F-tags by state · Oregon

Most common nursing home citations in Oregon

4,361 health citations were recorded at 128 of 127 rated nursing homes in Oregon over the last three inspection cycles, about 34.3 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations4,36134.3 per rated facility
Facilities cited128of 127 rated
Actual harm (G–I)1473% of citations
Immediate jeopardy (J–L)551% of citations

Top 25 F-tags in Oregon

"State share" is the percentage of rated Oregon nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care22285%69%
2F880Provide and implement an infection prevention and control program.Infection control16778%81%
3F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary14273%76%
4F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident rights13369%39%
5F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care12661%44%
6F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation12354%35%
7F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning10359%42%
8F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of life & care10253%39%
9F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Assessment & care planning9857%58%
10F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing & physician services9247%16%
11F695Provide safe and appropriate respiratory care for a resident when needed.Quality of life & care8750%46%
12F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy services8553%59%
13F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation7546%40%
14F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident rights7546%25%
15F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy services7348%34%
16F679Provide activities to meet all resident's needs.Quality of life & care7042%14%
17F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation7041%28%
18F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Quality of life & care6445%22%
19F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Assessment & care planning6439%35%
20F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy services6342%23%
21F759Ensure medication error rates are not 5 percent or greater.Pharmacy services6337%26%
22F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights6239%43%
23F552Ensure that residents are fully informed and understand their health status, care and treatments.Resident rights6141%9%
24F732Post nurse staffing information every day.Nursing & physician services5837%17%
25F730Observe each nurse aide's job performance and give regular training.Nursing & physician services5538%9%

Citations by category

Quality of life & care1,348
Resident rights732
Assessment & care planning529
Pharmacy services420
Abuse, neglect & exploitation334
Nursing & physician services321
Nutrition & dietary286
Infection control243
Administration109
Environment & safety39

Citations by survey year

201873
201979
202030
2022512
20231,394
20241,322
2025951

Partial years reflect the rolling three-cycle window.

Check a specific Oregon nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 127 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Oregon. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in Oregon?
F689 (Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.) is the most-cited F-tag in Oregon, with 222 citations at 108 facilities, or 85% of the state's rated nursing homes, compared with 69% nationally.
How many nursing home citations are there in Oregon?
4,361 health citations across 128 of 127 rated nursing homes in the last three inspection cycles, about 34.3 per facility. 147 involved actual harm and 55 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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