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Pilot Butte Rehabilitation Center
Citations
All citations for Pilot Butte Rehabilitation Center
90 citations on record from CMS and state agencies, sorted most recent first. Located in Bend, OR.
Date
Source
Tag
Severity
Description
Status
2025-09-19
cms
0552
No Actual Harm, Potential More Than Minimal (D)
Ensure that residents are fully informed and understand their health status, care and treatments.
2025-09-19
cms
0628
No Actual Harm, Potential More Than Minimal (D)
Provide the required documentation or notification related to the resident''s needs, appeal rights, or bed-hold policies.
2025-09-19
cms
0684
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-19
cms
0689
No Actual Harm, Potential More Than Minimal (E)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-19
cms
0812
No Actual Harm, Potential More Than Minimal (E)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2025-09-19
cms
0600
No Actual Harm, Potential More Than Minimal (D)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-19
cms
0609
No Actual Harm, Potential More Than Minimal (D)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-09-19
cms
0880
No Actual Harm, Potential More Than Minimal (E)
Provide and implement an infection prevention and control program.
2025-09-19
state
F0552-20250919-D
No Actual Harm, Potential More Than Minimal (D)
Ensure that residents are fully informed and understand their health status, care and treatments.
2025-09-19
state
F0628-20250919-D
No Actual Harm, Potential More Than Minimal (D)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-09-19
state
F0684-20250919-D
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-19
state
F0689-20250919-E
No Actual Harm, Potential More Than Minimal (E)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-19
state
F0812-20250919-E
No Actual Harm, Potential More Than Minimal (E)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2025-09-19
state
F0600-20250919-D
No Actual Harm, Potential More Than Minimal (D)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-19
state
F0609-20250919-D
No Actual Harm, Potential More Than Minimal (D)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-09-19
state
F0880-20250919-E
No Actual Harm, Potential More Than Minimal (E)
Provide and implement an infection prevention and control program.
2024-09-09
cms
0689
Immediate Jeopardy (J)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-09
state
F0689-20240909-J
Immediate Jeopardy (J)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-31
cms
0804
No Actual Harm, Potential More Than Minimal (E)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2024-05-31
cms
0582
No Actual Harm, Potential More Than Minimal (D)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-05-31
cms
0584
No Actual Harm, Potential More Than Minimal (E)
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.
2024-05-31
cms
0657
No Actual Harm, Potential More Than Minimal (D)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2024-05-31
cms
0684
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-05-31
cms
0685
No Actual Harm, Potential More Than Minimal (D)
Assist a resident in gaining access to vision and hearing services.
2024-05-31
cms
0686
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-05-31
cms
0689
No Actual Harm, Potential More Than Minimal (D)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-31
cms
0698
No Actual Harm, Potential More Than Minimal (D)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
2024-05-31
cms
0745
No Actual Harm, Potential More Than Minimal (D)
Provide medically-related social services to help each resident achieve the highest possible quality of life.
2024-05-31
cms
0758
No Actual Harm, Potential More Than Minimal (D)
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.
2024-05-31
cms
0760
No Actual Harm, Potential More Than Minimal (D)
Ensure that residents are free from significant medication errors.
2024-05-31
cms
0803
No Actual Harm, Potential More Than Minimal (E)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
2024-05-31
cms
0806
No Actual Harm, Potential More Than Minimal (D)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
2024-05-31
cms
0812
No Actual Harm, Potential More Than Minimal (E)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-05-31
cms
0883
No Actual Harm, Potential More Than Minimal (D)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
2024-05-31
cms
0600
No Actual Harm, Potential More Than Minimal (D)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-31
cms
0552
No Actual Harm, Potential More Than Minimal (D)
Ensure that residents are fully informed and understand their health status, care and treatments.
2024-05-31
cms
0561
No Actual Harm, Potential More Than Minimal (D)
Honor the resident''s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
2024-05-31
cms
0578
No Actual Harm, Potential More Than Minimal (D)
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.
2024-05-31
state
F0806-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
2024-05-31
state
F0582-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-05-31
state
F0584-20240531-E
No Actual Harm, Potential More Than Minimal (E)
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.
2024-05-31
state
F0684-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-05-31
state
F0685-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Assist a resident in gaining access to vision and hearing services.
2024-05-31
state
F0686-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-05-31
state
F0689-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-31
state
F0698-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
2024-05-31
state
F0745-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Provide medically-related social services to help each resident achieve the highest possible quality of life.
2024-05-31
state
F0758-20240531-D
No Actual Harm, Potential More Than Minimal (D)
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.
2024-05-31
state
F0760-20240531-D
No Actual Harm, Potential More Than Minimal (D)
Ensure that residents are free from significant medication errors.
2024-05-31
state
F0803-20240531-E
No Actual Harm, Potential More Than Minimal (E)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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All citations for Pilot Butte Rehabilitation Center - 90 citations on record