Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Regency Hermiston Nursing & Rehab Center during CMS and state inspections, most recent first.
Surveyors identified a medication administration error rate of 13.79%, exceeding the acceptable threshold. Errors included a resident receiving blood pressure medication outside ordered parameters, improper administration of potassium chloride, an unidentified pill discarded without proper protocol, and an over-the-counter medication at a resident's bedside without a provider order or self-administration assessment. Staff interviews confirmed these actions did not align with facility expectations.
Surveyors found multiple expired medications in two medication storage rooms and two medication carts, including expired tablets, liquids, and supplements. Staff confirmed that expired medications should have been removed and destroyed according to facility policy, but these items remained accessible during the review.
Surveyors found that perishable foods were stored past their use-by dates and prepared beverages were left unlabeled in the kitchen's walk-in refrigerator. Additionally, an unlabeled, freezer-burned piece of meat was discovered in the freezer. The Dietary Manager and DNS acknowledged these items should have been discarded or properly labeled to ensure food safety.
Multiple residents with cognitive impairments and behavioral disorders were involved in incidents of sexual and physical abuse, including unwanted touching and physical altercations. Staff observed and intervened in these events, but the residents involved were unable to recall the incidents due to their cognitive status. Facility investigations confirmed the abuse occurred.
Two residents with cognitive impairment and dependence on staff for ADLs did not receive necessary grooming assistance, as both were repeatedly observed with long chin hairs despite documentation of daily personal hygiene. Staff interviews confirmed that shaving was not consistently offered or documented, and residents' requests for grooming were not addressed according to facility expectations.
A resident with dementia and severe cognitive impairment, who required significant assistance with daily activities and had a vision impairment, was repeatedly observed without eyeglasses. Staff interviews confirmed the resident needed help with eyeglasses, especially during activities, but the care plan did not address this need or provide guidance for staff assistance.
Staff did not follow physician orders for skin assessments and documentation for two residents with non-pressure skin conditions. One resident with chronic pain and depression had an unassessed and undocumented bruise, while another with diabetes and vascular disease had unassessed and undocumented foot discoloration and scabbing. Staff and leadership confirmed the lack of required documentation and monitoring.
A resident with ESRD and heart failure did not receive proper dialysis care due to incomplete communication forms and lack of documentation between facility staff and the dialysis provider. Staff failed to follow physician orders and the care plan for a strict fluid restriction, resulting in the resident frequently exceeding fluid limits without appropriate notification or monitoring for fluid overload. Multiple staff were unaware of the resident's fluid restriction and care needs, and the required assessments and documentation were not completed.
A resident with a fractured leg and dementia was mistakenly given an extra dose of Oxycodone due to a medication error by a CMA. The resident was supposed to receive 5 mg every eight hours, but was given two 5 mg tablets instead. The error was discovered during a narcotics count, and the charge nurse was informed.
Medication Administration Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication administration error rate below five percent, with four errors identified out of twenty-nine opportunities, resulting in a 13.79 percent error rate. In one instance, a resident with severe cognitive impairment and a history of seizures and multiple sclerosis was administered Metoprolol despite a blood pressure reading below the ordered threshold, and was also given potassium chloride in a manner not consistent with the provider's instructions, as the pill was dissolved in water prior to administration without such an order. Staff interviews confirmed that these actions were not in accordance with facility expectations or provider orders. Additional deficiencies were observed involving other residents. One cognitively intact resident had an unidentified pill found on their bedside table, which was discarded by a CMA without identification or following the facility's protocol for handling unknown medications. Another cognitively intact resident had an over-the-counter medication (Orajel) at their bedside without a provider order or a completed self-administration assessment, contrary to facility policy. Staff interviews confirmed that these practices did not meet the facility's expectations for medication management and administration.
Expired Medications Found in Medication Storage and Carts
Penalty
Summary
Surveyors identified that the facility failed to ensure medications were not expired in two medication storage rooms and two of three medication carts reviewed. During observations, multiple expired medications were found, including bottles of Geri Dryl, ASA (aspirin) in various dosages, calcium with vitamin D, melatonin, acid reducer, Rena Vite, ocular vitamins, zinc, prenatal vitamins, ferrous gluconate, acetaminophen liquid, Pepto Bismol chewable tablets, Multi Vite liquid, pink bismuth liquid, flaxseed tablets, Levetiracetam liquid, Dakin's solution, and Ayr saline nasal gel. These expired medications were present in both medication carts and storage rooms, with some having expiration dates as early as 11/2023 and 12/2023. Staff interviews confirmed that the facility's policy required expired medications to be removed from active supply and destroyed, and that staff were aware of this expectation. Despite this, expired medications remained accessible in the medication carts and storage rooms at the time of survey. No information was provided regarding any specific residents affected or their medical conditions at the time of the deficiency.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
Surveyors observed multiple instances of improper food storage in the facility's kitchen, including perishable items kept past their labeled use-by dates and unlabeled prepared beverages in the walk-in refrigerator. Specifically, a container of chicken noodle, rice prep, and sauerkraut were found with use-by or expiration dates that had already passed. Additionally, two trays containing a total of 28 cups of milk and 6 cups of apple juice were found without any labeling or dating. The Dietary Manager confirmed that these items should not have remained in the refrigerator past their use-by dates and that all prepared beverages should be labeled to maintain freshness and avoid confusion. Further inspection of the walk-in freezer revealed an unlabeled, undiscernible piece of meat wrapped in plastic, which was dark brown and had layers of ice under the wrapping, indicating freezer burn. The Dietary Manager acknowledged that the item appeared to be a ham with freezer burn and stated that such items should be discarded before reaching that condition. The Director of Nursing Services also stated that foods should be discarded in a timely manner to ensure food safety and that freezer items should be free from freezer burn.
Failure to Protect Residents from Sexual and Physical Abuse by Peers
Penalty
Summary
The facility failed to protect residents from sexual and physical abuse by other residents, as evidenced by multiple incidents involving residents with cognitive impairments and behavioral disorders. In one incident, a resident with severe cognitive impairment and dementia was found in her room with another resident, also severely cognitively impaired and diagnosed with schizophrenia and sexual disorders. A CNA observed the second resident touching the first resident's breasts over her clothing. Both residents were immediately separated, but neither could recall the incident due to their cognitive status. The facility's investigation confirmed the occurrence of abuse. In another event, two residents with moderate cognitive impairment and histories of behavioral issues were involved in a physical altercation. One resident struck the other twice as they passed by, prompting the second resident to grab the first resident's forearm and verbally protest. Staff intervened and separated the residents. Both residents had a documented history of hitting other residents, and staff acknowledged the physical interaction between them. A third incident involved a resident entering another resident's room and refusing to leave when asked. The resident whose room was entered responded by hitting the intruding resident's arm. This event was witnessed by an LPN, who intervened to separate the residents. The staff confirmed that the physical contact constituted abuse and acknowledged the facility's responsibility to prevent such incidents. In all cases, the residents involved had varying degrees of cognitive impairment and were unable to recall the incidents afterward.
Failure to Provide Required Grooming Assistance for Dependent Residents
Penalty
Summary
Two residents who were dependent on staff for activities of daily living (ADLs), specifically grooming and personal hygiene, did not receive appropriate assistance as required. One resident, admitted with severe cognitive impairment and kidney disease, was documented as having daily grooming and regular showers, but was repeatedly observed over several days with long chin hairs. Staff interviews revealed uncertainty about whether shaving was offered during showers, and the resident care manager acknowledged that the presence of long chin hairs was not proper ADL care and did not meet facility expectations. Another resident, with moderate cognitive impairment, diabetes, and vascular disease, was also dependent on staff for personal hygiene. Documentation indicated daily assistance, but there was no evidence that the resident was offered or refused assistance to trim chin hair. This resident was observed multiple times with long chin hairs and expressed a desire to have them cut. Staff confirmed awareness of the resident's request and the need for assistance, but the expected grooming was not provided or documented as refused. The resident care manager stated that shaving should be offered at least twice a week during bathing and refusals should be documented, which was not done in this case.
Failure to Develop Comprehensive Care Plan for Resident's Visual Needs
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing the visual needs of a resident with dementia and severe cognitive impairment. The resident, who required substantial to maximal assistance with activities of daily living, was observed multiple times without eyeglasses, despite having a documented vision impairment. The resident expressed concern about missing eyeglasses, and staff observations confirmed that the resident wore eyeglasses when engaging in activities such as coloring and puzzles, but often needed assistance to locate and use them. Record review revealed that the resident's care plan did not include any information regarding the use of eyeglasses or staff assistance with them. Interviews with CNAs and the Resident Care Manager/LPN indicated that staff relied on the care plan for guidance and were aware of the resident's need for eyeglasses, yet the care plan lacked specific instructions. The Director of Nursing Services confirmed that the care plan should have included directions for staff to assist the resident with eyeglasses as needed.
Failure to Follow Physician Orders for Skin Assessment and Documentation
Penalty
Summary
The facility failed to follow physician orders for skin assessments and monitoring for two residents with non-pressure skin conditions. For one resident with chronic pain and depression, a physician order required staff to check the resident's skin and document any new conditions with a progress note and a skin documentation form. Despite the presence of a bruise on the resident's right upper forearm observed over several days, there was no assessment, monitoring, or documentation in the health record. Staff confirmed the absence of documentation and acknowledged that the expected procedures were not followed. For another resident with Type 2 Diabetes and vascular disease, a similar physician order was in place for skin checks and documentation of new conditions. The resident was observed with discoloration and scabbing on the left foot, but the health record contained no assessment, monitoring, or progress note regarding these findings. Staff confirmed the presence of the skin condition and the lack of documentation. Facility leadership acknowledged that the required assessments and documentation were not completed for both residents.
Failure to Ensure Accurate Dialysis Communication and Adherence to Fluid Restriction Orders
Penalty
Summary
The facility failed to ensure accurate communication and documentation between its staff and the dialysis provider for a resident with end stage renal disease (ESRD) and heart failure. The facility's policy required licensed nurses to complete pre- and post-dialysis assessments and ensure the Dialysis Communication forms were filled out and sent with the resident. However, multiple instances were identified where these forms were incomplete or missing critical information such as vital signs, dialysis site assessment, nurse signatures, and dates. Interviews with staff confirmed that this was an ongoing issue, and the facility had not provided staff training related to dialysis care. Additionally, the facility did not follow the resident's care plan and physician orders regarding fluid restriction. The resident was ordered a 1000 ml daily fluid restriction, with specific instructions for kitchen and nursing staff on fluid allocation and requirements to notify the care team if the restriction was not adhered to. Despite these orders, documentation showed the resident frequently exceeded the fluid limit, and there was no evidence that staff notified the appropriate personnel or monitored for signs of fluid overload as required. Observations revealed that the resident often had multiple beverages at the bedside, including large cups of water, and there was no signage indicating a fluid restriction. Staff interviews further revealed a lack of awareness regarding the resident's fluid restriction and care needs, such as the use of compression stockings for edema. Some staff provided fluids upon request without knowledge of the restriction, and others were unaware of the required monitoring for swelling. The resident reported attending dialysis more frequently due to fluid overload and not consistently receiving compression socks. Documentation and staff statements confirmed that the care plan and physician orders were not consistently followed, and assessments for fluid overload were not completed as required.
Medication Error: Extra Dose of Oxycodone Administered
Penalty
Summary
The facility failed to ensure that narcotics were administered according to physician's orders for a resident, leading to a medication error. The resident, admitted in 2022 with a fractured leg and dementia, had a physician's order for Oxycodone 5 mg to be administered every eight hours for pain. However, on March 20, 2024, the resident was mistakenly given an extra dose of Oxycodone. Staff 9, a Certified Medication Aide (CMA), accidentally administered two 5 mg tablets instead of one, as per the Medication Administration Record (MAR) and physician's order. This error was discovered during a narcotics count by Staff 9 and Staff 10, who then informed the charge nurse and completed a medication error form. The Director of Nursing Services (DNS) acknowledged that the staff did not follow the physician's orders for medication administration.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hermiston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Canyon Lakes Rehab And Nursing Center | 24.9 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Kennewick | 26.5 mi | ★★★★★ | 38 | 0 |
| Willowbrook Post Acute | 26.7 mi | ★★★★★ | 18 | 0 |
| Life Care Center Of Richland | 29.3 mi | ★★★★★ | 10 | 0 |
| Avalon Health & Rehabilitation Center - Pasco | 29.7 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.