F659 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F659 more often than its own record predicts
Versus expected share2.71×
2.71 times the share F659 takes of citations nationally.
Share of Oregon citations0.10%
Of every deficiency written in Oregon in 2025, this is the portion that was F659.
Oregon0.10%
National0.04%
Share of all citations that were F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F659 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.
E · No harm, potential for more than minimal, patternJune 6, 2025
Based on interview and record review, it was determined the facility failed to ensure qualified staff administered medications for one of one facility reviewed for medication administration. This placed residents at risk for receiving medication errors. Findings included:
The Oregon State Board of Nursing indicated the title abbreviation CMA is protected by Oregon law and means Certified Medication Aide, not Certified Medical Assistant. The abbreviation CMA could not be used by medical assistants in Oregon. …
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