A list of the most recent deficiencies for East Portland Care Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-20 | 2023-11-24 | 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 | 2023-10-20 | 2023-11-24 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-20 | 2023-11-24 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-10-20 | 2023-11-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-11-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-20 | 2023-11-24 | 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 | 2023-10-20 | 2023-11-24 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-20 | 2023-11-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-20 | 2023-11-24 | Y |
| 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 | 2023-10-20 | 2023-11-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-20 | 2023-11-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-20 | 2023-11-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-20 | 2023-11-24 | 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 | 2023-10-20 | 2023-11-24 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-07 | 2022-11-23 | 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 | 2022-10-07 | 2022-11-23 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-07 | 2022-11-23 | 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 | 2022-10-07 | 2022-11-23 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-07 | 2022-11-23 | 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 | 2022-10-12 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-11-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-12 | 2022-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-12 | 2022-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-12 | 2022-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-10-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-01 | 2022-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-01 | 2022-09-14 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-08-01 | 2022-05-26 | 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 | 2021-07-27 | 2021-09-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-27 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-27 | 2021-09-01 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-07-27 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-06 | 2018-11-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-06 | 2018-11-23 | 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 | 2018-08-06 | 2018-11-23 | N |
| 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 | 2018-08-06 | 2018-11-23 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-08-06 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-06 | 2018-11-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-06 | 2018-11-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-06 | 2018-09-25 | 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 | 2018-08-06 | 2018-09-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-06 | 2018-09-25 | 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 | 2018-08-06 | 2018-09-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-06 | 2018-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-06 | 2018-09-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-06 | 2018-09-25 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-06 | 2018-09-25 | 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 | 2018-08-06 | 2018-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-06 | 2018-09-25 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-08-06 | 2018-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-06 | 2018-09-25 | 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 | 2018-08-06 | 2018-09-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-08-06 | 2018-09-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-06 | 2018-09-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-08-06 | 2018-09-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-02 | 2018-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-06 | 2018-09-18 | N |
