Based on observation, interview and record review it was determined the facility failed to ensure residents were able to share a room with a roommate of choice for 2 of 2 sampled residents (#s 11 and 56) reviewed for accommodation of needs. This placed residents at risk for emotional distress. Findings include:On 8/17/26 the survey team observed multiple resident rooms with up to three residents residing in one room. Resident 56 admitted to the facility in 7/2024 with diagnoses including diabetes.Resident 56's IDT Conference Notes indicated the following:-2/12/26: Resident inquired if/when she/he and her/his girlfriend/boyfriend could share a room. …
F559 citations in Oregon
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F559 more often than its own record predicts
1.89 times the share F559 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F559 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.
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 1.09× |
| 2025 | 0.21% | 1.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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