Based on observation and interview it was determined the facility failed to ensure a clean and sanitary environment for 1 of 2 medication storage room sinks reviewed for infection control. This placed staff and residents at risk for cross contamination of medication and treatment supplies. Findings include: On 8/21/26 at 9:30 AM the 300-hall medication storage room was observed to contain resident treatment supplies, overstock of over-the-counter medications, and various single use sterile resident care items. The sink was centrally located in the small storage room and had a dripping faucet. The sink contained buildup of pink and yellow sludge and a large area of black partially dried, slimy/gelatinous debris with irregular borders, hair, and bits of paper. …
F921 citations in Oregon
Safe, clean, comfortable environment · Environmental Deficiencies
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Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Oregon cites F921 less often than its own record predicts
0.37 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F921 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 | 0.31% | 0.36× |
| 2024 | 0.08% | 0.10× |
| 2025 | 0.31% | 0.37× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
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