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Forest Grove Rehabilitation And Care Center
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3900 Pacific Avenue
Forest Grove, OR 97116
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 114 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 08/15/2011
| Date of last standard health inspection: | 08/15/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in OR: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in OR: | 0 - 5 |
Inspection, 01/08/2012
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 01/08/2012 | 01/06/2001 | 2 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/08/2012 | 01/06/2001 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 01/08/2012 | 01/06/2001 | 2 | Some |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 01/08/2012 | 01/06/2001 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 01/08/2012 | 01/06/2001 | 2 | Few |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/08/2012 | 01/06/2001 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 01/08/2012 | 01/06/2001 | 3 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 01/08/2012 | 01/06/2001 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 01/08/2012 | 01/06/2001 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/08/2012 | 01/06/2001 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/08/2012 | 01/06/2001 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | 01/08/2012 | 01/06/2001 | 2 | Few |
| Give residents a notice of rights, rules, services and charges. | 01/08/2012 | 01/06/2001 | 2 | Few |
| Provide timely notification to the resident before transfer or discharge. | 01/08/2012 | 01/06/2001 | 2 | Few |
Inspection, 01/05/2008
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/05/2008 | 01/09/2009 | 2 | Some |
| Dispose of garbage and refuse properly. | 01/05/2008 | 01/09/2009 | 1 | Some |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 01/05/2008 | 01/09/2009 | 2 | Few |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 01/05/2008 | 01/09/2009 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 01/05/2008 | 01/09/2009 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 01/05/2008 | 01/09/2009 | 2 | Few |
Inspection, 02/08/2005
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 02/08/2005 | 00/09/2007 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. | 02/08/2005 | 00/09/2007 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 02/08/2005 | 00/09/2007 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/08/2005 | 00/09/2007 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/08/2005 | 00/09/2007 | 2 | Some |
Inspection, 01/09/2004
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/09/2004 | 01/08/2005 | 3 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/09/2004 | 01/08/2005 | 3 | Few |
Inspection, 01/02/2004
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 01/02/2004 | 00/02/2005 | 3 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/02/2004 | 00/02/2005 | 3 | Few |
Inspection, 01/03/2001
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/03/2001 | 01/04/2002 | 3 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/03/2001 | 01/04/2002 | 3 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | 01/03/2001 | 01/04/2002 | 2 | Few |
Inspection, 00/08/2001
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are safe from serious medication errors. | 00/08/2001 | 02/09/2001 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in OR | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 85 | 53 | 69 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 8 hours 41 minutes | 1 hour 18 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 8 hours 8 minutes | 49 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 7 hours 51 minutes | 28 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 10 hours 18 minutes | 2 hours 18 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 08/11/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 08/11/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in OR: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in OR: | 0 - 0 |
Inspection, 01/01/2012
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/01/2012 | 00/06/2002 | 2 | Many |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/01/2012 | 00/06/2002 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/01/2012 | 00/06/2002 | 2 | Few |
Inspection, 01/01/2008
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/01/2008 | 01/09/2009 | 2 | Many |
| Portable fire extinguishers. | 01/01/2008 | 01/09/2009 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 01/01/2008 | 01/09/2009 | 2 | Many |
| Properly installed electrical wiring and equipment. | 01/01/2008 | 01/09/2009 | 2 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 01/01/2008 | 01/09/2009 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 01/01/2008 | 01/09/2009 | 2 | Many |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/01/2008 | 01/09/2009 | 2 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved installation, maintenance and testing program for fire alarm systems. | 01/01/2008 | 01/09/2009 | 2 | Many |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Restrictions on the use of highly flammable decorations. | 01/01/2008 | 01/09/2009 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 01/01/2008 | 01/09/2009 | 2 | Some |
Inspection, 02/08/2005
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/08/2005 | 00/09/2007 | 2 | Many |
| Back-up procedures in place for a faulty automatic sprinkler system. | 02/08/2005 | 00/09/2007 | 2 | Many |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/08/2005 | 00/09/2007 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/08/2005 | 00/09/2007 | 2 | Many |
| Properly installed electrical wiring and equipment. | 02/08/2005 | 00/09/2007 | 2 | Many |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 02/08/2005 | 00/09/2007 | 2 | Many |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 02/08/2005 | 00/09/2007 | 2 | Many |
| An approved back-up procedure for a faulty fire alarm system. | 02/08/2005 | 00/09/2007 | 2 | Many |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed hallway dispensers for alcohol-based hand rub. | 02/08/2005 | 00/09/2007 | 2 | Few |
