Beaverton Post Acute Care Of Cascadia
Inspection Findings
F-Tag F0691
F 0691 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Based on interview and record review it was determined that the facility failed to provide colostomy care according to professional standards for 1 of 2 sampled residents (# 8). This placed residents at risk for skin breakdown and infection. Findings include:Resident 8 admitted to the facility with diagnoses including renal failure. Resident 8's 8/27/25 Care Plan indicated the resident's colostomy bag was to be changed as needed per the resident's provider order. Resident 8's 9/22/25 Physician Orders indicated the resident used
a colostomy bag. On 12/18/25 at 11:57 AM, Resident 8 stated she/he recalled not having a colostomy bag for about a day and stated staff covered up her/his stoma (a surgically created opening in the abdomen that allows bodily waste to be diverted out of the body) with a brief and other pads. Resident 8 stated she/he was irritated because she/he could not attend activities on that day. On 12/18/25 at 1:25 PM, Staff 16 (Activities Director) stated the vendor the facility had ordered colostomy bags from discontinued orders due to changes in Medicaid funding. Staff 16 stated supplies were ordered on the previous Thursday and expected the following Tuesday. Staff 16 stated Resident 8 was no longer going to be covered by Medicaid.
On 12/18/25 at 2:30 PM, Staff 3 (RCM) stated the facility ordered supplies once a month for residents and acknowledged Resident 8 went without a colostomy bag for a while but could not recall how long. Staff 3 stated staff covered Resident 8's stoma with a brief. Staff 3 confirmed Resident 8's frustrations from the resident's inability to go to activities that day due to there being no colostomy bags. Staff 3 stated they express ordered colostomy bags for Resident 8 two days after the initial order did not arrive.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Beaverton Post Acute Care of Cascadia in BEAVERTON, OR inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BEAVERTON, OR, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Beaverton Post Acute Care of Cascadia or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.