F741 in Oregon. Pick another state for the same tag.
No F741 citations were recorded in Oregon for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Oregon surveyors wrote
F741 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, isolatedJuly 16, 2019
Based on observation, interview and record review it was determined the facility failed to have sufficient staff for residents who required one to one supervision for 1 of 1 sampled resident (#11) reviewed for behavioral health. This failure resulted in an immediate jeopardy situation in which Resident 11 was able to self-harm and was hospitalized . Findings include:
Resident 11 admitted to a locked behavioral health unit (Unit) located within the facility in 6/2018 with [DIAGNOSES REDACTED].
Resident 11's 8/11/18 Care Plan for behavioral symptoms indicated the resident had a history of [REDACTED]. Interventions included to follow facility protocol if she/he displayed suicidal ideation. …
E · No harm, potential for more than minimal, patternApril 27, 2026
Based on interview and record review it was determined the facility failed to ensure facility staff had the appropriate competencies to work with residents with substance use disorders for 1 of 1 facility reviewed for substance use disorder training. This placed residents at risk for diminished physical, mental and psychosocial well-being. Findings include:Resident 9 was admitted to the facility in 3/2026 with diagnoses including psychoactive substance dependence (a chronic condition where an individual requires a substance, such as alcohol, nicotine or drugs to function normally), other stimulant use (the consumption of illicit, prescription or over-the-counter substances that increase alertness and energy) and sedative, hypnotic or anxiolytic abuse (the misuse of central nervous system… …
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