F636 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F636 more often than its own record predicts
Versus expected share3.35×
3.35 times the share F636 takes of citations nationally.
Share of Oregon citations0.84%
Of every deficiency written in Oregon in 2025, this is the portion that was F636.
Oregon0.84%
National0.25%
Share of all citations that were F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F636 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, patternJanuary 31, 2023
Based on interview and record review it was determined the facility failed to complete admission and annual MDSes, for 4 of 9 sampled residents (#s 1, 2, 3 and 9) reviewed for MDS. There were an additional 26 non-sampled residents with incomplete admission or annual MDSes. This failure was determined to be an immediate jeopardy situation because it put residents at risk for unmanaged medications, side effects from medications, skin conditions, and unknown needs that were never identified or addressed, which could have led to permanent injury, severe infection, and unknown potential harm due to the lack of comprehensive assessment. Findings include:
1. …
D · No harm, potential for more than minimal, isolatedJuly 24, 2026
Based on interview and record review it was determined the facility failed to complete a comprehensive assessment within the regulatory timeframe for 1 of 2 sampled residents (#128) reviewed for resident assessment. This placed residents at risk for unassessed care needs. Findings include: Resident 128 admitted to the facility on [DATE].A 7/9/2026 admission MDS was completed on 7/22/26, five days after the regulatory timeframe.On 7/22/26 at 12:06 PM Staff 7 (RN MDS Coordinator) confirmed Resident 128's admission MDS was not completed within the regulatory timeframe.
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