9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Independence, OR
4-star overall rating with 4-star inspections with $69,876 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1525 Monmouth Street, Independence, OR
(503) 838-0001
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Evergreen Healthcare Group
Operator or chain grouping
Approved since
1989-03-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
41 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
RN hours / resident day
0.24
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
1.24
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.49
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
4.97
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.55
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.25
CMS adjusted RN staffing hours
Adjusted total hours
5.16
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
1,281
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
58.04
Composite VBP score used to determine payment impact.
Payment multiplier
1.0132
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.71
Baseline 40.91% · Performance 44.44% · Measure score 4.71 · Achievement 4.71 · Improvement 0
Adjusted total nurse staffing
6.90
Baseline 4.41 hours · Performance 5.04 hours · Measure score 6.90 · Achievement 6.90 · Improvement 4.12
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.32% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 22.22% · Lower 95% interval 7.37% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 56 |
| Staff flu vaccination coverage | 48.39% |
42%
6.4 pts better
|
Numerator 30 · Denominator 62 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
Quality measures
| 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 | 94.3% |
95.2%
0.9 pts worse
|
95.5%
1.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.4%
0.2 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.7%
4.7 pts better
|
11.4%
11.4 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 who lose too much weight | 4.9% |
5.0%
0.1 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 11.1% · Q3 6.9% · Q4 0.0% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
12.5%
0.1 pts better
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 10.3% · Q3 6.9% · Q4 14.3% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.7% |
14.7%
1 pts worse
|
16.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 13.6% · 4Q avg 15.7% · 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 | 41.6% |
24.1%
17.5 pts worse
|
16.3%
25.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.1% |
15.8%
1.7 pts better
|
14.9%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 15.4% · Q3 14.8% · Q4 14.8% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.6% |
1.7%
2.9 pts worse
|
1.0%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 11.3% · Q3 0.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
2.0%
1.5 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.7% · Q3 0.0% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% |
22.2%
1.3 pts better
|
19.8%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 10.2% · 4Q avg 20.9% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
6.5%
1.7 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.0% · Q3 4.3% · Q4 6.5% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
85.4%
2.5 pts better
|
81.7%
6.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 100.0% · Q3 92.2% · Q4 66.7% · 4Q avg 87.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% |
15.1%
0.3 pts worse
|
12.0%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 15.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.7%
1.1 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.8% · Q3 2.9% · Q4 2.6% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.0% |
81.2%
16.8 pts better
|
79.7%
18.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 9.2% |
21.6%
12.4 pts better
|
23.9%
14.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 10.0% · Expected 26.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nursing and Physician Services (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2025-04-03
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-03
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-13
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-12-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-04
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2022-11-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-04
Fire Safety
Meet other general requirements.
Corrected 2022-11-04
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-21
Health
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.
Corrected 2025-03-21
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-03-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-21
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 2025-03-21
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-21
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 2025-03-21
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-03-21
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-03-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-12-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-13
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-12-13
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-24
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 2022-11-04
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-11-04
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-11-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-04
Penalties and ownership
Fine · fine $45,819
Fine
Fine · fine $8,018
Fine
Fine · fine $16,039
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Dallas, OR
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Salem, OR
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Salem, OR
2-star overall rating with 2-star inspections with $22,523 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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