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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D30 | E3 | F3 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 20, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Sep 5, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 5, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Aug 28, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 20, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| May 20, 2024 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Mar 27, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 27, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 20, 2026 | Civil money penalty (fine) | $8,278 | — | 385270|Fine|138633 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D30 | E3 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 20, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 23, 2026 | Complaint |
| Sep 5, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 15, 2025 | |
| Sep 5, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Frederick Apt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 10, 2024 |
| Pilo Cano | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2024 |
| Joshua Jergensen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 10, 2024 |
| Gretchen Kempfer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 16, 2024 |
| John Mitchell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 10, 2024 |
| Christopher Morris | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Menlo Park Post Acute 745 NE 122nd Avenue, Portland, OR 97230 CCN 385044 | 83 | May 22, 2026 | 48 | — | |
| Porthaven Post Acute 5330 NE Prescott Street, Portland, OR 97218 CCN 385045 | 99 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Willamette View Health Center 13145 SE River Road, Milwaukie, OR 97222 CCN 385200 | 4 km | 6 | Jun 17, 2026 | 15 | — | |
| Fernwood Supportive Living at Madrona Grove 13505 SE River Road, Portland, OR 97222 CCN 38A031 | 4.1 km | 16 | Jun 4, 2026 | 32 | — | |
| Avamere Rehabilitation of Clackamas 220 E. Hereford, Gladstone, OR 97027 CCN 385203 | 6 km | 87 | Dec 4, 2025 | 303 IJ | $176k | |
| Gracelen Care Center 10948 S.e. Boise, Portland, OR 97266 CCN 38E188 | 6.2 km | 80 | May 13, 2026 | 581 IJ5 harm | — | |
| The Creston Health & Rehabilitation 3320 SE Holgate Blvd, Portland, OR 97202 CCN 385121SFF Candidate | 6.4 km | 100 | Jun 18, 2026 | 731 IJ3 harm | $123k | |
| Secora Rehabilitation of Cascadia 10435 SE Cora Street, Portland, OR 97266 CCN 385264 | 6.7 km | 53 | Jul 10, 2026 | 47 | — | |
| Reedwood Post Acute 3540 SE Francis Street, Portland, OR 97202 CCN 385055 | 6.9 km | 64 | Jun 26, 2025 | 19 | — | |
| Cascade Terrace Post Acute 5601 SE 122nd Avenue, Portland, OR 97236 CCN 385187 | 6.9 km | 105 | Sep 4, 2026 | 703 IJ1 harm19 open | $186k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 385270 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 385270 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| E-0020 |
| Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Oct 15, 2025 |
| Sep 5, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 15, 2025 |
| Sep 5, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 15, 2025 |
| Sep 5, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 15, 2025 |
| Sep 5, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 15, 2025 |
| Sep 5, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 15, 2025 |
| Sep 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 15, 2025 |
| Aug 28, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 15, 2025 | Complaint |
| Feb 14, 2025 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 12, 2025 | Complaint |
| Feb 14, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 12, 2025 | Complaint |
| May 20, 2024 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 9, 2024 |
| May 20, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2024 |
| May 20, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Mar 3, 2024 | Complaint |
| May 20, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 20, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| Mar 27, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 26, 2023 |
| Mar 27, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.95 (case-mix index 1.34).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Sep 1, 2024 |
| Truist Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Sep 1, 2024 |
| Milwaukie 12045 Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Providence Administrative Consulting Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Pilo Cano | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 2, 2025 |
| Christopher Morris | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 2, 2025 |
| Dec 8, 2025 |
541 IJ2 harm |
| $44k |
| Reedwood Post Acute 3540 SE Francis Street, Portland, OR 97202 CCN 385055 | 64 | Jun 26, 2025 | 19 | — |
| Hood River Post Acute 729 Henderson Road, Hood River, OR 97031 CCN 385104 | 100 | Mar 13, 2026 | 371 IJ | $39k |
| Timberline Post Acute 1023 6th Ave SW, Albany, OR 97321 CCN 385107 | 67 | Feb 13, 2026 | 26 | — |
| Glisan Post Acute 9750 NE Glisan Street, Portland, OR 97220 CCN 385136 | 100 | Mar 13, 2026 | 433 harm | — |
| Woodside Post Acute 301 Ridings Avenue, Molalla, OR 97038 CCN 385150 | 92 | Aug 21, 2026 | 455 IJ2 open | $116k |
| Cottage Grove Post Acute 515 Grant Street, Cottage Grove, OR 97424 CCN 385152 | 80 | Jun 27, 2025 | 312 harm | $21k |