Oregon Manor

354 N MAIN ST
Oregon, WI 53575
(608) 835-3535
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 45
Number of Residents: 38
Percent of Occupied Beds: 84%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 5 Star Nurse Staffing Rating
Quality Measures: 2 Star Quality Measures Rating
RN Only: 5 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071030 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Immediate jeopardy to resident health or safety 20071121
20071030 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20071121
20071030 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20071121
20071030 Health Administration Deficiencies 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. Pattern Potential for minimal harm 20071121
20071030 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Actual harm 20071121
20071030 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Immediate jeopardy to resident health or safety 20071121
20071226 Health Environmental Deficiencies Have a program to keep infection from spreading. Pattern Minimal harm or potential for actual harm 20080124
20080415 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080515
20080415 Health Resident Assessment Deficiencies Assess the resident when the resident enters the nursing home, in a timely manner. Widespread Potential for minimal harm 20080515
20080415 Health Resident Assessment Deficiencies Check and update (if needed) each resident's assessment every 3 months. Widespread Potential for minimal harm 20080515
20080415 Health Resident Assessment Deficiencies Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. Widespread Potential for minimal harm 20080515
20080415 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20080515
20080807 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20080908
20080807 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Isolated Actual harm 20080908
20100422 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Actual harm 20100614
20100422 Health Quality Care Deficiencies Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Actual harm 20100614
20100422 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20100614
20100422 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20100722
20100422 Health Resident Rights Deficiencies Let residents give themselves their drugs if they are able. Isolated Minimal harm or potential for actual harm 20100722
20100422 Health Resident Rights Deficiencies Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. Isolated Minimal harm or potential for actual harm 20100614
20100422 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20100722
20100422 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Actual harm 20100614
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 97
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 100
Percent of long-stay residents whose need for help with daily activities has increased: 25
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 3
Percent of low-risk long-stay residents who have pressure sores: Not Available - The number of residents is too small to report. Call the facility to discuss this quality measure.
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 8
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 60
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 5
Percent of long-stay residents who spend most of their time in bed or in a chair: 0
Percent of long-stay residents whose ability to move about in and around their room got worse: 31
Percent of long-stay residents who had a urinary tract infection: 11
Percent of long-stay residents who lose too much weight: 8
Percent of short-stay residents given influenza vaccination during the flu season: 100
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 100
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 28
Percent of short-stay residents who have pressure sores: 10
# of Residents: 38
# RN Hours per Resident: 1.11
# LPN Hours per Resident: 0.43
# CNA Hours per Resident: 3.47
Total Staff Hours per Resident: 1.54