Based on interview and record review it was determined the facility failed to provide a resident representative a bed hold policy for 1 of 2 sampled residents (#52) reviewed for hospitalization. This placed residents at risk for lack of knowledge related to their right to return to the facility. Findings include: Resident 52 was admitted to the facility in 3/2024 with a diagnosis of Parkinson's disease. Resident 52's 3/11/25 admission MDS revealed she/he was cognitively impaired. Resident 52's Progress Notes revealed she/he was discharged to the hospital on 3/18/25. Resident 52's clinical record did not indicate Witness 6 (Spouse) was notified of the facility's bed hold policy. …
F625 citations in Oregon
Bed-hold notice · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F625 more often than its own record predicts
1.09 times the share F625 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F625.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F625 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 provide residents with a written bed hold notification at the time of transfer to the hospital for 2 of 2 sampled residents (#s 30 and 38) reviewed for hospitalization . This placed residents at risk for lack of knowledge regarding their choices and potential financial responsibilities. Findings include: 1. Resident 30 was admitted to the facility in 1/2023 with diagnoses including depression and diabetes. A review of Resident 30's health record revealed she/he was discharged to the hospital on three separate occasions: 3/19/24, 4/22/24, and 7/8/24. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 0.50× |
| 2024 | 1.06% | 1.52× |
| 2025 | 0.31% | 1.09× |
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