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Complaint Investigation

Robison Jewish Health Center

Inspection Date: November 4, 2025
Total Violations 1
Facility ID 385145
Location PORTLAND, OR
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Inspection Findings

F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0686 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

be a sore or cut on the penis. Staff 18 stated she notified the nurse on duty but could not recall who was working that shift. She also reported mentioning the injury to several other nurses. According to Staff 18, any staff providing catheter or perineal care would notice the wound if they examined the area closely. She described the wound as a rip, noting that discharge was visible each time the brief was changed. She recalled the wound being on the left side of the penis and stated it resembled a split like a hot dog bun, causing the resident pain during cleaning.On 11/4/25 at 2:55 PM, Staff 2 (DNS) and Staff 3 (Resident Care Manager) stated they were not aware of Resident 1's Stage 2 pressure ulcer.On 11/4/25 at 3:10 PM, Staff 4 (Resident Care Manager) stated during his initial visit with Resident 1, the resident expressed experiencing discomfort in the penis area, describing it as a sensation of something pulling. Staff 4 stated based on the way the resident communicated her/his concern, Staff 4 interpreted the discomfort was not current but had occurred previously. Staff 4 stated on 9/4/25 he looked at the resident's penis and noticed a split, maybe around an inch long, which was reported to the facility provider. On 11/4/25 at 4:04 PM, Staff 1 (Administrator) and Staff 19 (Regional Director of Quality Assurance) were informed of findings for Resident 1 who was admitted with a Stage 2 pressure ulcer located on the left lateral meatus of the penis which was not identified, assessed, or care planned upon her/his admission to the facility.

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📋 Inspection Summary

ROBISON JEWISH HEALTH CENTER in PORTLAND, OR inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 PORTLAND, 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 ROBISON JEWISH HEALTH CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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