Deficiency Records for Tigard Rehabilitation and Care
Updated as of January 01, 2022
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-06 | 2021-02-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-03-06 | 2021-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-06 | 2021-02-22 | 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 | 2020-03-06 | 2021-02-22 | Y |
| 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 | 2020-03-06 | 2021-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-06 | 2021-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-06 | 2021-02-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-15 | 2019-09-24 | N |
| 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 | 2019-08-15 | 2019-09-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-15 | 2019-09-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-15 | 2019-09-24 | 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 | 2019-08-15 | 2019-09-24 | 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 | 2019-08-15 | 2019-09-24 | 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 | 2019-08-15 | 2019-09-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-15 | 2019-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-15 | 2019-09-24 | 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 | 2019-08-15 | 2019-09-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-15 | 2019-09-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-15 | 2019-09-24 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-15 | 2019-09-24 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-06 | 2019-09-24 | 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 | 2019-08-06 | 2019-09-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-06 | 2019-09-24 | N |
| 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 |
| 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 |
| 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 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-16 | 2018-03-26 | N |
| 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 | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 | 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 |
| 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 |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-11-28 | 2017-01-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-11-28 | 2017-01-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-28 | 2017-01-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-28 | 2017-01-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-28 | 2017-01-16 | 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 | 2016-11-28 | 2017-01-16 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-11-28 | 2017-01-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-28 | 2017-01-16 | N |
| 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 |
