A list of the most recent deficiencies for Corvallis Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-28 | 2024-01-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-28 | 2024-01-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-01 | 2024-01-19 | N |
| 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. | Health | 2023-12-01 | 2024-01-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-01 | 2024-01-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-01 | 2024-01-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-01 | 2024-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2024-01-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-01 | 2024-01-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-01 | 2024-01-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-01 | 2024-01-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-01 | 2024-01-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-12-01 | 2024-01-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-01 | 2024-01-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-01 | 2024-01-19 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-01 | 2024-01-19 | Y |
| 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. | Health | 2023-12-01 | 2024-01-19 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-01 | 2024-01-19 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-01 | 2024-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-01 | 2024-01-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-01 | 2024-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-19 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-12-01 | 2024-01-19 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-12-01 | 2024-01-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-30 | 2024-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-30 | 2024-01-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-10-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-19 | 2023-10-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-25 | 2023-09-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-19 | 2023-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-19 | 2023-08-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-03 | 2022-12-21 | N |
| 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. | Health | 2022-11-04 | 2022-12-20 | N |
| 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. | Health | 2022-11-04 | 2022-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-04 | 2022-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-04 | 2022-12-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-04 | 2022-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-04 | 2022-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-04 | 2022-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-04 | 2022-12-20 | Y |
| Post nurse staffing information every day. | Health | 2022-11-04 | 2022-12-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-30 | 2022-05-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-30 | 2022-05-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-05-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-03-30 | 2022-05-03 | Y |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2021-11-16 | 2022-01-11 | N |
| 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. | Health | 2021-11-23 | 2022-01-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-23 | 2022-01-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-11-23 | 2022-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-23 | 2022-01-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-23 | 2022-01-06 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-23 | 2022-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-23 | 2022-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2022-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-23 | 2022-01-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-23 | 2022-01-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-23 | 2022-01-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-23 | 2022-01-06 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-11-23 | 2022-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2022-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2022-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-23 | 2022-01-06 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| Meet other general requirements. | Fire Safety | 2021-11-16 | 2022-01-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-29 | 2021-07-27 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-29 | 2021-07-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-07-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-29 | 2021-06-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-29 | 2021-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-06-16 | Y |
| Post nurse staffing information every day. | Health | 2021-04-29 | 2021-06-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-29 | 2021-06-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-29 | 2021-06-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-06-16 | Y |
