Oregon Living and Rehabilitation Center

811 South 10th Street · Oregon, IL · 61061 · 8157327994

104 certified beds For profit - Limited Liability company

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.

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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 94
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 58
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (39 in the current record)

  • Potential for harm · D April 16, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D April 16, 2026 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D April 2, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 14, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 2, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 14, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F April 2, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 14, 2026 · Pharmacy Service

  • Potential for harm · D January 22, 2026 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected February 3, 2026 · Quality of Life and Care

  • Potential for harm · E November 25, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 1, 2025 · Quality of Life and Care

  • Potential for harm · D November 13, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected November 26, 2025 · Nutrition and Dietary

  • Potential for harm · D September 11, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 11, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D September 11, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D September 11, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · F September 11, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 22, 2025 · Nutrition and Dietary

  • Potential for harm · E September 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 22, 2025 · Infection Control

  • Potential for harm · E September 11, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D March 5, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected March 10, 2025 · Resident Rights

  • Potential for harm · D February 26, 2025 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · E December 20, 2024 · found via complaint

    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 January 30, 2025 · Resident Rights

  • Potential for harm · D July 31, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 15, 2024 · Quality of Life and Care

  • Potential for harm · D July 31, 2024

    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 August 15, 2024 · Quality of Life and Care

  • Potential for harm · D July 31, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 15, 2024 · Pharmacy Service

  • Potential for harm · D July 31, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 15, 2024 · Pharmacy Service

  • Potential for harm · D July 31, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected August 15, 2024 · Pharmacy Service

  • Potential for harm · D July 31, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 15, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145476 · certified since January 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.