All 30 Medicare-certified nursing homes in Portland,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Cedar Crossings runs on a for-profit LLC out of Portland, and its bedside hours look strong at first, 5.24 per resident day, well above the national average of 3.86. But the people providing that care don't stay: turnover sits at 64.5%, against a national 45.8%, and weekend staffing drops about 11% below its own weekday level. The inspection record is where the picture darkens. Fifty-seven deficiencies, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings, two fines totaling $32,383, and a health inspection rating of 2 out of 5. Quality measures score 5 out of 5, but that's self-reported data, the surveyor findings tell a different story.
Marquis Piedmont runs 6.2 nurse hours per resident per day, well above the 3.86 national average, and weekends dip only about 11% below weekdays, so coverage holds up reasonably well. The catch is turnover: 60.4% annually against a national 45.8%, meaning roughly six in ten staff leave each year, which matters for residents who rely on familiar faces. Inspections look solid at 4 of 5 stars with no harm-level deficiencies, though 18 total deficiencies and one abuse-related finding are worth asking about directly. Quality measures sit at 2 of 5 stars, the weakest part of the record. Corporate for-profit ownership, 70 beds, most recent inspection April 2026.
Mt. Tabor runs a corporate-owned, 120-bed operation where the direct-care hours look good on paper, 4.85 per resident day, roughly a quarter above what nursing homes average nationally. But that same staff is turning over at 70.8% a year, well past the 45.8% national figure, and weekend coverage dips about 7% below its own weekday pace. The current inspection record carries 38 deficiencies, including four tied to abuse, though none rose to actual harm or jeopardy. Ownership changed hands within the past year, and the last survey was in June 2025. Strong hours, unstable workforce, and a long deficiency list, that combination is what holds the grade where it is.
Evergreen Post Acute runs 4.94 nurse hours per resident day, about 28% above the national average, which sounds like real coverage until you see weekends drop roughly 10% below the home's own weekday levels. Staff turnover sits at 63.3% against a national 45.8%, most of the people providing that care are new or on their way out. The inspection record shows 41 deficiencies, including one at harm or jeopardy level and three involving abuse, with the most recent inspection in February 2025. For a 55-bed for-profit LLC, the pattern reads as adequate daily staffing undermined by instability and a documented history of serious findings.
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.
Belmont Care and Rehabilitation runs 41 beds in Portland under for-profit LLC ownership, and the raw staffing number looks strong: 5.26 nurse hours per resident day, roughly a third more than the national average of 3.86. But that average hides a lot. Weekend staffing drops about 7% below the home's own weekday coverage, and annual turnover sits at 68.6% against a national 45.8%, meaning most of the people providing that care are new, and the ones working weekends are stretched thinnest. The inspection record is the bigger concern: 47 deficiencies, including five tied to abuse and one serious enough to reach harm or jeopardy level. The most recent inspection was in February 2025.
Fernhill Rehabilitation And Care runs on a paradox: 5.01 nurse hours per resident day, roughly 30% above the national average, which is why CMS gives it 4 stars for staffing. But look at what happens around that staffing. Weekend coverage drops about 7% below weekday levels, so the hours aren't as steady as the annual figure suggests. Annual turnover hits 64% against a national 45.8%, meaning most of the people providing that care are new to the building. The inspection record backs that up: 60 deficiencies, one at harm or jeopardy level and seven abuse-related, with a 2-star health inspection rating and a 2025-08-08 survey. One fine of $8,278. The staffing is real. The consistency and safety record aren't keeping pace.
Avalon Care Center - Portland runs 5.67 total nurse hours per resident day, well above the national average, and its staff turnover of 39.1% is better than the typical home. Those are real positives, and they show up in a 4/5 staffing rating and a 5/5 quality measure score. The problem is inspections: 32 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. The health inspection rating sits at 2/5, and the most recent survey was July 2025. Weekend staffing also drops about 10% from weekday levels. Strong daily care numbers don't cancel out a long, serious inspection history, ask about that record directly.
Cascade Terrace is a for-profit LLC with 105 beds, and it's staffed better than most: 4.69 nurse hours per resident day against a national average of 3.86. Weekend coverage slips about 7% below its own weekday level, and turnover sits at 47.1%, roughly in line with the national 45.8%. The problem isn't the floor, it's the record. Forty-six deficiencies, including four at harm or jeopardy level and four tied to abuse, plus $185,923 in fines across two cases. That's why CMS placed it in the Special Focus Facility program. The most recent inspection was April 28, 2025. Good staffing can't offset that inspection history on its own.
Nurse staffing at The Creston runs 0.93 hours per resident day, about a quarter of what you'd see at the typical American nursing home. Nearly every worker who was there a year ago is gone now, with turnover at 95.4% against a national figure under 46%. That churn shows up in the inspection record: 61 deficiencies, four serious enough to cause harm, two tied to abuse, and $122,699 in fines across three penalties. The most recent inspection was February 27, 2026, so the picture is current. Nonprofit ownership hasn't translated into steadier care here, the staffing and quality stars sit at 1 and 2 out of 5. Families considering this one should ask hard questions about who's actually on the floor.