Portland Health and Rehabilitation
12441 Se Stark Street · Portland, OR · 97233 · 5032557040
105 certified beds For profit - Corporation Chain: Evergreen Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
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 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 4.03 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 1 · $24,827 |
Inspection citations (57 in the current record)
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Potential for harm · E February 27, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · E February 27, 2026
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
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.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Provide activities to meet all resident's needs.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026
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 April 15, 2026 · Pharmacy Service
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Potential for harm · D February 27, 2026
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected April 15, 2026 · Administration
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Potential for harm · E February 27, 2026
Provide and implement an infection prevention and control program.
Corrected April 15, 2026 · Infection Control
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Potential for harm · D February 27, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D February 27, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · E July 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · D July 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2025 · Quality of Life and Care
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Actual harm · G October 29, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 28, 2024 · Quality of Life and Care
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Actual harm · G October 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 28, 2024 · Quality of Life and Care
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Potential for harm · E October 29, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 28, 2024 · Resident Rights
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Potential for harm · D October 29, 2024
Ensure each resident receives an accurate assessment.
Corrected November 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 29, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 28, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 29, 2024 | Fine | $24,827 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385228 · certified since January 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.