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Health Inspection

Chehalem Post Acute

March 28, 2025 · Newberg, OR · 1900 E. Fulton Street
Citations 1
CMS Rating 1/5
Beds 84
Provider ID 385199
Healthcare Facility
Chehalem Post Acute
Newberg, OR  ·  View full profile →
Inspection Summary

CHEHALEM POST ACUTE in NEWBERG, OR — inspection on March 28, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF882
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 47005 Some hand hygiene was completed during meals for 2 of 3 halls reviewed for dining. This placed residents at risk affected

Based on observation, interview and record review it was determined the facility failed to ensure proper

for cross contamination.

Findings include:

The 8/1/24 Hand Hygiene Policy and Procedure indicates effective hand hygiene reduces the incidence of healthcare-associated infections.

All members of the healthcare team will comply with current Centers of Disease Control and Prevention hand hygiene guidelines.

The procedure included:

3.

Hand hygiene is the primary means of preventing the transmission of infection and should be performed as soon as possible after hands become contaminated and frequently during the working day.

The following is list of some situations that require hand hygiene:

c.

Before and after direct resident contact;

f.

Before and after eating or handling food;

g.

Before and after assisting a resident with meals;

s.

After handling soiled equipment or utensils;

On 3/19/25 between the hours of 12:11 PM and 12:29 PM, during the lunch meal in the west and east hall the following observations were made:

-12:15 PM Staff 3 (CNA) was observed retrieving a meal tray from a delivery cart located in the west hall and entered room [ROOM NUMBER].

Staff 3 retrieved another tray from the delivery cart and entered room [ROOM NUMBER] without sanitizing her hands after exiting the resident's room and before retrieving another meal tray.

-12:19 PM Staff 3 was observed delivering a meal tray to room [ROOM NUMBER].

Staff 3 retrieved used coffee cups from the resident's bedside table and threw away the cups.

Staff 3 made coffee for room [ROOM NUMBER] and did not sanitize her hands after retrieving the dirty cups and making coffee for another resident.

-12:25 PM Staff 3 was observed pushing the meal delivery cart from the west hall to the east hall.

Staff 3 retrieved a meal tray and delivered the tray to room [ROOM NUMBER].

Staff 3 retrieved another tray from the delivery cart and entered room [ROOM NUMBER] without sanitizing hands after moving the cart or before retrieving or delivering the meal tray.

On 3/19/25 at 12:29 PM Staff 3 stated she was supposed to sanitize her hands before touching each meal tray and before and after exiting a resident rooms.

Staff 3 acknowledged she did not complete hand hygiene between resident rooms.

385199

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 385199 B.

Wing 03/28/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Chehalem Post Acute 1900 E.

Fulton Street Newberg, OR 97132

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 NEWBERG, 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 CHEHALEM POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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