9 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Mcminnville, OR
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1309 Ne 27th Street, Mcminnville, OR
(503) 472-4678
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
110
Certified beds
Average residents
53
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1986-04-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.63
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.94
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
4.50
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.03
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.44
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
11,069
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.13
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.62
Baseline 20.45% · Performance 20.68% · Measure score 1.62 · Achievement 1.62 · Improvement 0
Healthcare-associated infections
1.53
Baseline 5.35% · Performance 7.38% · Measure score 1.53 · Achievement 1.53 · Improvement 0
Total nurse turnover
0
Baseline 55.93% · Performance 66.07% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.10
Baseline 3.86 hours · Performance 4.25 hours · Measure score 4.10 · Achievement 4.10 · Improvement 1.51
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.76% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 130 · Observed rate 6.92% · Lower 95% interval 6.61% |
| Discharge to community | 66.62% |
50.57%
16.1 pts better
|
Better than the National Rate · Eligible stays 131 · Observed rate 65.65% · Lower 95% interval 58.66% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 98 · Denominator 98 |
| Falls with major injury | 1.02% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 98 |
| Discharge self-care score | 84.93% |
53.69%
31.2 pts better
|
Numerator 62 · Denominator 73 |
| Discharge mobility score | 75.34% |
50.94%
24.4 pts better
|
Numerator 55 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 1.02% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 98 · Adjusted rate 1.19% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 90 · Observed rate 6.67% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 1.35% |
8.2%
6.8 pts worse
|
Numerator 1 · Denominator 74 |
| Staff flu vaccination coverage | 33% |
42%
9 pts worse
|
Numerator 33 · Denominator 100 |
| Discharge function score | 84.93% |
56.45%
28.5 pts better
|
Numerator 62 · Denominator 73 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 57 · Denominator 57 |
| Transfer of health information to patient | 89.66% |
96.28%
6.6 pts worse
|
Numerator 26 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 44.68% |
25.2%
19.5 pts better
|
Numerator 21 · Denominator 47 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
95.5%
1.7 pts better
|
93.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 94.4% · Q3 97.4% · Q4 97.0% · 4Q avg 97.2% |
| 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 | 2.1% |
2.4%
0.3 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.8% · Q3 0.0% · Q4 3.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
4.7%
1.7 pts better
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 2.9% · Q4 3.1% · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 1.5% |
5.0%
3.5 pts better
|
5.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 3.2% · 4Q avg 1.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.7% |
12.5%
2.8 pts better
|
19.6%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.8% · Q3 8.8% · Q4 12.9% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.1% |
14.7%
4.6 pts better
|
16.7%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 16.0% · Q3 12.0% · Q4 0.0% · 4Q avg 10.1% · 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 | 6.1% |
24.1%
18 pts better
|
16.3%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.9% |
15.8%
11.9 pts better
|
14.9%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 9.4% · Q4 0.0% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.7%
1.7 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
2.0%
0.1 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.0% |
22.2%
2.8 pts worse
|
19.8%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 25.5% · Q3 27.3% · Q4 11.0% · 4Q avg 25.0% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
6.5%
0.9 pts better
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.9% · Q3 6.3% · Q4 4.9% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.5% |
85.4%
7.9 pts worse
|
81.7%
4.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 76.0% · Q2 85.6% · Q3 84.8% · Q4 63.0% · 4Q avg 77.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.9% |
15.1%
5.8 pts worse
|
12.0%
8.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 21.2% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.7%
1 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.6% |
81.2%
2.6 pts worse
|
79.7%
1.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.5% |
21.6%
5.1 pts better
|
23.9%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 16.5% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (5 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-12-20
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 2024-12-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-20
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-12-20
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-12-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-28
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-05-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-05-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-17
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-05-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-05-17
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-05-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-05-17
Inspection history
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-09
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-19
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-05-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-20
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 2024-12-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-20
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 2024-12-20
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-10-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-09
Health
Respond appropriately to all alleged violations.
Corrected 2024-02-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
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 2023-08-30
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-08-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-30
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 2023-08-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-30
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-08-30
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 2023-08-30
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 2023-08-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-30
Health
Provide or obtain dental services for each resident.
Corrected 2023-08-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-06-01
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2023-06-01
Health
Implement a program that monitors antibiotic use.
Corrected 2022-07-07
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 2022-07-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-07-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-07
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 2022-07-07
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 2022-07-07
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-07-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Mcminnville, OR
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Newberg, OR
1-star overall rating with 1-star inspections with $54,581 in total fines with 27 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
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