F677 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F677 more often than its own record predicts
Versus expected share1.06×
1.06 times the share F677 takes of citations nationally.
Share of Oregon citations2.41%
Of every deficiency written in Oregon in 2025, this is the portion that was F677.
Oregon2.41%
National2.27%
Share of all citations that were F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F677 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, isolatedApril 2, 2019
Based on observation, interview and record review it was determined the facility failed to provide ADL assistance related to bathing, toileting and hygiene for 3 of 4 sampled residents (#s 23, 42 and 196) reviewed for ADLs. This failure resulted in Resident 196 remaining in soiled briefs and bed linens for extended periods and developing skin deterioration that worsened over time. Findings include:
1. Resident 196 admitted to the facility in (YEAR) with [DIAGNOSES REDACTED].
Resident 196's undated facility face sheet indicated she/he was her/his own responsible party, and further indicated Witness 1 (Family) was the resident's number one emergency contact.
The [DATE] Significant Change MDS indicated the resident was cognitively intact. …
D · No harm, potential for more than minimal, isolatedAugust 21, 2026
Based on observation and interview it was determined the facility failed to provide ADL assistance for 2 of 5 sampled residents (#s 3 and 9) reviewed for ADL assistance. This placed residents at risk for not maintaining good hygiene and/or grooming. Findings include: 1. Resident 3 admitted to the facility in 2024 with diagnoses including anxiety. On 8/21/26 at 8:49 AM Resident 3 was observed lying in bed. Resident 3's 12/17/24 ADL Care Plan indicated Resident 3 required two-person assistance with a mechanical lift to get out of bed. On 8/21/26 at 8:49 AM Resident 3 stated there were no clean lift slings in her/his size so had to remain in bed this morning although she/he wanted to get up. …
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