Woodburn, OR

French Prairie Nursing & Rehabilitation Center

1-star overall rating with 1-star inspections with Special Focus status with $102,802 in total fines with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

601 Evergreen Road, Woodburn, OR

(503) 982-0111

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

54

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Volare Health

Operator or chain grouping

Approved since

1972-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 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

0.45

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.16

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

4.48

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.95

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

0.24

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

0.46

CMS adjusted RN staffing hours

Adjusted total hours

4.56

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

90%

Annual RN turnover · state 53% · national 45%

Total nurse turnover

73%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,387

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

20.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.29

Baseline 18.55% · Performance 20.37% · Measure score 2.29 · Achievement 2.29 · Improvement 0

Healthcare-associated infections

2.37

Baseline 6.68% · Performance 7.13% · Measure score 2.37 · Achievement 2.37 · Improvement 0

Total nurse turnover

0

Baseline 50.67% · Performance 73.17% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.57

Baseline 4.88 hours · Performance 4.09 hours · Measure score 3.57 · Achievement 3.57 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.78%
10.72%
2.1 pts worse
No Different than the National Rate · Eligible stays 28 · Observed rate 25% · Lower 95% interval 8.28%
Discharge to community 46.61%
50.57%
4 pts worse
No Different than the National Rate · Eligible stays 32 · Observed rate 31.25% · Lower 95% interval 31.22%
Medicare spending per beneficiary 0.99
1.02
About the same
Drug regimen review with follow-up 95.45%
95.27%
0.2 pts better
Numerator 21 · Denominator 22
Falls with major injury 4.55%
0.77%
3.8 pts worse
Numerator 1 · Denominator 22
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 13.64%
2.29%
11.4 pts worse
Numerator 3 · Denominator 22 · Adjusted rate 11.75%
Healthcare-associated infections requiring hospitalization 7.13%
7.12%
About the same
No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage 7.69%
8.2%
0.5 pts worse
Numerator 4 · Denominator 52
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

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 90.5%
95.2%
4.7 pts worse
95.5%
5 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.5%
Percentage of long-stay residents experiencing one or more falls with major injury 3.8%
2.4%
1.4 pts worse
3.3%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.3% · Q3 2.6% · Q4 2.4% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.1%
4.7%
1.4 pts worse
11.4%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.7% · Q3 6.1% · Q4 2.8% · 4Q avg 6.1%
Percentage of long-stay residents who lose too much weight 7.9%
5.0%
2.9 pts worse
5.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 9.4% · Q3 12.1% · Q4 8.3% · 4Q avg 7.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.3%
12.5%
3.2 pts better
19.6%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 6.2% · Q3 12.1% · Q4 5.6% · 4Q avg 9.3%
Percentage of long-stay residents who received an antipsychotic medication 6.9%
14.7%
7.8 pts better
16.7%
9.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q3 4.0% · Q4 7.1% · 4Q avg 6.9% · 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 need for help with daily activities has increased 14.9%
15.8%
0.9 pts better
14.9%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 21.4% · Q3 13.8% · Q4 0.0% · 4Q avg 14.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3%
1.7%
0.4 pts better
1.0%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.6%
2.0%
1.4 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.1%
22.2%
3.1 pts better
19.8%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 28.5% · Q2 25.0% · Q3 12.6% · Q4 11.8% · 4Q avg 19.1%
Percentage of long-stay residents with pressure ulcers 7.9%
6.5%
1.4 pts worse
5.1%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 9.8% · Q3 7.2% · Q4 4.8% · 4Q avg 7.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.1%
85.4%
7.3 pts worse
81.7%
3.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 67.9% · Q2 77.6% · Q3 84.7% · Q4 78.5% · 4Q avg 78.1%
Percentage of short-stay residents who had an outpatient emergency department visit 22.7%
15.1%
7.6 pts worse
12.0%
10.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 27.3% · Expected 13.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.7%
1.7 pts better
1.6%
1.6 pts better
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.3%
81.2%
0.9 pts worse
79.7%
0.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 34.0%
21.6%
12.4 pts worse
23.9%
10.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 34.0% · Observed 40.9% · Expected 28.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-28 · Fire 2025-04-28

22 health deficiencies

Top issue: Nursing and Physician Services (5 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-02-12 · Fire 2024-02-12

26 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-12-07 · Fire 2022-12-07

11 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-28

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-05-26

F · Potential for more than minimal harm 2025-04-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-26

F · Potential for more than minimal harm 2025-04-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-26

D · Potential for more than minimal harm 2024-10-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-02-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-04-02

F · Potential for more than minimal harm 2022-12-07

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-01-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-12

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-01-08

F · Potential for more than minimal harm 2025-12-12

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-12-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-12-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-08

F · Potential for more than minimal harm 2025-11-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-01-08

F · Potential for more than minimal harm 2025-11-24

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2026-01-08

F · Potential for more than minimal harm 2025-11-24

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-24

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-01-08

D · Potential for more than minimal harm 2025-11-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-08

C · Minimal harm 2025-11-24

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-01-08

L · Immediate jeopardy 2025-04-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-26

F · Potential for more than minimal harm 2025-04-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-26

F · Potential for more than minimal harm 2025-04-28

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 2025-05-26

F · Potential for more than minimal harm 2025-04-28

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-04-28

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-05-26

D · Potential for more than minimal harm 2025-02-20

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2025-03-11

D · Potential for more than minimal harm 2024-10-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-10-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-10-31

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-12-13

J · Immediate jeopardy 2024-02-23

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 2024-02-28

G · Actual harm 2024-02-12

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-04-02

F · Potential for more than minimal harm 2024-02-12

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-02

F · Potential for more than minimal harm 2024-02-12

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 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-02-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

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 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

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 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-02-12

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-04-02

D · Potential for more than minimal harm 2023-09-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-09-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-16

E · Potential for more than minimal harm 2022-12-07

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 2023-01-23

D · Potential for more than minimal harm 2022-12-07

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-01-23

D · Potential for more than minimal harm 2022-12-07

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 2023-01-23

D · Potential for more than minimal harm 2022-12-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-01-23

Penalties and ownership

What sits behind the stars

$54,909 2025-04-28

Fine

Fine · fine $54,909

Fine

$47,893 2024-02-12

Fine

Fine · fine $47,893

Fine

Ownership

Pac 12 Opco Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 12 facilities 2023-03-01
Evergreen Estates Propco LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2023-03-01
Hagar, Chaim

5% Or Greater Indirect Ownership Interest · Individual

0% 18 facilities 2023-03-01
Hagler, Alexander

5% Or Greater Indirect Ownership Interest · Individual

0% 12 facilities 2023-03-01
Knox Healthcare Pac 12 Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2023-03-01
Knox, Donald

5% Or Greater Indirect Ownership Interest · Individual

0% 17 facilities 2023-03-01
Knox, Donald

Operational/Managerial Control · Individual

0% 17 facilities 2023-03-01
Knox, Donald

Corporate Officer · Individual

0% 17 facilities 2023-03-01
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Operational/Managerial Control · Individual

0% 18 facilities 2023-08-14
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5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2023-03-01
Pac 12 Pinnacle Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2023-03-01
Reece, Curtis

Operational/Managerial Control · Individual

0% 2 facilities 2025-03-31
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5% Or Greater Indirect Ownership Interest · Individual

0% 28 facilities 2023-03-01
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Operational/Managerial Control · Individual

0% 28 facilities 2023-03-01
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0% 10 facilities 2023-03-27
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Operational/Managerial Control · Organization

0% 16 facilities 2023-03-01

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#1

Mt Angel Health And Rehabilitation

Mount Angel, OR

2-star overall rating with 2-star inspections with abuse icon flag with $27,967 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$27,967
#2

Marquis Newberg

Newberg, OR

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0
#3

Marquis Wilsonville Post Acute Rehab

Wilsonville, OR

5-star overall rating with 5-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0

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