F661 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F661 more often than its own record predicts
Versus expected share1.65×
1.65 times the share F661 takes of citations nationally.
Share of Oregon citations0.10%
Of every deficiency written in Oregon in 2025, this is the portion that was F661.
Oregon0.10%
National0.06%
Share of all citations that were F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F661 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.
G · Actual harm, isolatedJuly 30, 2024
Based on interview and record review, the facility failed to complete a discharge summary with required information for wound care and possible wound infection for 1 of 1 sampled resident (# 17) reviewed for unsafe discharge. The facility's failure to provide instructions for the care of the wound and the possible wound infection in the discharge summary information caused the resident's wound to worsen at home resulting in re-admission to a hospital. Findings include:
Resident 17 was admitted to the facility in 5/2024 with diagnoses including hip fracture with surgical repair, heart failure, and a history of falling.
Resident 17's care plan dated 5/14/24 indicated the resident required frequent skin inspections. …
D · No harm, potential for more than minimal, isolatedFebruary 14, 2025
Based on record review and interview it was determined the facility failed to complete a discharge summary which included a recapitulation of stay and a final summary of the resident's status for 1 of 3 sampled residents (#1) reviewed for a discharge summary. This placed residents at risk for unmet needs post discharge. Findings include:
Resident 1 admitted to the facility in 4/2024, with diagnoses including hip fracture and congestive heart failure.
On 7/1/24, the State Agency received a public complaint which alleged Resident 1 was discharged home and the facility did not refer Resident 1 to her/his long standing home health agency. …
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