Based on interview and record review it was determined the facility failed to ensure an accurate assessment was completed for 1 of 5 sampled residents (#5) reviewed for MDS assessments. This placed residents at risk of unassessed needs. Findings include: Resident 5 admitted to the facility in 4/2026 with diagnoses including heart failure. Resident 5's 5/29/26 signed Hospice Care Plan indicated Resident 5 was at end of life. The 6/10/26 SCSA MDS Section J, indicated Resident 5 was not at her/his end of life. On 7/15/26 at 12:07 PM Staff 43 (Former MDS Coordinator) verified the 6/10/26 SCSA MDS assessment was inaccurate.
F641 citations in Oregon
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F641 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F641 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.
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 1.24% | 0.73× |
| 2024 | 1.21% | 0.72× |
| 2025 | 0.94% | 0.51× |
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