Deficiency Records for Tigard Rehabilitation and Care
Updated as of June 01, 2019
This is not the most recent data for Tigard Rehabilitation and Care. For the most recent information, click here.
A list of the most recent deficiencies for Tigard Rehabilitation and Care. 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 organize and participate in resident/family groups in the facility. | Health | 2019-01-28 | 2019-02-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-28 | 2019-02-20 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Develop a communication plan. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-02-13 | 2018-03-26 | 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 | 2018-02-13 | 2018-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-13 | 2018-03-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-16 | 2018-03-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-02-16 | 2018-03-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-02-16 | 2018-03-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-16 | 2018-03-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-02-16 | 2018-03-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-16 | 2018-03-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-16 | 2018-03-26 | N |
| Post nurse staffing information every day. | Health | 2018-02-16 | 2018-03-26 | 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 | 2018-02-16 | 2018-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-16 | 2018-03-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-02-16 | 2018-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-16 | 2018-03-26 | N |
| Keep all essential equipment working safely. | Health | 2018-02-16 | 2018-03-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-16 | 2018-03-26 | 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 | 2018-02-16 | 2018-03-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-16 | 2018-03-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-16 | 2018-03-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-08 | 2018-03-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-08 | 2018-03-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-08 | 2018-03-26 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-21 | 2018-02-14 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-21 | 2018-02-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-21 | 2018-01-08 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-21 | 2018-01-08 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-21 | 2018-01-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-21 | 2018-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-21 | 2018-01-08 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-21 | 2018-01-08 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-01 | 2017-09-13 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-01 | 2017-09-13 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-01 | 2017-09-13 | Y |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-02-28 | 2017-04-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-28 | 2017-04-19 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-11-22 | 2017-01-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-22 | 2017-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-22 | 2017-01-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-11-28 | 2017-01-16 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-11-28 | 2017-01-16 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-28 | 2017-01-16 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-28 | 2017-01-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-28 | 2017-01-16 | Y |
| 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 | 2016-11-28 | 2017-01-16 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-11-28 | 2017-01-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-28 | 2017-01-16 | Y |
| Approved construction type or materials. | Fire Safety | 2015-09-29 | 2015-11-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-29 | 2015-11-16 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-29 | 2015-11-16 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-09-29 | 2015-11-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-29 | 2015-11-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-10-02 | 2015-11-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-02 | 2015-11-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-10-02 | 2015-11-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-10-02 | 2015-11-16 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-10-02 | 2015-11-16 | 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 | 2015-10-02 | 2015-11-16 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-10-02 | 2015-11-16 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-10-02 | 2015-11-16 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-10-02 | 2015-11-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-10-02 | 2015-11-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-02 | 2015-11-16 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-10-02 | 2015-11-16 | N |
