Federal inspection record · CMS data as of October 1, 2026
Milton Freewater Health And Rehabilitation
120 Elzora Street, Milton Freewater, OR · (541) 938-3318
- Cited for abuse (CMS abuse icon)
- Certified beds
- 70
- Residents per day
- 29
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 20, 1984
1
How this home got 2 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.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Oregon homes
Milton Freewater Health And Rehabilitation carries 32 inspection points. That is fewer than 77% 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
26 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 (1)
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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
Quality of Life and Care7D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- 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 appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning6E
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Freedom from Abuse, Neglect, and Exploitation5D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nursing and Physician Services2E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights2D
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspection history
2026-01-15
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-06-28
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-04-07
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 37 min of nursing staff time a day, 1 h 16 min of it from a registered nurse.
This home
5 h 37 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 36% of registered nurses left in the past year.
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
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-07 | Fine | $8,278 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.6 pts worse | 3.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.7 | 2.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 98.0% | 95.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6 pts better | 100.0% | 94.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 0.0% | 2.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts better | 2.3% | 4.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 2.3% | 4.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better | 11.6% | 12.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts worse | 18.2% | 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 need for help with daily activities has increased1.5 pts worse | 15.7% | 14.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts worse | 3.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.3 pts worse | 4.3% | 2.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts better | 13.0% | 20.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 5.0% | 5.6% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 87.7% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts better | 14.0% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.9 pts worse | 75.0% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts worse | 28.0% | 21.9% | 23.4% |
·
Who owns and runs it
39 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 |
|---|---|---|---|
| Ashby, William | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Ashby, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ashby, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ch Pnw 12 Holdings LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Chambers, Randy | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Chambers, Randy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Chambers, Randy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Couve Financial Services LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Indirect Ownership Interest · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Freewater Oregon LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Freewater Oregon LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Hyde, Deidre | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Hyde, Deidre | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hyde, Deidre | Adp Of The SNF · Individual | 0% | 1 facilities |
| Milton Freewater SNF Operations, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Milton Freewater SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Odenthal, Jason | Indirect Ownership Interest · Individual | 0% | 18 facilities |
| Odenthal, Jason | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Odenthal, Jason | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Odenthal, Jason | Adp Of The SNF · Individual | 0% | 18 facilities |
| Pacific Northwest 12 Leased Operations Holdings LLC | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Pnw 12 Opco Management LLC | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Pnw 12 Opco Management LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pnw 12 Opco Management LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Pnw 12 SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Spielman, Shimon | Indirect Ownership Interest · Individual | 0% | 48 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Witzcorp Pnw 12 LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have power receptacles that are properly grounded.
Smoke2F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Construction1F
- F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Park Manor Rehabilitation Ctr
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-
Washington State Walla Walla Veterans Home
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