Based on observations and interviews the facility failed to ensure the state survey inspection results were readily accessible for 1 of 1 facility reviewed for resident council. This placed residents and the public at risk of not being informed of the facility's survey history. Findings include: On 1/14/25, 1/15/25 and 1/16/25 a notice of survey results was observed located near the front entrance on the wall approximately five feet high up on the wall. The notice indicated the state survey binder was in the basket below the notice. The basket was dark in color and angled in a way that protruded from the wall at the top. There was no state survey binder in the basket. The notice was not visible to someone in a wheelchair. …
F577 citations in Oregon
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F577 more often than its own record predicts
1.03 times the share F577 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F577.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F577 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 observation, interview and record review it was determined the facility failed to ensure the state survey inspection results contained the most recent survey results for 1 of 1 facility reviewed for resident council. This placed residents and the public at risk for not being informed of the facility's survey history. Findings include:On 7/22/26 at 2 PM during the resident council meeting, the residents in attendance stated they were not aware of where to find the state survey inspection results in the facility.On 7/22/26 at 4:14 PM an observation was made of the Survey Findings Binder at the front entrance to the facility across from the receptionist desk. The binder did not contain all of the 2025 survey findings and there were no 2026 survey findings included. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.84× |
| 2024 | 0.15% | 0.80× |
| 2025 | 0.21% | 1.03× |
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