2. Resident 52 was admitted to the facility in 3/2024 with a diagnosis of Parkinson's disease. Resident 52's Progress Notes revealed on 3/18/25 she/he was discharged to the hospital. Resident 52's clinical record did not indicate the State's LTCO's (Long Term Care Ombudsman) office was notified of her/his facility discharge. On 4/10/25 at 12:02 PM Staff 23 (Discharge Coordinator) stated she did not notify the State's LTCO office of residents' discharges. On 4/10/25 at 3:04 PM Staff 2 (DNS) stated she thought Staff 23 notified the LTCO office when residents were discharged . …
F623 citations in Oregon
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F623 more often than its own record predicts
1.28 times the share F623 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F623 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 and record review it was determined the facility failed to ensure transfer notices with appeal rights were provided in writing to residents and their representatives for 1 of 1 sampled resident (#31) reviewed for hospitalization. This placed residents at risk for lack of information regarding their options and rights. Findings include: Resident 31 was admitted to the facility in 2/2025 with diagnoses including a cerebral infarction (a condition where brain tissue dies from lack of blood flow) and a UTI. A review of Resident 31's health record revealed she/he was transferred to the hospital on 3/18/25. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.43× |
| 2024 | 0.68% | 0.67× |
| 2025 | 0.52% | 1.28× |
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