Based on interview and record review it was determined the facility failed to ensure there was a designated staff member responsible for collaborating and communicating with hospice representatives, and that the care plan included the hospice plan of care for 1 of 1 sampled resident(#2) reviewed for hospice. This placed residents at risk for uncoordinated and unmet hospice care needs. Findings include:Resident 2 was admitted to the facility in 1/2026 with diagnoses including diabetes and chronic obstructive pulmonary disorder.An Election of Benefits and Informed Consent document revealed Resident 2 was admitted to hospice services on 5/24/26. Resident 2's Care Plan did not include hospice related information, such as a Hospice Plan of Care. …
F849 citations in Oregon
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F849 less often than its own record predicts
0.39 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F849 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 | 0.16% | 0.49× |
| 2024 | 0.30% | 0.99× |
| 2025 | 0.10% | 0.39× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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