Menlo Park Post Acute
MENLO PARK POST ACUTE in PORTLAND, OR — inspection on May 22, 2026.
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.
Inspection Findings
sampled residents (#6) reviewed for medications.
This placed residents at risk for unmet care needs.
renal disease, unspecified conjunctivitis, perforated corneal ulcer, and dependence on renal dialysis.Resident 6's 2/8/26 comprehensive MDS assessment documented Resident 6 had a medically complex condition including perforated corneal ulcer in her/his right eye and conjunctivitis with bacterial agents as the disease. Resident 6's Care Plan initiated on 2/12/26 documented Resident 6 was at risk for complications related to a bilateral eye infection.
Erythromycin (an antibiotic) eyedrops were initiated on 2/12/26. Resident 6's 2/12/26 Physician Orders included erythromycin ophthalmic ointment 5 mg to apply in left eye five times a day. Resident 6's 2/2026 MAR documented the following:-On 2/16/26 at 11:00 AM, medication was not given as resident was at dialysis by Staff 18 (CMA).-On 2/17/26 at 11:00 AM, medication was not given as resident was at dialysis by Staff 18.-On 2/18/26 at 11:00 AM, medication was not given as resident was at dialysis by Staff 18.-On 2/23/26 at 11:00 AM, medication was not given as resident was at dialysis by Staff 18.-On 2/23/26 at 1:00 PM, medication was not given as resident was absent from home by Staff 19 (CMA).-On 2/25/26 at 11:00 AM, medication was not given as resident was absent from home by Staff 19.-On 2/25/26 at 1:00 PM, medication was not given as resident was absent from home by Staff 19.-On 2/27/26 at 11:00 AM, medication was not given as resident was absent from home by Staff 19.There was no documented evidence Resident 6's provider was notified regarding the missed antibiotic eye medication.On 5/19/26 at 10:30 AM, Resident 6 stated she/he did not receive his/her eyedrops as ordered.On 5/21/26 at 11:06 AM, Staff 18 stated if any medications were due while Resident 6 was out of the facility for dialysis she would document on the MAR that Resident 6 was out of the facility.
Staff 18 stated she did not communicate with the nurse about missing the antibiotic eye medication.On 5/21/26 at 12:01 PM, Staff 19 stated she could not recall if she notified the nurse the medications were due while Resident 6 was out of the facility for dialysis and was unsure whether the physician knew Resident 6 had missed doses of their antibiotic eye medication.On 5/21/25 at 1:00 PM and 5/22/26 at 9:34 AM, attempts were made to contact Staff 21 (LPN) were unsuccessful.On 5/22/26 at 10:19 AM, Staff 4 (LPN) stated Staff 18 and Staff 19 did not communicate with her on 2/16/26, 2/23/26 or 2/27/26 that Resident 6 had missed her/his antibiotic eye medication due to being out of the facility for dialysis.
Staff 4 stated the medication aides should have communicated with her so she could contact the provider.On 5/22/26 at 10:48 AM, Staff 20 (RNCM) stated the CMAs should have communicated with the nurse about Resident 6 missing doses of the eye drops due to being out of the facility.On 5/22/26 at 11:14 AM, Staff 2 (DNS) stated the CMAs should have notified the charge nurse and charge nurse should have coordinated with the RNCM and provider to adjust Resident 6's medication schedule.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.