A list of the most recent deficiencies for Avamere Rehabilitation of Beaverton. 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 | 2023-06-26 | 2023-07-05 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-06-26 | 2023-06-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-13 | 2023-02-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-13 | 2023-02-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-13 | 2023-02-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-12 | 2023-01-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-17 | 2022-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-17 | 2022-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-08-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-28 | 2021-12-10 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-30 | 2019-01-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-11-30 | 2019-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-30 | 2019-01-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-30 | 2019-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-30 | 2019-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-30 | 2019-01-29 | N |
| Post nurse staffing information every day. | Health | 2018-11-30 | 2019-01-29 | 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 | 2018-11-30 | 2019-01-29 | 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 | 2018-11-30 | 2019-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2019-01-29 | N |
| Keep all essential equipment working safely. | Health | 2018-11-30 | 2019-01-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-11-30 | 2019-01-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-28 | 2019-01-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-11-28 | 2019-01-08 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-07-14 | 2017-08-31 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-14 | 2017-08-31 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2017-07-14 | 2017-08-31 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-07-14 | 2017-08-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-14 | 2017-08-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-14 | 2017-08-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-14 | 2017-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-13 | 2017-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-07-13 | 2017-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-13 | 2017-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-13 | 2017-08-31 | N |
