Based on observation and record review it was determined the facility failed to assess and revise the care plan for new and increased behaviors and agitation for 1 of 3 sampled residents (#1) reviewed for behaviors. The resident was distressed and sustained multiple injuries. Findings include: Resident 1 was admitted to the facility in 3/2018 with [DIAGNOSES REDACTED]. The 5/10/18 at 11:50 AM Progress Note disclosed a CNA observed the resident wrapping a call light cord around her/his neck. Staff 4 (SSD, Social Services Director) immediately followed up and observed the cord was wrapped around the resident's arms. Through the use of a communication board the resident reported pain in her/his legs and arms. …
F743 citations in Oregon
Quality of Life and Care Deficiencies
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F743 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
F743 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 the facility failed to ensure residents did not display increased anger, withdrawal or depressive behaviors for 1 of 1 resident (# 14) reviewed for mood. This placed residents at risk for unidentified depression. Findings include: Resident 14 was admitted to the facility in 8/2025 with diagnoses including cerebral infarction (stroke). Resident 14's MDS completed 9/2025 revealed a BIMS score of 15 (cognitively intact) and a PQH9 score of 00 (not depressed).A 10/14/25 progress note revealed the resident was tearful and asked about options for therapy since she/he was discharged from physical therapy due to lack of progress and indicated the resident expressed frustration about not being able to go home. …
What else Oregon surveyors cite →
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