Inspection Reports for Columbia Basin Care Facility
1015 Webber Street, OR, 97058
Back to Facility ProfileDeficiencies per Year
36
27
18
9
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Inspection Report
Complaint Investigation
Capacity: 90
Deficiencies: 35
Oct 21, 2024
Visit Reason
State-compiled facility profile showing 10 inspections from 2021 to 2024 with deficiency history and enforcement actions.
Findings
Across multiple inspections from 2021 to 2024, the facility exhibited numerous deficiencies including failure to maintain safe and clean environment, inadequate infection prevention and control, insufficient staffing, failure to protect residents from abuse, incomplete assessments and care plans, and medication management issues. Some deficiencies were corrected while others remained uncorrected at the time of the latest inspection.
Complaint Details
Multiple inspections include complaint investigations related to abuse, staffing, infection control, and care planning deficiencies.
Deficiencies (35)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0584 - Safe/Clean/Comfortable/Homelike Environment: Failed to ensure resident care equipment was in good repair, including torn wheelchair armrests. |
| F0600 - Free from Abuse and Neglect: Failed to protect residents from physical abuse by other residents. |
| F0637 - Comprehensive Assessment After Significant Change: Failed to conduct significant change MDS assessment for a resident. |
| F0645 - PASARR Screening for MD & ID: Failed to complete PASARR I screening prior to admission for a resident. |
| F0658 - Services Provided Meet Professional Standards: Failed to follow professional standards related to diagnosis and medication for a resident. |
| F0677 - ADL Care Provided for Dependent Residents: Failed to ensure dependent residents received required assistance with ADLs. |
| F0689 - Free of Accident Hazards/Supervision/Devices: Failed to implement care plan interventions for fall prevention. |
| F0694 - Parenteral/IV Fluids: Failed to obtain physician order and provide PICC dressing care. |
| F0711 - Physician Visits - Review Care/Notes/Order: Failed to ensure resident's total program of care was reviewed and documented. |
| F0712 - Physician Visits-Frequency/Timeliness/Alt NPP: Failed to ensure residents were seen by a physician timely. |
| F0732 - Posted Nurse Staffing Information: Failed to ensure Direct Care Staff Daily Report postings were accurate. |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records: Failed to ensure provision of prescribed medications. |
| F0756 - Drug Regimen Review, Report Irregular, Act On: Failed to follow up on pharmacy recommendations. |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use: Failed to adequately monitor psychotropic medications. |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failed to store and handle food to minimize cross contamination. |
| F0880 - Infection Prevention & Control: Failed to implement appropriate Enhanced Barrier Precautions and PPE use. |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Refer to multiple F-tags for various deficiencies. |
| F0883 - Influenza and Pneumococcal Immunizations: Failed to document education regarding vaccination risks and benefits. |
| F0636 - Comprehensive Assessments & Timing: Failed to complete comprehensive assessment timely. |
| F0641 - Accuracy of Assessments: Failed to accurately code behaviors in resident MDS assessments. |
| F0656 - Develop/Implement Comprehensive Care Plan: Failed to develop care plan for use of adaptive equipment. |
| F0657 - Care Plan Timing and Revision: Failed to revise care plans for safety and fall prevention. |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer: Failed to assess, notify, treat, and monitor pressure ulcers. |
| F0692 - Nutrition/Hydration Status Maintenance: Failed to identify and assess severe weight loss. |
| F0791 - Routine/Emergency Dental Srvcs in NFs: Failed to provide routine dental services and follow-up. |
| M0183 - Nursing Services: Minimum CNA Staffing: Failed to maintain state minimum CNA staffing ratios. |
| F0578 - Request/Refuse/Discontinue Treatment; Formulate Advance Directive: Failed to obtain copies of Advance Directives. |
| F0677 - ADL Care Provided for Dependent Residents: Failed to ensure bathing was provided due to insufficient staffing. |
| F0688 - Increase/Prevent Decrease in ROM/Mobility: Failed to provide restorative services as ordered. |
| F0880 - Infection Prevention & Control: Failed to ensure adequate hand hygiene and PPE use. |
| F0884 - Reporting - National Health Safety Network: Failed to report complete COVID-19 information to NHSN. |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir: Failed to obtain copies of Advance Directives. |
| F0880 - Infection Prevention & Control: Failed to ensure proper use of PPE and disinfectants to prevent COVID-19 spread. |
Report Facts
Inspections on page: 10
Total deficiencies: 41
Total surveys: 10
Licensing violations: 20
Abuse violations: 0
Notices: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple findings related to abuse, infection control, staffing, and medication management |
| Staff 2 | Director of Nursing (DNS) | Named in multiple findings related to abuse, infection control, staffing, and medication management |
| Staff 3 | Social Services Director | Named in PASARR screening deficiency and Advance Directive deficiency |
| Staff 4 | LPN / Assistant Resident Care Manager | Named in abuse, ADL care, and medication monitoring deficiencies |
| Staff 5 | RN | Named in abuse and resident-to-resident altercation findings |
| Staff 6 | CNA | Named in wheelchair and resident supervision deficiencies |
| Staff 7 | CMA | Named in medication availability deficiency |
| Staff 8 | Social Services Director / CNA | Named in Advance Directive and oral care deficiencies |
| Staff 9 | Pharmacist Consultant / LPN | Named in medication management and infection control deficiencies |
| Staff 12 | RN Care Manager | Named in medication and fall prevention deficiencies |
| Staff 13 | CNA / LPN | Named in infection control and medication deficiencies |
| Staff 15 | CNA / Environmental Services Director | Named in infection control and PPE deficiencies |
| Staff 17 | Staffing Coordinator / CNA | Named in staffing and nutrition deficiencies |
| Staff 19 | Human Resources Director | Named in staffing and resident supervision deficiencies |
| Staff 21 | RN Care Manager | Named in wheelchair inspection and infection control deficiencies |
| Staff 29 | Gerontology Nurse Practitioner | Named in physician visit and medication review deficiencies |
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