Inspection Reports for Hood River Post Acute

729 Henderson Road, Hood River, OR, 97031

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Inspection Report Summary

The most recent inspection on October 2, 2025, identified two deficiencies that were not corrected from prior visits. Earlier inspections showed a pattern of deficiencies related mainly to resident rights, medication management, safety hazards, infection control, and administrative compliance. Complaint investigations did not result in any substantiated findings, and no fines or enforcement actions were listed in the available reports. Prior reports noted issues such as failure to protect residents from abuse, medication errors, and incomplete COVID-19 reporting. The facility’s inspection history shows recurring issues with correction and follow-up, with no clear trend of improvement or worsening over time.

Deficiencies (last 5 years)

Deficiencies (over 5 years) 7.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

13% worse than Oregon average
Oregon average: 6.7 deficiencies/year

Deficiencies per year

20 15 10 5 0
2021
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 100 Deficiencies: 2 Date: Oct 2, 2025

Visit Reason
Two deficiencies noted with initial comments; both not corrected as of last visit.

Findings
Two deficiencies noted with initial comments; both not corrected as of last visit.

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

Inspection Report

Complaint Investigation
Capacity: 100 Deficiencies: 2 Date: Oct 17, 2024

Visit Reason
Two deficiencies noted with initial comments; both not corrected as of last visit.

Findings
Two deficiencies noted with initial comments; both not corrected as of last visit.

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

Inspection Report

Complaint Investigation
Capacity: 100 Deficiencies: 17 Date: Sep 27, 2024

Visit Reason
Multiple deficiencies including failure to obtain consent for antidepressant medication, unsafe medication self-administration, restriction of personal property, lack of access to personal funds, missing required postings, unsafe environment conditions, failure in PASARR screening, care plan revision failures, inadequate activity programs, accident hazards, trauma informed care, medication storage issues, food safety violations, and infection control lapses. Many deficiencies were corrected by 10/22/2024 but not corrected by 11/15/2024.

Findings
Multiple deficiencies including failure to obtain consent for antidepressant medication, unsafe medication self-administration, restriction of personal property, lack of access to personal funds, missing required postings, unsafe environment conditions, failure in PASARR screening, care plan revision failures, inadequate activity programs, accident hazards, trauma informed care, medication storage issues, food safety violations, and infection control lapses. Many deficiencies were corrected by 10/22/2024 but not corrected by 11/15/2024.

Deficiencies (17)
F0000 - INITIAL COMMENTS
F0552 - Right to be Informed/Make Treatment Decisions
F0554 - Resident Self-Admin Meds-Clinically Approp
F0557 - Respect, Dignity/Right to have Prsnl Property
F0567 - Protection/Management of Personal Funds
F0575 - Required Postings
F0584 - Safe/Clean/Comfortable/Homelike Environment
F0645 - PASARR Screening for MD & ID
F0657 - Care Plan Timing and Revision
F0679 - Activities Meet Interest/Needs Each Resident
F0689 - Free of Accident Hazards/Supervision/Devices
F0699 - Trauma Informed Care
F0761 - Label/Store Drugs and Biologicals
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary
F0880 - Infection Prevention & Control
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Complaint Investigation
Capacity: 100 Deficiencies: 5 Date: Jun 18, 2024

Visit Reason
Five deficiencies including initial comments, failure to protect resident from abuse, accident hazards, and administrative rule violations. Some deficiencies corrected on first revisit but not corrected on second revisit.

Findings
Five deficiencies including initial comments, failure to protect resident from abuse, accident hazards, and administrative rule violations. Some deficiencies corrected on first revisit but not corrected on second revisit.

Deficiencies (5)
F0000 - INITIAL COMMENTS
F0600 - Free from Abuse and Neglect
F0689 - Free of Accident Hazards/Supervision/Devices
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Capacity: 100 Deficiencies: 1 Date: Jun 12, 2023

Visit Reason
One deficiency for failure to report complete COVID-19 information to CDC's NHSN; not corrected as of last visit.

Findings
One deficiency for failure to report complete COVID-19 information to CDC's NHSN; not corrected as of last visit.

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

Inspection Report

Capacity: 100 Deficiencies: 3 Date: Apr 6, 2023

Visit Reason
Three deficiencies including initial comments; none corrected as of last visit.

Findings
Three deficiencies including initial comments; none corrected as of last visit.

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

Inspection Report

Capacity: 100 Deficiencies: 1 Date: Jul 11, 2022

Visit Reason
One deficiency for failure to report complete COVID-19 information to CDC's NHSN; not corrected as of last visit.

Findings
One deficiency for failure to report complete COVID-19 information to CDC's NHSN; not corrected as of last visit.

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

Inspection Report

Complaint Investigation
Capacity: 100 Deficiencies: 5 Date: Dec 15, 2021

Visit Reason
Five deficiencies including initial comments, medication errors, resident records inaccuracies, and administrative rule references. Some deficiencies corrected on first revisit but not corrected on second revisit.

Findings
Five deficiencies including initial comments, medication errors, resident records inaccuracies, and administrative rule references. Some deficiencies corrected on first revisit but not corrected on second revisit.

Deficiencies (5)
F0000 - INITIAL COMMENTS
F0760 - Residents are Free of Significant Med Errors
F0842 - Resident Records - Identifiable Information
M0000 - Initial Comments
M9999 - STATE OF OREGON ADMINISTRATIVE RULES

Inspection Report

Capacity: 100 Deficiencies: 1 Date: Sep 16, 2021

Visit Reason
One deficiency for initial comments; not corrected as of last visit.

Findings
One deficiency for initial comments; not corrected as of last visit.

Deficiencies (1)
M0000 - Initial Comments

Inspection Report

Capacity: 100 Deficiencies: 1 Date: Jan 5, 2021

Visit Reason
One deficiency for initial comments; not corrected as of last visit.

Findings
One deficiency for initial comments; not corrected as of last visit.

Deficiencies (1)
M0000 - Initial Comments

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