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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-11 | 2024-01-16 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-11 | 2024-01-16 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-08-11 | 2023-09-19 | Y |
| 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 | 2023-08-11 | 2023-09-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-11 | 2023-09-19 | 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 | 2023-08-11 | 2023-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-19 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-11 | 2023-09-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-11 | 2023-09-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-11 | 2023-09-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-09-19 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-08-11 | 2023-09-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-11 | 2023-09-19 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-11 | 2023-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-09-19 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-08-11 | 2023-09-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-17 | 2023-09-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-17 | 2023-06-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-17 | 2023-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-17 | 2023-06-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-17 | 2023-06-16 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-17 | 2023-06-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-16 | 2022-07-28 | 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 | 2022-06-16 | 2022-07-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-16 | 2022-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-07-28 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-16 | 2022-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-06-16 | 2022-07-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-16 | 2022-07-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-16 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-16 | 2022-07-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-16 | 2022-07-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-06-16 | 2022-07-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-07 | 2022-04-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-07 | 2022-04-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-07 | 2022-04-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-07 | 2022-04-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-07 | 2022-04-18 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-07 | 2022-04-18 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-07 | 2022-04-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-07 | 2022-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-07 | 2022-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-07 | 2022-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-07 | 2022-04-18 | Y |
| 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 | 2022-03-07 | 2022-04-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-07 | 2022-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-07 | 2022-04-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-07 | 2022-04-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-03-07 | 2022-04-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-07 | 2022-04-18 | 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 |
| 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 | 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 enough food/fluids to maintain a resident's health. | 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 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | 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 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-15 | 2019-09-24 | N |
| 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 |
