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F0636
D

Failure to Complete Timely Comprehensive Admission Assessments

Portland, Oregon Survey Completed on 04-28-2025

Penalty

Fine: $149,783
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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 complete comprehensive admission assessments within the required 14-day timeframe for three residents. For one resident with type 2 diabetes mellitus and chronic kidney disease, the Admission MDS was found incomplete 17 days after admission, lacking provider signatures in key sections and missing completed Care Area Assessments (CAAs) for multiple triggered care areas, including functional abilities, urinary incontinence, nutritional status, pressure ulcers, and pain. Another resident with a history of stroke and type 2 diabetes had an Admission MDS that was still in progress and overdue by five days, as confirmed by facility staff. A third resident, admitted with type 2 diabetes mellitus and a below-the-knee amputation, also had an incomplete Admission MDS 18 days after admission, with unsigned and incomplete CAAs for several triggered care areas such as cognitive status, mood, nutritional status, pressure ulcers, and pain. Staff interviews confirmed that the facility had overdue admission assessments for these residents. The lack of timely and complete comprehensive assessments placed the residents at risk for unmet care needs, as the necessary information to guide individualized care planning was not available within the required timeframe.

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