Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Grace Healthcare Of Oregon during CMS and state inspections, most recent first.
A resident in a LTC facility experienced mental abuse from the Nursing Home Administrator during a relocation process. The resident, who has a history of bad experiences in other nursing homes, felt pressured by the administrator to make a decision on a new home, leading to increased anxiety and changes in his routine to avoid encounters. Staff corroborated the resident's claims, noting frequent pressure from the administrator, contributing to the deficiency in protecting the resident's right to be free from mental abuse.
The facility failed to provide required therapy services for four residents, as therapy sessions were not conducted according to the prescribed schedule. Interviews with staff revealed a lack of awareness and communication regarding therapy schedules, and staffing issues contributed to missed sessions. The deficiency was identified through a review of therapy notes and resident interviews.
Resident Experiences Mental Abuse During Relocation Process
Penalty
Summary
The facility failed to protect a resident from mental abuse by the Nursing Home Administrator (NHA A) during the process of closing and relocating residents. The resident, who has a history of bad experiences in other nursing homes, was experiencing relocation stress syndrome and psychosocial stress related to the relocation process. The resident reported feeling pressured by NHA A to make a decision on a new home, which caused increased anxiety and led to changes in his routine to avoid encounters with NHA A. The report details that the resident was given a 30-day notice to discharge, which was not part of the relocation plan and increased his anxiety. The resident expressed feeling anxious and pressured by NHA A, who reportedly made statements such as "It's better to go earlier" and "Soon it will be just you here with the cockroaches." These interactions led the resident to avoid common areas and change his dining habits to avoid contact with NHA A. Staff members, including CNAs and RNs, corroborated the resident's claims, noting that NHA A frequently approached the resident about relocating, causing him distress. Despite the resident's cognitive intactness and ability to make his own decisions, the pressure from NHA A and the lack of support in addressing his anxiety contributed to the deficiency in protecting the resident's right to be free from mental abuse.
Failure to Provide Required Therapy Services
Penalty
Summary
The facility failed to provide specialized rehabilitative services as required for four residents, resulting in a deficiency. The residents, identified as R6, R1, R5, and R7, did not receive therapy services as outlined in their respective plans of care. For instance, R6 had orders for both Physical Therapy (PT) and Occupational Therapy (OT) but did not receive the prescribed frequency of therapy sessions. Similarly, R1, R5, and R7 had specific orders for OT and PT, which were not fulfilled according to the schedule. The deficiency was evidenced by a review of therapy notes and interviews with staff and residents. R6, who was cognitively intact, reported receiving therapy only once or twice a week, contrary to the daily sessions expected. The facility's policy on scheduling therapy services was not adhered to, as therapy was not consistently scheduled or documented in the residents' medical records. Interviews with staff, including the Nursing Home Administrator (NHA), Director of Nursing (DON), and Interim Therapy Director (ITD), revealed a lack of awareness and communication regarding therapy schedules and the completion of therapy orders. The Interim Therapy Director mentioned staffing issues, such as a therapist being out due to a fractured arm, which contributed to the missed therapy sessions. However, there was no indication that alternative plans were made or that the physician was notified of the inability to complete therapy as ordered. The NHA stated that therapy orders should be followed, and any inability to do so should be communicated to her and the clinical staff. Despite this expectation, the facility did not ensure that residents received the therapy services they needed, leading to the identified deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 363 citations issued within 25 miles in the last 12 months — including the 11 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Oregon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Nazareth Llc | 7.8 mi | ★★★★★ | 19 | 0 |
| Complete Care At Maple Grove Llc | 8 mi | ★★★★★ | 0 | 0 |
| Oak Park Place Of Nakoma | 8.2 mi | ★★★★★ | 19 | 0 |
| Badger Prairie Hcc | 8.3 mi | ★★★★★ | 9 | 0 |
| Four Winds Manor | 8.4 mi | ★★★★★ | 25 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Grace Healthcare Of Oregon.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.