Based on interview and record review it was determined the facility failed to ensure a resident and resident's representative had the right to direct her/his own care, refuse hospice and be aware of all treatment options for 1 of 3 sampled residents (#5) reviewed for hospice. This caused Resident 5 to be admitted to hospice and sustained a distressing and diminshed quality of life prior to death. Finding include: Resident 5 admitted to the facility on [DATE] with diagnoses including heart failure and chronic pleural effusion (an excessive accumulation of fluid in the lungs pleural space). The resident died on [DATE]. On [DATE] Resident 5 admitted with a PleurX catheter (a small, flexible tube that doctors place within the patient's chest to drain fluid from the pleural space). …
F552 citations in Oregon
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F552 more often than its own record predicts
3.49 times the share F552 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F552.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F552 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.
Based on interview and record review it was determined the facility failed to obtain consent from residents with dosage changes to their psychotropic medications for 2 of 5 sampled residents (#s 4 and 7) reviewed for unnecessary medications. This placed residents at risk for being uninformed of their medication dosages. Findings include: A review of the 4/28/25 revised facility Use of Psychotropic Medication(s) policy revealed the following: -The facility will document the resident or resident representative was informed in advance of the risks and benefits of the proposed care, the treatment alternatives or other options and the preferred option to accept or decline in a format the facility deems to use (e.g., written consent form, narrative note, etc.). 1. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.78% | 2.60× |
| 2024 | 1.97% | 5.13× |
| 2025 | 1.89% | 3.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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