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10300 SW EASTRIDGE STREET PORTLAND, OR 97225 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
May 6, 2022 Follow-up to inspection on 2021-04-28*	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT MAINTENANCE OF PHYSICAL PLANT COVID-19 Vaccination of Facility Staff
Apr 28, 2021	14	0	0	14	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: GRIEVANCE REVIEW TIME FRAMES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI NURSING SERVICES CONTENT OF RECORD: ORDERS DATED & SIGNED PHYSICAL ENVIRONMENT Treatment Plan
Sep 9, 2020 Follow-up to inspection on 2020-02-06*	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Sep 9, 2020 Follow-up to inspection on 2019-09-27*	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Feb 6, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Feb 6, 2020 Follow-up to inspection on 2019-09-27*	5	0	0	5	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI
Oct 24, 2019 Follow-up to inspection on 2019-09-27*	8	0	0	8	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS
Oct 7, 2019 Follow-up to inspection on 2019-09-27*	8	0	0	8	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS
Sep 27, 2019	8	0	0	8	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI NURSING SERVICES RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS
May 16, 2019 Follow-up to inspection on 2018-12-13*	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE ADMINISTRATION OF DRUGS
May 16, 2019	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Apr 19, 2019	6	0	0	6	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 POSTING OF SIGNS EMERGENCY ROOM LOG MEDICAL SCREENING EXAM APPROPRIATE TRANSFER RECIPIENT HOSPITAL RESPONSIBILITIES
Feb 28, 2019	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING RN SUPERVISION OF NURSING CARE
Feb 28, 2019 Follow-up to inspection on 2018-12-13*	14	0	0	14	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT QAPI NURSING SERVICES ORGANIZATION OF NURSING SERVICES STAFFING AND DELIVERY OF CARE RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS PHYSICAL ENVIRONMENT
Dec 13, 2018	15	0	0	15	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION QAPI NURSING SERVICES PHYSICAL ENVIRONMENT
Sep 28, 2018	5	0	0	5	Read full report
Deficiencies cited in this report: DISCHARGE PLANNING EVALUATION TIMELY DISCHARGE PLANNING EVALUATIONS DISCUSSION OF EVALUATION RESULTS DOCUMENTATION OF EVALUATION IMPLEMENTATION OF A DISCHARGE PLAN
Dec 8, 2017	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT RN SUPERVISION OF NURSING CARE
Jun 20, 2016	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION MEDICAL RECORD SERVICES
Aug 18, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: CARE IN SAFE SETTING
May 11, 2011	1	0	0	1	Read full report
Deficiencies cited in this report: No Description Available
Apr 20, 2011	1	0	0	1	Read full report
Deficiencies cited in this report: No Description Available

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts