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Regency Gresham Nursing & Rehab Center

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About Regency Gresham Nursing & Rehab Center

General Information

Legal Business NameRegency Gresham Nursing & Rehabilitation Center, LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity128
Residents90
Percent Occupied70%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Regency Gresham Nursing & Rehab Center

Regency Gresham Nursing & Rehab Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oregon Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 10, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

July 9, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProperly constructed linen or trash chutes.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.

January 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

June 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionMaintain 15 months of resident assessments in the resident's active clinical record.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.

June 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Regency Gresham Nursing & Rehab Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 15min
2hr 25min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
4hr 35min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
92.8%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.5%
97.1%
93.1%
92.7%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
48.6%
Q1 2015Q2 2015Q3 2015OR
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.0%
19.4%
9.2%
17.4%
Q1 2015Q2 2015Q3 2015OR
Received an Antipsychotic Medication
13.0%
15.9%
15.4%
11.6%
Q1 2015Q2 2015Q3 2015OR
Need for Help with ADLs has Increased
18.9%
22.3%
3.2%
14.2%
Q1 2015Q2 2015Q3 2015OR
Self Report Moderate to Severe Pain
6.2%
7.6%
11.1%
7.2%
Q1 2015Q2 2015Q3 2015OR
Lose Too Much Weight
11.8%
9.4%
8.8%
6.9%
Q1 2015Q2 2015Q3 2015OR
High Risk Residents With Pressure Ulcers
13.8%
6.6%
8.8%
4.4%
Q1 2015Q2 2015Q3 2015OR
Have Depressive Symptoms
10.8%
4.5%
1.4%
5.9%
Q1 2015Q2 2015Q3 2015OR
With a Urinary Tract Infection
4.5%
7.4%
5.6%
2.7%
Q1 2015Q2 2015Q3 2015OR
Experiencing One or More Falls with Major Injury
4.0%
3.0%
3.1%
4.9%
Q1 2015Q2 2015Q3 2015OR
With a Catheter Inserted and Left in Their Bladder
1.5%
1.5%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015OR
Were Physically Restrained

Quality Measures for Short Stay Residents

83.7%
83.1%
76.9%
80.1%
Q1 2015Q2 2015Q3 2015OR
Assessed and Appropriately Given the Pneumococcal Vaccine
93.0%
93.8%
93.8%
78.8%
Q1 2015Q2 2015Q3 2015OR
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
31.1%
31.8%
17.1%
23.6%
Q1 2015Q2 2015Q3 2015OR
Self Report Moderate to Severe Pain
4.2%
2.9%
2.9%
1.5%
Q1 2015Q2 2015Q3 2015OR
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.4%
Q1 2015Q2 2015Q3 2015OR
With Pressure Ulcers That Are New or Worsened