THE CRESTON HEALTH & REHABILITATION, PORTLAND, OR — Violations & Inspection Reports

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Provide and implement an infection prevention and control program.

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Honor 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.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Ensure 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.

Provide 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.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Ensure medication error rates are not 5 percent or greater.

Provide activities to meet all resident's needs.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Ensure that residents are fully informed and understand their health status, care and treatments.

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Honor 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.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Ensure each resident receives an accurate assessment.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Implement 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.

Provide or obtain dental services for each resident.

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Provide safe and appropriate respiratory care for a resident when needed.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Have a plan that describes the process for conducting QAPI and QAA activities.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Protect each resident from the wrongful use of the resident's belongings or money.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Ensure services provided by the nursing facility meet professional standards of quality.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Honor 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.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Provide safe and appropriate respiratory care for a resident when needed.

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Allow residents to self-administer drugs if determined clinically appropriate.

Reasonably accommodate the needs and preferences of each resident.

Ensure medication error rates are not 5 percent or greater.

Ensure each resident receives an accurate assessment.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.