Every Medicare-certified nursing home in Oregon, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Royale Gardens runs on a for-profit LLC structure with 145 beds, and the staffing numbers are the strongest thing it has going: 4.91 nurse hours per resident day, about 27% above the national average. But weekends drop roughly 13% below its own weekday level, and annual turnover sits at 56.6% against a national 45.8%, so the coverage that looks generous on paper is stretched thin by constant churn. The inspection record is where it gets harder to defend: 67 deficiencies, seven at harm or jeopardy level, six tied to abuse, and an $81,613 fine. A recent March 2026 inspection and a 1-star health inspection rating sit alongside that 5-star quality measure score, which tells you the day-to-day care metrics and the surveyor findings are telling two different stories.
Keizer Nursing and Rehabilitation runs 49 beds under corporate ownership, and the staffing numbers are genuinely better than most: 4.57 nurse hours per resident day, roughly 18% above the national average. That's the strongest thing in the file. The rest is more uneven, weekend coverage drops about 12% below weekday levels, and annual turnover sits at 54.8% against a national 45.8%, so the people providing that care keep changing. The current record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the last inspection in May 2025. Enough good hours on paper, but consistency and safety history are where the concerns live.
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.
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.
Chehalem Post Acute runs 4.63 nurse hours per resident day, about 20% above the national average, which sounds like a good story until you look at who's actually delivering those hours. Annual turnover hits 70.9% against a national norm of 45.8%, so more than two-thirds of the staff cycle out each year, and weekends already run 9% leaner than weekdays. The inspection record is the harder problem: 58 deficiencies on the current record, including 3 at the harm or jeopardy level and 5 tied to abuse, plus $54,581 in fines. The most recent inspection closed in March 2025. Solid quality scores don't offset that pattern.
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.
Independence Health and Rehabilitation runs a for-profit operation under a limited liability company, and the numbers tell a mixed story. Nurse staffing sits at 5.29 hours per resident day, well above the national average, but weekends run about 11% thinner than weekdays, so coverage isn't evenly spread across the week. Staff turnover is the bigger concern at 65.1%, far above the national rate, which matters because familiar caregivers know residents' routines and changes.
The inspection record shows 31 deficiencies, including one at the harm level, and three fines totaling nearly $70,000. Health inspection and quality measure ratings both sit at 2 out of 5.
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.
Gresham Post Acute runs 78 certified beds as a for-profit LLC, and its staffing is genuinely unusual: 6.25 nurse hours per resident day, roughly 62% above the national average of 3.86. That's a real investment in direct care, though weekend coverage dips about 9% below its own weekday level. The problems show up elsewhere. Staff turnover sits at 66.2% against a national 45.8%, meaning a large share of the people providing that care are new or on their way out. Its current record carries 51 deficiencies, six at harm or jeopardy level, one abuse-related, plus two fines totaling $76,801. The most recent inspection was December 19, 2025.
Willow Creek Post Acute is a 20-bed for-profit home in Madras, and its record is more lopsided than the star ratings suggest. The inspection history looks clean on paper, a five-star health inspection rating, no abuse deficiencies, and a visit as recent as February 2026, but 17 total deficiencies sit on the current record, including one at the harm level. Where this home struggles is staffing and resident outcomes: both the staffing and quality measure ratings come in at one star out of five, well below what you'd want for a small facility where the same few aides cover every shift. The gap between that inspection score and everything else is worth asking about directly.
Hearthstone runs a for-profit shop in Medford with 87 certified beds, and the staffing numbers are real: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with turnover at 37.1 percent against a national 45.8. That's a workforce that mostly stays put. The problem is almost everything else. Inspectors have cited 75 deficiencies, six serious enough to put residents in harm's way, nine tied to abuse, and the state has levied three fines totaling $230,522. The most recent inspection was May 2025, so the record is current, not stale. Weekends run about 14 percent thinner than weekdays. If you're weighing this one, ask who's on the floor Saturday night.
Pilot Butte runs a heavier staffing floor than most places, 4.89 nurse hours per resident day against a national average of 3.86, but that cushion thins on weekends, when coverage drops roughly 19% below its own weekday level. The inspection record is where the trouble sits: 45 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with a 2-out-of-5 health inspection rating from CMS. Annual turnover of 50.8% tops the national figure, so even good daily ratios rest on a workforce that keeps changing. Corporate ownership, a fine of $8,827, and a September 2025 inspection round out the picture.
Milton Freewater Health and Rehabilitation runs 5.34 nursing hours per resident per day, well above the 3.86 national average, and its staff turnover of 34.1% is lower than the 45.8% typical elsewhere, both signs of a stable, well-manned floor. The catch is weekends, when staffing drops about 12% below its own weekday level, and a record of 26 deficiencies including one at the harm level and five tied to abuse. The most recent inspection was January 2026. Corporate ownership and a single $8,278 fine round out a picture of a home that's adequately staffed but has had real compliance problems worth asking about directly.
Curry Village runs a for-profit operation in Brookings with 59 certified beds, and its nurse staffing average of 4.59 hours per resident day sits about 19% above the national figure. That looks good on paper until you notice weekends drop roughly 14% below the home's own weekday levels, and annual turnover hits 53.4% against a national average of 45.8%, meaning the people covering those shifts are often new. The inspection record is where things get harder to shrug off: 33 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the last inspection dated May 2026. Two stars on health inspections and one on staffing tell you the day-to-day experience has been uneven, whatever the overall hours suggest.
If you're weighing Willowbrook Post Acute for someone you love, the numbers raise real questions. State inspectors cited 43 deficiencies, including 7 tied to abuse and 4 serious enough to put residents in harm's way, and the home carries $80,796 in federal fines. Staff turnover sits at 52.9%, above the 45.8% national average, and CMS rates staffing just 1 out of 5 stars, meaning the people providing daily care change often and there may not be enough of them. A 1-star health inspection score and a recent August 2025 visit confirm the problems are current, not old history, even though quality measures rate a middling 3.
Regency Albany runs 5.67 nurse hours per resident day, roughly 47% above the national average, and that staffing shows up in its four-star rating there. The catch is turnover: 63.2% of staff leave each year against a national average near 46%, and weekend coverage drops about 13% below weekday levels, so the people around your family member keep changing, and weekends run thinner. The inspection record is the harder read: 33 deficiencies, including two at harm or jeopardy level and five tied to abuse, with one $30,911 fine and a two-star health inspection rating. Ownership is a for-profit LLC. The last inspection was March 2026. Strong hours, unsettled workforce, and a documented history worth asking about directly.
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.
Myrtle Point Rehabilitation & Care runs high on nurse hours, about 5.06 per resident per day, roughly a third above the national average, and CMS gives it 4 of 5 stars for staffing. That number wobbles on weekends, though, dropping about 14% below its own weekday level, and annual turnover sits at 67.2% against a 45.8% national average, so the people providing that care keep changing. The inspection record is where things get serious: 71 deficiencies, including 11 tied to abuse and 3 at harm or jeopardy level, plus a $59,140 fine. Its most recent inspection was April 2026, and CMS rates its health inspection performance 1 out of 5.
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.