Forest Grove Post Acute

Location & what’s nearby

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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

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.

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.

72.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 177 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 81 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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.

Staffing

How full it usually is: this home is certified for 114 beds and averages 82.3 residents a day — about 72% occupied, or roughly 32 beds typically open. It usually has some room. 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 4.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.07 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 4.13 hrs/resident/day on weekends vs 4.69 on weekdays — 12% thinner on weekends. RN hours go from 0.34 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 22% 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 fewer than at the previous inspection — improving. 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.

23 citations, most serious first. The 14 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · J2019-07-16 · tag F0741 — failed to have staff trained for behavioral health — isolated
  Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
  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 have sufficient staff for residents who required one to one supervision for 1 of 1 sampled resident (#11) reviewed for behavioral health. This failure resulted in an immediate jeopardy situation in which Resident 11 was able to self-harm and was hospitalized . Findings include: Resident 11 admitted to a locked behavioral health unit (Unit) located within the facility in 6/2018 with diagnoses including unspecified psychosis, bipolar disorder, major depression and post-traumatic stress disorder. Resident 11's 8/11/18 Care Plan for behavioral symptoms indicated the resident had a history of expressing thoughts of self harm and had attempted to harm her/himself throughout her/his life. Interventions included to follow facility protocol if she/he displayed suicidal ideation. Review of Resident 11's behavior monitoring from 9/2018 through 11/15/18 revealed the following: * In 9/2018 the resident had documented behaviors two days out of the month, with one documented episode of suicidal ideation. *…

  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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2024-06-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 received pressure ulcer treatments for 1 of 1 sampled resident (#4) reviewed for pressure ulcers. This failure resulted in Resident 4's pressure ulcer worsening. Findings include: Resident 4 admitted to the facility in 2017 with diagnoses including hypertension and diabetes. The undated facility Event Summary Report indicated the following: -Resident 4 had a dressing in place dated 12/27/23 to her/his right ankle. -On 12/27/23 Staff 8 (LPN) measured Resident 4's wound on the right ankle and measurements were given to the Staff 12 (Former DNS) as requested. There was a dressing in place on the right ankle and Staff 8 measured the wounds and replaced the old bandage with a new one. -On 12/27/23 the wound measured 1.8 cm x 1.2 cm. -On 1/3/24 at approximately 1:30 PM Staff 11 (RNCM) and Staff 10 (LPN Resident Care Manager) completed wound rounds with the outside wound care provider. -On 1/3/24 the dressing was removed and revealed a Stage 3 pressure ulcer that measured 2 cm x 2.5 cm x 0.3 cm…

  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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2019-07-16 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure 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 observation, interview and record review the facility failed to ensure Staff 9 (RN), Staff 10 (LPN), Staff 17 (LPN), Staff 19 (RN) Staff 29 (LPN) and Staff 30 (RN) adhered to professional standards related to provision and documentation of treatments for 2 of 7 sampled residents (#s 23 and 225) reviewed for pressure ulcers and skin conditions. This failure resulted in Resident 23 experiencing a worsening pressure ulcer and placed other residents at risk for worsening skin conditions. Findings include: Oregon Administrative Rule [PHONE NUMBER] Conduct Derogatory to the Standards of Nursing Defined includes: Conduct that adversely affects the health, safety, and welfare of the public, fails to conform to legal nursing standards, or fails to conform to accepted standards of the nursing profession, is conduct derogatory to the standards of nursing. Such conduct includes, but is not limited to: (1) Conduct related to general fitness to practice nursing: (b) Demonstrated incidents of dishonesty,…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-07-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 implement interventions to prevent and treat pressure ulcers for 2 of 4 sampled residents (#s 23 and 268) reviewed for pressure ulcers. This resulted in Resident 23 experiencing a worsened pressure ulcer and placed residents at risk for the development of pressure ulcers. Findings include: 1. Resident 23 admitted to the facility in 2017 with diagnoses including multiple sclerosis (a neurodegenerative disease) and paraplegia (paralysis of half the body). a. A 1/4/19 admission nursing assessment indicated Resident 23 readmitted to the facility from the hospital and had a fluid filled blister on the back of her/his right heel. The 1/2019 TAR indicated weekly skin checks were to be completed on Tuesdays. On 1/8/19 there was no indication of new skin changes for Resident 23. A 1/10/19 Skin Incident Investigation indicated a CNA reported a new skin issue on Resident 23's right posterior lower leg. The wound was noted to have…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 provide medication per the physician order for 1 of 3 sampled residents (#2) reviewed for medications. This placed residents at risk for lack of needed medication. Findings include:Resident 2 admitted to the facility in 4/2026 with diagnoses including hypothyroidism. The 4/17/26 physician orders indicated Resident 2 was to receive levothyroxine (thyroid medication) once daily. The 4/2026 MARs indicated Resident 2 did not receive levothyroxine on the following dates: 4/18/26; 4/19/26; 4/20/26 and 4/21/26.\ No information was found in the resident's clinical record related to the failure to administer the levothyroxine. On 6/11/26 at 2:53 PM Staff 2 (DNS) acknowledged Resident 2 did not receive levothyroxine on the identified dates.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 obtain orders related to unplanned removal of an indwelling catheter for 1 of 1 sampled resident (#1) reviewed for catheter care. This placed residents at risk for urinary retention. Findings include: Resident 1 admitted to the facility on [DATE] with diagnoses including dementia.A 4/2/26 physician order indicated the use of a foley (indwelling) catheter.The 4/2/26 Care Plan indicated Resident 1 had a foley catheter in place with interventions including changing the catheter per facility policy and physician order.Review of Resident 1's progress notes from 4/7/26 through 4/23/26 revealed the following:-On 4/7/26 Resident 1 pulled out the catheter during night shift. Nursing staff attempted to reinsert the catheter, but the resident refused. -On 4/20/26 during a care conference meeting Resident 1's family asked about the catheter and were informed by Staff 3 (LPN Resident Care Manager) the resident previously had a catheter and Staff 3…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-25 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent 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 it was determined the facility failed to ensure PRN psychotropic medication orders were discontinued after 14 days for 1 of 5 sampled residents (#20) reviewed for unnecessary medications. This placed residents at risk for receiving unnecessary psychotropic medication and adverse side effects of psychotropic medication. Findings include:Resident 20 was admitted to the facility in 6/2025 with diagnoses including dementia and depression. A 6/11/25 physician order indicated Resident 20 was prescribed the following PRN psychotropic medications:-Quetiapine Fumarate 25 MG Oral Tablet an antipsychotic indicated for agitation.-Prochlorperazine Maleate 5 MG Oral Tablet an antipsychotic indicated for nausea.-Hydroxyzine HCl 10 MG Oral Tablet an anxiolytic indicated for anxiety or insomnia. There was no evidence found in Resident 20's medical record to indicate her/his physician documented a rationale for extended use of the PRN psychotropic medications past 14 days, or evaluated her/his PRN psychotropics since admission to the facility. A 7/11/25 pharmacy…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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

  Based on observation, interview, and record review it was determined the facility failed to assess residents for smoking safety and provide supervision for smoking residents for 2 of 3 sampled residents (#s 57 and 78) reviewed for accidents. This placed residents at risk for smoking related accidents. Findings include: 1. The facility’s 8/2024 Smoking Policy for Independent and Supervised states residents who wished to smoke were to have a smoking evaluation upon admission or at the time they decided to smoke, to evaluate their ability to smoke safely. Resident 57 was admitted to the facility in 10/2024 with diagnoses including Chronic Obstructive Pulmonary Disease (a lung and airway disease that restricts breathing). Resident 57’s 10/20/24 Baseline Care Plan stated she/he was an independent and safe smoker. The 5/7/25 Quarterly MDS indicated Resident 57 was cognitively intact. A review of Resident 57’s clinical record revealed no indication a smoking assessment was completed. On 7/21/25 the facility provided a list of residents who smoked independently, and Resident 57 was included…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide 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 follow physician's orders related to oxygen administration for 5 of 7 sampled residents (#s 13, 15, 16, 17 and 19) reviewed for respiratory care. This placed residents at risk for respiratory complications. Findings include: 1. Resident 13 was admitted to the facility in 9/2024, with diagnoses including chronic respiratory failure with hypoxia (lack of oxygen) and heart failure. Resident 13's 9/20/24 Physician's Orders indicated staff was to administer oxygen continuously at 1 liter per minute via nasal cannula. Resident 13's 12/2024 TAR revealed staff documented the resident was on oxygen continuously at 1 liter per minute via nasal cannula. On 12/17/24 at 10:48 AM, observations of Resident 13's oxygen concentrator with Staff 3 (LPN/RCM) revealed Resident 13's oxygen was set at 2 L/min. Staff 3 acknowledged the resident's physician orders were not followed. On 12/17/24 at 2:15 PM, Staff 1 (Administrator) and Staff 2 (DNS) acknowledged physician orders were not followed and expected staff 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-14 · tag F0730 — widespread
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on Interview and record review was determined the facility failed to ensure CNAs received annual performance reviews for 5 of 5 randomly selected CNAs (#14, 18, 19, 20 and 21) reviewed for staff performance reviews. This placed residents at risk for lack of care by competent staff. Findings include: On 6/14/24 at 11:06 AM a review of facility personnel records with Staff 2 (Interim Administrator) indicated the following: - Staff 14 (CNA) was hired on 8/20/20; no annual performance review was completed. - Staff 18 (CNA) was hired on 8/20/04; no annual performance reviews were completed. - Staff 19 (CNA) was hired on 11/12/10; no annual performance reviews were completed. - Staff 20 (CNA) was hired on 6/14/18; no annual performance reviews were completed. -Staff 21 (CNA) was hired on 11/5/21; no annual performance reviews were completed. On 6/14/24 at 11:43 AM Staff 2 confirmed the annual performance reviews were not completed for Staff 14, Staff 18, Staff 19, Staff 20, or Staff 21. Staff 2 stated it was his expectation the annual performance reviews were completed annually.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-14 · tag F0732 — pattern
  Post nurse staffing information every day.
  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 ensure the daily staff posting was accurate for 7 out of 30 days reviewed for staffing. This placed residents, the public and staff at risk for lack of accurate staffing information. Findings include: On 6/10/24 at 3:51 PM the Direct Care Staff Daily reports were provided from 5/7/24 through 6/10/24. The forms revealed seven instances where portions of the form were left blank or were incomplete. The incomplete information included census, number of staff working and number of hours worked. On 6/14/24 at 10:21 AM Staff 1 (Administrator) and Staff 22 (Corporate Consultant) acknowledged the Direct Care Staff Daily reports were incomplete for 7 out of 30 days. Staff 1 stated it was her expectation staff completed the daily staffing sheets at the beginning of each shift every day.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-14 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 ensure appropriate medication storage temperatures were logged and maintained for 1 of 1 medication storage refrigerator reviewed for safe medication storage. This placed residents at risk for receiving medications with reduced efficacy. Findings include: On 6/13/24 at the medication refrigerator temperature logs were observed to be blank on the following dates: -5/3/24 -5/10/24 -5/11/24 -5/12/24 -5/13/24 -5/18/24 -5/19/24 -5/20/24 -5/21/24 -5/26/24 -5/27/24 -5/28/24 -5/31/24 -6/1/24 -6/2/24 -6/3/24 -6/4/24 -6/9/24 On 6/13/24 at 11:37 AM Staff 2 (DNS) acknowledged the blank temperature logs for the identified dates for the medication refrigerator and stated the expectation was for the nurse to complete the temperature logs.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 treat residents with dignity and respect for 1 of 2 sampled residents (#32) reviewed for dignity. This placed residents at risk for lack of dignity. Findings include: Resident 32 was admitted to the facility in 2/2021 with diagnoses including ventricular tachycardia (irregular heartbeat) and chronic obstructive pulmonary disease (a disease that causes obstructed airflow from the lungs). Resident 32's 2/13/24 Annual MDS indicated she/he was cognitively intact. A facility investigation created and signed by Staff 2 (Interim Administrator) on 4/11/24 indicated Staff 8 (LPN) lifted Resident 32's left arm to remove her/his jacket, obtain her/his blood pressure and apply a lidocaine patch. Per the investigation, Staff 8 did not stop when Resident 32 told her the action caused her/him increased pain in her/his left shoulder. This action resulted in Staff 8 being placed on administrative leave while the facility completed an internal investigation. On 6/10/24 at 12:52 PM Resident 32 stated she/he told staff about…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-14 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 provide a written Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) in a timely fashion for 1 of 3 sampled residents (#29) reviewed for Beneficiary Protection Notification. This placed residents at risk for unknown financial liabilities. Findings include: Resident 29 was admitted to the facility in 2/2024 with diagnoses including metabolic encephalopathy (a problem in the brain caused by chemical imbalances in the blood) and chronic obstructive pulmonary disease (a disease that causes obstructed airflow from the lungs). Resident 29's admission Record indicated she/he was her/his own responsible party and her/his 2/27/24 admission MDS revealed she/he was cognitively intact. A review or Resident 29's health record revealed her/his last covered day of Medicare Part A Service was 4/22/24. No evidence was found in Resident 29's medical record to indicate the facility provided her/him with a SNF ABN, Form CMS-10055. On 6/11/24 at 12:33 PM Staff 9 (Social Services Director) confirmed…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PACS GROUP — 274 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 →

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

CMS files one row per role, so the 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 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.

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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