Inspection Reports for Myrtle Point Rehabilitation and Care
637 Ash Street, OR, 97458
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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)
| Description | Severity |
|---|---|
| F0000 - INITIAL COMMENTS | — |
| F0583 - Personal Privacy/Confidentiality of Records: Failure to ensure resident privacy during incidents | Level 2 |
| F0600 - Free from Abuse and Neglect: Failure to protect residents from abuse and neglect | Level 2 |
| F0609 - Reporting of Alleged Violations: Failure to timely report allegations of abuse | Level 2 |
| F0677 - ADL Care Provided for Dependent Residents: Failure to provide required assistance with ADLs | Level 2 |
| F0584 - Safe/Clean/Comfortable/Homelike Environment: Failure to maintain clean and homelike environment | Level 2 |
| F679 - Activities Meet Interest/Needs Each Resident: Failure to provide ongoing activity program | Level 2 |
| F684 - Quality of Care: Failure to respond to changes in condition and follow physician orders | Level 2 |
| F689 - Free of Accident Hazards/Supervision/Devices: Failure to maintain environment free from hazards and monitor after falls | Level 2 |
| F697 - Pain Management: Failure to provide pain medications as ordered | Level 2 |
| F725 - Sufficient Nursing Staff: Failure to maintain adequate staffing levels | Level 2 |
| F726 - Competent Nursing Staff: Failure to ensure nursing staff competency | Level 2 |
| F730 - Nurse Aide Peform Review-12 hr/yr In-Service: Failure to complete required annual CNA training and performance reviews | Level 2 |
| F755 - Pharmacy Srvcs/Procedures/Pharmacist/Records: Failure to provide accurate and timely pharmaceutical services | Level 2 |
| F791 - Routine/Emergency Dental Srvcs in NFs: Failure to ensure follow-up dental appointments | Level 2 |
| F801 - Qualified Dietary Staff: Failure to employ certified dietary manager | Level 2 |
| F806 - Resident Allergies, Preferences, Substitutes: Failure to honor residents' food preferences | Level 2 |
| F812 - Food Procurement,Store/Prepare/Serve-Sanitary: Failure to store and serve food in sanitary manner | Level 2 |
| F842 - Resident Records - Identifiable Information: Failure to maintain complete and accessible resident records | Level 2 |
| F851 - Payroll Based Journal: Failure to submit required staffing data | Level 2 |
| F880 - Infection Prevention & Control: Failure to follow infection control standards | Level 2 |
| F884 - Reporting - National Health Safety Network: Failure to report complete COVID-19 information | Level 2 |
| F776 - Radiology/Other Diagnostic Services: Failure to timely obtain radiology services | Level 2 |
| F0606 - Not Employ/Engage Staff w/ Adverse Actions: Failure to ensure staff employability | Level 2 |
| F0607 - Develop/Implement Abuse/Neglect Policies: Failure to implement abuse policies and address abuse with QAPI | Level 2 |
| F0679 - Activities Meet Interest/Needs Each Resident: Failure to provide ongoing activity program | Level 2 |
| F0690 - Bowel/Bladder Incontinence, Catheter, UTI: Failure to provide adequate catheter care | Level 2 |
| F0692 - Nutrition/Hydration Status Maintenance: Failure to maintain nutritional status | Level 2 |
| F0695 - Respiratory/Tracheostomy Care and Suctioning: Failure to provide respiratory care per orders | Level 2 |
| F0698 - Dialysis: Failure to provide essential dialysis services and monitoring | Level 1 |
| F0712 - Physician Visits-Frequency/Timeliness/Alt NPP: Failure to ensure required physician visits | Level 2 |
| F0725 - Sufficient Nursing Staff: Failure to maintain adequate nursing staff | Level 2 |
| F0726 - Competent Nursing Staff: Failure to ensure nursing staff competency | Level 2 |
| F0730 - Nurse Aide Peform Review-12 hr/yr In-Service: Failure to complete required CNA training and reviews | Level 2 |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use: Failure to ensure residents free from unnecessary psychotropic meds | Level 2 |
| F0835 - Administration: Failure to manage facility effectively resulting in multiple immediate jeopardy situations | Level 1 |
| F0842 - Resident Records - Identifiable Information: Failure to maintain accurate resident records | Level 2 |
| F0843 - Transfer Agreement: Failure to obtain transfer agreement with local hospital | Level 2 |
| F0849 - Hospice Services: Failure to have hospice agreement in place | Level 2 |
| F0865 - QAPI Prgm/Plan, Disclosure/Good Faith Attmpt: Failure to develop effective QAPI program | Level 2 |
| F0867 - QAPI/QAA Improvement Activities: Failure to systematically identify and address quality issues | Level 2 |
| F0868 - QAA Committee: Failure to maintain effective QAA committee | Level 2 |
| F0881 - Antibiotic Stewardship Program: Failure to implement antibiotic stewardship program | Level 2 |
| F0883 - Influenza and Pneumococcal Immunizations: Failure to assess and provide vaccines | Level 2 |
| F0940 - Training Requirements: Failure to have effective staff training program | Level 2 |
| F0947 - Required In-Service Training for Nurse Aides: Failure to complete required CNA training | Level 2 |
| M0000 - Initial Comments | — |
| M0180 - Nursing Services: Daily Staff Public Posting: Failure to post staffing info in required format | Level 2 |
| M0182 - Nursing Services:Minimum Licensed Nurse Staff: Failure to ensure RN coverage for 8 consecutive hours | Level 2 |
| M0183 - Nursing Services: Minimum CNA Staffing: Failure to maintain minimum CNA staffing requirements | Level 2 |
| M0320 - Dietary Services: Diets and Menus: Failure to provide on-site Registered Dietician visits | Level 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
| Name | Title | Context |
|---|---|---|
| Staff 1 | Administrator | Named in multiple findings related to oversight, abuse investigations, and staffing |
| Staff 2 | Director of Nursing Services (DNS) | Named in multiple findings related to nursing oversight, abuse investigations, and training |
| Staff 3 | Clinical Operations Education Director | Named in findings related to care planning, training, and quality assurance |
| Staff 4 | Dietary Manager | Named in findings related to dietary certification and food service |
| Staff 5 | LPN | Named in findings related to resident care and dialysis |
| Staff 6 | CNA | Named in findings related to resident care and training |
| Staff 7 | RN | Named in findings related to medication administration errors |
| Staff 10 | Former CNA | Named in abuse findings and personnel file issues |
| Staff 11 | Former LPN | Named in findings related to delayed resident assessments |
| Staff 12 | Dietary Manager | Named in findings related to dietary certification and food service |
| Staff 13 | CNA | Named in findings related to resident care and abuse investigations |
| Staff 18 | CNA | Named in findings related to resident care and abuse investigations |
| Staff 20 | Former Administrator | Named in multiple findings related to staffing, abuse, and facility management |
| Staff 23 | Dietary Manager | Named in findings related to dietary certification and food service |
| Staff 26 | LPN | Named in findings related to dialysis and resident care |
| Staff 27 | Former LPN | Named in findings related to resident assessments and fall incidents |
| Staff 29 | CMA | Named in infection control findings |
| Staff 31 | CNA | Named in findings related to respiratory care |
| Staff 34 | Social Service Director | Named in findings related to advance directives and grievances |
| Staff 35 | Dietary Aide | Named in food handling findings |
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