Based on observation, interview and record review it was determine the facility failed to provide counseling services, a revised care plan and interventions related to trauma care for 2 of 5 residents (#s 15 and 25) reviewed for abuse and care planning. Resident 25 experienced repeat traumatization and psychsocial harm associated with increased anxiety, fear and decreased socialization. Findings include: 1. Resident 25 was admitted to the facility in 3/2022 with diagnoses including depression and PTSD (post-traumatic stress disorder). The 3/2022 Admission CAA for Psychosocial Well-Being revealed Resident 25 had past trauma related to her/his ex-spouse and a strained relationship with family. …
F745 citations in Oregon
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F745 more often than its own record predicts
1.20 times the share F745 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F745.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F745 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 interview and record review it was determined the facility failed to ensure a resident had transporation for dialysis for 1 of 1 sampled residents (#4) reviewed for dailysis. This placed residents at risk for fluid retention. Findings include: Resident 4 was admitted to the facility in 12/2023 with a diagnosis of kidney disease. Resident 4's [DATE] Annual MDS revealed she/he was cognitively intact. On [DATE] at 11:09 AM Resident 4 stated she/he did not go to dialysis on [DATE] because the facility did not set up transportation. On [DATE] at 4:12 PM Staff 14 (Social Services Director) stated the company that provided Resident 4 transportation to dialysis had a contracted schedule which needed to be renewed every 90 days. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.47% | 2.49× |
| 2024 | 0.30% | 1.38× |
| 2025 | 0.21% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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