F684 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F684 more often than its own record predicts
Versus expected share1.66×
1.66 times the share F684 takes of citations nationally.
Share of Oregon citations7.13%
Of every deficiency written in Oregon in 2025, this is the portion that was F684.
Oregon7.13%
National4.29%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F684 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, isolatedOctober 15, 2024
Based on observation, interview, and record review it was determined the facility failed to ensure residents' change of condition was assessed for 2 of 6 sampled residents (#s 38 and 89) reviewed for hospitalization and unnecessary medications. This failure, determined to be an immediate jeopardy situation, resulted in the delayed assessment of Resident 89 when she/he was experiencing a significant change in condition, resulting in delayed treatment. Resident 89 later died at the hospital. This placed all residents at risk for delayed assessments and treatments and constituted substandard quality of care. …
Based on observation, interview and record review it was determined the facility failed to follow physician orders related to wound care for 3 of 3 sampled residents (#s 13, 28 and 60) reviewed for wounds and 6 of 8 sampled residents (#s 2, 11, 13, 24, 51, and 58) reviewed for bowel care and medications. This deficient practice resulted in an actual wound infection for Resident 60 requiring antibiotics and placed residents at risk for worsening wounds, increased risk for infection, pain, constipation and unmet care needs. Findings include: 1. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on interview and record review it was determined the facility failed to follow physician orders for a prosthetic limb referral for 1 of 3 sampled residents (#4) reviewed for accommodation of needs. This placed residents at risk for unmet needs. Findings include: Resident 4 was admitted to the facility in 1/2026 with diagnoses including post-operative below knee amputation (BKA). Review of a physician's order dated [DATE] indicated Resident 4 was to be referred to a provider for an evaluation for a prosthetic leg. The order had an expiration date of [DATE]. Review of a Discharge Planning & Summary dated [DATE] indicated Resident 4 had a right BKA and was admitted to the facility following this procedure. The discharge summary did not include a referral for a prosthesis. …
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