A list of the most recent deficiencies for Grace Healthcare of Oregon. 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? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2023-03-15 | 2023-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-15 | 2023-04-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-15 | 2023-03-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-15 | 2023-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-15 | 2023-03-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-15 | 2023-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-15 | 2023-03-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-15 | 2023-03-15 | 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 | 2023-03-15 | 2023-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-15 | 2023-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-15 | 2023-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-08 | 2022-01-31 | 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 | 2021-12-08 | 2022-01-31 | 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 | 2021-12-08 | 2022-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-08 | 2022-01-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-09 | 2022-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-01-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-08 | 2022-01-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-09 | 2022-01-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-09 | 2022-01-07 | N |
| Develop a communication plan. | Fire Safety | 2021-12-08 | 2022-01-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-08 | 2021-12-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-14 | 2021-05-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-09 | 2021-04-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-09 | 2021-04-09 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-01-27 | 2020-03-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-27 | 2020-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-27 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-03-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-27 | 2020-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-02-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-29 | 2020-02-18 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-29 | 2020-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-29 | 2020-02-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-29 | 2020-02-18 | 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 | 2020-01-29 | 2020-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-27 | 2020-02-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-29 | 2020-02-04 | 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 | 2020-01-27 | 2020-02-04 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-18 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-18 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | Not Fixed | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-28 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-28 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-28 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-28 | Not Fixed | Y |
