EVAN TERRACE POST ACUTE
CMS
Actual Harm
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$25,116
Outcome
EVAN TERRACE POST ACUTE in MCMINNVILLE, OR was fined $25,116 by CMS following 57 deficiency citations identified during federal surveys.
Details
EVAN TERRACE POST ACUTE (MCMINNVILLE, OR) — $25,116 in CMS Fines
Outcome: EVAN TERRACE POST ACUTE in MCMINNVILLE, OR was fined $25,116 by CMS following 57 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Provide or get specialized rehabilitative services as required for a resident.
- Ensure that residents are fully informed and understand their health status, care and treatments.
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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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