that was F850.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F850 findings written in Oregon, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
What else Oregon surveyors cite →
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