F909 in Oregon. Pick another state for the same tag.
Against expectation — 2025
Oregon cites F909 more often than its own record predicts
Versus expected share1.93×
1.93 times the share F909 takes of citations nationally.
Share of Oregon citations0.21%
Of every deficiency written in Oregon in 2025, this is the portion that was F909.
Oregon0.21%
National0.11%
Share of all citations that were F909.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F909 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.
D · No harm, potential for more than minimal, isolatedAugust 22, 2025
Based on observation, interview, and record review it was determined the facility failed to ensure a bed was in good repair for 1 of 5 sampled residents (#8) reviewed for unnecessary medications. This placed residents at risk for potential injury. Findings include:Resident 8 was admitted to the facility in 4/2025 with diagnoses including generalized anxiety disorder and malnutrition. Resident 8's 7/21/25 Quarterly MDS revealed the resident was cognitively intact. On 8/18/25 at 10:38 AM, Resident 8 stated the foot board of her/his bed was broken and had not been fixed. A review of maintenance work orders from 7/1/25 through 8/18/25 revealed no evidence a request was submitted for Resident 8's foot board to be repaired. …
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