Based on observation, interview and record review it was determined the facility failed to ensure routine dental services were provided for 1 of 2 sampled residents (#13) reviewed for dental care needs. This placed residents at risk for delays in receiving necessary dental care. Findings include:The facility's Dental Services policy, dated 2001, indicated routine and emergency dental services were available to meet the resident's oral health services in accordance with the resident's assessment and plan of care. Resident 13 was admitted to the facility in 9/2025 with diagnoses including diabetes, end-stage renal disease, major depressive disorder and dysphagia (difficulty swallowing). …
F791 citations in Oregon
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F791 more often than its own record predicts
4.54 times the share F791 takes of citations nationally.
Of every deficiency written in Oregon in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F791 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.
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 0.62% | 2.12× |
| 2024 | 0.68% | 2.44× |
| 2025 | 1.26% | 4.54× |
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