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Complaint Investigation

Saint Helens Post Acute

October 17, 2025 · Saint Helens, OR · 75 Shore Drive
Citations 1
CMS Rating 2/5
Beds 92
Provider ID 385222
Healthcare Facility
Saint Helens Post Acute
Saint Helens, OR  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SAINT HELENS POST ACUTE in SAINT HELENS, OR — inspection on October 17, 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.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

drainage bag.

The catheter bag was torn off from Resident 2 and in Resident 3's hand.

Staff 11 stated Resident 3 experienced confusion. On 10/15/25 at 4:41 PM Staff 13 (CNA) stated they recalled the 4/5/25 incident when Resident 3 pulled and broke Resident 2's catheter tubing off.

Staff 13 stated they sat with Resident 2 for a long time after the incident, until the resident received her/his next scheduled pain medication, held her/his hand and provided an ice pack while Resident 2 cried hard.

Staff 13 stated they cried with Resident 2 because it was so painful for the resident.

Staff 14, who was the charge nurse that initiated the Physical Aggression Received incident report and responded to the 4/5/25 incident was unavailable for an interview. On 10/17/25 at 12:05 PM Staff 1 (Administrator) stated he expected all residents to be free from abuse while in the facility.

Staff 1 acknowledged the 4/5/25 incident between Resident 2 and Resident 3.

Facility ID:

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


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About This Inspection Report

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.