PILOT BUTTE REHABILITATION CENTER
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$8,827
Outcome
PILOT BUTTE REHABILITATION CENTER in BEND, OR was fined $8,827 by CMS following 45 deficiency citations identified during federal surveys.
Details
PILOT BUTTE REHABILITATION CENTER (BEND, OR) — $8,827 in CMS Fines
Outcome: PILOT BUTTE REHABILITATION CENTER in BEND, OR was fined $8,827 by CMS following 45 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that residents are fully informed and understand their health status, care and treatments.
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Provide and implement an infection prevention and control program.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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