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F0609
D

Failure to Timely Report Injury of Unknown Source

Creswell, Oregon Survey Completed on 12-11-2025

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 report in a timely manner an allegation of injury of unknown source for one resident with behavioral disturbance and dementia. The resident was found with a bruise to the left eye, and staff were unable to determine how the injury occurred, nor could the resident explain the incident. A CNA observed the bruise and reported it to an LPN, but the incident was not reported to the State Survey Agency as required. The Director of Nursing confirmed that the incident met the criteria for non-compliance due to the delay in reporting.

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