ANALYSIS

The 10 Worst Nursing Homes in Oregon

A list of the ten worst skilled nursing homes in Oregon. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Compare the Worst Nursing Homes in Oregon

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Oregon skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Oregon. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in Oregon, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home Rating
Hearthstone Nursing and Rehabilitation Center
2901 E. BARNETT ROAD
MEDFORD, OR
403.67
Rating Not Available /
Myrtle Point Rehabilitation and Care
637 ASH STREET
MYRTLE POINT, OR
385.50
Corvallis Manor
160 NE CONIFER BLVD
CORVALLIS, OR
327.50
Tierra Rose Care Center
4254 WEATHERS STREET NE
SALEM, OR
276.67
Gracelen Care Center
10948 S.E. BOISE
PORTLAND, OR
234.17
Royale Gardens Health and Rehabilitation Center
2075 NW HIGHLAND AVENUE
GRANTS PASS, OR
203.00
/
Tigard Rehabilitation and Care
14145 SW 105TH AVENUE
TIGARD, OR
199.17
Meadow Park Care
75 SHORE DRIVE
SAINT HELENS, OR
199.17
Avamere Health Services of Rogue Valley
625 STEVENS STREET
MEDFORD, OR
192.00
/
Prestige Post-Acute and Rehab Center - Milwaukie
12045 SE STANLEY AVENUE
MILWAUKIE, OR
191.67

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Oregon

Every month, we rank all of the skilled nursing facilities in Oregon. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Oregon is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Oregon nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Oregon nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Oregon

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Oregon have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in Oregon

If you run into an issue at a Oregon nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Oregon nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Oregon Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Oregon go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Portland

  • Gracelen Care Center (234.167)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-11-10)
    • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2023-11-10)
  • Cascade Terrace (183.667)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2024-03-26)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-03-26)
  • Avamere Crestview of Portland (171.333)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-03-15)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2024-03-15)
  • East Portland Care Center (152.5)
    • 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. (2024-04-03)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-04-03)
  • Robison Jewish Health Center (140)
    • 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. (2023-06-10)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2023-06-10)
  • Glisan Care Center (129)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-03-22)
    • 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. (2023-09-18)
  • Cedar Crossings (127.333)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2024-04-05)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-04-05)
  • Porthaven Healthcare Center (124.167)
    • Plan the resident's discharge to meet the resident's goals and needs. (2024-03-22)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-03-22)
  • Laurelhurst Village (122.333)
    • Ensure that residents are fully informed and understand their health status, care and treatments. (2023-12-20)
    • Reasonably accommodate the needs and preferences of each resident. (2023-12-20)
  • Fernwood Supportive Living at Madrona Grove (114.167)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2023-07-29)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2023-07-29)

Worst Nursing Homes in Eugene

  • Valley West Health Care Center (189.667)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-03-28)
    • Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2024-03-28)
  • Avamere Riverpark of Eugene (148.667)
    • Ensure that residents are fully informed and understand their health status, care and treatments. (2023-07-25)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2023-07-25)
  • Green Valley Rehabilitation Health Center (100)
    • 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. (2024-04-02)
    • Post nurse staffing information every day. (2024-04-02)
  • Hillside Heights Rehabilitation Center (90.333)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-01-16)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-01-16)
  • Cascade Manor (70)
    • 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. (2024-03-29)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2024-03-29)
  • Creekside Health and Rehab of Cascadia (66)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-11-28)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-11-28)
  • South Hills Rehabilitation Cen (62)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-04-24)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-03-07)
  • Avamere Rehabilitation of Eugene (54.667)
    • Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (2024-02-27)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-09-22)

Worst Nursing Homes in Salem

  • Tierra Rose Care Center (276.667)
    • Ensure proper usage of power strips and extension cords. (2023-05-16)
    • Inspect, test, and maintain automatic sprinkler systems. (2023-05-16)
  • Avamere Transitional Care at Sunnyside (183.5)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-03-12)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-03-12)
  • Salem Rehab Center (138.667)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2024-04-05)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-03-07)
  • Doctors Nursing and Rehab Center (96.667)
    • Have generator or other power source capable of supplying service within 10 seconds. (2024-03-20)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-03-05)
  • Circle of Care (93.333)
    • Provide enough food/fluids to maintain a resident's health. (2023-08-25)
    • Assure the security of all personal funds of residents deposited with the facility. (2022-05-31)
  • Salem Care Center (84)
    • Honor the resident's right to manage his or her financial affairs. (2023-11-15)
    • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (2023-11-15)
  • Seville Care Center (82.667)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-12-29)
    • 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. (2023-12-29)
  • Salem Center (67.333)
    • Keep residents' personal and medical records private and confidential. (2023-11-28)
    • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2023-11-28)
  • Blossom Nursing and Rehab Center (62)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-04-04)
    • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (2023-09-12)
  • Salem Transitional Care (50.667)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-02-28)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-02-21)

Worst Nursing Homes in Medford

  • Hearthstone Nursing and Rehabilitation Center (403.667)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-04-17)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2024-04-17)
  • Glen Ridge Nursing Care Center (362.667)
    • Conduct testing and exercise requirements. (2023-12-19)
    • Establish staff and initial training requirements. (2023-12-19)
  • Medford Rehabilitation and Nursing Center (231.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-06-26)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-06-26)
  • Avamere Health Services of Rogue Valley (192)
    • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2023-09-05)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-09-05)
  • Courtyard Nursing Care Center (164.667)
    • Have properly installed electrical wiring and gas equipment. (2023-03-10)
    • Have an enclosure around a vertical opening shaft. (2023-02-24)
  • Medford Care Center (98.167)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2023-07-28)
    • Respond appropriately to all alleged violations. (2023-07-28)
  • Avamere at Three Fountains (71.333)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-09-30)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-09-30)
  • Medford Multicare Center For Living (38.667)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2022-08-05)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2022-08-05)
  • Rogue Valley Manor (30)
    • Respond appropriately to all alleged violations. (2024-04-29)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-04-29)
  • Medford Leas (6)
    • Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. (2023-02-28)
    • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2023-02-28)

Worst Nursing Homes in Bend

  • Pilot Butte Rehabilitation Center (74.667)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-04-03)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2023-04-03)
  • Regency Care of Central Oregon (62.667)
    • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2023-08-10)
    • 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. (2023-08-10)
  • Bend Transitional Care (36)
    • Post nurse staffing information every day. (2024-04-01)
    • Develop and implement policies and procedures for flu and pneumonia vaccinations. (2024-04-01)

Worst Skilled Nursing Homes in Other States

See the worst skilled nursing homes in other states:

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