A list of the most recent deficiencies for Avamere Rehabilitation of Coos Bay. 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 | 2023-11-22 | 2023-11-14 | 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 | 2023-11-22 | 2023-11-14 | 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 | 2023-03-10 | 2023-04-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-10 | 2023-04-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-10 | 2023-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-10 | 2023-04-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-10 | 2023-04-14 | 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 | 2023-03-10 | 2023-04-14 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-10 | 2023-04-14 | N |
| 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 | 2023-03-10 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-14 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-10 | 2023-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-10 | 2023-04-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-10 | 2023-04-14 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-27 | 2022-03-18 | N |
| Provide activities to meet all resident's needs. | Health | 2022-01-27 | 2022-03-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-27 | 2022-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-27 | 2022-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-27 | 2022-03-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-27 | 2022-03-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-27 | 2022-03-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-01-27 | 2022-03-18 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Develop a communication plan. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-19 | 2022-03-18 | N |
| Meet other general requirements. | Fire Safety | 2022-01-19 | 2022-03-18 | 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 | 2021-07-28 | 2021-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-28 | 2021-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-28 | 2021-09-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-28 | 2021-09-13 | 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 | 2021-07-28 | 2021-09-13 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-07-28 | 2021-09-13 | Y |
| Post nurse staffing information every day. | Health | 2021-07-28 | 2021-09-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-12 | 2021-06-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-12 | 2021-06-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-12 | 2021-06-11 | 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 | 2019-07-30 | 2019-09-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-30 | 2019-09-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-30 | 2019-09-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-30 | 2019-09-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-30 | 2019-09-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-30 | 2019-09-26 | 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 | 2019-07-30 | 2019-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-30 | 2019-09-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-07-30 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-30 | 2019-09-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-30 | 2019-09-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-23 | 2019-08-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-23 | 2019-08-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-23 | 2019-08-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-23 | 2019-08-21 | 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 | 2019-07-23 | 2019-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-23 | 2019-08-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-23 | 2019-08-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-23 | 2019-08-21 | N |
