Based on observation, interview and record review it was determined the facility failed to provide essential services related to dialysis for 1 of 1 sampled resident (#26) reviewed for dialysis. An immediate jeopardy situation was identified. The facility failed to provide essential dialysis-related assessment, care planning and monitoring to Resident 26 resulting in pain, extensive bruising, and the likelihood of severe medical complications such as infection, bleeding, fluid overload, and adverse side effects including death. Findings include: Resident 26 was admitted to the facility in 2023 with diagnoses including acute kidney failure. A 5/19/23 Quarterly MDS revealed Resident 26's BIMS score was 15 which indicated she/he was cognitively intact. …
F698 citations in Oregon
Dialysis · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F698 more often than its own record predicts
1.40 times the share F698 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F698.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F698 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.
Based on observation, interview and record review it was determined the facility failed to ensure [MEDICAL TREATMENT] (process to remove wastes from the body) services were appropriately provided for 1 of 1 sampled resident (#65) reviewed for [MEDICAL TREATMENT]. Resident 65 required emergent [MEDICAL TREATMENT] treatment at the hospital after missing outpatient treatments. Findings include: a. The facility's Clinical Services Policy and Guidelines for [MEDICAL TREATMENT] care included the following information: Policy: The facility will provide residents who require [MEDICAL TREATMENT] care and service consistent with professional standards of practice, a comprehensive person-centered care plan, and inclusive of the residents' goals and preferences. Guidelines: 1. …
Based on observation, interview and record review the facility failed to ensure residents who required dialysis received care and services consistent with professional standards of practice for 2 of 6 sampled resident (#s 13 and 72) reviewed for dialysis and unnecessary medication. This placed residents at risk for adverse side effects due to lack of appropriate coordination of dialysis care and services. Findings include: Resident 13 was admitted to the facility in 9/2025 with diagnoses including end-stage renal disease requiring dialysis. 1 a. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 1.48% | 1.82× |
| 2024 | 0.91% | 1.20× |
| 2025 | 1.05% | 1.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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