Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
South Hills Rehabilitation Center has more nursing hours per resident than most homes in the country, 4.72 versus a national average of 3.86, but that staffing thins out on weekends, dropping roughly 13% below its own weekday level. The bigger issue is who's providing that care: 67.5% of staff turned over in a year, well above the 45.8% national figure, and CMS has placed this for-profit home in its Special Focus Facility program. Its inspection record shows 66 deficiencies, including 9 tied to abuse and 2 serious enough to cause harm, plus $108,108 in fines. A 1-out-of-5 inspection rating and a recent August 2025 visit round out a record worth reading closely before you decide.
Saint Helens Post Acute has real staffing depth, 4.21 nurse hours per resident day, about 9% above the national average, but the inspection record undercuts it. Seventy-six deficiencies are on file, two of them at the level where a resident was actually harmed or put in immediate jeopardy, and eleven tied to abuse. CMS has placed the home in its Special Focus Facility program, which only happens when problems persist across surveys rather than showing up once.
Staff turnover sits at 58.5% against a national 45.8%, so the people providing that above-average coverage are cycling out faster than usual, and weekend hours run 7% thinner than weekdays. Two fines totaling $43,525 are also on record. Quality measures look strong at 5/5, but a single star for health inspections tells you where the trouble lives.
Corvallis Manor runs 135 certified beds under corporate for-profit ownership, and its nurse staffing of 4.95 hours per resident day sits about 28% above the national average of 3.86, a real strength on paper. But the rest of the record works against it: 88 deficiencies, seven at harm or jeopardy level, five abuse-related, and five CMS fines totaling $345,051. Staff turnover hits 61.6% against a national 45.8%, which means residents cycle through caregivers constantly, and weekends run about 11% leaner than weekdays. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes, and its most recent inspection was May 11, 2026.
French Prairie runs 4.39 nurse hours per resident day, about 14 percent above the national average, so the raw staffing number looks better than average. The problem is who's delivering it and how long they stay: turnover is 66.3 percent against a national 45.8, weekend coverage drops roughly 7 percent below weekdays, and CMS gives staffing 2 out of 5 stars. Those aren't abstract numbers, they mean you may not see the same aide twice.
The inspection record is the harder part. Sixty deficiencies on file, including three at the harm or jeopardy level and four related to abuse, with $102,802 in fines. CMS has placed this for-profit LLC in its Special Focus Facility program, and the last inspection was April 2025.
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.
Tigard Rehabilitation and Care has one clear strength: nurse staffing runs about 5.08 hours per resident day, roughly a third above the national average, though weekend coverage dips about 7% below its own weekday levels. That staffing isn't holding the rest together. The home carries 44 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse, plus $69,509 in fines across three penalties, and CMS has placed it in the Special Focus Facility program, its lowest inspection rating. Staff turnover sits at 58.6% against a national 45.8%, so the people providing that above-average care keep leaving.
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.
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.