22 of the 128 Medicare-certified nursing homes in Oregon (17%) are independently owned, and all are listed below. 5 of the 22 graded homes earn an A and 1 earn a D or F. They average 5.24 nursing hours per resident per day, 0.21 hours above the 5.03 for every home in Oregon. Fernwood Supportive Living At Madrona Grove in Portland grades highest at A (92 out of 100).
How independently owned homes in Oregon compare
This group set against every nursing home in Oregon, from the current CMS release.
Fernwood runs on 6.29 total nurse hours per resident day, roughly 63% above the national average, and weekends dip only about 11% below weekdays, a smaller drop than many homes show. That staffing depth is what lifts its grade despite a mixed inspection record: 22 deficiencies on file, including two at harm or jeopardy level and five tied to abuse, with a 3/5 inspection rating. The last inspection was August 2025, so the picture is recent. With 16 beds and nonprofit ownership, it's small enough that staff consistency matters more than corporate polish. The quality measure rating is 5/5, which suggests residents' clinical outcomes track better than the deficiency count alone would imply.
Tierra Rose runs on a corporate for-profit model in Salem, and the numbers underneath its grade are mostly working in residents' favor. Nurse staffing sits at 5.15 hours per resident day, roughly a third more than the national average, and weekend coverage dips only about 10% below weekdays, which matters because that's where a lot of homes quietly thin out. Turnover comes in at 30.6%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The catch is the 20 deficiencies on the current record, though none rose to harm or jeopardy level and none involved abuse, and the last inspection was recent enough to trust. Quality measures land mid-range while inspections scored at the top.
Village Manor of Cascadia runs 4.52 nurse hours per resident day, about 17% above the national average, and its staffing star rating reflects that. Weekend coverage dips roughly 8% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Turnover sits at 20.9% against a national average of 45.8%, staff here tend to stay. The tradeoff is the inspection record: 24 deficiencies, including one at the harm level and four tied to abuse, plus a $13,520 fine. The most recent inspection was May 2025, so the record is current. A for-profit LLC with 60 beds. Strong staffing and retention, but the deficiency history is the piece to press on.
Aidan Senior Living At Reedsport runs on unusually heavy staffing for a 29-bed home, 6.42 nurse hours per resident day, roughly two-thirds above the national average, and its staff turnover of 43.1% is slightly better than typical. That's the real story here. The caution is in the inspection record: 34 deficiencies, including one at the harm level and three tied to abuse, with a single $8,018 fine and a survey completed in March 2025. Weekend coverage also dips about 12% below its own weekday level, so care may thin out on Saturdays and Sundays. A for-profit corporate owner, solid staffing, a mixed inspection history. Ask about those abuse-related findings directly before deciding.
Marquis Autumn Hills runs on unusually steady staffing for a for-profit memory care home, 4.65 nurse hours per resident day, about a fifth more than the national average, and turnover of 23.7% against a national 45.8%. That retention matters in dementia care, where familiarity with residents is half the job. Weekends dip roughly 8% below weekday coverage, so ask how that plays out on a Sunday. The record isn't spotless: 15 deficiencies, including one at the harm level and three tied to abuse. Inspectors were last in on February 27, 2026, and the home scored 4 of 5 on health inspections but 5 of 5 on quality measures and staffing. The weak spot sits in the inspection history, not the day-to-day numbers.
Gracelen Care Center has real staffing strength: 4.52 nurse hours per resident day, roughly 17% above the national average of 3.86, which is the kind of number that shows up in daily care. But that strength sits against a troubling inspection record. Fifty-eight deficiencies, ten at harm or jeopardy level and nine abuse-related, with a 1-out-of-5 health inspection rating and a recent July 2025 inspection. Weekend staffing also drops about 9% below weekday levels. Ownership is for-profit corporate. The quality measure rating of 4/5 looks good on paper, but the abuse and harm findings are the ones families should weigh most heavily when deciding.
Willamette View Health Center in Milwaukie runs just six certified beds, which makes its 10.13 daily nursing hours per resident unusual even before you compare it to the national average of 3.86. Weekend staffing slips about 7% below its own weekday level, so coverage stays relatively steady across the week. The home is nonprofit and holds top marks on both health inspections and staffing, with four deficiencies on record, none at harm or jeopardy level and nothing abuse-related. Its last inspection was March 2025, so the picture is current rather than dated. What holds it back from a stronger grade is mostly scale and setting, small, clean inspection record, heavy staffing, and no red flags in the data.
Rose City Nursing And Rehabilitation runs 5.30 nurse hours per resident day, roughly 37% above the national average of 3.86, a real cushion that shows up in its four-star staffing rating. Weekend coverage dips about 7% below weekday levels, which is common but worth asking about if your family visits on Saturdays or Sundays. The tradeoff sits on the inspection side: 32 deficiencies on the current record, including one at the harm level, though none abuse-related, and the most recent survey was February 2025. This is a for-profit LLC with 55 beds. Strong staffing, a thinner inspection history, worth weighing against what your relative actually needs.
Maryville runs 5.52 nursing hours per resident day, about 43% above the national average of 3.86, and that staffing depth is the strongest thing it has going. It shows up in the numbers: a 5/5 staffing rating and a 4/5 quality measure rating. But the inspection record pulls the other way, 23 deficiencies on file, four of them serious enough to involve harm or jeopardy, plus one tied to abuse, and $162,828 in fines across two penalties. Weekend coverage also drops about 9% below weekday levels, and turnover sits at 45.9%, essentially identical to the national rate. The April 2025 inspection is recent, so the 3/5 health inspection rating reflects current conditions, not old history.
Pioneer Nursing Home runs on a government hospital district license with 33 certified beds, and its nurse staffing sits at 6.96 hours per resident day, roughly 80% above the national average of 3.86. That's a genuinely unusual number, though weekend coverage drops about 12% below its own weekday level. The inspection history is where things get complicated: nine deficiencies on the current record, two of them at the harm or jeopardy level and one abuse-related, plus a single fine of $114,520. Its last inspection was April 23, 2026. Staffing and quality measures both rate 4 out of 5, so the direct-care picture looks strong, but the harm-level findings and that abuse citation are the kind of record you'd want to ask about directly before deciding.
Robison Jewish Health Center in Portland runs 92 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 5.27 hours per resident day, roughly 37% above the national average of 3.86. That's a real margin, though weekend coverage drops about 11% below its own weekday level, and annual turnover of 49.5% runs slightly above the 45.8% national figure. The harder question is the inspection record: 32 deficiencies, three at harm or jeopardy level, one abuse-related, plus two fines totaling $48,520 against a two-star health inspection rating, with the most recent survey in September 2025. Strong staffing and quality scores can coexist with serious compliance problems, here, both are true at once.
Rose Linn Care Center in West Linn runs 71 certified beds under for-profit limited liability ownership, and its inspection record is the strong point: a 4-star health inspection rating with 14 total deficiencies on file, none of them at the harm or jeopardy level and none abuse-related. Staffing is where the picture changes, a 1-star rating there, meaning nurse and aide hours sit well below what CMS expects. Quality measures land at 3 stars, and the most recent inspection was April 2026. If you're weighing this one, the question isn't whether the place gets caught doing wrong; it's whether there are enough hands on shift day to day.
Nurse staffing here runs 4.76 hours per resident day, about 23% above the national average of 3.86, which is the kind of cushion that matters on a bad night. Weekends dip roughly 10% below weekday levels, and annual turnover sits at 62.5% against a national 45.8%, so the coverage is generous, but the faces change a lot. On inspections, the home holds a 4/5 star rating with a recent March 2026 survey, though the current record shows 20 deficiencies, two serious enough to involve harm or jeopardy, and $17,934 in fines across two penalties. No abuse findings appear on record.
Clatsop Care Center is city/county-owned and runs on 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend staffing dips about 9% below its own weekday level, though. Staff turnover sits at 67.9% against a national 45.8%, which matters more than the raw hours suggest, people are cycling through. The inspection record shows 23 deficiencies, four serious enough to reach harm or jeopardy, none abuse-related, and the last inspection was January 30, 2026, so the picture is current. Government ownership tends to mean steadier funding but slower fixes; the staffing number is genuinely high, and the turnover number partly cancels it out.
Providence Child Center is a small, church-affiliated nonprofit, 58 beds in Portland, and its inspection history looks strong on paper: a perfect 5/5 on health inspections and 4/5 on quality measures. But 13 deficiencies on the current record, including one at the harm level and one abuse-related citation, plus a $13,286 fine, tell you the day-to-day reality hasn't always matched that inspection score. The last visit was September 2025, so the record is recent. With a C grade overall, the numbers suggest a home that gets good marks from surveyors but has had real lapses serious enough to matter. Ask about the abuse citation and what changed since.
Blue Mountain Care Center is small, 40 certified beds, and run by a nonprofit corporation, but its inspection record is the number that stands out: 39 deficiencies on the current record, two of them abuse-related, against a one-star health inspection rating from CMS. The good news is that none of those deficiencies rose to harm or jeopardy level, and the most recent inspection was in October 2025, so the picture is current rather than stale. Quality measures land at three stars, which is middling. For a family weighing this home, the question isn't whether problems were cited, they were, repeatedly, but whether the nonprofit's leadership has actually corrected them since that fall visit.
Nehalem Valley Care Center runs on a nurse staffing level of 4.78 hours per resident day, roughly a quarter more than the national average, and that holds up fairly well on weekends, dipping only about 5% below its own weekday pace. The catch is who's delivering that care: turnover sits at 63.2%, well above the national 45.8%. On paper this nonprofit's 42 deficiencies include none at the harm level, though two are abuse-related, and one $16,801 fine is on record. The most recent inspection was in June 2025, so the picture is current, but the 2/5 quality measure rating suggests the day-to-day results don't fully match the staffing numbers.
Columbia Basin Care Facility runs a county-owned, 90-bed home in The Dalles, and its staffing numbers come with a catch. The 4.13 nurse hours per resident day sit about 7% above the national average, but weekends drop roughly 13% below its own weekday level, and turnover runs 68.2% against a national 45.8%, so the people covering those hours are constantly changing. The inspection record is the harder problem: 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with one fine of $52,030 and a survey dated February 2026. The federal stars land at 1 for health inspections, 1 for staffing, and 2 for quality measures.
Oregon Veterans Home in The Dalles runs one of the stronger operations in the state on paper. Nurse staffing sits at 5.03 hours per resident day, roughly 30% above the national average, though weekends drop about 14% below its own weekday level, worth asking about if you're visiting on a Saturday or Sunday. Staff turnover at 41.2% is a bit better than the national 45.8%, which matters for consistency of care. Twelve deficiencies on the current record, none at harm or jeopardy level, but three are abuse-related, so read those inspection reports closely. The last inspection was March 2025, so the picture is current.
Staffing is where Lebanon Veterans Home stands out: 5.61 nurse hours per resident day, roughly 45% above the national average, with turnover at 35.6% against a national 45.8%. Weekend coverage dips about 14% below weekday levels, so care does thin out on Saturdays and Sundays. The catch is the inspection record, 35 deficiencies, four tied to abuse, and a two-out-of-five health inspection rating, though none of the findings rose to actual harm or jeopardy. State-run ownership and a September 2025 inspection mean the record is current. Strong staffing doesn't erase four abuse-related deficiencies; read the inspection reports before deciding.
Frequently asked questions
How many independently owned nursing homes are there in Oregon?
There are 22 independently owned Medicare-certified nursing homes in Oregon, 17% of the 128 nursing homes there.
Are independently owned nursing homes better staffed?
In Oregon they average 5.24 total nursing hours per resident per day, against 5.03 for all nursing homes in Oregon, a difference of +0.21 hours. Staff turnover averages 49.1% against 47.4%.
Which independently owned nursing home grades best in Oregon?