Inspection Reports for Secora Rehabilitation of Cascadia

10435 SE Cora Street, Portland, OR 97266, OR, 97266

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Deficiencies per Year

24 18 12 6 0
2025
Severe High Moderate Low Unclassified
Inspection Report Complaint Investigation Capacity: 53 Deficiencies: 21 Aug 12, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2024-2025 with detailed deficiency history and enforcement actions.
Findings
Across multiple inspections, the facility exhibited numerous deficiencies including failure to timely provide medical records, inadequate resident care such as missed showers and pressure ulcer management, incomplete behavioral health care plans, medication errors, inaccurate staffing reports, and failure to complete required staff training and background checks.
Complaint Details
Multiple inspections included complaint investigations related to licensure complaints and complaint types, with findings of deficiencies in resident care, staff training, and reporting.
Deficiencies (21)
Description
F0000 - INITIAL COMMENTS
M0000 - Initial Comments
F0573 - Right to Access/Purchase Copies of Records: Delayed provision of requested medical records to resident and attorney.
M9999 - STATE OF OREGON ADMINISTRATIVE RULES
F0554 - Resident Self-Admin Meds-Clinically Approp: Failed to assess resident for safe self-administration of medications.
F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir: Failed to assist resident in formulating an advance directive.
F0584 - Safe/Clean/Comfortable/Homelike Environment: Failed to maintain clean floor vents causing unclean environment.
F0677 - ADL Care Provided for Dependent Residents: Failed to ensure dependent resident received scheduled showers.
F0679 - Activities Meet Interest/Needs Each Resident: Failed to implement activity care plan and include resident in activities.
F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer: Failed to comprehensively assess and follow care plans for pressure ulcers.
F0730 - Nurse Aide Peform Review-12 hr/yr In-Service: Failed to ensure CNA received annual performance review.
F0732 - Posted Nurse Staffing Information: Failed to ensure accurate daily nurse staffing postings.
F0740 - Behavioral Health Services: Failed to provide necessary behavioral health care and develop comprehensive care plan.
F0760 - Residents are Free of Significant Med Errors: Failed to ensure medication administered as ordered causing adverse event.
F0812 - Food Procurement,Store/Prepare/Serve-Sanitary: Dishwasher water temperatures below minimum required for sanitization.
F0847 - Entering into Binding Arbitration Agreements: Failed to ensure residents were fully informed of arbitration agreement rights.
F0947 - Required In-Service Training for Nurse Aides: Failed to ensure CNA staff received required annual in-service training hours.
M0143 - Employees: Criminal Record Checks: Failed to complete required background checks for staff employed two or more years.
F0604 - Right to be Free from Physical Restraints: Improper use of physical restraints on resident.
F0697 - Pain Management: Failed to provide timely pain medication to resident.
F0884 - Reporting - National Health Safety Network: Failed to report complete COVID-19 information to CDC's NHSN.
Report Facts
Inspections on page: 10 Total deficiencies: 18 Total surveys: 10 Licensing violations: 20 Abuse violations: 0 Notices: 1
Employees Mentioned
NameTitleContext
Staff 19CNANamed in annual performance review deficiency
Staff 15CNANamed in background check deficiency
Staff 21CNANamed in background check deficiency
Staff 30LPNNamed in medication error deficiency
Staff 31RN, Former DNSNamed in medication error deficiency
Staff 11CNANamed in physical restraint deficiency
Staff 3Clinical ResourceNamed in in-service training deficiency
Staff 20Human ResourcesNamed in background check deficiency
Staff 4DNS / Director of Nursing ServicesNamed in multiple deficiencies including medication error and pressure ulcer care
Staff 2Administrator-In-TrainingNamed in arbitration agreement deficiency
Staff 1AdministratorNamed in multiple deficiencies including medical records and physical restraint

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