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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505339

North Bend Post Acute

104 federal citations on record , and 4 federal enforcement actions totaling $228,151.

Record summary

Federal record · Q1 2026
104
Total citations
76
Last 3 years
5
Actual harm+
4
Federal penalties
$228,151
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Care Planning19 Nursing & Physician Services13 Resident Rights11 Infection Control10

Most common F-tags at this facility

F6864 F6413 F6453 F6573 F6583

Citation history

104 on record
SurveyF-TagViolationSeveritySource
Mar 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Mar 5, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Mar 5, 2025F881Implement a program that monitors antibiotic use.EStandard
Mar 5, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 5, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Mar 5, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Mar 5, 2025F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Mar 5, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Mar 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 5, 2025F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Mar 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Mar 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 5, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Mar 5, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Mar 5, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 5, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Mar 5, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 5, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Mar 5, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 7, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.DComplaint
Dec 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Dec 12, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Dec 12, 2023F881Implement a program that monitors antibiotic use.EStandard
Dec 12, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 12, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Dec 12, 2023F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Dec 12, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Dec 12, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Dec 12, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard
Dec 12, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Dec 12, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 12, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Dec 12, 2023F732Post nurse staffing information every day.BStandard
Dec 12, 2023F730Observe each nurse aide's job performance and give regular training.EStandard
Dec 12, 2023F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.EStandard
Dec 12, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DStandard
Dec 12, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Dec 12, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 12, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 12, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 12, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 12, 2023F685Assist a resident in gaining access to vision and hearing services.DStandard
Dec 12, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Dec 12, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 12, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Dec 12, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Dec 12, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 12, 2023F641Ensure each resident receives an accurate assessment.DStandard
Dec 12, 2023F637Assess the resident when there is a significant change in conditionDStandard
Dec 12, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.FStandard
Dec 12, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard
Dec 12, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Dec 12, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Oct 4, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint
Oct 4, 2023F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Oct 4, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Oct 4, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint
Oct 4, 2023F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.FComplaint
Oct 4, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint
Oct 4, 2023F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FComplaint
Oct 4, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Oct 4, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EComplaint
Oct 4, 2023F732Post nurse staffing information every day.FComplaint
Oct 4, 2023F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.EComplaint
Oct 4, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Oct 4, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Oct 4, 2023F699Provide care or services that was trauma informed and/or culturally competent.GComplaint
Oct 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 4, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Oct 4, 2023F610Respond appropriately to all alleged violations.EComplaint
Oct 4, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint
Oct 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Aug 12, 2022F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.FStandard
Aug 12, 2022F886Perform COVID19 testing on residents and staff.EStandard
Aug 12, 2022F885Report COVID19 data to residents and families.EStandard
Aug 12, 2022F881Implement a program that monitors antibiotic use.EStandard
Aug 12, 2022F880Provide and implement an infection prevention and control program.FStandard
Aug 12, 2022F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Aug 12, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 12, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 12, 2022F791Provide or obtain dental services for each resident.DStandard
Aug 12, 2022F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Aug 12, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 12, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Aug 12, 2022F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Aug 12, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Aug 12, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Aug 12, 2022F692Provide enough food/fluids to maintain a resident's health.EStandard
Aug 12, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 12, 2022F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Aug 12, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Aug 12, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 12, 2022F660Plan the resident's discharge to meet the resident's goals and needs.EStandard
Aug 12, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Aug 12, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 12, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $228,151 and 1 payment-denial actions spanning 10 days.

DateTypeFinePayment denial
Dec 12, 2023Fine$143,754—
Dec 12, 2023Payment Denial—Mar 12, 2024 · 10 days
Oct 4, 2023Fine$62,318—
Apr 28, 2023Fine$22,079—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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