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F0554
D

Failure to Assess Resident for Safe Self-Administration of Medications

Portland, Oregon Survey Completed on 04-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that a resident was properly assessed for the safe self-administration of medications, as required by its own policy. The policy states that a resident may only self-administer medications after the interdisciplinary team determines which medications can be safely self-administered. However, a review of the resident's record showed no assessment had been completed for self-administration of medications. During observations, the resident was found alone in their room with a cup containing multiple medications on the bedside table. The resident stated they were waiting for someone to tell them what the medications were. Staff confirmed that the medications had been left in the resident's room after the resident was not present during the medication pass. The Director of Nursing Services also confirmed that the resident had not been assessed for self-administration and that medications should not have been left in the room.

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