Cycle 1
Health 2025-02-18 · Fire 2025-02-18
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Eugene, OR
Creekside Health And Rehab Of Cascadia
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3500 Hilyard Street, Eugene, OR
(541) 687-9211
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
106
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cascadia Healthcare
Operator or chain grouping
Approved since
1981-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.10
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
4.81
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
4.73
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,739
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.30
Composite VBP score used to determine payment impact.
Payment multiplier
1.0092
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.04
Performance 19.56% · Measure score 4.04 · Achievement 4.04 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.83
Performance 6.09% · Measure score 5.83 · Achievement 5.83 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
5.01
Performance 43.18% · Measure score 5.01 · Achievement 5.01 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
6.83
Performance 5.02 hours · Measure score 6.83 · Achievement 6.83 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.17% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 8.08% · Lower 95% interval 6.69% |
| Discharge to community | 61.13% |
50.57%
10.6 pts better
|
Better than the National Rate · Eligible stays 99 · Observed rate 61.62% · Lower 95% interval 52.24% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.74% |
95.27%
1.5 pts better
|
Numerator 89 · Denominator 92 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 92 |
| Discharge self-care score | 51.56% |
53.69%
2.1 pts worse
|
Numerator 33 · Denominator 64 |
| Discharge mobility score | 45.31% |
50.94%
5.6 pts worse
|
Numerator 29 · Denominator 64 |
| Pressure ulcers or injuries, new or worsened | 3.26% |
2.29%
1 pts worse
|
Numerator 3 · Denominator 92 · Adjusted rate 3.9% |
| Healthcare-associated infections requiring hospitalization | 6.09% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 2.67% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 9.23% |
8.2%
1 pts better
|
Numerator 12 · Denominator 130 |
| Staff flu vaccination coverage | 63.1% |
42%
21.1 pts better
|
Numerator 118 · Denominator 187 |
| Discharge function score | 68.75% |
56.45%
12.3 pts better
|
Numerator 44 · Denominator 64 |
| Transfer of health information to provider | 98.46% |
95.95%
2.5 pts better
|
Numerator 64 · Denominator 65 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 62.71% |
25.2%
37.5 pts better
|
Numerator 37 · Denominator 59 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.5%
4.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.2%
4.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.4%
2.4 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
4.7%
2.2 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 0.0% · Q3 2.6% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
5.0%
0.4 pts worse
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.8% · Q3 2.6% · Q4 10.3% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.8% |
12.5%
26.3 pts worse
|
19.6%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.3% · Q2 44.4% · Q3 38.5% · Q4 17.9% · 4Q avg 38.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.8% |
14.7%
1.9 pts better
|
16.7%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 11.5% · Q3 10.3% · Q4 9.7% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.6% |
24.1%
6.5 pts worse
|
16.3%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
15.8%
0.2 pts better
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 21.2% · Q3 8.3% · Q4 11.1% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.7%
0.5 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.1% |
2.0%
2.1 pts worse
|
1.7%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.7% · Q3 2.4% · Q4 2.4% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.1% |
22.2%
4.9 pts worse
|
19.8%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 32.8% · Q3 25.2% · Q4 23.6% · 4Q avg 27.1% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
6.5%
1.8 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.0% · Q3 8.5% · Q4 5.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% |
85.4%
11.4 pts better
|
81.7%
15.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 95.0% · Q3 96.3% · Q4 99.2% · 4Q avg 96.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.8% |
15.1%
7.7 pts worse
|
12.0%
10.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 20.9% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.7%
1.3 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
81.2%
15.9 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
21.6%
1.9 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 16.5% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-20 · Fire 2023-10-20
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2022-09-09 · Fire 2022-09-09
9 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-07
F · Potential for more than minimal harm
2025-02-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-07
D · Potential for more than minimal harm
2025-02-18
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-07
D · Potential for more than minimal harm
2025-02-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-07
F · Potential for more than minimal harm
2023-10-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-28
F · Potential for more than minimal harm
2023-10-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-28
F · Potential for more than minimal harm
2023-10-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-20
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-20
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-20
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-11-28
F · Potential for more than minimal harm
2022-09-09
K163 · Construction Deficiencies
Fire Safety
Install noncombustible or limited-combustible interior walls.
Corrected 2022-10-14
F · Potential for more than minimal harm
2022-09-09
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-10-29
D · Potential for more than minimal harm
2022-09-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-12
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-31
D · Potential for more than minimal harm
2025-02-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-07
D · Potential for more than minimal harm
2025-02-18
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-04-07
D · Potential for more than minimal harm
2023-10-20
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-28
D · Potential for more than minimal harm
2023-10-20
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-11-28
F · Potential for more than minimal harm
2022-09-09
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-01-01
E · Potential for more than minimal harm
2022-09-09
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2022-10-24
D · Potential for more than minimal harm
2022-09-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-24
Penalties and ownership
What sits behind the stars
Ownership
Cascadia Hc Group LLC
Operational/Managerial Control · Organization
Cascadia Healthcare LLC
Operational/Managerial Control · Organization
Cascadia Holdco LLC
Operational/Managerial Control · Organization
Cascadia Oregon Operations LLC
Operational/Managerial Control · Organization
Cascadia Services LLC
Operational/Managerial Control · Organization
Eugene 3500 Realty, LLC
5% Or Greater Security Interest · Organization
Hammond, Owen
Operational/Managerial Control · Individual
Laforte, Stephen
Operational/Managerial Control · Individual
Nelson, Timothy
Operational/Managerial Control · Individual
Posey, Jammie
Operational/Managerial Control · Individual
Vellody, Nita
Operational/Managerial Control · Individual
White Oak Healthcare Finance LLC
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
South Hills Rehabilitation Center
Eugene, OR
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $121,905 in total fines with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Cascade Manor
Eugene, OR
3-star overall rating with 4-star inspections with $10,033 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Hillside Heights Rehabilitation Center
Eugene, OR
3-star overall rating with 3-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out