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Deficiency Records for North Bend Post Acute
View the most recent health deficiencies and inspection results for North Bend Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for North Bend Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-04 | 2025-10-23 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-03-05 | 2025-05-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-05 | 2025-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-05 | 2025-04-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-05 | 2025-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-05 | 2025-04-18 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-03-05 | 2025-04-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-03-05 | 2025-04-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-05 | 2025-04-18 | 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 | 2025-03-05 | 2025-04-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-03-05 | 2025-04-18 | N |
| 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 | 2025-03-05 | 2025-04-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-05 | 2025-04-18 | 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 | 2025-03-05 | 2025-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-05 | 2025-04-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-05 | 2025-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-05 | 2025-04-18 | 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 | 2025-03-05 | 2025-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-05 | 2025-04-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-03-05 | 2025-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-05 | 2025-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-05 | 2025-04-18 | 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 | 2025-03-05 | 2025-04-18 | N |
| 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 | 2025-03-05 | 2025-04-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-05 | 2025-04-03 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-07 | 2024-12-05 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-12 | 2024-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-03-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish methods for sharing information. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Develop a communication plan. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-12-12 | 2024-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2024-01-15 | N |
| 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 | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-12 | 2024-01-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-12 | 2024-01-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-12 | 2024-01-15 | N |
| 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 | 2023-12-12 | 2024-01-15 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-12-12 | 2024-01-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-12 | 2024-01-15 | N |
| Post nurse staffing information every day. | Health | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-12 | 2024-01-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-12 | 2024-01-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-12 | 2024-01-15 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-12-12 | 2024-01-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-12 | 2024-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2024-01-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-12 | 2024-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-12 | 2024-01-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-12 | 2024-01-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-12-12 | 2024-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-12 | 2024-01-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-12 | 2024-01-15 | 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 | 2023-12-12 | 2024-01-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-12-12 | 2024-01-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-04 | 2023-11-17 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-04 | 2023-11-17 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-10-04 | 2023-11-17 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-04 | 2023-11-17 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2023-10-04 | 2023-11-17 | 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 (including nights and weekends) and emergencies. | Health | 2023-10-04 | 2023-11-17 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-10-04 | 2023-11-17 | 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 | 2023-10-04 | 2023-11-17 | 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 | 2023-10-04 | 2023-11-17 | Y |
| Post nurse staffing information every day. | Health | 2023-10-04 | 2023-11-17 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-10-04 | 2023-11-17 | 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 | 2023-10-04 | 2023-11-17 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-04 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-04 | 2023-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-11-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-04 | 2023-11-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-04 | 2023-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-04 | 2023-11-17 | 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 | 2023-10-04 | 2023-11-17 | 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 | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-12 | 2022-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-10-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-12 | 2022-10-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-08-12 | 2022-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-10-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-12 | 2022-10-10 | N |
| Report COVID19 data to residents and families. | Health | 2022-08-12 | 2022-10-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-12 | 2022-10-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-12 | 2022-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-12 | 2022-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-12 | 2022-10-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-12 | 2022-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-12 | 2022-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-12 | 2022-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-12 | 2022-10-10 | 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 | 2022-08-12 | 2022-10-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-12 | 2022-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-12 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-12 | 2022-09-09 | 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 | 2022-08-12 | 2022-09-09 | N |