MENNONITE HOME
5353 COLUMBUS STREET SE
ALBANY, OR, 97321
5419287232
CCN: 385206
3
Overall3
Health5
Staffing1
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| TIESZEN, BRETT | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAKER, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| DESOYZA, SHANILKA | CORPORATE DIRECTOR | NOT APPLICABLE |
| FERRIS, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HISTAND, PHILLIP | CORPORATE DIRECTOR | NOT APPLICABLE |
| JACOBO, KRISTI | CORPORATE DIRECTOR | NOT APPLICABLE |
| MELERO, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| PIMM, RICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROPP, DENNIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| STUTZMAN, GENE | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOOD, DIANE | CORPORATE OFFICER | NOT APPLICABLE |
| MARS, CLIFFORD | CORPORATE OFFICER | NOT APPLICABLE |
| WALLS, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HANSELL, SHAUNA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| RUMPEL, MAUREEN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| TRAHAN, ANGELA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WALLS, ELIZABETH | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (2)
| Date | Type | Amount |
|---|---|---|
| 2025-03-04 | Fine | $9K |
| 2024-07-24 | Fine | $9K |
Health Deficiencies (16)
2025-03-04 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-21 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-07-24 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-08 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F642 · Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
F553 · Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
2019-01-31 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
6.53
RN Hrs/Resident/Day0.54
0.60
LPN Hrs/Resident/Day0.81
1.15
CNA Hrs/Resident/Day2.33
4.79
PT Hrs/Resident/Day0.12
0.08
Data as of 2026-03-01