F825 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F825 more often than its own record predicts
Versus expected share7.71×
7.71 times the share F825 takes of citations nationally.
Share of Oregon citations1.15%
Of every deficiency written in Oregon in 2025, this is the portion that was F825.
Oregon1.15%
National0.15%
Share of all citations that were F825.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F825 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.
G · Actual harm, isolatedOctober 15, 2024
Based on observation, interview and record review it was determined the facility failed to ensure residents received timely specialized rehabilitative services (PT and OT services) for 1 of 1 sampled resident (#20) reviewed for rehabilitation and restorative. This failure resulted in Resident 20 displaying a depressed mood, verbalizing feelings of frustration and a decline in physical functioning. Findings include:
The facility's 1/2023 Therapy Evaluation Policy indicated the following:
-The Rehabilitation Department was to be notified when a physician order was written for therapy evaluation and treatment. …
E · No harm, potential for more than minimal, patternApril 27, 2026
Based on observation, interview and record review it was determined the facility failed to provide therapy services as ordered for 4 of 4 sampled residents (#s 8, 50, 82 and 95) reviewed for rehabilitation services. This placed residents at risk for a decline in functional abilities and diminished quality of life. Findings include:
Resident 95 was admitted to the facility on [DATE] with a diagnoses including a stroke and a history of falls.
The 1/8/26 physician orders prescribed Resident 95 to receive Physical therapy, Occupational therapy and Speech therapy evaluations and treatments as indicated from assessments and evaluations.
On 1/9/26 Resident 95 was assessed by Physical therapy to receive therapy five times per week for the certification period of 1/9/26 through 3/9/26. …
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