Deficiency Records for Prestige Post-Acute and Rehab Center - Milwaukie
Updated as of March 01, 2024
A list of the most recent deficiencies for Prestige Post-Acute and Rehab Center - Milwaukie. 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? |
|---|---|---|---|---|
| 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 | 2023-03-27 | 2023-04-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-27 | 2023-04-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-27 | 2023-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-04-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-27 | 2023-04-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-27 | 2023-04-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-27 | 2023-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-04-26 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-21 | 2023-04-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-09 | 2023-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-09 | 2022-12-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-09 | 2022-12-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-09 | 2022-12-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-09 | 2022-12-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-09 | 2022-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-23 | 2022-04-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-23 | 2022-04-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-23 | 2022-04-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-23 | 2022-04-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-23 | 2022-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-23 | 2022-04-06 | 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 | 2022-02-23 | 2022-04-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-23 | 2022-04-06 | 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 | 2022-02-23 | 2022-04-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-23 | 2022-04-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-23 | 2022-04-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-23 | 2022-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-23 | 2022-04-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-23 | 2022-04-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-23 | 2022-04-06 | 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 | 2022-02-23 | 2022-04-06 | 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 | 2022-02-23 | 2022-04-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-23 | 2022-04-06 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-16 | 2022-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-16 | 2022-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-16 | 2022-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-09 | 2021-08-24 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-07-09 | 2021-08-24 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-07-09 | 2021-08-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-09 | 2021-08-24 | 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 | 2021-07-09 | 2021-08-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-09 | 2021-08-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-09 | 2021-08-24 | 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 | 2021-07-09 | 2021-08-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-02-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-16 | 2020-02-24 | 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 | 2019-12-16 | 2020-02-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-16 | 2020-02-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-16 | 2020-02-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-16 | 2020-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-16 | 2020-01-20 | 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 | 2019-12-16 | 2020-01-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-12-16 | 2020-01-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-16 | 2020-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-16 | 2020-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-16 | 2020-01-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-16 | 2020-01-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-16 | 2020-01-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-16 | 2020-01-20 | N |
| Post nurse staffing information every day. | Health | 2019-12-16 | 2020-01-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-16 | 2020-01-20 | 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 | 2019-12-16 | 2020-01-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-12-16 | 2020-01-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-12-16 | 2020-01-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-10 | 2020-01-15 | 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 | 2019-12-10 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-10 | 2020-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-16 | 2019-12-17 | N |
