Health inspection·December 20, 2024

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to provide a homelike environment for 4 of 4 residents (R1, R2, R6, R7) reviewed for residents rights in the sample of 8. The findings include: R1's face sheet showed she was admitted to the facility 9/14/22 with diagnoses to include acute respiratory failure with hypoxia, hemiplegia and hemiparesis following cerebrovascular disease, Type 2 diabetes, hypertension, hyperlipidemia, bipolar disorder, and anxiety disorder. R1's facility assessment dated [DATE] showed she has no cognitive impairment. R2's face sheet showed he was admitted to the facility 12/9/22 with diagnoses to include atherosclerotic heart disease, Type 2 diabetes, acute cystitis without hematuria, hyperlipidemia, mood disorder, anxiety disorder, and depression. R2's facility assessment dated [DATE] showed he has no cognitive impairment. R6's face sheet showed he was admitted to the facility 9/1/16 with diagnoses to include epilepsy, abnormalities of gait and mobility, major depressive disorder, peripheral vascular disease, and osteoarthritis. R6's facility assessment dated [DATE] showed he has no cognitive impairment. R7's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include acute kidney failure, hypertension, hyperkalemia, dehydration, and major depressive disorder. R7's facility assessment dated [DATE] showed she has no cognitive impairment. On 12/20/24 at 1:01 PM, R6 said I am the resident council president. We have been asking about a clock in the dining room. You look at the clock to see when the next thing is going to be. They said they haven't replaced it because it has something to do with the scheme of the decorations. We don't know why we can't just get a solid color or something . Someone went and got a small digital clock and put it next to the sink in the corner yesterday but you can't see it. The one that was in there at one time was very big and easy to see. It had fallen off the wall and broke. That was a long time ago. When I took over as resident council president, the previous president had been trying to get a clock in the dining room too. I've been president for over a year now. A long while ago there were two clocks but we just want one. I want to be able to know what time it is, how long before the next activity, how long until a meal, I'm pretty active here and doing things all the time. We discuss this at almost every resident council meeting and we will be discussing it at the next one as well. On 12/20/24 at 10:39 AM, R1 said, . They told us we can't have a clock in the dining room because (continued on next page) 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 REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 145476 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145476 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/20/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Oregon Living and Rehabilitation Center 811 South 10th Street Oregon, IL 61061 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)