F697 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F697 more often than its own record predicts
Versus expected share1.08×
1.08 times the share F697 takes of citations nationally.
Share of Oregon citations0.84%
Of every deficiency written in Oregon in 2025, this is the portion that was F697.
Oregon0.84%
National0.78%
Share of all citations that were F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F697 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.
K · Immediate jeopardy, patternJuly 9, 2018
Based on interview and record review it was determined the facility failed to provide ordered pain medication and provide efficacy for 6 of 6 sampled residents (#s 1, 5, 10, 11, 17 and 24) reviewed for pain management. This failure, determined to be an immediate jeopardy situation, resulted in Resident 10 running out of scheduled narcotic pain medication for three days and caused the resident to suffer from narcotic withdrawal and increased pain and Resident 1 running out of scheduled pain medication and requesting to go to the hospital. This placed residents at risk for increased pain. Findings include:
1. …
Based on observation, interview and record review the facility failed to effectively manage the resident's pain for 1 of 3 (#66) sampled residents reviewed for pain management. This placed residents at risk for unmanaged pain. Findings include: Resident 66 was admitted to the facility in 2022 with diagnoses including severe osteoarthritis (a disease which destroys the cartilage protecting bones and cause pain, stiffness and reduced mobility) and chronic pain. The resident's 11/2025 BIMS revealed a score of 14 (cognitively intact).A review of the resident's pain monitoring (1-10 scale of pain level with 10 indicating the worst pain possible) in the TAR for the previous 12 months revealed the following:2/2025: Pain levels of 6-10 reported on 26 of 28 days.3/2025: Pain levels of 6-9 reported… …
D · No harm, potential for more than minimal, isolatedAugust 10, 2026
Based on interview and record review it was determined the facility failed to ensure residents received pain medication as ordered for 1 of 2 sampled residents (#18) reviewed for pain. This placed residents at risk for increased pain. Findings include:Resident 18 readmitted to the facility in 7/2026 with diagnoses including pain and weakness.The 8/3/26 physician order indicated Resident 18 was to receive oxycodone 5 mg every four hours for pain. On 8/3/26 at 10:58 AM Resident 18 stated she/he had chronic pain, and the oxycodone was often administered late. …
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