Inspection·March 5, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure that a cognitively impaired resident was treated with dignity and respect by not preventing a staff member from communicating to the resident (R1) in an inappropriate and unprofessional manner while providing personal care services. This failure affected 1 of 4 (R1) residents reviewed for dignity in a sample size of 4. Findings include: R1's medical record indicated that resident last admitted to the facility on [DATE] with a past medical history not limited to: hypertension, dementia, anxiety, and urinary tract infection. R1's Minimum Data Set (MDS) Section C for cognitive patterns dated 02/19/2025 documented that R1's cognition is severely impaired. Review of facility's final incident report with incident date of 02/26/2025 at 1300 (1:00 PM) revealed that a comment was overheard outside the beauty salon. It was reported that the beautician [V3] stated to a resident, you b***h about a lot. Beautician was removed and investigation initiated. Beautician states that the comment was in relation to the resident having a difficult day complaining about several things in the time she was in the salon .The beautician relays the comment was a statement to engage the resident in what was going on not to inflict any type of harassment or threat. She admits she should have used complain not b***h. Interviews with resident involved revealed no issues and no recall of incident. R1's progress noted dated 02/26/2025 at 13:22 (1:22 PM) documented, there was an incident with the hairdresser which is being addressed by Administrator. [Medical Doctor] notified. Administrator notifying family. On 03/05/2025 at 12:55 PM, V3 (Beautician) said on the day of the incident, she was trying to have a conversation with R1 while she (V3) was doing her hair but R1 wasn't happy and complained that V3 was hurting her and that she didn't want to have her hair done. V3 said that R1 was extra cranky because of her recent surgery. V3 (Beautician) said while she attempted to wash R1's hair, that R1 continued to complain so V3 asked R1 if she likes to b***h. V3 then said that she called V8 (Family Member) and asked her to talk with her mother (R1) so that she could finish doing R1's hair. V3 (Beautician) added that she talks like a sailor and thought she knew R1 well enough to talk openly to her. V3 also said that she apologized to R1 and to V8 (Family Member) for her poor word choice and should not have used the word b***h. (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 03/05/2025 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)