Inspection Reports for Ashland Post Acute

135 Maple Street, Ashland, OR 97520, OR, 97520

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 20.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

210% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 5 Dec 8, 2025
Visit Reason
Facility failed to notify representatives of hospital transfers and had inappropriate discharges without proper notification or resources. Multiple residents affected with lack of communication and discharge planning.
Findings
Facility failed to notify representatives of hospital transfers and had inappropriate discharges without proper notification or resources. Multiple residents affected with lack of communication and discharge planning.
Deficiencies (5)
Description
F0000 - INITIAL COMMENTS
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0627 - Inappropriate Discharge
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 8 Nov 14, 2025
Visit Reason
Multiple deficiencies including failure to inform residents, respect dignity, notify of changes, quality of care, pressure ulcer treatment, and care planning. All deficiencies were not corrected at revisit.
Findings
Multiple deficiencies including failure to inform residents, respect dignity, notify of changes, quality of care, pressure ulcer treatment, and care planning. All deficiencies were not corrected at revisit.
Deficiencies (8)
Description
F0000 - INITIAL COMMENTS
F0552 - Right to be Informed/Make Treatment Decisions
F0557 - Respect, Dignity/Right to have Prsnl Property
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0684 - Quality of Care
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 21 May 9, 2025
Visit Reason
Numerous deficiencies including failure to obtain consent for medications, reasonable accommodations, advance directives, grievance handling, chemical restraints, PASARR coordination, comprehensive care planning, ADL care, activities, quality of care, accident hazard supervision, nursing staff sufficiency, pharmacy services, dental services, nutritive value of food, and food sanitation. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Numerous deficiencies including failure to obtain consent for medications, reasonable accommodations, advance directives, grievance handling, chemical restraints, PASARR coordination, comprehensive care planning, ADL care, activities, quality of care, accident hazard supervision, nursing staff sufficiency, pharmacy services, dental services, nutritive value of food, and food sanitation. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (21)
Description
F0000 - INITIAL COMMENTS
F0552 - Right to be Informed/Make Treatment Decisions
F0558 - Reasonable Accommodations Needs/Preferences
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir
F0585 - Grievances
F0605 - Right to be Free from Chemical Restraints
F0644 - Coordination of PASARR and Assessments
F0656 - Develop/Implement Comprehensive Care Plan
F0677 - ADL Care Provided for Dependent Residents
F0679 - Activities Meet Interest/Needs Each Resident
F0684 - Quality of Care
F0689 - Free of Accident Hazards/Supervision/Devices
F0725 - Sufficient Nursing Staff
F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records
F0791 - Routine/Emergency Dental Srvcs in NFs
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M0273 - Care Plan Prep, Implementation & Documentatio
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 9 Aug 30, 2024
Visit Reason
Deficiencies included failure to treat residents with dignity, inaccurate assessments, incomplete discharge summaries, failure to provide ADL care, pressure ulcer treatment, accurate resident records, and failure to protect from abuse. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Deficiencies included failure to treat residents with dignity, inaccurate assessments, incomplete discharge summaries, failure to provide ADL care, pressure ulcer treatment, accurate resident records, and failure to protect from abuse. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (9)
Description
F0000 - INITIAL COMMENTS
F0557 - Respect, Dignity/Right to have Prsnl Property
F0641 - Accuracy of Assessments
F0661 - Discharge Summary
F0677 - ADL Care Provided for Dependent Residents
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0842 - Resident Records - Identifiable Information
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 4 Apr 19, 2024
Visit Reason
Facility failed to ensure residents were free from misappropriation of controlled narcotic and sedative medications. Incident involved staff impairment and theft. Immediate interventions were provided. Deficiencies remained uncorrected at revisit.
Findings
Facility failed to ensure residents were free from misappropriation of controlled narcotic and sedative medications. Incident involved staff impairment and theft. Immediate interventions were provided. Deficiencies remained uncorrected at revisit.
Deficiencies (4)
Description
F0000 - INITIAL COMMENTS
F0602 - Free from Misappropriation/Exploitation
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 2 Mar 5, 2024
Visit Reason
No deficiencies identified during this survey.
Findings
No deficiencies identified during this survey.
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 19 Jan 22, 2024
Visit Reason
Deficiencies included failure to accommodate resident needs, prevent abuse, accurate assessments, comprehensive care planning, ADL care, restorative care, smoking safety, pain management, trauma informed care, nurse aide performance reviews, drug regimen review, psychotropic medication monitoring, menu compliance, and food palatability. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Deficiencies included failure to accommodate resident needs, prevent abuse, accurate assessments, comprehensive care planning, ADL care, restorative care, smoking safety, pain management, trauma informed care, nurse aide performance reviews, drug regimen review, psychotropic medication monitoring, menu compliance, and food palatability. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (19)
Description
F0000 - INITIAL COMMENTS
F0558 - Reasonable Accommodations Needs/Preferences
F0600 - Free from Abuse and Neglect
F0641 - Accuracy of Assessments
F0656 - Develop/Implement Comprehensive Care Plan
F0657 - Care Plan Timing and Revision
F0677 - ADL Care Provided for Dependent Residents
F0688 - Increase/Prevent Decrease in ROM/Mobility
F0689 - Free of Accident Hazards/Supervision/Devices
F0697 - Pain Management
F0699 - Trauma Informed Care
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service
F0756 - Drug Regimen Review, Report Irregular, Act On
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0803 - Menus Meet Resident Nds/Prep in Adv/Followed
F0804 - Nutritive Value/Appear, Palatable/Prefer Temp
F0947 - Required In-Service Training for Nurse Aides
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
Inspection Report Complaint Investigation Capacity: 87 Deficiencies: 2 Dec 6, 2023
Visit Reason
No deficiencies identified during this survey.
Findings
No deficiencies identified during this survey.
Deficiencies (2)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
Inspection Report Capacity: 87 Deficiencies: 1 Jun 12, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Deficiencies (1)
Description
F0884 - Reporting - National Health Safety Network
Inspection Report Re-licensure Capacity: 87 Deficiencies: 12 Oct 7, 2022
Visit Reason
Multiple deficiencies including failure to follow up on advance directives, notify physicians of blood sugar issues, maintain safe environment, follow physician orders, provide dialysis services, address pharmacy recommendations, monitor psychotropic medications, and maintain sanitary kitchen. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Multiple deficiencies including failure to follow up on advance directives, notify physicians of blood sugar issues, maintain safe environment, follow physician orders, provide dialysis services, address pharmacy recommendations, monitor psychotropic medications, and maintain sanitary kitchen. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (12)
Description
F0000 - INITIAL COMMENTS
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir
F0580 - Notify of Changes (Injury/Decline/Room, etc.)
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0684 - Quality of Care
F0695 - Respiratory/Tracheostomy Care and Suctioning
F0698 - Dialysis
F0756 - Drug Regimen Review, Report Irregular, Act On
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

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