Based on observation and interview it was determined the facility failed to provide secured handrails in all corridors for 2 of 2 halls reviewed for environment. This placed residents at risk for accidents. Findings include: On 6/28/23 at 10:20 AM Resident 15 was observed using the handrail to self-propel from the living room common area to the [NAME] hall with the handrail loosely attached to the wall. On 6/28/23 at 12:52 PM Staff 21 (Maintenance Director) acknowledged multiple handrails were unsecured to the walls in the facility. On 6/28/23 at 12:56 PM Staff1 (Administrator) stated she was aware the handrails in the facility were unsecured to the walls throughout the facility.
F924 citations in Oregon
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Oregon cites F924 more often than its own record predicts
2.69 times the share F924 takes of citations nationally.
Of every deficiency written in Oregon in 2023, this is the portion that was F924.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Oregon surveyors wrote
F924 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.
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