Astoria Place of Silverton

In the surveyor’s words

From the most serious findings on record at Astoria Place of Silverton, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 4, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on medical record review, review of a Self-Reported Incident (SRI), staff interviews, review of employee timeclock punch reports, review of the local police report, review of witness statements, review of an employee personnel file and facility policy review, the facility failed to ensure one cognitively impaired resident (#20) was free from physical abuse by facility staff. […]

• Actual harm, isolatedF686Oct 6, 2022

  Based on record review, observation, resident and staff interview, review of facility policy, and review of guidelines from the National Pressure Injury Advisory Panel (NPIAP), the facility failed to conduct adequate skin assessments and failed to implement interventions to prevent the development of pressure ulcers and/or aid in the healing of existing pressure ulcers as recommended by the physician. This resulted in Actual Harm when Resident #38 was found to have a pressure ulcer which was first identified as a stage IV pressure ulcer. This affected one (#38) of three residents reviewed for pressure ulcers. The census was 63. Findings include: Review of the medical record for Resident #38 revealed an admitted [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Oct 6, 2022

  Based on record review, observation, resident and staff interview, and review of the facility policy, the facility failed conduct thorough investigations to determine root cause analysis to identify potential hazards and resident-specific interventions to reduce and/or eliminate falls and falls with injury. The facility also failed to ensure fall prevention interventions were in place per the resident's plan of care. This resulted in Actual Harm when Resident #20 experienced repeated falls resulting in a fractured arm which required surgery. This affected one (#20) out of three residents reviewed for falls. The census was 63. Findings include: Review of the medical record for Resident #20 revealed an admitted [DATE] with a diagnoses of [CONDITION(S)] and [CONDITION(S)]. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on observation, staff interview, and review of the facility documents and policy, the facility failed to maintain a clean and sanitary kitchen and failed to monitor temperatures of refrigerators and dish machines, and failed to monitor chemical concentration levels for the dish machine and for the three compartment sink. This had the potential to affect all of the residents residing in the facility with the exception of three facility-identified residents who did not receive meals prepared in the facility kitchen. The facility census was 75 residents. Findings include:1.Observation on 06/22/26 at 9:13 A.M. revealed there was a buildup of ice around the sprinkler head inside of the walk-in freezer with water with water dripping from the sprinkler head. […]

• No harm, potential for more than minimal, widespreadF908Mar 17, 2026

  Based on observations, staff interviews, review of dishwasher logs, and facility policy review, the facility failed to ensure the dishwasher was maintained in working order. This had the potential to affect all 70 residents residing in the facility. The facility census was 70. Findings include:During an observation of the kitchen on 03/04/26 at 10:39 A.M. with Dietary Manager (DM) #64, revealed the dishwasher was not operational. DM #53 stated there had been problems with the dishwasher since February and the facility had been using disposable dishware and utensils for all meals. DM #64 stated it gets fixed, and will work for a few days, and then break again. […]