Regency Care Of Central Oregon
119 SE Wilson Avenue, Bend, OR 97702 · For profit - Corporation · 46 certified beds · (541) 382-7161 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
- it has an abuse, neglect, or exploitation citation (F0600), cited May 2023
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 18.5% | 14.9% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.0% | 4.7% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 3.7% | 1.4% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.6% | 2.0% | 2.0% | better |
| Long-stay residents with depressive symptoms | 3.4% | 4.9% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.4% | 2.4% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 52.8% | 20.6% | 16.1% | check this† — see note marked dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 19.2% | 12.4% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 97.1% | 95.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 0.5% | 5.8% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 20.8% | 21.8% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.1% | 13.9% | 17.1% | better |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 31% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 46 beds and averages 32.1 residents a day — about 70% occupied, or roughly 14 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.86 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.03 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.12 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 5.36 hrs/resident/day on weekends vs 6.06 on weekdays — 12% thinner on weekends. RN hours go from 1.15 to 0.75 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 35% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · Fcited before2025-12-05 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview it was determined the facility failed to handle and serve food in a sanitary manner in 1 of 1 kitchen. This placed residents at risk for potential exposure to food borne illness. Findings include:1. On 12/3/25 from 11:30 AM through 12:30 PM, Staff 4 (Dietary Manager) prepared resident lunch meal trays. Staff 4 donned gloves and touched multiple surfaces including clean plates, serving utensils, refrigerator doors, beverages, and each soft taco. Staff 4 did not change gloves or complete hand hygiene between touching clean and contaminated surfaces during this time.In an interview on 12/4/25 at 9:48 AM, Staff 4 stated she failed to complete proper hand hygiene and change gloves after touching equipment before returning to tray line service. 2. On 12/3/25 at 12:30 PM, Staff 4 (Dietary Manager) dropped a food thermometer on the floor while working the tray line for residents. Staff 4 bent down and picked up the thermometer, placed it on top of the table near the steam table, then reached for a clean tray to continue service. When questioned, Staff 4…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-12-05 · tag F0887 — patternEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review it was determined the facility failed to offer the COVID-19 vaccination 2025 booster to 4 of 5 sampled residents (#s 2, 7, 6, and 19) reviewed for immunizations. This placed residents at risk to contracting COVID 19. Findings include:1. Resident 2 was admitted to the facility in 9/2024 with diagnoses including Parkinson's Disease.A review of Resident 2's immunizations revealed the last COVID 19 vaccination she/he received was on 9/4/24.On 12/4/25 at 12:50 PM Staff IP (LPN Infection Preventionist) stated the CDC recommended two COVID 19 boosters for 2025. Staff IP stated all residents should be offered the COVID 19 vaccination yearly. Staff IP acknowledged there was no documentation Resident 2 received or was offered the COVID 19 vaccination in 2025.2. Resident 6 was admitted to the facility in 11/2020 with diagnoses including emphysema.A review of Resident 6's immunizations revealed the last COVID 19 vaccination she/he received was on 8/11/24.On 12/4/25 at 12:50 PM Staff IP (LPN Infection Preventionist) stated the CDC is recommending two COVID 19…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-05 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to document a stop date for provision of PRN psychotropic medication beyond 14 days from start of the medication and failed to document clinical rationale for continuation of psychotropic medications without gradual dose reduction for 2 of 5 sampled residents (#s 6 and 7) reviewed for medications. This placed residents at risk for overmedication. Findings include: 1. Resident 6 was re-admitted to facility 10/24/25 with diagnoses of prostate cancer, falls, and depression. Resident 6's 10/24/25 physician orders revealed an order for lorazepam (an antianxiety medication) PRN with a start date of 10/24/25 and no stop date. The 11/2025 MAR indicated Resident 6 received Lorazepam once per day for five days after the 14th day of 11/6/25: 11/8/25, 11/12/25, 11/16/25, 11/17/25, and 11/18/25. In an interview on 12/5/2025 at 10:03 AM, Staff 2 (DNS) confirmed Lorazepam was administered PRN for more than 14 days without a documented stop date. 2. Resident 7 was admitted to the facility in 1/2019 with diagnoses including anxiety. A review…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-05 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review it was determined the facility failed to ensure a resident's physician acted upon pharmacy recommendations timely for 1 of 5 sampled residents (#5) reviewed for medications. This placed residents at risk for an adverse medication regimen. Findings include: Resident 5 was admitted to the facility in 4/2021 with diagnoses including diabetes.A review of physician orders revealed a 9/2/25 order for Mounjaro (a medication used to treat diabetes).An 10/16/25 pharmacy consultation report recommended an increase in Resident 5's Mounjaro.A 11/20/25 pharmacy consultation report recommended an increase in Resident 5's Mounjaro.A review of Resident 5's medical record revealed no evidence Resident 5's provider reviewed the 10/16/25 pharmacy consultation report.On 12/4/25 at 10:48 AM Staff 2 (DNS) stated the provider did not respond to the 10/16/25 report so it was reissued and sent to the provider again on 11/20/25. Staff 2 stated pharmacy consultation report recommendations must be addressed by the provider within 30 days. Staff 2 acknowledged Resident 5's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-05 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review it was determined the facility failed to follow CDC guidelines for pneumococcal immunizations for 1 of 5 sampled residents (#19) reviewed for immunizations. This placed residents at risk for adverse side effects to immunizations. Findings Include:Resident 19 was admitted to the facility in 5/2021 with diagnoses including heart failure.A review of Resident 19's immunizations revealed she/he received a Prevnar 20 vaccine (a vaccine for pneumonia) on 8/11/24 and 9/16/24.On 12/4/25 at 12:50 PM Staff IP (LPN Infection Preventionist) stated the CDC recommendation was for Resident 19 receive a single dose of Prevnar 20 and she was unsure why Resident 19 received two doses of Prevnar 20. Staff IP acknowledged Resident 19 should have received only one dose of Prevnar 20.
- Potential for harm · Ecited before2024-09-13 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined the facility failed to provide a homelike environment for 15 of 32 sampled resident rooms observed for homelike environment. This placed residents at risk for unhomelike environment. Findings include: Observation on 9/9/24 at 1:43 PM and on 9/13/24 between the times of 8:44 AM and 9:16 AM revealed rooms 1, 3, 4, 5, 6, 15, 17, 20, 22, 24, 26, 27, 28, 33, and 35 had blinds with bent or missing slats. Resident 30 was admitted to the facility in 2/2024 with diagnoses of left-sided hemiplegia (weakness on the left side of the body). Resident 30's 6/2024 Quarterly MDS indicated the resident's cognition was intact. On 9/13/24 at 8:57 AM Resident 30 stated his/her blinds needed to be replaced due to the cord was stuck and some slats were bent. On 9/12/24 at 2:05 PM Staff 8 (Maintenance Director) confirmed the blinds in room [ROOM NUMBER] had missing slats and some were bent resulting in unhomelike environment. He stated broken blinds were an ongoing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review it was determined the facility failed to ensure respiratory equipment was maintained for 1 of 2 sampled residents (#5) reviewed for respiratory care. This placed residents at risk for increased risk for respiratory concerns. Findings include: Resident 5 was admitted to the facility in 2017 with diagnoses including COPD (a lung disease causing restricted airflow and breathing problems) and a dependence on supplemental oxygen. The 10/11/23 Annual MDS indicated Resident 5 was cognitively intact. Resident 5's physician order dated 7/9/24 revealed the oxygen concentrator filter was to be cleaned weekly. The 9/2024 TAR indicated the external filter was cleaned weekly and it was last completed on 9/9/24. On 9/10/24 at 9:16 AM the oxygen concentrator was observed to be powered on with no external filter on the back. Resident 5 stated she/he used the oxygen concentrator while in bed. On 9/10/24 at 9:50 AM Staff 6 (RN) stated the night nurse was to clean Resident 5's oxygen concentrator filter weekly and ensure a filter was in place. On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2023-05-05 · tag F0919 — failed to provide a working call system — widespreadMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to ensure call lights and call light cords were in good repair and operative for 3 of 5 sampled residents (#s 11,12 and 16) reviewed for environment. This placed residents at risk for unmet needs. Findings include: On 5/1/33 at 9:33 AM Resident 11's call light cord was observed out of reach and the clip to secure the call light cord on or near the resident was broken. On 5/1/23 at 10:25 AM Resident 16 was observed sitting in her/his bed with the call light cord beside her/him. Resident 16 indicated she/he was dependent on two staff to get her/him out of bed and provide care related to her/his medical and toileting needs. Resident 16 stated in 1/2023 she/he waited over an hour for her/his call light to be answered. Resident 16 stated she/he was informed by Staff 19 (former Maintenance Director) the call light above her/his room door was not working and the electrical wiring and call light cord would need to be repaired.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-05-05 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview it was determined the facility failed to maintain a homelike environment for 3 of 3 halls reviewed for environment. This placed residents at risk for a non-homelike environment. Findings include: Between 5/2/23 through 5/5/23 observations were made of the facility hallways and resident rooms. The following concerns, which detracted from a homelike environment, were identified: -room [ROOM NUMBER]: The wall had a large scrape that needed repair and painting under the full length of the windows. There was a large scraped unpainted area behind the bed by the door and a black splattered area of an unknown substance. The paint on the walls was patchy. Doors were chipped and nicked all along the bottoms. -room [ROOM NUMBER]: The hall door and door jamb needed repair and paint. The door threshold cover was missing and the surface was not cleanable with dirt and debris stuck to the old adhesive material. The floor had multiple black scuff marks (over 20 ) and the walls looked unclean.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-05-05 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review it was determined the facility failed to ensure meals were palatable and attractive for for 2 of 2 residents (#s 2 and 13) reviewed for food palatability. This placed residents at risk for unmet nutritional needs. Findings include: On 5/1/23 at 3:47 PM Resident 13 stated she/he did not like the food at the facility and said the main problem with the food was it was cooked in the adjacent Assisted Living Facility. Resident 13 further stated while the food was transported to the Nursing Home from the other facility it kept cooking and became flavorless mush. The resident indicated she/he ordered out frequently. On 5/2/23 at 11:52 AM Resident 6 stated the food was bland and sometimes cold. She/he also noted the meat was tough. Resident 6 stated the food was cold about half the time. Resident Council notes were reviewed for January 2023 through April 2023. The April 2023 notes revealed the residents complained the food was cold, unappetizing, unpalatable and the CNAs did not want to reheat the food when asked by residents. On 5/3/23 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · Ecited before2023-05-05 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review it was determined the facility failed to properly store resident food for 1 of 1 resident snack refrigerators reviewed for food quality. This placed residents at risk for unmet nutritional needs. Findings include: On 5/3/23 at 9:45 AM, the refrigerator in the facility with resident food and drinks was observed. The following items were found: -Sandwiches individally bagged with stickers dated 4/30/23; -Multiple containers of prune juice dated 4/26/23; -Approximately ten containers of snack dip for a resident contained handwritten dates of 2/2023 and 3/2023 on the lids. Several containers dates were smeared off and had crusted material on top of the containers. On 5/3/23 at 10:00 AM Staff 22 (Dietary Aide) was shown the refrigerator's contents and stated the sandwiches were dated on the day they were placed in the refrigerator and it was the facility's protocol for the sandwiches to be thrown away after three days, with day one being the date the sandwiches were placed in the refrigerator. On 5/3/23 at 11:19 AM Staff 21 (Dietary…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review it was determined the facility failed to protect the residents' rights to be free from physical abuse by Staff 13 or another resident for 2 of 2 sampled residents (#s 25 and 34) reviewed for physical abuse. This placed residents at risk for being physically abused. Findings include: The facility's 8/2018 Resident Abuse/Neglect/Exploitation Policy revealed, Each resident shall have the right to be free from physical mental, or sexual abuse . and Abuse means the non-accidental infliction of physical pain, injury or mental injury . 1. Resident 4 was admitted to the facility in 9/2020 with diagnoses including history of a stroke, aphasia (loss of ability to understand or express speech) and an altered mental status. Resident 4's 10/2021 Annual MDS assessment revealed she/he had a BIMS of 6 (severe cognitive impairment). Resident 34 was admitted to the facility in 5/2018 with diagnoses including Alzheimer's disease. She/he discharged from the facility in 2/2023. Resident 34's 11/2021 Quarterly MDS assessment revealed Resident 34 was not assessed for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, interview and record review it was determined the facility failed to accurately assess the presence of a colostomy for 1 of 1 sampled resident (#16) reviewed for constipation. This placed the resident at risk for unmet colostomy (opening into the colon from the outside of the body providing new path for waste to leave the body) care needs. Findings include: Resident 16 was admitted to the facility in 4/2022 with diagnoses including history of a colostomy. Resident 16's 11/2022 and 2/2023 Quarterly MDS assessments revealed Resident 16 was coded no for a colostomy. While interviewing Resident 16 on 5/1/23 at 10:40 AM Resident 16 lifted her/his shirt and was observed to have a stoma (surgical opening in the skin) with a colostomy bag attached. On 5/2/23 at 4:13 PM Staff 2 (DNS) confirmed Resident 16 had a colostomy bag. On 5/3/23 at 11:27 AM Staff 3 (RCM) confirmed Resident 16 had a colostomy and the 11/2022 and 2/2023 Quarterly MDS assessments were coded inaccurately for colostomy status.
- Potential for harm · D2023-05-05 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to maintain professional standards of practice related to abuse by Staff 23 (LPN) and ensure residents were free from unecessary medications and significant medication errors by Staff 9 (LPN), Staff 24 (RN) and Staff 25 (RN) for 3 of 8 sampled residents (#s 7, 8 and 25) reviewed for pharmaceutical services and abuse. This placed residents at risk for unsafe medication administration and additional abuse. Findings include: Oregon Administrative Rule [PHONE NUMBER] Scope of Practice Standards for Registered Nurses: * Be knowledgeable of the professional nursing practice and performance standards and adhere to those standards. * Be accountable for individual RN actions, maintain competency in one's RN practice role and ensure unsafe nursing practices are addressed immediately. Scope of Practice Standards for All Licensed Nurses [PHONE NUMBER] (1) Standards related to the licensee's responsibility for safe nursing practice. The licensee…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to maintain the appropriate care and services to maintain, restore or improve functional ability for 1 of 1 sampled resident (#17) reviewed for ADL's. This placed residents at risk for decreased functional ability. Findings include: Resident 17 admitted to the facility in 2/2021 with diagnoses including chronic pain syndrome and depression. Resident 17's comprehensive MDS dated [DATE] revealed a BIMS score of 15, indicating no cognitive impairment. Resident 17's care plan dated 3/9/23 revealed she/he was started on a restorative program on 3/9/23 three to five times per week to maintain strength of her/his upper and lower extremities. On 5/2/23 at 10:13 AM Resident 17 stated she/he participated in restorative therapy with Staff 13 (CNA/Restorative Aide) when Staff 13 had the time but did not think it was three to five times per week. On 5/3/23 at 9:19 AM, Staff 13 stated she completed two restorative therapy sessions with Resident 17 but…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review it was determined the facility failed to ensure nail care was provided for 1 of 1 sampled resident (#185) reviewed for provision of nail care. This placed residents at risk for lack of nail care. Findings include: Resident 185 was admitted to the facility in 2021 with diagnoses including diabetes, kidney failure and depression. The resident's 2/1/22 care plan revealed her/his diabetes diagnosis indicated nail care was to be completed by a licensed nurse. The care plan further revealed staff were to clean and check the length of the resident's nails on bath days and report any changes to the nurse. Resident 185's TARs from 3/1/22 through 4/22/22 revealed no documented evidence of nail care information or that nail care was provided. On 5/2/23 at 11:45 AM Witness 2 (Complainant) stated the facility did not clip Resident 185's toe nails and they were growing out and over her/his toes. On 5/5/23 at 10:30 AM Staff 2 (DNS) acknowledged Resident 185's care plan lacked specific information regarding her/his nail care needs. Staff 2 stated nurses were…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review it was determined the facility failed to provide services to prevent further decrease in ROM and mobility for 1 of 3 sampled residents (#12) reviewed for position and mobility. This placed residents at risk of loss of mobility, ROM and painful contractures. Findings include: Resident 12 was admitted to the facility in 2014 with diagnoses including obesity, rheumatoid arthritis (a chronic inflammatory disorder affecting many joints, including those in the hands and feet.), swan neck deformities of the fingers (laxity of the middle joint of the finger and flexion of the distal joint) and both upper and lower extremity ROM deficits. On 5/1/23 at 10:04 AM Resident 12 was observed while resting in bed. The resident's hands were malformed and appeared contracted. The resident could partially open both hands but not completely and the resident indicated they were a bit painful when she/he tried to open them. The resident was wearing soft boots on her/his feet. The resident's feet appeared to have a condition known as foot drop (inability to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determine the facility failed to ensure care planned interventions were followed for 1 of 2 sampled residents (#18) reviewed for falls. This placed residents at risk for falls. Findings include: The facility's Incident Documentation and Investigation policy, revised 10/2022 stated incident reports would be completed for witnessed or unwitnessed falls and the resident examined by a licensed nurse and first aid or emergent care provided. Resident 18 admitted to the facility in 2020 with diagnoses including TBI (traumatic brain injury) and chronic respiratory failure. Resident 18's Quarterly MDS dated [DATE] revealed no BIMS score, indicating the resident was severely cognitively impaired and was a total assist for all ADL's. Resident 18's care plan indicated she/he was a fall risk due to her/his TBI diagnosis and she/he frequently rolled out of bed onto fall mats placed on the floor. A FRI dated 8/5/21 revealed Resident 18 fell out of bed due to the CNA leaving the bed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review it was determined the facility failed to ensure the resident was free from unecessary medications for 1 of 5 sampled residents (#7) reviewed for safe medication system. This placed residents at risk for adverse medication consequences. Findings include: Resident 7 was admitted to the facility in 2021 with diagnoses including atrial fibrillation (an irregular, often rapid heart rate which can cause poor blood flow) and post-thrombotic syndrome (a condition that can happen to people who have had a deep vein thrombosis [blood clot in a deep vein, usually in the legs]). Resident 7's care plan dated 5/19/21 included Anticoagulant (AC) Therapy secondary to post-thrombotic syndrome and atrial fibrillation. The care plan identified goals of the AC Therapy were as follows: -Will not develop signs or symptoms of abnormal bleeding or bruising -PT/INR goal range 2.0-3.0: (A prothrombin time (PT) test measures how long it takes for a clot to form in a blood sample. An INR (international normalized ratio) is a type of calculation based on PT test results. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to ensure the resident was free of significant medication errors for 1 of 5 sampled residents (#8) reviewed for safe medication system. This placed residents at risk for adverse medication consequences. Findings include: Resident 8 was admitted to the facility in 2/2023 with diagnoses including heart disease with heart failure and progressive supranuclear palsy (a rare neurological disorder that affects body movements). Resident 8 had severe cognitive impairment as evidenced by a recent BIMS score of 5. A FRI dated 2/27/23 indicated two medications were given in error to Resident 8: Baclofen (a skeletal muscle relaxant) and Cyclobenzaprine (skeletal muscle relaxant). The possible risks or complications of taking muscle relaxers include extreme dizziness, extreme drowsiness, blurred vision, low blood pressure, fainting, memory problems, liver damage and increased risk of overdose. An Investigation document dated 2/28/23 indicated Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review it was determined the facility failed to ensure accurate medical records for bowel care for 1 of 5 sampled residents (#29) reviewed for unnecessary medications. This placed residents at risk for unmet bowel interventions. Findings include: Resident 29 was admitted to the facility in 8/2022 with diagnoses including history of a stroke, right and left sided spastic hemiplegia (muscles are in a constant state of contraction), chronic pain, gastroparesis (a condition which affects stomach muscles preventing proper stomach emptying) and constipation. Resident 29's 2/2023 Quarterly MDS revealed she/he had a BIMS of 15 (no cognitive impairment). Resident 29's 2/13/23 care plan revealed she/he required extensive assistance from one staff for toileting. The facility's undated Bowel Care Protocol instructed staff to administer the following interventions: - Day 3 anytime; 30 ml Milk of Magnesium (MOM) or bisacodyl; - Day 4 after breakfast; bisacodyl (Dulcolax) suppository; - Day 4 after lunch; Mineral oil enema, if no bowel movement within two hours call…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-05 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview it was determined the facility failed to maintain the laundry room floor in a safe and sanitary condition for 1 of 1 laundry rooms reviewed for infection control. This created a risk for infection control concerns. Findings include: On 5/2/23 at 11:03 PM an observation of the facility's laundry room was conducted. In the center of the laundry room an approximately four foot wide by six foot long section of the flooring (linoleum) was missing. There was also a small open hole in the center of the floor for drainage which was missing a grate cover. In addition to the missing section of flooring there were additional areas of the floor which had worn off surfaces. The edges of the worn areas were not fully cleanable and had dirt and debris stuck to the old adhesive of the flooring. On 5/03/23 at 12:00 PM Staff 1 (Administrator) acknowledged the missing flooring in the laundry and the hole in the floor without a grate cover. On 5/3/23 at 1:50 PM Staff 5 (Maintenance Director) acknowledged the laundry room floor needed to be repaired or replaced and the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to REGENCY PACIFIC MANAGEMENT — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.9 | +1.1 vs chain |
| Health inspection | 4 of 5 | 3.7 | +0.3 vs chain |
| Staffing | 5 of 5 | 4.0 | +1.0 vs chain |
| Quality measures | 3 of 5 | 3.6 | -0.6 vs chain |
The other 26 homes this chain runs (chain average 3.9★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BD FACILITIES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 100% | since 04/01/2010 |
| BEDDOE, MARVIN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 99% | since 04/01/2010 |
| BEDDOE, SANDRA | Individual | INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | — | since 05/01/2017 |
| GERIGUIDEMD LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/06/2025 |
| REGENCY PACIFIC MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/19/2026 |
| RAPP, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/08/2016 |
| STONE, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/28/2023 |
| THAKUR, SONAL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 11/01/2017 |
| OMNICARE LLC | Organization | ADP OF THE SNF | — | since 09/01/2013 |
CMS files one row per role, so the 19 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 95% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $430K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OR
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oregon Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 385282. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-05, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.