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F0557
D

Failure to Return Resident's Power Wheelchair After Discharge

Portland, Oregon Survey Completed on 08-08-2025

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

A resident with congestive heart failure, who was cognitively intact as indicated by a BIMS score of 15, was admitted to the facility in March 2024 and utilized a personal power wheelchair. Upon transfer to a hospital and subsequent discharge to another facility in May 2024, no attempt was made by the facility to return the resident's power wheelchair. Interviews with the Social Service Director and Maintenance Director revealed that the wheelchair was stored in a shed for six months after the resident's discharge and was ultimately disposed of during a storage area cleanup in October 2024. The Administrator confirmed that the wheelchair, found to be non-operational, was not returned to the resident.

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