Inspection Reports for Columbia Basin Care Facility

1015 Webber Street, The Dalles, OR, 97058

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 15.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

131% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

20 15 10 5 0
2021
2022
2023
2024

Inspection Report

Routine
Capacity: 90 Deficiencies: 19 Date: Aug 30, 2024

Visit Reason
Multiple deficiencies identified including failure to maintain safe and comfortable environment, failure to protect residents from abuse, failure to complete comprehensive assessments and care plans, inadequate PASARR screening, failure to meet professional standards in medication management, failure to provide adequate ADL care, failure to prevent accident hazards, and infection prevention and control issues. Many deficiencies were corrected by 9/27/2024 but some remained uncorrected as of 10/21/2024.

Findings
Multiple deficiencies identified including failure to maintain safe and comfortable environment, failure to protect residents from abuse, failure to complete comprehensive assessments and care plans, inadequate PASARR screening, failure to meet professional standards in medication management, failure to provide adequate ADL care, failure to prevent accident hazards, and infection prevention and control issues. Many deficiencies were corrected by 9/27/2024 but some remained uncorrected as of 10/21/2024.

Deficiencies (19)
F0000 - INITIAL COMMENTS
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0600 - Free from Abuse and Neglect
F0637 - Comprehensive Assessment After Signifcant Chg
F0645 - PASARR Screening for MD & ID
F0658 - Services Provided Meet Professional Standards
F0677 - ADL Care Provided for Dependent Residents
F0689 - Free of Accident Hazards/Supervision/Devices
F0694 - Parenteral/IV Fluids
F0711 - Physician Visits - Review Care/Notes/Order
F0712 - Physician Visits-Frequency/Timeliness/Alt NPP
F0732 - Posted Nurse Staffing Information
F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records
F0756 - Drug Regimen Review, Report Irregular, Act On
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Capacity: 90 Deficiencies: 2 Date: Jun 27, 2023

Visit Reason
Deficiencies related to influenza and pneumococcal immunizations including failure to document education regarding risks and benefits of vaccination. One deficiency was corrected by 7/11/2023 but remained uncorrected on 8/17/2023.

Findings
Deficiencies related to influenza and pneumococcal immunizations including failure to document education regarding risks and benefits of vaccination. One deficiency was corrected by 7/11/2023 but remained uncorrected on 8/17/2023.

Deficiencies (2)
F0000 - INITIAL COMMENTS
F0883 - Influenza and Pneumococcal Immunizations

Inspection Report

Routine
Capacity: 90 Deficiencies: 15 Date: May 8, 2023

Visit Reason
Multiple deficiencies including failure to protect residents from abuse, failure to complete comprehensive assessments and care plans, failure to provide adequate care and supervision, failure to maintain staffing ratios, and failure to provide adequate dental services. Some deficiencies were corrected by revisit but many remained uncorrected.

Findings
Multiple deficiencies including failure to protect residents from abuse, failure to complete comprehensive assessments and care plans, failure to provide adequate care and supervision, failure to maintain staffing ratios, and failure to provide adequate dental services. Some deficiencies were corrected by revisit but many remained uncorrected.

Deficiencies (15)
F0000 - INITIAL COMMENTS
F0600 - Free from Abuse and Neglect
F0636 - Comprehensive Assessments & Timing
F0641 - Accuracy of Assessments
F0656 - Develop/Implement Comprehensive Care Plan
F0657 - Care Plan Timing and Revision
F0658 - Services Provided Meet Professional Standards
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0689 - Free of Accident Hazards/Supervision/Devices
F0692 - Nutrition/Hydration Status Maintenance
F0758 - Free from Unnec Psychotropic Meds/PRN Use
F0791 - Routine/Emergency Dental Srvcs in NFs
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 90 Deficiencies: 5 Date: Nov 4, 2022

Visit Reason
Deficiencies related to failure to provide adequate bathing due to staffing shortages and failure to maintain minimum CNA staffing ratios. Some deficiencies were corrected by revisit but many remained uncorrected.

Findings
Deficiencies related to failure to provide adequate bathing due to staffing shortages and failure to maintain minimum CNA staffing ratios. Some deficiencies were corrected by revisit but many remained uncorrected.

Deficiencies (5)
F0000 - INITIAL COMMENTS
F0677 - ADL Care Provided for Dependent Residents
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 90 Deficiencies: 10 Date: Mar 25, 2022

Visit Reason
Deficiencies related to failure to obtain advance directives, failure to complete comprehensive assessments and care plans, failure to provide adequate oral care, failure to prevent pressure ulcers, failure to provide restorative services, and infection prevention and control issues. Staffing shortages and improper PPE use were also noted. Some deficiencies were corrected by revisit but many remained uncorrected.

Findings
Deficiencies related to failure to obtain advance directives, failure to complete comprehensive assessments and care plans, failure to provide adequate oral care, failure to prevent pressure ulcers, failure to provide restorative services, and infection prevention and control issues. Staffing shortages and improper PPE use were also noted. Some deficiencies were corrected by revisit but many remained uncorrected.

Deficiencies (10)
F0000 - INITIAL COMMENTS
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir
F0636 - Comprehensive Assessments & Timing
F0657 - Care Plan Timing and Revision
F0677 - ADL Care Provided for Dependent Residents
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer
F0688 - Increase/Prevent Decrease in ROM/Mobility
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M0183 - Nursing Services: Minimum CNA Staffing

Inspection Report

Capacity: 90 Deficiencies: 1 Date: Sep 17, 2021

Visit Reason
No deficiencies identified during this State Licensure survey.

Findings
No deficiencies identified during this State Licensure survey.

Deficiencies (1)
M0000 - Initial Comments

Inspection Report

Capacity: 90 Deficiencies: 4 Date: Aug 16, 2021

Visit Reason
Deficiencies related to infection prevention and control including improper use of PPE and failure to clean and disinfect equipment properly. Some deficiencies were corrected by revisit but many remained uncorrected.

Findings
Deficiencies related to infection prevention and control including improper use of PPE and failure to clean and disinfect equipment properly. Some deficiencies were corrected by revisit but many remained uncorrected.

Deficiencies (4)
E0000 - Initial Comments
F0000 - INITIAL COMMENTS
F0880 - Infection Prevention & Control
M0000 - Initial Comments

Inspection Report

Capacity: 90 Deficiencies: 2 Date: Aug 13, 2021

Visit Reason
No deficiencies identified during this Complaint, Licensure Complaint, State Licensure survey.

Findings
No deficiencies identified during this Complaint, Licensure Complaint, State Licensure survey.

Deficiencies (2)
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

Inspection Report

Capacity: 90 Deficiencies: 1 Date: Aug 2, 2021

Visit Reason
Deficiency related to failure to report complete COVID-19 information to CDC's NHSN during a required reporting period.

Findings
Deficiency related to failure to report complete COVID-19 information to CDC's NHSN during a required reporting period.

Deficiencies (1)
F0884 - Reporting - National Health Safety Network

Inspection Report

Capacity: 90 Deficiencies: 3 Date: Feb 17, 2021

Visit Reason
No deficiencies identified during this Complaint, Focused Infection Control, Licensure Complaint, Other-Fed, Other-State, State Licensure survey.

Findings
No deficiencies identified during this Complaint, Focused Infection Control, Licensure Complaint, Other-Fed, Other-State, State Licensure survey.

Deficiencies (3)
E0000 - Initial Comments
F0000 - INITIAL COMMENTS
M0000 - Initial Comments

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