F660 in Oregon. Pick another state for the same tag.
Against expectation — 2024
Oregon cites F660 more often than its own record predicts
Versus expected share2.17×
2.17 times the share F660 takes of citations nationally.
Share of Oregon citations0.45%
Of every deficiency written in Oregon in 2024, this is the portion that was F660.
Oregon0.45%
National0.21%
Share of all citations that were F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F660 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.
J · Immediate jeopardy, isolatedMarch 11, 2021
Based on interview and record review the facility failed to develop and implement an effective discharge planning process to ensure post-discharge care and safety needs were met for 1 of 3 sampled residents (#10) reviewed for discharge. This failure to provide a safe discharge, determined to be an immediate jeopardy situation, placed resident's health and safety at risk, including symptoms of pain, medical complications, hospital readmission and death. Findings include:
The facility's Transfer or Discharge, Preparing a Resident for policy, revised 2016, directed a post-discharge plan would be developed for each resident prior to her/his transfer or discharge. …
Based on interview and record review, the facility failed to develop and implement an effective discharge planning process for 1 of 3 sampled residents (#4) reviewed for safe discharge. Resident 4 fell multiple instances in her/his home and was transported to the emergency roiagnom on e day after discharge from the facility. Findings include:
A 11/2017 facility Policy and Guidelines for Implementation Discharge Planning revealed the discharge plan is re-evaluated and updated to reflect changes of the plan if the resident's condition changes.
-The plan will include needs that must be addressed before the resident can be discharged .
-Identify post-discharge needs such as medical equipment, nursing and therapy services, ADL assistance or home modifications. …
D · No harm, potential for more than minimal, isolatedDecember 20, 2024
Based on interview and record review it was determined the facility failed to ensure the resident was involved and informed of the discharge plan for 1 of 2 sampled residents (#30) reviewed for care planning. This placed residents at risk for being uninformed about their discharge plan. Findings include:
Resident 30 was admitted to the facility in 11/2024 with diagnoses including Raynaud's syndrome (disorder of the blood vessels).
Resident 30's 9/15/24 Admission MDS indicated the resident was cognitively intact.
Resident 30's 11/8/24 Discharge Care Plan, created by Staff 5 (Social Services) indicated the following:
- Anticipated discharge plan is to: HLOC, prefers AFH
No other information was found on the Care Plan related to Resident 30's discharge plan. …
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