Based on interview and record review it was determined the facility failed to process physician laboratory orders timely and accurately for 4 of 13 sampled residents (#s 16, 23, 26 and 31) reviewed for medications. The facility population included residents with [DIAGNOSES REDACTED]. or death. Findings include: On 2/12/19 at 9:09 AM Staff 37 (LPN) stated all INR (a lab test used to monitor patients who receive blood thinning medication) labs were completed in the morning to provide enough time for the results to be sent to the physician to receive new [MEDICATION NAME] orders before the evening administration. She reported the process for INR labs and order processing was the nurse filled out the INR form following the lab draw and sent it to the physician. …
F770 citations in Oregon
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F770 more often than its own record predicts
2.02 times the share F770 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F770 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 provide timely lab services for 1 of 3 sampled residents (#7) reviewed for labs. This placed residents at risk for delayed treatment. Findings include:Resident 7 was admitted to the facility in 8/2026 with diagnoses including benign neoplasm of pituitary gland. Physician orders dated 8/7/26 documented that a basic metabolic panel was to be obtained on 8/10/27, and results were to be faxed to the Neurological Clinic. A fax letter dated 8/12/26 from Neurological Surgery department indicated staff had attempted to reach the facility for several days without success. Resident 7's postoperative was complex and resident needed labs completed and an update on her/his status with instructions to obtain the lab. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.70× |
| 2024 | 0.30% | 1.43× |
| 2025 | 0.42% | 2.02× |
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