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
540 South Main Street, Mount Angel, OR
(503) 845-6841
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
93
Certified beds
Average residents
73
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.77
Registered nurse staffing
LPN hours / resident day
1.12
Licensed practical nurse staffing
Aide hours / resident day
3.49
Nurse aide staffing
Weekend hours
4.68
Weekend nurse staffing
RN turnover
70%
Annual RN turnover
Total nurse turnover
63%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.4
0.2 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.5
1.4 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.1% |
95.5%
18.4 pts worse
|
93.4%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.3% |
95.2%
4.9 pts worse
|
95.5%
5.2 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
2.4%
2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 16.0% |
4.7%
11.3 pts worse
|
11.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.0%
2.3 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
12.5%
5.9 pts worse
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.9% |
14.7%
7.2 pts worse
|
16.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.7% |
24.1%
5.4 pts better
|
16.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.7% |
15.8%
4.9 pts worse
|
14.9%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.7%
1 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
22.2%
0.7 pts worse
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
6.5%
0.1 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.7% |
85.4%
35.7 pts worse
|
81.7%
32 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.9% |
15.1%
0.2 pts better
|
12.0%
2.9 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.7%
0.5 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.4% |
81.2%
8.8 pts worse
|
79.7%
7.3 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% |
21.6%
3.7 pts better
|
23.9%
6 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
14 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-31
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-11-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-10
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-10
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-11-10
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-09-21
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-09-21
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-09-21
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-09-21
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-09-21
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-09-21
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-09-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-09-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-09-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-09-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-21
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-31
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-03-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-31
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-10
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 2023-11-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-10
Health
Provide appropriate foot care.
Corrected 2023-11-10
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-11-10
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 2023-11-10
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 2023-11-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-09-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-16
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-09-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-09-16
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 2022-09-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-16
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 2022-09-16
Health
Provide or obtain dental services for each resident.
Corrected 2022-09-16
Penalties and ownership
Fine · fine $10,033
Fine
Fine · fine $17,934
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Woodburn, OR
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
Molalla, OR
3-star overall rating with 3-star inspections with $60,281 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Salem, OR
4-star overall rating with 4-star inspections with 2 recent health deficiencies
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