The 10 Worst Nursing Homes in Oregon

  Worst Nursing Homes in Oregon By City

Every city in Oregon has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Portland

• Friendship Health Center (342.25)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-03-31)
• Provide or get specialized rehabilitative services as required for a resident. (2024-12-13)
• Cascade Terrace Post Acute (229.25)
• Keep residents' personal and medical records private and confidential. (2025-05-29)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-05-29)
• Gracelen Care Center (213.75)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-28)
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2025-01-28)
• Signature Health of Portland Rehab and Wellness Cent (188)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-31)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-08-31)
• Avamere Crestview of Portland (164)
• 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. (2024-10-22)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-22)
• Cedar Crossings (145.75)
• 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. (2025-03-06)
• Provide or obtain dental services for each resident. (2025-03-06)
• Fernhill Rehabilitation and Care (140)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-05-14)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-05-14)
• Glisan Post Acute (125.25)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-04-11)
• 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. (2024-12-27)
• Porthaven Post Acute (122.75)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-05-02)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-05-02)
• Coastal Palms Nursing and Rehabilitation (116.25)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-09-20)
• Keep residents' personal and medical records private and confidential. (2024-09-20)

Worst Nursing Homes in Eugene

• Avamere Rehabilitation of Eugene (283)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-06-05)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-10-04)
• South Hills Rehabilitation Center (259)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-12-05)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-12-05)
• Green Valley Rehabilitation Health Center (226)
• Provide safe and appropriate respiratory care for a resident when needed. (2025-03-25)
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2025-03-25)
• Avamere Riverpark of Eugene (154.5)
• Provide and implement an infection prevention and control program. (2024-12-20)
• Meet other general requirements that are deficient. (2024-11-15)
• Valley West Health Care Center (146.5)
• Assess the resident when there is a significant change in condition (2025-07-01)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2025-07-01)
• Hillside Heights Rehabilitation Center (89)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-10-15)
• 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. (2024-10-15)
• Cascade Manor (54)
• Provide properly protected cooking facilities. (2025-04-25)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-04-17)
• Creekside Health and Rehab of Cascadia (13)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-04-07)
• Provide special eating equipment and utensils for residents who need them and appropriate assistance. (2025-04-07)

Worst Nursing Homes in Salem

• Salem Rehab Center (511.25)
• Ensure services provided by the nursing facility meet professional standards of quality. (2025-05-28)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2025-05-28)
• Salem West Healthcare Center (252)
• Provide and implement an infection prevention and control program. (2025-06-09)
• Ensure residents have reasonable access to and privacy in their use of communication methods. (2025-05-29)
• Avamere Transitional Care at Sunnyside (124)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-02-11)
• Reasonably accommodate the needs and preferences of each resident. (2025-02-11)
• Tierra Rose Care Center (117)
• Develop Emergency Preparedness policies and procedures. (2024-08-17)
• Conduct risk assessment and an All-Hazards approach. (2024-08-17)
• Salem North Healthcare Center (114.25)
• Ensure each resident?s drug regimen must be free from unnecessary drugs. (2024-12-30)
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (2024-12-30)
• Windsor Health and Rehabilitation Center (81.75)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-05-03)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2025-05-03)
• Salem Transitional Care (81)
• Have generator or other power source capable of supplying service within 10 seconds. (2025-05-29)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2025-05-26)
• Salem Care Center (79)
• 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. (2024-09-20)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-20)
• Twin Willows Nursing Center (68)
• Inspect, test, and maintain automatic sprinkler systems. (2025-02-17)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-02-13)
• Circle of Care (62)
• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (2025-05-15)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2025-05-15)

Worst Nursing Homes in Medford

• Medford Care Center (940.25)
• Install emergency lighting that can last at least 1 1/2 hours. (2025-04-08)
• Have exits that are accessible at all times. (2025-04-08)
• Regalcare at Glen Ridge (514.5)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-10-31)
• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (2024-10-31)
• Regalcare at Courtyard-Medford (258)
• Have simulated fire drills held at unexpected times. (2025-05-09)
• Provide a written emergency evacuation plan. (2025-05-09)
• Hearthstone Nursing and Rehabilitation Center (185)
• Provide safe, appropriate dialysis care/services for a resident who requires such services. (2025-06-24)
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2025-06-24)
• Avamere Health Services of Rogue Valley (140)
• Install an approved automatic sprinkler system. (2024-06-08)
• Install a fire alarm system that can be heard throughout the facility. (2024-06-08)
• Medford Multicare Center For Living (89.25)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-05-01)
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2025-04-09)
• Medford Rehabilitation and Nursing Center (89)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-08-16)
• Give residents a notice of rights, rules, services and charges. (2024-08-16)
• Avamere at Three Fountains (51)
• Have simulated fire drills held at unexpected times. (2025-03-06)
• Have an externally vented heating system. (2025-03-06)
• Medford Leas (41)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-05-06)
• Install an approved automatic sprinkler system. (2025-04-25)
• Rogue Valley Manor (27)
• Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2025-05-21)
• Honor the resident's right to organize and participate in resident/family groups in the facility. (2025-05-21)

Worst Nursing Homes in Bend

• Pilot Butte Rehabilitation Center (161.25)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-10)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-07-20)
• Regency Care of Central Oregon (31)
• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2025-06-09)
• 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. (2024-10-11)
• Bend Transitional Care (21)
• Post nurse staffing information every day. (2024-04-01)
• Develop and implement policies and procedures for flu and pneumonia vaccinations. (2024-04-01)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Oregon
• Analysis of Nursing Homes in Oregon

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Oregon:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  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!