Hood River Post Acute

In the surveyor’s words

From the most serious findings on record at Hood River Post Acute, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Sep 27, 2024

  Based on observation, interview, and record review it was determined the facility failed to store foods at appropriate temperatures for 1 of 3 kitchen refrigerators reviewed for food safety. The facility's failure was determined to be an immediate jeopardy situation because raw meat stored outside of an acceptable temperature was planned to be used for an upcoming meal. Findings include: According to the U.S. Food and Drug Administration's Food Code 2022, (Chapter 3, Section 501.13), food shall be thawed under refrigeration that maintains the food temperature at 41 degrees F or less. […]

• No harm, potential for more than minimal, patternF605Mar 13, 2026

  Based on Interview and record review it was determined the facility failed to ensure residents using psychotropic medications received gradual dose reductions for 4 of 5 sampled residents (#s 4, 8, 9, and 71) reviewed for medications. This placed residents at risk for unnecessary uses of psychotropic medications. Findings include:1. Resident 8 was admitted to the facility in 6/2024 with diagnoses including paranoid schizophrenia (mental health condition) and anxiety disorder (mental health condition). Resident 8's 12/13/25 Quarterly MDS indicated the resident received antipsychotic and antianxiety medications with no Gradual Dose Reduction (GDR) attempted and no documentation existed from the physician indicating a GDR was clinically contraindicated. […]

• No harm, potential for more than minimal, patternF575Sep 27, 2024

  Based on observation and interview it was determined the facility failed to ensure contact information for pertinent State agencies and the required Long Term Care Ombudsman (LTCO) poster were accessible to residents for 1 of 2 units observed for required postings. This placed residents at risk for lack of information on how to file a complaint or how to report concerns. Findings include: On 9/23/24 at 11:00 AM the required postings to indicate how residents can contact the State Survey Agency, the State licensure office, adult protective services and LTCO were observed in a hallway outside of the facility's locked enhanced care unit (ECU). Neither posting was observed inside the ECU. […]

• No harm, potential for more than minimal, patternF880Sep 27, 2024

  Based on observation and interview it was determined the facility failed to ensure sanitary laundry services were provided for 2 of 6 halls reviewed for infection control. This placed residents at risk for cross contamination. Findings include: On 9/24/24 at 12:57 PM and at 1:10 PM Staff 20 (Laundry Services) was observed to deliver clean resident clothing throughout the 400 and 500 Halls and used a small uncovered laundry cart. The laundry cart was left unattended while Staff 20 delivered resident clothing from room to room. On 9/27/24 at 10:02 AM Staff 1 (Administrator) acknowledged that clean resident clothing should be covered while being delivered.

• No harm, potential for more than minimal, patternF760Dec 15, 2021

  Based on interview and record review it was determined the facility failed to ensure residents were free from significant medication errors for 4 of 4 (#s 3, 4, 6, and 7) sampled residents reviewed for medication errors. This placed residents at risk for adverse medication side effects. Findings include: 1. Resident 3 admitted to the facility in 2019 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] The 5/2021 physician order [MEDICAL RECORD OR PHYSICIAN ORDER] = 1 unit; CBG 201 - 250 = 2 units; CBG 251 - 300 = 3 units; CBG 301 - 350 = 4 units; CBG 351 - 400 = 5 units; 401+ = 6 units, CBG greater than 400 call physician, subcutaneously two times a day. […]