Based on interview and record review it was determined the facility failed to notify a resident's representative of a change in physician care for 1 of 3 sampled residents (#20) reviewed for care plans. This placed residents and residents' representatives at risk for being uninformed of changes in physician providers. Findings include: Resident 20 was admitted to the facility in 5/2021 with diagnoses including muscular atrophy (the decrease in size and wasting of muscle tissue). Resident 20's 6/5/23 Annual MDS identified the resident with significant cognitive impairment. On 3/4/24 at 11:13 AM Witness 1 stated the facility failed to notify Resident 20 and Resident's Representative of the resident's change in primary care providers. …
F555 citations in Oregon
Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Oregon cites F555 more often than its own record predicts
4.19 times the share F555 takes of citations nationally.
Of every deficiency written in Oregon in 2024, this is the portion that was F555.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F555 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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