Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Mcminnville during CMS and state inspections, most recent first.
Three residents discharged from the facility did not have complete discharge summaries. The documentation for each lacked essential information such as home instructions, recapitulation of the stay, and, in one case, the name of the home health provider. The DNS confirmed these assessments were not thoroughly completed.
A resident with a colostomy and malnutrition was admitted with an abdominal wound, but the facility did not complete weekly wound assessments despite ongoing symptoms of redness, inflammation, and worsening skin breakdown. Staff confirmed that no wound assessments were performed during the resident's stay.
A resident with a colostomy and multiple chronic conditions experienced ongoing leakage from the ostomy site, resulting in severe skin breakdown and pain. Despite frequent wound care by staff and repeated reports of the issue, physician documentation and assessment did not address the skin condition, leading to the resident's hospitalization for extensive skin damage. The deficiency was due to inadequate physician supervision and failure to evaluate the effectiveness of wound care treatments.
A survey revealed a 23% medication error rate in an LTC facility, with errors in dosage and timing for residents' medications. One resident received incorrect doses of duloxetine and Eliquis, and another was given the wrong dose of sertraline. Staff acknowledged the errors, but no further information was provided by the DNS.
A resident with left-sided hemiparesis required assistance with ADL care, including fingernail care. Despite the care plan indicating the need for assistance, the resident was observed with long fingernails and reported requesting nail trimming, which was not provided. A CNA confirmed that nail care was offered on shower days and acknowledged the resident's dependency on staff for nail care. The DNS also observed the resident's long fingernails and confirmed that nail care had not been completed.
A resident with left-sided hemiparesis following a stroke did not receive a restorative program to prevent decline in range of motion after being discharged from therapy. Despite expressing a desire to participate in such a program, the facility did not offer restorative services, and staff acknowledged the resident would have benefited from them.
A facility failed to provide appropriate dialysis care for a resident by not completing required Pre/Post Dialysis Communication Forms and neglecting to check the resident's dialysis access site daily as per the care plan. The forms were not completed multiple times over several months, and there was no documentation of the required daily checks of the resident's chest wall dialysis access site. Staff confirmed these oversights.
The facility failed to address pharmacy recommendations for two residents, leading to a deficiency in medication management. One resident's haloperidol dose reduction was delayed by 13 days, while another resident's Eliquis order was not updated timely. The DNS acknowledged the lack of a system to ensure timely implementation of pharmacy recommendations.
The facility did not promptly address concerns raised in Resident Council meetings for two out of three months reviewed, risking unresolved quality of life and care issues. Despite policy requirements for prompt action and follow-up, there was no response to issues such as call light accessibility, dietary needs, and room cleanliness. The Activities Director distributed meeting notes to department heads, but no responses were received, contrary to the Administrator's expectations for timely feedback.
Incomplete Discharge Summaries for Discharged Residents
Penalty
Summary
The facility failed to complete thorough discharge summaries for three residents who were discharged during the review period. For one resident admitted with a femur fracture and discharged home with home health services, the discharge summary did not specify the home health company, lacked post-discharge instructions, and omitted a recapitulation of the resident's stay. Another resident admitted with respiratory failure and discharged home did not have home instructions or a recapitulation of their stay included in the discharge summary. Similarly, a third resident admitted with anemia and discharged home was missing home instructions and a recapitulation of their stay in the discharge summary. In each case, the Director of Nursing Services confirmed that the discharge summary information assessments were not completed thoroughly.
Failure to Assess and Document Worsening Abdominal Wound
Penalty
Summary
The facility failed to assess and document a skin wound for a resident with a colostomy and malnutrition, who was admitted with an abdominal ostomy site showing erythema and skin breakdown. Although the hospital history and physical noted the wound, the facility's admission skin assessment did not indicate any abdominal wounds. Progress notes over several days described the resident's abdominal skin as red, inflamed, excoriated, blistered, and tender, with constant drainage and irretractable pain. Despite these ongoing symptoms and the worsening condition, no weekly wound assessments were completed from admission through the resident's transfer to the hospital and subsequent return. Facility staff confirmed that no wound assessments were performed during this period.
Failure to Ensure Physician Oversight of Wound Care for Resident with Colostomy
Penalty
Summary
The facility failed to ensure that a physician adequately supervised a resident's medical care and evaluated the effectiveness of wound care treatments for a resident with a colostomy and multiple chronic conditions, including atrial fibrillation and malnutrition. Upon admission, the resident had an abdominal ostomy site with surrounding erythema and skin breakdown. Care plans were in place to protect the skin from ostomy drainage, but physician documentation did not address the leaking ostomy or the condition of the surrounding skin. Progress notes over several days described persistent leakage, red and inflamed skin, and worsening excoriation, with staff frequently reporting the issue and providing wound care, but without effective resolution or physician intervention regarding the skin condition. The resident's condition deteriorated, resulting in extensive skin breakdown, maceration, and severe pain, ultimately requiring hospital transfer for evaluation and treatment. Hospital records confirmed significant skin damage related to ostomy leakage. Upon readmission, physician notes continued to omit assessment of the skin surrounding the colostomy site. Interviews with staff confirmed ongoing issues with the colostomy bag and skin integrity, and the physician acknowledged focusing on other medical concerns and not assessing the abdominal wound. The lack of physician oversight and failure to address the persistent skin issues led to the deficiency.
Medication Errors Exceeding 5% in LTC Facility
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, resulting in a 23% error rate. This was observed during a survey where six errors were identified in 26 opportunities. The errors involved incorrect dosages and administration times for medications prescribed to residents. For instance, Resident 152, who was admitted with heart failure, GERD, and fibromyalgia, was given incorrect doses of duloxetine and Eliquis, and omeprazole was administered after breakfast instead of before. Additionally, Tylenol was administered late, and cetirizine was prepared instead of the prescribed loratadine. Another incident involved Resident 10, who was admitted with major depressive disorder. The resident was prescribed sertraline 100 mg daily, but Staff 3 prepared only 50 mg. These errors were identified by a State Surveyor, and the staff involved acknowledged the discrepancies. The Director of Nursing Services (DNS) was informed of these findings but provided no additional information.
Failure to Provide Necessary Fingernail Care
Penalty
Summary
The facility failed to provide necessary assistance with fingernail care for a resident who was unable to perform this activity independently. The resident, who was admitted in 2024 with a diagnosis of stroke and left-sided hemiparesis, required assistance with activities of daily living (ADL) due to left-sided weakness. According to the care plan dated August 7, 2024, the resident needed help with ADL care. Although the treatment administration record (TAR) indicated that the resident received nail care on October 31, 2024, an observation on November 4, 2024, revealed that the resident had long fingernails and had requested nail trimming, which was not provided by the staff. On November 6, 2024, a CNA confirmed that nail care was typically offered on shower days and acknowledged the resident's dependency on staff for nail care, noting the resident's long fingernails. The Director of Nursing Services (DNS) also observed the resident's long fingernails and confirmed that nail care had not been completed.
Failure to Provide Restorative Program for Resident with Hemiparesis
Penalty
Summary
The facility failed to provide a restorative program to prevent decline in range of motion for a resident who was admitted with diagnoses including stroke and left-sided hemiparesis. The resident's care plan indicated left-sided weakness and impaired mobility, requiring assistance with activities of daily living. Despite making consistent progress in physical and occupational therapy, the resident's upper extremity hemiparesis did not improve, and the therapy discharge summaries noted that a restorative program was not indicated at that time. However, the resident expressed a desire to participate in a restorative program and reported not receiving range of motion exercises for their hand. Staff confirmed that the resident was a good candidate for restorative services post-therapy discharge due to the stroke and difficulty using the left hand. The facility did not offer a restorative program, and staff were unsure of when such services were last provided, acknowledging that the resident would have benefited from them.
Failure to Provide Appropriate Dialysis Care and Monitoring
Penalty
Summary
The facility failed to provide appropriate dialysis care for a resident, identified as Resident 30, who required dialysis services. The facility's Hemodialysis Offsite Policy required staff to complete a Pre/Post Dialysis Communication Form to be sent with the resident to the dialysis clinic and completed upon their return. However, a review of these forms from July 2024 through October 2024 revealed multiple instances where the forms were not completed, specifically five times in July, ten times in August, ten times in September, and ten times in October. Staff 4, an LPN, confirmed that the forms were not consistently completed, and Staff 2, the DNS, acknowledged the failure to complete the forms on the identified dates. Additionally, the care plan for Resident 30 indicated that the resident had a right chest wall dialysis access site that required daily checks. However, there was no evidence in the medical record that these checks were performed. Resident 30 reported that staff did not assess the dialysis site after returning from dialysis. Staff 2 confirmed that the nursing staff were supposed to check the resident's chest and document it on the Treatment Administration Record (TAR), but acknowledged that there was no documentation of these checks in the TAR or the resident's medical record.
Failure to Address Pharmacy Recommendations for Two Residents
Penalty
Summary
The facility failed to ensure that pharmacist recommendations were considered for two residents, leading to a deficiency in medication management. Resident 14, who was admitted with a diagnosis of delusional disorder, was receiving haloperidol for psychosis related to metabolic encephalopathy and hallucinations. A pharmacy recommendation on 9/26/24 suggested a gradual dose reduction of haloperidol, as there were no episodes of delusions or hallucinations in the last three months. Although the physician signed off on the recommendation, it was not noted by the Director of Nursing Services (DNS) until 10/8/24, indicating a delay of 13 days in addressing the recommendation. Staff 2 acknowledged that the facility lacked a system to ensure timely addressing of pharmacy recommendations. Similarly, Resident 28, admitted with atrial fibrillation, had a pharmacy recommendation on 10/16/24 to update the medication order for Eliquis, which included outdated instructions related to a previous course of Paxlovid. The DNS did not recall receiving this recommendation and had to retrieve it online on 11/8/24, indicating that it had not been addressed in a timely manner. This oversight highlights the facility's failure to have an effective system in place to manage and implement pharmacy recommendations, potentially placing residents at risk for unnecessary medication.
Failure to Address Resident Council Concerns
Penalty
Summary
The facility failed to promptly respond to concerns raised during Resident Council meetings for two out of three months reviewed, which placed residents at risk for unresolved quality of life and care issues. The facility's policy, revised on 9/27/23, mandates that the facility must act promptly on recommendations from resident groups concerning care and life in the facility. The Activities Director is responsible for facilitating follow-up on suggestions and reporting results at the next meeting, with each Department Director required to fill out a comment form before the next meeting. However, the review of Resident Council Minutes from July to September 2024 revealed that there was no follow-up on residents' concerns and recommendations after the meetings held on 7/10/24 and 8/7/24. During the 7/10/24 meeting, residents expressed concerns about doors being closed without permission, call lights not being within reach, squeaking beds, and a lack of communication. In the 8/7/24 meeting, issues raised included the need for a cooler for food items, diet reports not being followed, rooms not being cleaned daily, and delays in call lights and medications. The 9/11/24 meeting also highlighted concerns about dietary preferences, diabetic options, clothing misplacement, and trash removal, with no follow-up from dietary and maintenance departments. Staff 3, the Activities Director, stated that she distributed meeting notes to department heads but did not receive responses. The Administrator, Staff 1, expected department managers to respond within seven to ten days, which did not occur.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mcminnville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Evan Terrace Post Acute | 1.2 mi | — | 2 | 0 |
| Village At Hillside | 2.3 mi | — | 6 | 0 |
| Chehalem Post Acute | 12.4 mi | — | 2 | 0 |
| Marquis Newberg | 13.2 mi | — | 6 | 0 |
| Rivers Edge Rehabilitation And Care | 13.3 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.