Based on observation, interview and record review it was determined the facility failed to prevent residents from being served food to which they were allergic for 1 of 2 sampled residents (#41) reviewed for food. This deficient practice was determined to be an immediate jeopardy situation. Resident 41 was served two consecutive meals which contained foods to which the resident was allergic. The response to consuming these foods could cause anaphylactic shock (life threatening allergic reaction) which could lead to death. Findings include: Resident 41 was admitted to the facility in 11/2021 with diagnoses including diabetes and food allergies. Resident 41's 6/1/21 Nutrition CAA indicated the resident was at high risk for nutritional problems due to multiple food allergies. …
F806 citations in Oregon
Allergies and food preferences · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F806 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon in 2025, this is the portion that was F806.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F806 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 residents did not receive food they were allergic to for 1 of 4 sampled residents (#8) reviewed for food. This placed residents at risk for allergic reactions. Findings include:Resident 8 was admitted to the facility in 6/2026 with diagnoses including gastroesophageal reflux disease (GERD, a disease that causes acid reflux) and irritable bowel syndrome (IBS, a chronic condition that affects the intestinal system).A 6/9/26 Food Preference Evaluation indicated Resident 8 had an allergy to pork derived products.A 6/12/26 Care Conference Evaluation indicated Resident 8 had an allergy to pork derived products.A 6/26/26 Progress Note indicated Resident 8 received ham for dinner and orders were received for… …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 1.01% | 2.50× |
| 2024 | 0.61% | 1.55× |
| 2025 | 0.21% | 0.53× |
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