Umpqua Valley Nursing & Rehabilitation Center
UMPQUA VALLEY NURSING & REHABILITATION CENTER in ROSEBURG, OR — inspection on August 22, 2025.
Found 6 citations. 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
Federal health inspectors cited UMPQUA VALLEY NURSING & REHABILITATION CENTER in ROSEBURG, OR for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-22.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of UMPQUA VALLEY NURSING & REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-02.
Federal health inspectors cited UMPQUA VALLEY NURSING & REHABILITATION CENTER in ROSEBURG, OR for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of UMPQUA VALLEY NURSING & REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-02.
Federal health inspectors cited UMPQUA VALLEY NURSING & REHABILITATION CENTER in ROSEBURG, OR for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of UMPQUA VALLEY NURSING & REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-02.
Federal health inspectors cited UMPQUA VALLEY NURSING & REHABILITATION CENTER in ROSEBURG, OR for a deficiency under regulatory tag F-F0825 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or get specialized rehabilitative services as required for a resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of UMPQUA VALLEY NURSING & REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-02.
Federal health inspectors cited UMPQUA VALLEY NURSING & REHABILITATION CENTER in ROSEBURG, OR for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of UMPQUA VALLEY NURSING & REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-02.
and the public.
observation and interview it was determined the facility failed to ensure air conditioning units were
reviewed for physical environment.
This placed residents at risk for an unsafe, lack of privacy and unsanitary environment that was not homelike.
Findings include: 1. On 8/18/25 at 12:07 PM room [ROOM NUMBER]'s air conditioning was observed dripping water along the entire bottom panel onto the bedside table and down the wall causing the wall panel to [NAME]. On 8/19/2025 at 3:04 PM Staff 21 (CNA) stated the air conditioning unit had been leaking for the entire summer and the maintenance department was in the room to look at the unit several times, but the problem was ongoing. On 8/19/25 at 3:13 PM Staff 22 (CNA) stated she noticed the air conditioning leaking about six weeks ago and notified the nurse and maintenance staff of the concern.On 8/20/25 at 11:20 AM Staff 23 (Maintenance Assistant) acknowledged the air conditioning unit in room [ROOM NUMBER] was dripping water along the bottom panel to the dresser and along the wall.
Staff 23 stated he unaware the unit was leaking.
Staff 23 stated the maintenance department did not complete monthly audits and relied on housekeeping and nursing staff to report concerns regarding room repairs.On 8/21/25 at 10:44 AM Staff 11 (Maintenance Director) stated he was aware the air conditioning unit in room [ROOM NUMBER] was leaking.
Staff 11 stated the leak was caused from the coils in the unit forming ice when the temperature was turned down too low and then would melt when the unit was turned off.On 8/21/25 at 2:24 PM Staff 1 (Administrator) stated the facility was in the process of replacing air conditioning units and expected all the units to be functioning properly.a. On 8/20/25 at 2:26 PM during a Resident Council meeting residents reported room [ROOM NUMBER]'s air conditioning was leaking and ruining posters and shelving below the unit.On 8/21/25 at 10:15 AM Staff 27 (CNA) stated she reported the air conditioning leaking in room [ROOM NUMBER] to nursing and maintenance.On 8/21/25 at 10:44 AM Staff 11 (Maintenance Director) stated he was aware the air conditioning unit in room [ROOM NUMBER] was leaking.
Staff 11 stated the leak was caused from the coils in the unit forming ice when the temperature was turned down too low and then would melt when the unit was turned off.On 8/21/25 at 2:24 PM Staff 1 (Administrator) stated the facility was in the process of replacing air conditioning units and expected all the units to be functioning properly.2.
On 8/20/25 at 2:26 PM during the Resident Council meeting it was revealed the pocket doors for the bathroom in room [ROOM NUMBER] and room [ROOM NUMBER] were broken and were replaced with shower curtains.
Residents stated they did not feel they had privacy, odor control and was a potential fire safety concern without an appropriate door.On 8/21/25 at 10:44 AM Staff 11 (Maintenance Director) acknowledged room [ROOM NUMBER] and room [ROOM NUMBER] pocket doors were broken and shower curtains were used as a replacement.
Staff 11 stated parts for the pocket doors were no longer available.On 8/21/25 at 2:24 PM Staff 1 (Administrator) acknowledged the pocket doors were broken, and the facility was in the process of repairing the doors.
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
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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.