Federal inspection record · CMS data as of October 1, 2026
Mennonite Home
5353 Columbus Street Se, Albany, OR · (541) 928-7232
- Certified beds
- 95
- Residents per day
- 39
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 11, 1989
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
Mennonite Home carries 37 inspection points. That is fewer than 69% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
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 Assessment and Care Planning4D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure a qualified health professional conducts resident assessments.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service3E
- E
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.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide activities to meet all resident's needs.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2026-03-27
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-11-21
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-09-08
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 33 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
4 h 33 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,934 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-04 | Fine | $9,110 |
| 2024-07-24 | Fine | $8,824 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts worse | 88.7% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine68.3 pts worse | 25.7% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 1.6% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts better | 4.8% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 3.8% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.9 pts better | 6.3% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts better | 13.2% | 14.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened18.3 pts worse | 36.9% | 18.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.9 pts worse | 26.1% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.2 pts worse | 6.5% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.8% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts better | 16.3% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 2.0% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.2 pts worse | 72.6% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse | 16.8% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine49.5 pts worse | 31.4% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse | 23.1% | 21.9% | 23.4% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Baker, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Desoyza, Shanilka | Corporate Director · Individual | 0% | 1 facilities |
| Ferris, Nancy | Corporate Director · Individual | 0% | 2 facilities |
| Hansell, Shauna | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Histand, Phillip | Corporate Director · Individual | 0% | 1 facilities |
| Hood, Diane | Corporate Officer · Individual | 0% | 1 facilities |
| Jacobo, Kristi | Corporate Director · Individual | 0% | 1 facilities |
| Mars, Clifford | Corporate Officer · Individual | 0% | 1 facilities |
| Melero, Mary | Corporate Director · Individual | 0% | 1 facilities |
| Pimm, Rick | Corporate Director · Individual | 0% | 1 facilities |
| Ropp, Dennis | Corporate Director · Individual | 0% | 1 facilities |
| Rumpel, Maureen | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stutzman, Gene | Corporate Director · Individual | 0% | 1 facilities |
| Tieszen, Brett | Corporate Director · Individual | 0% | 1 facilities |
| Trahan, Angela | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Walls, Elizabeth | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Walls, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness3F
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2F
- E
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.
- F
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.
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Other homes nearby
-
Regency Albany
Albany, OR · Regency Pacific Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 6 h 2 min
- Fines
- $30,911
-
Timberline Post Acute
Albany, OR · Pacs Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Corvallis Manor Nursing & Rehabilitation Center
Corvallis, OR · Volare Health · Special Focus
Not rated- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $216,107