Deficiency Index

F940 citations in Oregon

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F940 in Oregon. Pick another state for the same tag.

Against expectation — 2025

Oregon cites F940 more often than its own record predicts

Versus expected share1.07×

1.07 times the share F940 takes of citations nationally.

Share of Oregon citations0.10%

Of every deficiency written in Oregon in 2025, this is the portion that was F940.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Oregon surveyors wrote

F940 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, isolatedJune 16, 2025

Based on interview and record review it was determined the facility failed to implement and maintain an effective tracheostomy training program for 1 of 1 sampled resident (#19) reviewed for respiratory care. This placed residents at risk for inappropriate tracheostomy care and the potential for a decline in respiratory status. Findings include: Resident 19 admitted to the facility in 4/2024, with diagnoses including acute respiratory failure and tracheostomy (a surgical opening through the front of the neck and into the windpipe, which a tube is placed into the hole to keep it open for breathing). A 5/5/25 Progress Note revealed Resident 19 was transferred to the hospital for vomiting. …

Evan Terrace Post Acute

The short window

Recent years

YearShare of Oregon citationsvs expected
20230.16%1.94×
20250.10%1.07×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Oregon surveyors cite →

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