Village Manor Of Cascadia

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.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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 60 beds and averages 58.0 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 4.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.26 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 4.15 hrs/resident/day on weekends vs 4.67 on weekdays — 11% thinner on weekends. RN hours go from 0.66 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% 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.

24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · Gcited before2025-08-12 · 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 implement care plan interventions to prevent a fall for 1 of 3 sampled residents (#1) reviewed for accidents. As a result, Resident 1 sustained multiple pelvic fractures. Findings include:Resident 1 was admitted to the facility in 2025, with diagnoses including dementia. Resident 1's 7/25/25 Care Plan revealed Resident 1 was a fall risk because of a prior fall and was a one-person max assist for dressing. Resident 1 was care planned for supervision and touch assistance for bathing, used a shower bench or bathtub, and was to wear non-skid footwear when up. A 7/28/25 FRI indicated Staff 5 (Housekeeping) and Staff 6 (Housekeeping) reported Resident 1 had a fall in the shower room. Staff 5 and 6 found staff to assist Resident 1. The report indicated staff found Resident 1 down in the shower, unattended, and not fully clothed. Resident 1 was transferred to the hospital for evaluation. The FRI indicated Resident 1 sustained multiple complex fractures of the pelvis and was bleeding internally. The FRI indicated…

  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 · D2025-05-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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

  Based on observation, interview and record review, it was determined the facility failed to maintain a homelike environment for 1 of 1 resident (#9) reviewed for homelike environment. This placed residents at risk for lessened quality of life. Findings include: Resident 9 admitted to the facility in 5/2020 with diagnoses including borderline personality disorder. Resident 9's 2/28/25 care plan found no indication for having a short chain on his/her bedside light. On 5/5/25 at 9:58 AM Resident 9 was observed to have a three to four inch chain on the light on the wall over his/her bed. Resident 9 stated she/he was unable to use it due to the short length and was unable to turn on the light independently. Resident 9 stated she/he became frustrated and had to ring his/her bell to have someone come turn on the light. Resident 9 further stated she/he should be able off her/his own light without assistance. On 5/6/25 at 1:54 PM Staff 30 (CNA) stated she thought Resident 9 was able to turn his/her bedside light on and off with the use of a reacher. On 5/7/25 at 9:36 AM Staff 12 (LPN) stated…

  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 · D2025-05-09 · 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 residents were free from chemical restraints for 1 of 5 sampled residents (#57) reviewed for unnecessary medications. This placed residents at risk for changes to psychosocial well-being. Findings include: Resident #57 was admitted to the facility in 2/2025 with diagnoses including anxiety, hallucinations, and disorientation. A 3/31/25 physician order indicated Resident 57 was prescribed haloperidol Oral Tablet 5 MG (antipsychotic medication) twice daily as needed for 14 days. The Indication for use was hallucinations. A 4/14/25 physician order indicated Resident 57 was prescribed haloperidol Oral Tablet 5 MG twice daily as needed for 14 days. Indications for use were hallucinations or aggression. A 4/21/25 physician order indicated Resident 57 was prescribed haloperidol Oral Tablet 5 MG twice daily as needed for 14 days. Indications for use were hallucinations or aggression. Resident 57's MAR, behavior monitor and progress notes for 4/2025 and 5/2025 indicated she/he received haloperidol with no…

  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 · D2025-05-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 develop comprehensive care plans that included interventions for the use of psychotropic medication for 1 of 5 sampled resident (#57) reviewed for unnecessary medications. This placed the resident at risk for side effects and unnecessary medication. Findings include: Resident 57 was admitted to the facility in 2/2025 with diagnoses including anxiety, hallucinations and disorientation. A review of Resident 57's physician orders found the following active orders for psychotropic medications: Buspirone HCl oral tablet. Give 15 mg by mouth in the morning for irritability related to anxiety disorder, unspecified and give 15 mg by mouth one time a day for irritability at 4 PM. Do not give at 6 PM per provider. Lamotrigine oral tablet. Give 25 mg by mouth one time a day for mood stabilization related to major depressive disorder, recurrent. Mirtazapine Oral tablet. Give 7.5 mg by mouth one time a day related to insomnia. Duloxetine HCl oral capsule delayed release sprinkle 30 MG. Give 1 capsule by mouth one time…

  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 · D2025-05-09 · 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 timely assess and implement appropriate interventions for a change of condition or accident for 1 of 1 sampled resident (#27). This placed the residents at risk for choking. Findings include: Resident 27 admitted to the facility in 10/2019 with diagnoses including stroke. Resident 27's 4/20/25 comprehensive assessment noted coughing and choking during meals and when swallowing medications. A 4/18/25 physician orders revealed Resident 27 was on a dental/mechanical soft texture, nectar thick liquids consistency. A 5/2/25 progress note found Resident 27 choked during dinner and the Heimlich maneuver was administered successfully by Staff 28 (LPN). A 5/5/25 physician order revealed Resident 27's diet was changed to a pureed texture, three days after Resident 27's choking episode On 5/8/25 at 3:42 PM Staff 28 stated during dinner on 5/2/25 Resident 27 choked and became very rigid. Staff 28 did the Heimlich maneuver with a CNA and Resident 27 recovered. Staff 28 notified the on-call provider and stated she…

  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 before2025-05-09 · 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 provide care planned safety interventions for 1 of 4 sampled residents (#24) reviewed for accidents. This placed residents at risk for injury. Findings include: Resident 24 was admitted to the facility in 2018 with diagnoses including Wernicke's encephalopathy (a neurological disorder) and dementia. Resident 24's 4/30/25 Quarterly Smoking Evaluation indicated the resident was to use smoking gloves when smoking. A review of Resident 24's 5/2/25 Quarterly MDS Assessment revealed she/he had moderate cognitive impairment. Resident 24's 8/7/22 Care Plan indicated she/he used smoking materials and was to wear smoking gloves when smoking. On 5/6/25 at 8:33 AM Resident 24 was observed smoking in the facility designated smoking area without smoking gloves on. On 5/6/25 at 8:35 AM Resident 24 stated she/he was not wearing her/his smoking gloves because staff did not offer to provide them to her/him. On 5/6/25 at 8:36 AM Staff 18 (CNA) confirmed Resident 24 was smoking without her/his smoking gloves 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 · D2025-05-09 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  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 residents received trauma informed care for 2 of 3 sampled residents (#s 18 and 30) reviewed for behavioral and emotional care needs. This placed residents at risk for re-traumatization. Findings include: The facility's 10/2022 Trauma Informed Care Policy and Procedure revealed the following: -Screen residents for a traumatic event, series of events, or set of circumstances which resulted in actual harm or threat of harm. Determine how the individual perceives the event, as stressful or not. Evaluate how the event adversely impacts the person. -Collaborate with the resident and/or resident advocate to plan for treatment or intervention(s) of resident choice, as indicated and/or appropriate. -Person-centered care planning addresses the following: a. Identify the effects of the trauma on the resident and how that may be manifested in a resident's behavior. b. Address triggers for re-traumatizing and interventions to avoid such an experience, such as loud noises, smells, textures, cold/hot,…

  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 · D2025-05-09 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure 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 act upon pharmacist recommendations for 1 of 5 sampled residents (#57) reviewed for unnecessary medications. This placed residents at risk for a decrease in their quality of life. Findings include: Resident 57 was admitted to the facility on 2/2025 with diagnoses including anxiety, hallucinations and disorientation. A review of Resident 57's physician orders found an active order for Olanzapine oral tablet disintegrating (an antipsychotic medication). Give 15 mg by mouth one time a day related to hallucinations. A review of pharmacy recommendations for Resident 57 dated 3/19/25 included the following recommendation for the use of Olanzapine: 'If the antipsychotic order is to continue, please update the medical record to include . a list of symptoms or target behaviors (e.g., hallucinations) including their impact on the resident (e.g., increases distress, presents a danger to the resident or others, interferes with their ability to eat) AND documentation that other causes (e.g., environmental) and…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-09 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure 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 that the facility failed to ensure residents were free from unnecessary bowel and antihypotensive medications for 2 of 5 sampled resident (#s 20 and 35) reviewed for unnecessary medications. This placed the resident at risk for adverse side effects from medication complications. Findings include: 1. Resident 20 was admitted to the facility in 3/2025 with the diagnosis including hypotension. Resident 20's 3/21/25 through 4/22/25 Physician Orders indicated the resident received midodrine (used to raise blood pressure) three times daily and was to be held for SBP (systolic blood pressure) greater than 120. A review of Resident 20's 3/2025 and 4/2025 MARs revealed Resident 20 received the midodrine on the following dates with the SBP above 120: -3/23/2025 AM dose, SBP was 122. -3/23/2025 AM dose, SBP was 122. -3/24/2025 Mid-day dose, SBP was 121. -3/27/2025 AM dose, SBP was 131. -3/27/2025 Mid-day dose, SBP was 131. -3/27/2025 PM dose, SBP was 130. -3/29/2025 PM dose, SBP was 127. -3/31/2025 PM dose, SBP was 132. -4/11/2025 AM dose,…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-09 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a 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 provide therapy services for 1 of 3 sampled residents (#28) reviewed for falls. This placed residents at risk for falls. Findings include: Resident 28 was admitted to the facility in 8/2020 with diagnoses including dementia. A review of Resident 28's Physician Orders revealed an 4/8/25 order for PT to evaluate due to frequent falls. On 5/5/25 at 10:15 AM a motion detector alarm was heard going off in Resident 28's room. Resident 28 was observed standing at her/his bedside and turning the alarm off. On 5/8/25 at 10:20 AM Staff 26 (RN) stated Resident 28 had multiple falls in 4/2025, no falls in 3/2025, and two falls in 2/2025. Staff 26 stated Resident 28 had frequent falls related to self-transferring and weakness. On 5/8/25 at 11:06 AM Staff 2 (DNS) stated Resident 28 had eight falls in 4/2025. Staff 2 stated Resident 28's falls were related to Resident 28's impulsiveness and self-transferring. Staff 2 stated Resident 28 was on therapy in 3/2025 and therapy had ordered Resident 28 a wheelchair to help…

  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 before2025-05-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, it was determined the facility failed to protect the resident's right to be free from physical abuse from other residents for 1 of 6 sampled residents (#52) reviewed for abuse. This placed residents at risk for physical abuse. Findings include: Resident 49 was admitted to the facility in 5/2023 with diagnoses including schizoaffective disorder (a mental health condition where a person experiences symptoms of schizophrenia, such as hallucinations and delusions, and a mood disorder, such as mania or depression). Resident 52 was admitted to the facility in 1/2024 with diagnoses including psychosis (a state where a person loses touch with reality, experiencing hallucinations and delusions). On 1/22/25 a Facility Reported Incident (FRI) was received by the State Survey Agency, which alleged Resident 49 slapped Resident 52 on the left side of her/his face. A 1/22/25 Progress Note indicated Resident 49 hit Resident 52 in the face. A 1/27/25 facility investigation revealed 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.

  Freedom from Abuse, Neglect, and Exploitation 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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in OR