Deficiency Index

Life Care Center of Coos Bay

Coos Bay, Oregon · CCN 385157

18 surveys since 2010, 14 of them producing a finding at harm level or worse.

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

Citations on record
124
Surveys
18
Harm or worse
14
Immediate jeopardy
4
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/18

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
114
Ownership
For profit - Limited Liability company
Chain
LIFE CARE CENTERS OF AMERICA
County
Coos · rural
Medicare-certified since
1983

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 26 for-profit facilities of 100–127 beds in Oregon.

Last survey on record

Apr 16, 2026

207 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.764.88
Registered-nurse hours per resident day0.75—
Annual nurse turnover58.7%47.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$62,868 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG24.4%H—I—
No harm, potential for more than minimalD3577.8%E817.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 45 of the 124 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F5782×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F5852×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

In the surveyor’s words

From the most serious findings on record at Life Care Center of Coos Bay, in the surveyor’s own words.

  • Actual harm, isolatedF689Sep 27, 2024

    Based on observation, interview, and record review it was determined the facility failed to ensure residents were free from accidents and update care plans after accidents for 3 of 4 sampled residents (#s 21, 36 and 48) reviewed for accidents and non-pressure wounds. Resident 21 fell from a mechanical lift resulting in a left arm fracture and hospitalization . Findings include: 1. Resident 21 admitted to the facility in 2018 with diagnoses including left side paralysis and depression. A FRI and associated investigation dated 6/8/24 revealed Staff 43 (CNA) and Staff 44 (CNA) transferred Resident 21 using a mechanical lift that did not have required safety clips attached. […]

  • Actual harm, isolatedF697Sep 27, 2024

    Based on observation, interview and record review it was determined the facility failed to ensure residents received appropriate pain management for 2 of 2 sampled residents (#s 41 and 52) reviewed for pain. Resident 41 was not administered pain medication for five days resulting in unresolved severe pain which limited her/his usual activities. Findings include: 1. Resident 41 was admitted to the facility in 2024 with diagnoses including pressure ulcer of the sacrum and chronic pain syndrome. A 5/2024 MAR revealed Resident 41 took oxycodone (narcotic pain medication) twice daily from 5/1/24 through 5/23/24. From 5/24/24 through 5/28/24 Resident 41 was not administered oxycodone. A quarterly MDS dated [DATE] confirmed Resident 41 was assessed to be cognitively intact. […]

  • No harm, potential for more than minimal, widespreadF812Jun 17, 2022

    Based on observation, interview, and record review it was determined the facility failed to ensure the dishwasher was maintained for 1 of 1 kitchen reviewed. This placed residents at risk for food borne illness. Findings include: In an interview on 6/16/22 at 12:51 PM Staff 12 (Certified Dietary Manager) stated the kitchen dishwasher was temperature based and must wash at 150 degrees and rinse at 180 degrees to ensure the dishes were sanitized. Staff 12 also stated the dietary staff were to log the dishwasher wash and rinse temperatures at each meal. On 6/16/22 at 12:51 PM the dishwasher was observed to wash at 130 degrees and rinse at 166 degrees. Multiple wash cycles were observed, and the temperatures did not reach the appropriate temperatures. […]

  • No harm, potential for more than minimal, patternF585Dec 19, 2025

    Based on interview and record review it was determined the facility failed to make prompt efforts to resolve resident grievances for 1 of 1 facility reviewed for grievances. This placed residents at risk for unresolved grievances. Findings include:The facility's 1/7/25 Grievance Program policy detailed expectations for a prompt effort to resolve grievances and maintain a recordkeeping system with grievance receipt date, grievance summary statement, investigation steps, pertinent findings or conclusions, whether grievance was confirmed or not confirmed, and decision date. A review of facility grievances from 7/2025, 8/2025, 9/2025, 10/2025, and 11/2025 revealed six grievance forms with incomplete documentation to indicate the grievances were resolved. […]

  • No harm, potential for more than minimal, patternF880Dec 19, 2025

    Based on observation, interview and record review it was determined the facility failed to ensure proper hand hygiene was completed during meals for 1 of 1 dining room reviewed for dining. This placed residents at risk for cross contamination. Findings include:The 10/28/25 Hand Hygiene Policy and Procedure indicates the facility must establish and maintain an infection prevention and control program designed to maintain to provide as a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.Procedure:2. Associates perform hand hygiene (even if gloves are used) in the following situations:a. Before and after contact with the resident;b. After contact with blood, body fluids or visibly contaminated surfaces;c. […]

Read 32 findings in full →The most serious and the most recent: 32 of 124 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 16, 2026Complaint2 findings
  • Dec 19, 2025Standard9 findings
  • Sep 27, 2024Standard and complaint23 findings · 2 harm
  • Jun 16, 2023Standard and complaint11 findings
  • Jun 17, 2022Standard and complaint7 findings
  • Dec 17, 2019Complaint3 findings
  • Mar 8, 2019Standard and complaint14 findings · 2 harm
  • Nov 14, 2018Complaint9 findings · 4 harm
Show the 10 earlier surveys
  • Oct 19, 2017Standard3 findings
  • Sep 22, 2016Standard9 findings
  • Aug 21, 2015Standard and complaint6 findings
  • Dec 23, 2014Complaint1 finding · 1 harm
  • Jul 3, 2014Standard13 findings · 2 harm
  • Feb 1, 2013—7 findings
  • Oct 8, 2012—2 findings · 2 harm
  • Nov 17, 2011—2 findings
  • Dec 8, 2010—1 finding · 1 harm
  • Aug 12, 2010—2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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