A list of the most recent deficiencies for Avamere Rehabilitation of Clackamas. 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? |
|---|---|---|---|---|
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-11-14 | 2024-01-03 | Y |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2023-11-14 | 2023-12-21 | Y |
| Meet other general requirements. | Fire Safety | 2023-11-14 | 2023-12-21 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-14 | 2023-11-15 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-11-14 | 2023-11-15 | 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 | 2023-05-05 | 2023-06-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-05 | 2023-06-13 | 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 | 2023-05-05 | 2023-06-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-05 | 2023-06-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-05 | 2023-06-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-05 | 2023-06-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-03 | 2023-06-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-03 | 2023-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-03 | 2023-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-03 | 2023-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-03 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-03 | 2023-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2022-12-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-29 | 2019-06-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-29 | 2019-06-14 | 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 | 2019-04-29 | 2019-06-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-29 | 2019-06-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-29 | 2019-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-29 | 2019-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-29 | 2019-06-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Develop a communication plan. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Establish methods for sharing information. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-19 | 2019-04-10 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-02-19 | 2019-04-02 | 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 | 2019-02-19 | 2019-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-19 | 2017-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-19 | 2017-12-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-18 | 2017-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-19 | 2017-12-04 | N |
