Evergreen Post Acute
8643 Ne Beech Street · Portland, OR · 97220 · 5032562151
55 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 4.62 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $4,194 |
Inspection citations (40 in the current record)
-
Potential for harm · D November 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 8, 2025 · Quality of Life and Care
-
Potential for harm · D November 17, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 8, 2025 · Pharmacy Service
-
Potential for harm · D February 18, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 21, 2025 · Resident Rights
-
Potential for harm · D February 18, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 18, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · E February 18, 2025
Provide activities to meet all resident's needs.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
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.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · E February 18, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 21, 2025 · Nutrition and Dietary
-
Potential for harm · D February 18, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 21, 2025 · Nutrition and Dietary
-
Potential for harm · E February 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 21, 2025 · Nutrition and Dietary
-
Potential for harm · E February 18, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected March 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 18, 2025
Provide and implement an infection prevention and control program.
Corrected March 21, 2025 · Infection Control
-
Potential for harm · D February 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
No harm found · C February 18, 2025
Post nurse staffing information every day.
Corrected March 21, 2025 · Nursing and Physician Services
-
Potential for harm · D September 19, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 3, 2024 · Resident Rights
-
Potential for harm · D October 23, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 29, 2023 · Resident Rights
-
Potential for harm · D October 23, 2023
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 November 29, 2023 · Resident Rights
-
Potential for harm · D October 23, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 29, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D October 23, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 29, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 11, 2023 | Fine | $4,194 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385258 · certified since June 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.