Inspection Reports for Myrtle Point Rehabilitation and Care

637 Ash Street, OR, 97458

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Deficiencies per Year

80 60 40 20 0
2025
Severe High Moderate Low Unclassified
Inspection Report Complaint Investigation Capacity: 35 Deficiencies: 52 Dec 9, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2022-2025 with detailed deficiency history and enforcement findings
Findings
The facility had multiple deficiencies across inspections including failure to provide adequate nursing and dietary services, insufficient staffing, failure to follow physician orders, inadequate infection control, and failure to maintain comprehensive care plans. Several immediate jeopardy situations were identified related to quality of care, abuse prevention, and dialysis services.
Complaint Details
Multiple complaint investigations detailed including abuse allegations, failure to provide adequate care, staffing shortages, and failure to follow reporting and investigation protocols.
Severity Breakdown
Level 1: 2 Level 2: 46
Deficiencies (52)
DescriptionSeverity
F0000 - INITIAL COMMENTS
F0583 - Personal Privacy/Confidentiality of Records: Failure to ensure resident privacy during incidentsLevel 2
F0600 - Free from Abuse and Neglect: Failure to protect residents from abuse and neglectLevel 2
F0609 - Reporting of Alleged Violations: Failure to timely report allegations of abuseLevel 2
F0677 - ADL Care Provided for Dependent Residents: Failure to provide required assistance with ADLsLevel 2
F0584 - Safe/Clean/Comfortable/Homelike Environment: Failure to maintain clean and homelike environmentLevel 2
F679 - Activities Meet Interest/Needs Each Resident: Failure to provide ongoing activity programLevel 2
F684 - Quality of Care: Failure to respond to changes in condition and follow physician ordersLevel 2
F689 - Free of Accident Hazards/Supervision/Devices: Failure to maintain environment free from hazards and monitor after fallsLevel 2
F697 - Pain Management: Failure to provide pain medications as orderedLevel 2
F725 - Sufficient Nursing Staff: Failure to maintain adequate staffing levelsLevel 2
F726 - Competent Nursing Staff: Failure to ensure nursing staff competencyLevel 2
F730 - Nurse Aide Peform Review-12 hr/yr In-Service: Failure to complete required annual CNA training and performance reviewsLevel 2
F755 - Pharmacy Srvcs/Procedures/Pharmacist/Records: Failure to provide accurate and timely pharmaceutical servicesLevel 2
F791 - Routine/Emergency Dental Srvcs in NFs: Failure to ensure follow-up dental appointmentsLevel 2
F801 - Qualified Dietary Staff: Failure to employ certified dietary managerLevel 2
F806 - Resident Allergies, Preferences, Substitutes: Failure to honor residents' food preferencesLevel 2
F812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failure to store and serve food in sanitary mannerLevel 2
F842 - Resident Records - Identifiable Information: Failure to maintain complete and accessible resident recordsLevel 2
F851 - Payroll Based Journal: Failure to submit required staffing dataLevel 2
F880 - Infection Prevention & Control: Failure to follow infection control standardsLevel 2
F884 - Reporting - National Health Safety Network: Failure to report complete COVID-19 informationLevel 2
F776 - Radiology/Other Diagnostic Services: Failure to timely obtain radiology servicesLevel 2
F0606 - Not Employ/Engage Staff w/ Adverse Actions: Failure to ensure staff employabilityLevel 2
F0607 - Develop/Implement Abuse/Neglect Policies: Failure to implement abuse policies and address abuse with QAPILevel 2
F0679 - Activities Meet Interest/Needs Each Resident: Failure to provide ongoing activity programLevel 2
F0690 - Bowel/Bladder Incontinence, Catheter, UTI: Failure to provide adequate catheter careLevel 2
F0692 - Nutrition/Hydration Status Maintenance: Failure to maintain nutritional statusLevel 2
F0695 - Respiratory/Tracheostomy Care and Suctioning: Failure to provide respiratory care per ordersLevel 2
F0698 - Dialysis: Failure to provide essential dialysis services and monitoringLevel 1
F0712 - Physician Visits-Frequency/Timeliness/Alt NPP: Failure to ensure required physician visitsLevel 2
F0725 - Sufficient Nursing Staff: Failure to maintain adequate nursing staffLevel 2
F0726 - Competent Nursing Staff: Failure to ensure nursing staff competencyLevel 2
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service: Failure to complete required CNA training and reviewsLevel 2
F0758 - Free from Unnec Psychotropic Meds/PRN Use: Failure to ensure residents free from unnecessary psychotropic medsLevel 2
F0835 - Administration: Failure to manage facility effectively resulting in multiple immediate jeopardy situationsLevel 1
F0842 - Resident Records - Identifiable Information: Failure to maintain accurate resident recordsLevel 2
F0843 - Transfer Agreement: Failure to obtain transfer agreement with local hospitalLevel 2
F0849 - Hospice Services: Failure to have hospice agreement in placeLevel 2
F0865 - QAPI Prgm/Plan, Disclosure/Good Faith Attmpt: Failure to develop effective QAPI programLevel 2
F0867 - QAPI/QAA Improvement Activities: Failure to systematically identify and address quality issuesLevel 2
F0868 - QAA Committee: Failure to maintain effective QAA committeeLevel 2
F0881 - Antibiotic Stewardship Program: Failure to implement antibiotic stewardship programLevel 2
F0883 - Influenza and Pneumococcal Immunizations: Failure to assess and provide vaccinesLevel 2
F0940 - Training Requirements: Failure to have effective staff training programLevel 2
F0947 - Required In-Service Training for Nurse Aides: Failure to complete required CNA trainingLevel 2
M0000 - Initial Comments
M0180 - Nursing Services: Daily Staff Public Posting: Failure to post staffing info in required formatLevel 2
M0182 - Nursing Services:Minimum Licensed Nurse Staff: Failure to ensure RN coverage for 8 consecutive hoursLevel 2
M0183 - Nursing Services: Minimum CNA Staffing: Failure to maintain minimum CNA staffing requirementsLevel 2
M0320 - Dietary Services: Diets and Menus: Failure to provide on-site Registered Dietician visitsLevel 2
M9999 - STATE OF OREGON ADMINISTRATIVE RULES: Multiple references to deficiencies
Report Facts
Inspections on page: 10 Total deficiencies: 80 Licensing violations: 20 Abuse violations: 0 Notices: 0
Employees Mentioned
NameTitleContext
Staff 1AdministratorNamed in multiple findings related to oversight, abuse investigations, and staffing
Staff 2Director of Nursing Services (DNS)Named in multiple findings related to nursing oversight, abuse investigations, and training
Staff 3Clinical Operations Education DirectorNamed in findings related to care planning, training, and quality assurance
Staff 4Dietary ManagerNamed in findings related to dietary certification and food service
Staff 5LPNNamed in findings related to resident care and dialysis
Staff 6CNANamed in findings related to resident care and training
Staff 7RNNamed in findings related to medication administration errors
Staff 10Former CNANamed in abuse findings and personnel file issues
Staff 11Former LPNNamed in findings related to delayed resident assessments
Staff 12Dietary ManagerNamed in findings related to dietary certification and food service
Staff 13CNANamed in findings related to resident care and abuse investigations
Staff 18CNANamed in findings related to resident care and abuse investigations
Staff 20Former AdministratorNamed in multiple findings related to staffing, abuse, and facility management
Staff 23Dietary ManagerNamed in findings related to dietary certification and food service
Staff 26LPNNamed in findings related to dialysis and resident care
Staff 27Former LPNNamed in findings related to resident assessments and fall incidents
Staff 29CMANamed in infection control findings
Staff 31CNANamed in findings related to respiratory care
Staff 34Social Service DirectorNamed in findings related to advance directives and grievances
Staff 35Dietary AideNamed in food handling findings

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