The Dalles Health And Rehabilitation

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.

56.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 102 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.0% 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 77 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 121 beds and averages 37.1 residents a day — about 31% occupied, or roughly 84 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 5.06 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.96 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.72 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 4.40 hrs/resident/day on weekends vs 5.32 on weekdays — 17% thinner on weekends. RN hours go from 1.05 to 0.74 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as 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.

21 citations, most serious first. The 13 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2026-04-27 · 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 interview and record review, it was determined the facility failed to ensure a resident was free from sustaining a burn from a baseboard heater for 1 of 3 (#2) sampled residents revied for accidents. As a result, Resident 2 sustained second degree burns on her/his left foot and toes. Findings include:Resident 2 was admitted to the facility in 2025 with diagnosis including stroke and diabetic neuropathy (a condition that causes numbness to the hands and feet). Resident 2's 5/21/25 Care Plan indicated Resident 2 with impaired cognitive disturbance and safety awareness which included sliding out of bed at night and fidgeting with items on walls including keypads, fire alarms and picture frames.Resident 2's MDS identified the resident with a BIMS score of 13 out 15 indicating mild cognitive impairment. A 12/13/25 Facility Risk Management Report identified Resident 2 to have sustained a second degree burn on her/his left foot and toes after rolling out of bed and placing her/his foot on the residents' baseboard heater in the middle of the night. Staff 5 (CNA) 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 · Past Non-Compliance
• Actual harm · Gcited before2024-12-20 · 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 interview and record review it was determined the facility failed to ensure staff provided two-person assistance when transferring a resident for 1 of 4 sampled residents (#33) reviewed for accidents. This failure resulted in Resident 33 falling from a mechanical lift and sustaining a laceration to the forehead which required sutures. Findings include: Resident 33 admitted to the facility in 4/2022 with diagnoses including heart disease and memory loss. A care plan dated 1/21/24 revealed Resident 33 was dependent on staff for her/his ADL care needs and required two-person assistance with a mechanical lift for transfers. A Fall Investigation initiated on 8/2/24 and completed on 8/5/24 revealed the following: -On 8/2/24 at approximately 7:30 PM, Staff 25 (Former CNA) attempted to transfer Resident 33 using a mechanical lift. While lifting the resident and moving the lift so Resident 33 was over the bed, the wheel rolled over a metal strip on the floor causing the lift to jerk. The sling tilted, and Resident 33 fell out of the sling and onto the floor. -Staff 25 attempted 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 · Past Non-Compliance
• Actual harm · G2022-07-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide 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 prevent loss of range of motion and development of contractures for 1 of 1 sampled resident (#6) reviewed for contractures. This failure resulted in Resident 6 developing bilateral (both) ankle contractures, reduced range of motion of both hips and pain in the lower extremities. Findings include: Resident 6 was admitted to the facility in 2017 with diagnoses including dislocation of the right shoulder and contractures of both hands, wrists and elbows. The facility Policy on the Restorative Program (RA) updated 3/2019 indicated the program's focus was on achieving and maintaining optimal physical, mental and psychosocial functioning of the resident and to attain and maintain each resident's practicable functioning. The Policy Guidelines included the following residents may be appropriate for a restorative program: *Any resident who had a decline in level of function from baseline. *Any resident discontinued from active therapy that required ongoing restorative to maintain their functional…

  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 · E2024-12-20 · tag F0730 — pattern
  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 it was determined the facility failed to ensure CNAs received annual performance reviews for 5 of 5 randomly selected CNA staff (#s 6, 10, 14, 23 and 24) reviewed for staffing. This placed residents at risk for lack of care by competent staff. Findings include: On 12/18/24 at 10:00 AM, Staff 2 (DNS) was asked for the annual performance reviews for Staff 6, Staff 10, Staff 14, Staff 23 and Staff 24. On 12/18/24 at 12:52 PM, Staff 1 (Administrator) and Staff 2 were present for an interview. Staff 2 stated Staff 6, Staff 10, Staff 14, Staff 23 and Staff 24 did not have annual performance reviews completed. Staff 2 stated she did not provide annual performance reviews.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-20 · 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 — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to follow physician orders for 2 of 7 sampled residents (#s 9 and 12) reviewed for hospitalizations and medications. This placed residents at risk for adverse medication side effects and fluid overload. Findings include: 1. Resident 12 was admitted to the facility in 1/2024 with diagnoses including chronic heart failure and COPD (Chronic Obstructive Pulmonary Disease). A Physician Order dated 4/19/24 revealed the following: -Daily Weights were to be obtained every morning and staff were to contact the provider for the following weight gain related to heart failure. -Three pounds in 24 hours. -Five pounds in a week. -If weight falls less less then 195, notify the provider. A review of Resident 12's 11/2024 and 12/2024 TARs and Weights and Vitals Summary revealed multiple occasions when Resident 12's weight increased by more than three pounds in a 24 hour period. There was no evidence found in Resident 12's medical record the physician was notified of the three pound weight gain in 11/2024 and 12/2024. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-20 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard 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 records were complete and accurate for 1 of 5 sampled residents (#12) reviewed for medications. This placed residents at risk for inaccurate medical records. Findings include: Resident 12 was admitted to the facility in 1/2024 with diagnoses including chronic heart failure and COPD (Chronic Obstructive Pulmonary Disease). a. A Physician Order dated 4/19/24, revealed the following: -Daily Weights were to be obtained every morning and staff were to contact the provider for the following weight gain related to heart failure. -Three pounds in 24 hours. -Five pounds in a week. -If weight falls less less then 195, notify the provider. A review of Resident 12's 11/2024 and 12/2024 TARs and Weights and Vitals Summary revealed the following: 11/2024: Resident 12's weight was consistently below 195 pounds. 12/2024: Resident 12's weight was below 195 pounds until 12/17/24, when her/his weight was 198.5. On 12/19/24 at 12:56 PM, and 12/20/24 at 8:37 AM, Staff 2 (DNS) stated the 4/18/24 physician order was…

  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
• Potential for harm · D2024-05-17 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  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 3 sampled residents (#2) reviewed for dignity. This placed residents at risk for a decrease in quality of life. Findings include: On 2/21/24, the Past Noncompliance was corrected when the facility identified the incident and determined Resident 2 was not treated with dignity and respect. The facility's Plan of Correction included: -Removed Staff 7 from her duties; -Audited the hall Staff 7 was assigned to; -Provided in-service training to all nursing staff for abuse and the reporting of abuse; and -Provided signature sheets verifying nursing staff had completed the training. Resident 2 admitted to the facility in 2022, with diagnoses including infection and inflammation. Resident 2's care plan dated 1/18/24, indicated she/he had moderate cognitive impairment but was able to make her/his needs and preferences known. On 2/21/24 the facility submitted a report to the state agency which indicated on 2/20/24, Staff 7 (Former CNA) yelled at Resident 2 and tried…

  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 · Past Non-Compliance
• Potential for harm · E2023-10-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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 observations and interviews it was determined the facility failed to maintain a homelike environment for 1 of 1 facility reviewed for environment. This placed residents at risk for living in an unkempt environment. Findings include: Observations of the facility's general environment and residents' rooms from 10/2/23 through 10/5/23 identified the following issues: -room [ROOM NUMBER] had jagged edges on the door with paint scratched and peeling. The area below the resident's sink had unfinished patches of drywall. -room [ROOM NUMBER]'s sliding glass patio door was unable to stay securely closed, allowing air to come in and not close properly. -room [ROOM NUMBER] had jagged edges on the door with paint scratched and peeling. -room [ROOM NUMBER] had jagged edges on the door with paint scratched and peeling. -room [ROOM NUMBER] had jagged edges on the door with paint scratched and peeling. -room [ROOM NUMBER] had jagged edges on the door with paint scratched and peeling. -room [ROOM NUMBER] had tape on 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-10-05 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 advance directive was obtained for 1 of 4 sampled residents (#22) reviewed for advance directives. This placed residents at risk of not having their healthcare wishes honored. Findings include: Resident 22 was admitted to the facility in 2022 with diagnoses including hip fracture, cognitive impairment and dementia. Resident 22's 3/30/22 MDS indicated the resident's cognitive status was severely impaired. Resident 22's 10/5/23 face sheet indicated Witness 1 (Family) was the resident's power of attorney. A review of Resident 22's clinical record revealed no indication Witness 1 was asked if the resident had an advance directive or to provide a copy of the resident's advance directive if one already existed. On 10/4/23 at 8:49 AM Witness 1 stated she was aware of what an advance directive was. She stated Resident 22 already had an advance directive and she told the facility the resident had one, but the facility had not requested a copy. On 10/4/23 at 10:25 AM Staff 5 (SSD) stated she had…

  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 · D2023-10-05 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 follow Physician Orders to notify the physician of weight changes for 1 of 2 sampled residents (#24) reviewed for nutrition. This placed residents at risk for delayed treatment. Findings include: Resident 24 was admitted to the facility in 2023 with diagnoses including diabetes and congestive heart failure. A physician order dated 8/30/23 stated Resident 24 was to be weighed daily and the physician was to be notified of weight changes of 3 pounds or greater in 2 days or 5 pounds or greater in a week. A review of Resident 24's daily Weight Summary records from 9/2023 through 10/2023 revealed the following: -From 9/8/23 to 9/10/23 Resident 24 experienced a weight change from 277 pounds to 270 pounds or 7 pounds. No physician notification was made regarding this change. -From 9/8/23 through 9/14/23 Resident 24 experienced a weight change from 277 pounds to 267.9 pounds or 9.1 pounds. No physician notification was made regarding this change. -From 9/19/23 to 9/21/23 Resident 24 experienced a weight change from…

  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 · D2023-10-05 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 comprehensively assess a resident for dementia for 1 of 5 sampled residents (#12) reviewed for medications. This placed residents at risk for unassessed care needs. Findings include: Resident 12 was admitted to the facility in 2020 with diagnoses including dementia. Resident 12's 5/10/23 CAA for Cognitive Loss/Dementia failed to indicate specifically how dementia was a problem for the resident, how the resident's dementia manifested, the impact on the resident or a rationale for the care planning decision. On 10/4/23 at 1:10 PM the CAA was reviewed with Staff 2 (DNS) who acknowledged the assessment was not comprehensive.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-10-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  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 ensure oxygen equipment was properly maintained for 1 of 2 sampled residents (#6) reviewed for respiratory care. This placed residents at risk for respiratory complications. Findings include: Resident 6 was admitted to the facility in 2022 with diagnoses including chronic combined systolic and diastolic heart failure. Observations on 10/2/23 at 3:29 PM and on 10/3/23 at 10:30 AM revealed Resident 6 used oxygen which flowed via nasal cannula from an oxygen concentrator in her/his room. The tubing was labeled and dated 9/16/23, indicating the last time the tubing had been changed. Resident 6's 9/2023 TAR instructed staff to change Resident 6's oxygen tubing every Saturday on the NOC shift. The TAR indicated the resident's tubing was changed on 9/23/23 and 9/30/23. On 10/3/23 at 10:43 AM Staff 3 (RNCM) confirmed the oxygen tubing was dated 9/16/23 and was not changed on 9/23/23 and 9/30/23. Staff 3 stated it was her expectation the tubing was changed weekly and then documented it had been…

  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 before2023-10-05 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 document in the medical record for 1 of 2 sampled residents (#6) reviewed for oxygen equipment. This placed residents at risk for inaccurate medical records. Findings include: Resident 6 was admitted to the facility in 6/2022 with diagnoses including chronic combined systolic and diastolic heart failure. Observations on 10/2/23 at 3:29 PM and on 10/3/23 at 10:30 AM revealed Resident 6 used oxygen which flowed via nasal cannula from an oxygen concentrator in her/his room. The tubing was labeled and dated 9/16/23, indicating the last time the tubing had been changed. Resident 6's 9/2023 TAR instructed staff to change Resident 6's oxygen tubing every Saturday on the NOC shift. The TAR indicated the resident's tubing was changed on 9/23/23 and 9/30/23. On 10/3/23 at 10:43 AM Staff 3 (RNCM) confirmed the oxygen tubing was dated 9/16/23 and was not changed on 9/23/23 and 9/30/23. Staff 3 stated it was her expectation the tubing was changed weekly and then documented it had been completed.

  Resident Assessment and Care Planning 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

$14,380 in federal fines across 1 penalty.

• $14,380 — penalty dated 2026-04-27

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to EVERGREEN HEALTHCARE GROUP — 44 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 39 rows in the source record cover these 17 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.

9 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 $111K 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