Based on interview and record review it was determined the facility failed to ensure resident mail was delivered to residents on Saturdays for 1 of 1 facility reviewed for resident council. This placed residents at risk for lack of timely written communication. Findings include: Resident 5 was admitted to the facility in 5/2024 with diagnoses including encephalopathy (a syndrome characterized by diffuse brain dysfunction).During a Resident Council meeting on 7/8/26 at 10:15 AM, Resident 5 stated she/he enjoyed receiving mail and didn't know mail was delivered on Saturdays. …
F576 citations in Oregon
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F576 more often than its own record predicts
2.71 times the share F576 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F576.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F576 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 it was determined the facility failed to ensure residents received mail promptly on Saturdays after being delivered to the facility. This placed residents at risk for unmet communication needs. Findings include: On 2/27/20 at 10:35 AM during the Resident Council meetings Resident 45 stated the mail was delivered to the facility on Saturdays but staff did not deliver it until the following Mondays. On 2/27/20 at 11:12 AM Staff 1 (Administrator) confirmed the facility received residents' mail on Saturdays and acknowledged it was not delivered promptly.
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.08% | 0.61× |
| 2024 | 0.15% | 1.16× |
| 2025 | 0.31% | 2.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction