Forest Grove Post Acute
3900 Pacific Avenue · Forest Grove, OR · 97116 · 5033590449
114 certified beds For profit - Corporation Chain: Pacs Group
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.99 | ≈ weekday level |
| Nursing turnover / year | 20% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · D July 25, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 27, 2025 · Quality of Life and Care
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Potential for harm · E December 18, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 7, 2025 · Quality of Life and Care
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Actual harm · G June 14, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 3, 2024 · Quality of Life and Care
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Potential for harm · D June 14, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D June 14, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 15, 2024 · Resident Rights
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Potential for harm · D June 14, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 15, 2024 · Quality of Life and Care
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Potential for harm · F June 14, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected July 15, 2024 · Nursing and Physician Services
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Potential for harm · E June 14, 2024 · found via complaint
Post nurse staffing information every day.
Corrected July 15, 2024 · Nursing and Physician Services
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Potential for harm · E June 14, 2024 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 15, 2024 · Pharmacy Service
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Potential for harm · D October 6, 2023 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected October 18, 2023 · Resident Rights
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Immediate jeopardy · J July 16, 2019
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected November 29, 2018 · Quality of Life and Care
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Actual harm · G July 16, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 29, 2019 · Resident Assessment and Care Planning
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Actual harm · G July 16, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 29, 2019 · Quality of Life and Care
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Potential for harm · D July 16, 2019
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 August 29, 2019 · Resident Rights
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Potential for harm · D July 16, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 29, 2019 · Quality of Life and Care
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Potential for harm · E July 16, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2019 · Quality of Life and Care
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Potential for harm · D July 16, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected August 29, 2019 · Quality of Life and Care
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Potential for harm · F July 16, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 29, 2019 · Nutrition and Dietary
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Potential for harm · D July 16, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 29, 2019 · Resident Assessment and Care Planning
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Potential for harm · F July 16, 2019
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 29, 2019 · Environmental
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385155 · certified since July 11, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.