Based on interview and record review it was determined the facility failed to ensure the responsible party was involved in decisions related to the resident's day to day activities for 1 of 1 sampled resident (#46) reviewed for resident rights and care planning. This placed residents at risk for their representatives not being informed of the resident's health status. Findings include: Resident 46 was admitted to the facility on 7/2025 with diagnoses including anoxic brain damage (The brain lacks oxygen causing the brain cells to die permanently). A 10/27/25 Quarterly MDS indicated Resident 46 had a BIMS of 7 indicating severe cognitive impairment. …
F551 citations in Oregon
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Oregon cites F551 more often than its own record predicts
1.43 times the share F551 takes of citations nationally.
Of every deficiency written in Oregon in 2023, this is the portion that was F551.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F551 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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