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F0727
E

Failure to Ensure Required RN Coverage on Multiple Days

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 provide registered nurse (RN) coverage for eight consecutive hours on four separate Saturdays within a 33-day review period, as evidenced by the Direct Care Staff Daily Reports (DCSDR). Specifically, there was no RN coverage for the required duration on 7/20/24, 8/3/24, 3/22/25, and 4/12/25. Staff responsible for payroll and human resources acknowledged the lack of RN coverage on these dates and cited difficulty in finding RN coverage on weekends. The facility administrator was not aware of the absence of RN coverage on the identified days. No information was provided regarding specific residents affected, their medical history, or their condition at the time of the deficiency.

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