State assisted-living licensing record · Oregon ODHS · record as pulled September 18, 2026· Not the federal nursing home survey
Blue Haven Memory Care - Independence
202 South 9th Street, Independence, OR 97351 · Polk County · 16 licensed beds
ODHS facility ID 50R225 · licensed, active · first licensed October 1999
The licence
Licensed by ODHS · Residential Care Facility · managed by Sky Valley NW, LLC
Licence details, as listed by ODHS
- Licensed as
- Residential Care Facility
- Memory care endorsement
- Yes
- Accepts Medicaid
- No
- Current licensee since
- July 1, 2022
Position within Oregon
48 citations — more than 89% 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 Blue Haven Memory Care - Independence
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Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
- C0510 General Building ExteriorOctober 9, 2023 · Level 2 · corrected December 9, 2023
- C0513 Doors, Walls, Elevators, OdorsOctober 9, 2023 · Level 2 · corrected December 9, 2023
- C0420 Fire and Life Safety: SafetyDecember 6, 2021 · Level 2 · corrected March 1, 2022
- C0510 General Building ExteriorDecember 6, 2021 · Level 2 · corrected March 1, 2022
- C0513 Doors, Walls, Elevators, OdorsDecember 6, 2021 · Level 2 · corrected March 1, 2022
- Z0173 Secure Outdoor Recreation AreaDecember 6, 2021 · Level 2 · corrected March 1, 2022
- Z0177 Exit DoorsDecember 6, 2021 · Level 2 · corrected March 1, 2022
How that compares
Compared with the median licensed assisted living facility in Oregon. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 48 |
| Median facility in Oregon | 21 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| December 6, 2021 | validation survey | 18 |
| February 7, 2023 | complaint investigation | 6 |
| March 16, 2023 | state licensure survey | 2 |
| May 16, 2023 | complaint investigation | 5 |
| October 9, 2023 | validation survey | 13 |
| February 13, 2024 | state licensure survey | 2 |
| June 8, 2026 | kitchen inspection | 2 |
What the citations cover
- Resident care 16
- Records and administration 9
- Staffing and training 7
- Physical plant 5
- Other 11
| Category | Citations |
|---|---|
| Resident care | 16 |
| Records and administration | 9 |
| Staffing and training | 7 |
| Physical plant | 5 |
| Medication | 5 |
| Food service | 4 |
| Life safety | 2 |
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 8, 2026 — kitchen inspection, 2 citations
February 13, 2024 — state licensure survey, 2 citations
October 9, 2023 — validation survey, 13 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0231 | Reporting & Investigating Abuse-Other Action | Level 2 | December 9, 2023 |
| C0252 | Resident Move-In and Eval: Res Evaluation | Level 2 | December 9, 2023 |
| C0260 | Service Plan: General | Level 2 | December 9, 2023 |
| C0270 | Change of Condition and Monitoring | Level 2 | February 10, 2024 |
| C0372 | Training Within 30 Days: Direct Care Staff | Level 2 | December 9, 2023 |
| C0455 | Inspections and Investigation: Insp Interval | Level 2 | February 10, 2024 |
| C0510 | General Building Exterior | Level 2 | December 9, 2023 |
| C0513 | Doors, Walls, Elevators, Odors | Level 2 | December 9, 2023 |
| Z0142 | Administration Compliance | Level 2 | December 9, 2023 |
| Z0155 | Staff Training Requirements | Level 2 | December 9, 2023 |
| Z0162 | Compliance with Rules: Health Care | Level 2 | February 10, 2024 |
| Z0163 | Nutrition and Hydration | Level 2 | December 9, 2023 |
| Z0164 | Activities | Level 2 | December 9, 2023 |
May 16, 2023 — complaint investigation, 5 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0010 | Licensing Complaint Investigation | Level 2 | — |
| C0231 | Reporting & Investigating Abuse-Other Action | Level 2 | — |
| C0260 | Service Plan: General | Level 2 | — |
| C0330 | Systems: Psychotropic Medication | Level 2 | — |
| C0361 | Acuity-Based Staffing Tool | Level 2 | — |
March 16, 2023 — state licensure survey, 2 citations
February 7, 2023 — complaint investigation, 6 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0010 | Licensing Complaint Investigation | Level 2 | — |
| C0295 | Infection Prevention & Control | Level 2 | — |
| C0303 | Systems: Treatment Orders | Level 2 | — |
| C0360 | Staffing Requirements and Training: Staffing | Level 2 | — |
| C0361 | Acuity-Based Staffing Tool | Level 2 | — |
| C0372 | Training Within 30 Days: Direct Care Staff | Level 2 | — |
December 6, 2021 — validation survey, 18 citations
| Tag | What ODHS checks | Severity level | Corrected |
|---|---|---|---|
| C0231 | Reporting & Investigating Abuse-Other Action | Level 2 | March 1, 2022 |
| C0252 | Resident Move-In and Eval: Res Evaluation | Level 2 | March 1, 2022 |
| C0260 | Service Plan: General | Level 2 | March 1, 2022 |
| C0262 | Service Plan: Service Planning Team | Level 2 | March 1, 2022 |
| C0270 | Change of Condition and Monitoring | Level 3 | March 1, 2022 |
| C0290 | Resident Health Services: On- and Off-Site Health Services | Level 2 | March 1, 2022 |
| C0303 | Systems: Treatment Orders | Level 2 | March 1, 2022 |
| C0310 | Systems: Medication Administration | Level 2 | March 1, 2022 |
| C0330 | Systems: Psychotropic Medication | Level 2 | April 24, 2022 |
| C0420 | Fire and Life Safety: Safety | Level 2 | March 1, 2022 |
| C0455 | Inspections and Investigation: Insp Interval | Level 2 | April 24, 2022 |
| C0510 | General Building Exterior | Level 2 | March 1, 2022 |
| C0513 | Doors, Walls, Elevators, Odors | Level 2 | March 1, 2022 |
| Z0142 | Administration Compliance | Level 2 | March 1, 2022 |
| Z0155 | Staff Training Requirements | Level 2 | March 1, 2022 |
| Z0162 | Compliance with Rules: Health Care | Level 3 | April 24, 2022 |
| Z0173 | Secure Outdoor Recreation Area | Level 2 | March 1, 2022 |
| Z0177 | Exit Doors | Level 2 | March 1, 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.