State assisted-living licensing record · Oregon ODHS · record as pulled September 18, 2026· Not the federal nursing home survey

Countryside Living Memory Care South

406 Nw 2nd Avenue, Canby, OR 97013 · Clackamas County · 20 licensed beds

ODHS facility ID 50R380 · licensed, active · first licensed September 2011

The licence

Licensed by ODHS · Residential Care Facility · managed by Ohana Canby Operations, LLC

Licence details, as listed by ODHS
Licensed as
Residential Care Facility
Memory care endorsement
Yes
Accepts Medicaid
No
Current licensee since
October 1, 2021
15
Citations on file
Since September 2021
3
ODHS visits
3 routine inspections
0
Level 3 or 4
The serious level
2
Building-related
Physical plant · emergency

Position within Oregon

15 citations — more than 33% of the 572 licensed assisted living facilities in Oregon. Compared only within Oregon: a citation from ODHS means what it means in Oregon, and there is no national assisted living record to compare to. Counted over 5 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire and life safety inspection, and enforcement. The fire inspection of an Oregon assisted living or residential care facility is the State Fire Marshal's or the local fire authority's and is not published; what ODHS itself cites about the building — its fire and life safety rule, emergency and disaster planning, and the building requirements — is here. ODHS also publishes substantiated abuse and licensing complaint findings, licence conditions and civil penalties for each facility; none of that is republished. This record is the survey citations only. Adult foster homes, which Oregon licenses separately and which are mostly licensed to an individual, are not included.

Get an email about Countryside Living Memory Care South

One email when it happens, from the ODHS record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

  • C0555 Call System, Exit Door Alarm, Phones, TV or CableApril 11, 2022 · Level 2 · corrected June 11, 2022
  • Z0173 Secure Outdoor Recreation AreaApril 11, 2022 · Level 2 · corrected June 11, 2022

How that compares

Citations on file over 5 years

Compared with the median licensed assisted living facility in Oregon. Within-state only.

This facility15Oregon median21
Citations on file over 5 years, compared
MeasureCitations
This facility15
Median facility in Oregon21

Visit history

Citations at each ODHS visit
132022-0402023-0822024-06
Citations at each ODHS visit
VisitTypeCitations
April 11, 2022validation survey13
August 8, 2023state licensure survey0
June 12, 2024state licensure survey2

What the citations cover

Citations by category (TagProof's grouping)
  • Resident care 4
  • Records and administration 3
  • Food service 2
  • Staffing and training 2
  • Other 4
Citations by category
CategoryCitations
Resident care4
Records and administration3
Food service2
Staffing and training2
Medication2
Physical plant1
Life safety1

Every visit on file since September 2021

As published by ODHS, newest first, including visits that cited nothing. The wording and the classes are ODHS’s own.

June 12, 2024 — state licensure survey, 2 citations

Citations from the state licensure survey on June 12, 2024
TagWhat ODHS checksSeverity levelCorrected
C0240Resident Services Meals, Food Sanitation RuleLevel 2June 13, 2024
Z0142Administration ComplianceLevel 2June 13, 2024

August 8, 2023 — state licensure survey, nothing cited

April 11, 2022 — validation survey, 13 citations

Citations from the validation survey on April 11, 2022
TagWhat ODHS checksSeverity levelCorrected
C0240Resident Services Meals, Food Sanitation RuleLevel 2June 11, 2022
C0252Resident Move-In and Eval: Res EvaluationLevel 2June 11, 2022
C0282RN Delegation and TeachingLevel 2August 20, 2022
C0310Systems: Medication AdministrationLevel 2August 20, 2022
C0330Systems: Psychotropic MedicationLevel 2August 20, 2022
C0372Training Within 30 Days: Direct Care StaffLevel 2August 20, 2022
C0455Inspections and Investigation: Insp IntervalLevel 2August 20, 2022
C0555Call System, Exit Door Alarm, Phones, TV or CableLevel 2June 11, 2022
Z0142Administration ComplianceLevel 2June 11, 2022
Z0155Staff Training RequirementsLevel 2August 20, 2022
Z0162Compliance with Rules: Health CareLevel 2August 20, 2022
Z0164ActivitiesLevel 2August 20, 2022
Z0173Secure Outdoor Recreation AreaLevel 2June 11, 2022

Reflects the ODHS record as pulled September 18, 2026. A recent visit may not appear yet. This is the Oregon state licensing record; it is not the federal nursing home survey and the two are never combined.