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Prestige Post-acute & Rehab Center - Milwaukie

📍 12045 Se Stanley Avenue, Milwaukie, OR 97222 📞 (503) 659-2323 🛏️ 96 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $26,241

$26,241
Feb 23, 2022

Fine

2021 1 penalties totaling $650

$650
Dec 6, 2021

Fine

2019 1 penalties totaling $11,225

$11,225
Dec 16, 2019

Fine

2018 1 penalties totaling $6,500

$6,500
Sep 13, 2018

Fine

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Health Violations by Year

2025 2 violations

Tag 0661 D Feb 14, 2025

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Mar 12, 2025
Tag 0684 D Feb 14, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 12, 2025

2024 14 violations

Tag 0550 D May 20, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 20, 2024
Tag 0554 D May 20, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jun 25, 2024
Tag 0557 D May 20, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Jun 25, 2024
Tag 0636 E May 20, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jun 25, 2024
Tag 0655 D May 20, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 25, 2024
Tag 0684 D May 20, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 25, 2024
Tag 0687 D May 20, 2024

Provide appropriate foot care.

✓ Corrected: Jun 25, 2024
Tag 0689 D May 20, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 25, 2024
Tag 0695 D May 20, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 25, 2024
Tag 0697 D May 20, 2024

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jun 25, 2024
Tag 0730 E May 20, 2024

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jun 25, 2024
Tag 0742 D May 20, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Jun 25, 2024
Tag 0761 D May 20, 2024

Ensure 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.

✓ Corrected: Jun 25, 2024
Tag 0842 D May 20, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 25, 2024
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2023 8 violations

Tag 0578 D Mar 27, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 26, 2023
Tag 0637 D Mar 27, 2023

Assess the resident when there is a significant change in condition

✓ Corrected: Apr 26, 2023
Tag 0645 D Mar 27, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Apr 26, 2023
Tag 0656 D Mar 27, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 26, 2023
Tag 0740 D Mar 27, 2023

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Apr 26, 2023
Tag 0760 D Mar 27, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 26, 2023
Tag 0801 D Mar 27, 2023

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Apr 26, 2023
Tag 0812 D Mar 27, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 26, 2023

2022 25 violations

Tag 0554 D Nov 9, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

Tag 0600 D Nov 9, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 14, 2022
Tag 0610 D Nov 9, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Dec 14, 2022
Tag 0636 D Nov 9, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Dec 14, 2022
Tag 0686 D Nov 9, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 14, 2022
Tag 0760 D Nov 9, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Dec 14, 2022
Tag 0550 D Feb 23, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 6, 2022
Tag 0558 D Feb 23, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Apr 6, 2022
Tag 0565 E Feb 23, 2022

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Apr 6, 2022
Tag 0636 D Feb 23, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Apr 6, 2022
Tag 0658 D Feb 23, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 6, 2022
Tag 0677 E Feb 23, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 6, 2022
Tag 0679 E Feb 23, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Apr 6, 2022
Tag 0684 J Feb 23, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 27, 2022
Tag 0686 D Feb 23, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 6, 2022
Tag 0688 D Feb 23, 2022

Provide 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.

✓ Corrected: Apr 6, 2022
Tag 0689 D Feb 23, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 6, 2022
Tag 0692 D Feb 23, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 6, 2022
Tag 0725 E Feb 23, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 6, 2022
Tag 0727 E Feb 23, 2022

Have 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.

✓ Corrected: Apr 6, 2022
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2021 10 violations

Tag 0550 D Jul 9, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 24, 2021
Tag 0551 D Jul 9, 2021

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: Aug 24, 2021
Tag 0552 D Jul 9, 2021

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Aug 24, 2021
Tag 0580 D Jul 9, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 24, 2021
Tag 0585 E Jul 9, 2021

Honor 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.

✓ Corrected: Aug 24, 2021
Tag 0600 E Jul 9, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 24, 2021
Tag 0677 E Jul 9, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 24, 2021
Tag 0725 E Jul 9, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Aug 24, 2021
Tag 0600 D Jan 28, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 26, 2021
Tag 0610 D Jan 28, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Feb 26, 2021

2020 2 violations

Tag 0684 D Oct 1, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 30, 2020
Tag 0689 D Oct 1, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 30, 2020
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2019 36 violations

Tag 0550 D Dec 16, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jan 20, 2020
Tag 0558 D Dec 16, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 20, 2020
Tag 0584 D Dec 16, 2019

Honor 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.

✓ Corrected: Jan 20, 2020
Tag 0602 E Dec 16, 2019

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Jan 20, 2020
Tag 0610 E Dec 16, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jan 20, 2020
Tag 0658 E Dec 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 20, 2020
Tag 0684 E Dec 16, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 24, 2020
Tag 0686 G Dec 16, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 20, 2020
Tag 0695 D Dec 16, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 20, 2020
Tag 0697 G Dec 16, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Jan 20, 2020
Tag 0698 D Dec 16, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jan 20, 2020
Tag 0725 F Dec 16, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jan 20, 2020
Tag 0730 F Dec 16, 2019

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jan 20, 2020
Tag 0732 C Dec 16, 2019

Post nurse staffing information every day.

✓ Corrected: Jan 20, 2020
Tag 0755 E Dec 16, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 20, 2020
Tag 0759 D Dec 16, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 20, 2020
Tag 0761 E Dec 16, 2019

Ensure 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.

✓ Corrected: Jan 20, 2020
Tag 0773 D Dec 16, 2019

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Jan 20, 2020
Tag 0835 E Dec 16, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Jan 20, 2020
Tag 0867 E Dec 16, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Feb 24, 2020

2018 17 violations

Tag 0559 D Sep 13, 2018

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Oct 24, 2018
Tag 0660 D Sep 13, 2018

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Oct 24, 2018
Tag 0661 D Sep 13, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Oct 24, 2018
Tag 0689 E Sep 13, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 24, 2018
Tag 0743 G Sep 13, 2018

Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.

✓ Corrected: Oct 24, 2018
Tag 0842 D Sep 13, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 24, 2018
Tag 0582 D Apr 13, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: May 23, 2018
Tag 0636 D Apr 13, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: May 23, 2018
Tag 0655 D Apr 13, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: May 23, 2018
Tag 0695 D Apr 13, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 23, 2018
Tag 0732 D Apr 13, 2018

Post nurse staffing information every day.

✓ Corrected: May 23, 2018
Tag 0758 D Apr 13, 2018

Implement 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.

✓ Corrected: May 23, 2018
Tag 0880 D Apr 13, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 23, 2018
Tag 0580 D Jan 25, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 23, 2018
Tag 0610 D Jan 25, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Feb 23, 2018
Tag 0676 D Jan 25, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Feb 23, 2018
Tag 0689 D Jan 25, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 23, 2018
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2017 18 violations

Tag 0314 D Jul 21, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Aug 14, 2017
Tag 0154 D Feb 27, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Apr 10, 2017
Tag 0155 D Feb 27, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

✓ Corrected: Apr 10, 2017
Tag 0157 D Feb 27, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 10, 2017
Tag 0248 E Feb 27, 2017

Provide activities to meet the interests and needs of each resident.

✓ Corrected: Apr 10, 2017
Tag 0252 D Feb 27, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Apr 10, 2017
Tag 0272 D Feb 27, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Apr 10, 2017
Tag 0273 D Feb 27, 2017

Assess in a timely manner the resident when the resident enters the nursing home.

✓ Corrected: Apr 10, 2017
Tag 0278 D Feb 27, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Apr 10, 2017
Tag 0279 D Feb 27, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 10, 2017
Tag 0280 D Feb 27, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Apr 10, 2017
Tag 0309 D Feb 27, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Apr 10, 2017
Tag 0312 D Feb 27, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Apr 10, 2017
Tag 0325 D Feb 27, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Apr 10, 2017
Tag 0329 D Feb 27, 2017

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.

✓ Corrected: Apr 10, 2017
Tag 0354 F Feb 27, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

✓ Corrected: Apr 10, 2017
Tag 0464 E Feb 27, 2017

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

✓ Corrected: Apr 10, 2017
Tag 0516 F Feb 27, 2017

Keep clinical record information safe.

✓ Corrected: Apr 10, 2017
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