Village Health Care
3955 Se 182nd Avenue · Gresham, OR · 97030 · 5036650183
106 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).
- Inspection results are getting worse cycle over cycle, not better.
- 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 4.73 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $4,225 |
Inspection citations (40 in the current record)
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Potential for harm · D February 4, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 1, 2025 · Quality of Life and Care
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Actual harm · G May 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Give residents a notice of rights, rules, services and charges.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 3, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · E February 3, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2025
Ensure each resident receives an accurate assessment.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 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
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Potential for harm · E February 3, 2025
Provide activities to meet all resident's needs.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 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
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Potential for harm · D February 3, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 3, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · E February 3, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 21, 2025 · Nursing and Physician Services
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Potential for harm · E February 3, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected March 21, 2025 · Nursing and Physician Services
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Potential for harm · D February 3, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 21, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
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 March 21, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 21, 2025 · 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 |
|---|---|---|
| May 22, 2025 | Fine | $4,225 |
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 385068 · certified since April 3, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.