All citations for Bend Transitional Care

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

June 27, 2025

Showing 1 to 18 of 18 citations

No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2025).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Widespread (many residents). CMS level F.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2025).
No harm, with potential for more than minimal harm
Post nurse staffing information every day.
Pattern (more than a few residents). CMS level E.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of March 7, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Pattern (more than a few residents). CMS level E.
Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Meet other general requirements.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0200, Egress Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 27, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2025).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Isolated (one or a few residents). CMS level D.
Health citation F-0883, Infection Control Deficiencies. Inspection of March 7, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Isolated (one or a few residents). CMS level D.
Health citation F-0578, Resident Rights Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Isolated (one or a few residents). CMS level D.
Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level D.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Isolated (one or a few residents). CMS level D.
Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Isolated (one or a few residents). CMS level D.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 10, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (March 21, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.