F600 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F600 more often than its own record predicts
Versus expected share1.12×
1.12 times the share F600 takes of citations nationally.
Share of Oregon citations2.94%
Of every deficiency written in Oregon in 2025, this is the portion that was F600.
Oregon2.94%
National2.62%
Share of all citations that were F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F600 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.
K · Immediate jeopardy, patternJuly 16, 2024
Based on interview and record review it was determined a facility employee sexually abused 6 of 10 sampled residents (#s 6, 7, 8, 9, 10 and 11) who were reviewed for sexual abuse. As a result of the pattern of sexual abuse, it was determined to be an immediate jeopardy situation and residents experienced psychosocial harm. Findings include:
1. Resident 6 was admitted to the facility in April 2024, with diagnoses including a stroke.
Review of a progress note dated 6/16/24 at 9:45 AM revealed Resident 6 reported to staff that a night shift male CNA came into her/his room every hour to provide incontinence care and played with her/his clit. …
Based on observation, interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse for 1 of 10 sampled residents (#26) reviewed for abuse. This placed residents at risk for physical harm. Findings include:The facilities Resident Freedom from Abuse Policy revised 10/7/24 stated the following:-The facility would prevent and prohibit abuse and ensure residents were provided with a safe environment.-Resident-to-Resident abuse included the willful or non-willful infliction of injury resulting in physical harm.Resident 26 was admitted to the facility in 6/2023 with diagnoses including depression.Resident 26's 11/30/25 Annual MDS revealed she/he had a BIMS of 14, which indicated the resident was cognitively intact. …
E · No harm, potential for more than minimal, patternAugust 25, 2026
Based on interviews and record review, it was determined the facility failed to protect the residents' right to be free from verbal and physical abuse by another resident for 5 of 5 sampled residents (#s 1, 4, 8, 9, and 11) reviewed for verbal and physical abuse. This placed residents at risk for further abuse. Findings include:1. Resident 1 was admitted to the facility in 10/2025 with diagnoses including depression. Resident 2 was admitted to the facility in 2/2026 with diagnoses including anxiety, depression, and post-traumatic stress disorder. A 6/25/26 Quarterly MDS indicated Resident 1 was moderately cognitively impaired. A 2/26/26 admission MDS indicated Resident 2 was moderately cognitively impaired. …
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