Cascade Terrace Post Acute
5601 Se 122nd Avenue, Portland, OR 97236 · Multnomah County · (503) 761-3181
105 certified beds, about 87 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1988
Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385187 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 28, 2025, inspectors cited 17 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 46 health citations since December 2022, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).
CMS lists 2 fines totaling $185,923 in the last three years; the largest was $149,783, and the latest is dated April 28, 2025.
Nurses and nurse aides worked 4.69 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
47.1% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to PACS Group, an affiliated group of 275 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
412/22
1801/24
201/25
1704/25
111/25
112/25
302/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
29D
10E
3F
Potential for minimal harm
0A
0B
0C
February 18, 2026Complaint inspection · 3 citations
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident was treated with respect and dignity for 2 of 3 sampled residents (#s 1 and 5) reviewed for dignity. This placed residents at risk for undignified care.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to report an allegation of physical abuse to the State Agency within the required 2 hours for 1 of 3 sampled residents (#9) reviewed for abuse. This failure placed residents at risk of unreported physical abuse.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review the facility failed to implement care according to the resident's care plan for 1 of 3 sampled residents (#1) reviewed for care plans. This placed residents at risk for unmet personalized care needs. Findings Include:Resident 1 was admitted to the facility in 7/2025 with diagnoses including type 2 diabetes and depression. Resident 1's 7/7/25 Cognitive Assessment revealed the resident with a 15 out 15 BIMS score indicating no cognitive impairment. Resident 1's 7/25/25 Care Plan identified Resident 1 preferred individualized preference for female caregivers to ensure and promote a level of comfort when receiving care. The resident's care plan directed staff to ensure female caregivers were available when providing care. [...]
December 26, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure physician orders were followed for 1 of 3 sampled residents (#1) reviewed for medication. This placed residents at risk for adverse medication side effects.
November 6, 2025Complaint inspection · 1 citation
- G Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure chemotherapy medications were administered as ordered for 1 of 1 resident (#2) reviewed for chemotherapy medications. This failure resulted in Resident 2 experiencing thrombocytopenia (a medical condition characterized by a lower-than-normal number of platelets in the blood), pancytopenia (a medical condition characterized by a low number red blood cells, white blood cells and platelets) and neutropenia (a condition where there is an abnormally low number of neutrophils in the blood which are a type of white blood cell that plays a crucial role in fighting infections), which caused the resident to require numerous blood transfusions, emergency department visits and hospitalizations.
April 28, 2025Standard inspection, Complaint inspection · 17 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to keep residents free from hazards, provide appropriate monitoring and supervision for residents with known substance use disorder and a history of illicit drug use, ensure staff possessed adequate knowledge and training regarding substance use, and follow up on recommendations from a fall investigation for 2 of 8 sampled residents (#s 3 and 217) reviewed for accidents and positioning/mobility. This failure was determined to be an immediate jeopardy situation which resulted in a serious adverse outcome for Resident 217, and placed residents at risk for injury, drug overdose, and death.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review it was determined the facility failed to submit mandatory staffing information based on the payroll data journal and other verifiable and auditable data as required. This placed residents at risk for inaccurate staffing information.
- F Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on interview and record review it was determined the facility failed to train staff of the elements and goals of the facility QAPI program for 1 of 1 facility reviewed for QAPI training. This placed residents at risk for lack of safety and quality of care.
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure RN coverage for eight consecutive hours seven days per week for 4 of 33 days reviewed for staffing. This placed residents at risk for lack of care.
- E Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to post accurate and complete staffing information for 14 of 34 days reviewed for staffing. This placed residents and the public at risk for incomplete and inaccurate staffing information.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure medications and biologicals were stored securely and not accessible to unauthorized individuals and failed to ensure medications were not expired for 2 of 7 medication carts and 1 of 1 medication storage room. This placed residents at risk for diminished treatment efficiency and unauthorized access to medications and biologicals.
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteF800 Based on observation, and interview, it was determined the facility failed to meet dietary preferences for 1 of 3 Residents (#468) sampled residents reviewed for food preferences. This placed residents at risk for limited food choices and potential weight loss.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed ensure food was labeled and stored in a manner to avoid spoilage in 1 of 1 kitchen and 2 of 3 nurses stations reviewed for sanitary food storage. The facility also failed to ensure the ice machine was plumbed correctly to prevent backflow of contaminated matter into the ice machine for 1 of 1 kitchen reviewed for sanitary conditions. This placed residents at risk for foodborne illness.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were assessed for safe self-administration of medications for 1 of 1 sampled resident (#28) reviewed for self-administration of medications. This placed residents at risk for unsafe medication administration and adverse medication side effects.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview and record review it was determined the facility to maintain the privacy and confidentiality of resident records for 3 of 3 sampled residents (#s 14, 28 and 48) reviewed for privacy. This placed residents at risk for loss of dignity and privacy.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wrote2. Resident 320 was admitted to the facility in 4/2025 with diagnoses including stroke and Type 2 Diabetes (a chronic condition characterized by high blood sugar levels). A review of resident 320's health record revealed her/his admission MDS assessment was in progress and overdue by five days on 4/28/25. On 4/28/25 at 1:31 PM Staff 33 (Assistant Regional Director of Clinical Services) acknowledged Resident 320's admission MDS was not completed within her/his first 14 days in the facility. Staff 33 stated an accurate MDS assessment was necessary to initiate a person-centered care plan for Resident 320. Based on interview and record review it was determined the facility failed to complete comprehensive assessments within 14 days of admission for 3 of 3 sampled residents (#s 318, 320, 468) reviewed for comprehensive admission assessments. This placed residents at risk for unmet care needs.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure the MDS was coded accurately related to dental and hearing for 2 of 2 sampled residents (#s 3 and 16) reviewed for dental and communication. This placed residents at risk for inaccurate assessments.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure dependent residents received showers for 1 of 6 sampled residents (#28) reviewed for ADLs. This placed residents at risk for a lack of personal hygiene and loss of dignity.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing person-centered activity program for 2 of 3 sampled residents (#s 28 and 118) reviewed for activities. This placed residents at risk of a decline in psychosocial well-being and diminished quality of life.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain an ordered Ankle Foot Orthosis (AFO, a brace worn on the lower leg to provide support and control to the ankle and foot), identify and assess a skin condition or follow physician orders for parameters for a cardiac medication for 3 of 9 sampled residents (#s 3, 13 and 18) reviewed for position and mobility, skin conditions and unnecessary medications. This placed residents at risk for injury, worsening skin conditions and adverse side effects related to uncontrolled hypertension.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure dialysis services were in place including monitoring and communication with the dialysis provider for 1 of 1 sampled resident (#28) reviewed for dialysis. This placed residents at risk for dialysis complications and delayed treatment.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review it was determined the facility failed to monitor for adverse side effects (ASE) of medications for 1 of 1 sampled resident (#468) reviewed for Anticoagulant medication. This placed residents at risk for medication complications.
January 23, 2025Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide ADL care for 1 of 3 sampled residents (#4) reviewed for ADL care. This placed residents at risk for unmet needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure tube feeding was administered according to physician orders for 1 of 3 sampled residents (#4) reviewed for physician orders. This placed residents at risk for insufficient nutrition.
January 31, 2024Standard inspection, Complaint inspection · 18 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wrote1. Based on observation, interview and record review it was determined the facility failed to ensure safety interventions and supervision were in place and followed to protect residents from elopement from the facility for 1 of 1 sampled resident (# 56) reviewed for elopement. This failure, determined to be an immediate jeopardy situation, resulted in Resident 56 eloping from the facility into heavily trafficked areas and placed residents at risk of avoidable accidents and death.
- J Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a resident with a diagnosed mental disorder and documented history of suicide attempts received the necessary behavioral health care and services needed to prevent suicide attempts for 1 of 5 sampled residents (# 52) reviewed for unnecessary medications. This failure, determined to be an immediate jeopardy situation, resulted in Resident 52 attempting suicide and placed residents at risk for avoidable accidents and death.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure adequate hand hygiene and appropriate use, reuse, disinfection and storage of PPE for 2 of 3 halls reviewed for infection control and failed to develop and implement a water management program and conduct a risk analysis assessment for potential areas of growth and spread of waterborne pathogens for 1 of 1 facility reviewed for infection control. This placed residents at risk for the spread of infectious diseases and exposure to waterborne pathogens.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview it was determined the facility failed to maintain comfortable sound levels for 2 of 3 hallways observed for environment. This placed residents at risk for an uncomfortable environment.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure timely call light responses for 5 of 5 sampled residents (#s 8, 18, 38, 57 and 59) reviewed for sufficient staffing. This placed residents at risk for delayed and unmet needs.
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 3 of 3 sampled residents (#s 27, 36 and 39) reviewed for binding arbitration agreement. This placed residents at risk of being uninformed of their legal rights.
- E Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff received 12 hours of in-service training annually for 5 of 5 randomly selected staff members (#s 4, 24, 25, 26 and 27) reviewed for evidence of in-service training. This placed residents at risk for lack of quality care.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure consent was obtained prior to administration of a vaccine for 1 of 5 sampled residents (#51) reviewed for immunizations. This placed residents at risk for lack of information related to immunization risks, benefits and potential side effects.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure accommodation of resident needs related to light pull cords for 2 of 2 sampled residents (#s 19 and 51) reviewed for accommodation of needs. This placed residents at risk for loss of independence.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to notify a resident's representative and physician of a resident's suicide attempt for 1 of 5 sampled residents (#52) reviewed for unnecessary medications. This placed resident representatives and physicians at risk for being uninformed of current resident status and residents at risk of unmet treatment needs.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by Resident 40 for 1 of 3 sampled residents (#22) reviewed for abuse. This placed residents at risk for abuse.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review it was determined the facility failed to report an alleged violation timely to the state agency for 2 of 3 sampled residents (#s 5 and 22) reviewed for abuse. This placed residents at risk for delayed and incomplete investigations.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review it was determined the facility failed to investigate injuries of unknown origin and rule out potential abuse or neglect for 1 of 4 sampled residents (#8) reviewed for falls. This placed residents at risk for abuse and neglect.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to implement care plan interventions in the area of fall prevention for 2 of 4 sampled residents (#s 14 and 35) reviewed for falls. This placed residents at risk for potential injury.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure care plans were revised to accurately reflect the needs of residents for 1 of 1 sampled resident (#52) reviewed for nutrition. This placed residents at risk for unmet needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow medication orders for 1 of 5 residents (# 52) reviewed for unnecessary medications. This placed residents at risk for medication side effects.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNAs received annual performance reviews for 2 of 5 randomly selected CNA staff (#s 25 and 26) reviewed for staffing. This placed residents at risk for lack of care by competent staff.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review it was determined the facility failed to administer a medication as ordered for 1 of 1 resident (# 164) reviewed for medication administration. This placed residents at risk for adverse medication side effects.
December 16, 2022Standard inspection · 4 citations
- E Post nurse staffing information every day.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure the Direct Care Daily Staff Reports (DCSDR) were accurate for 7 of 42 days reviewed for staffing. This placed residents and the public at risk for lack of awareness of nurse staffing levels.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident was treated in a dignified manner for 1 of 3 sampled residents (#207) reviewed for dignity. This placed residents at risk for loss of dignity.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents received showers for 1 of 2 sampled residents (#107) reviewed for ADLs. This placed residents at risk for poor hygiene.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication administration error rate of less than five percent for 3 of 4 residents (#s 6, 16 and 25) reviewed for medication administration. The facility's medication error rate was 13%. This placed residents at risk for adverse medication consequences.
Fire safety inspections
18 fire safety citations on file: 5 on April 28, 2025, 4 on January 31, 2024, 9 on December 16, 2022.
Every fire safety citation18 citations
- F Address patient/client population and determine types of services needed.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Have proper medical gas storage and administration areas.
- F Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have proper medical gas storage and administration areas.
- D Meet other general requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 28, 2025 | Fine | $149,783 |
| January 31, 2024 | Fine | $36,140 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.69 | 5.03 | 3.86 |
| Registered nurses | 0.56 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.35 | 4.51 | 3.42 |
| Nurse aides | 3.37 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 47.1% | 47.4% | 45.8% |
| Registered nurse turnover | 50.0% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.82 on weekdays and 4.35 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.60 in April to June 2025 to 4.69 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.69 | 0.56 | 4.82 | 4.35 | 3.8% | 0 of 90 | 87 |
| Oct to Dec 2025 | 4.65 | 0.56 | 4.80 | 4.27 | 6.1% | 0 of 92 | 84 |
| Jul to Sep 2025 | 4.81 | 0.52 | 5.04 | 4.23 | 9.1% | 0 of 92 | 80 |
| Apr to Jun 2025 | 4.60 | 0.39 | 4.76 | 4.22 | 13.1% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.0 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.3 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.1 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 16.1 | 12.0 |
Owners and operators
Legal business name: CASCADE TERRACE SNF HEALTHCARE LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Portland 5601 Realty LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2024 |
| Apt, Frederick | Corporate officer | Individual | 09/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 09/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 09/01/2024 | |
| Apt, Frederick | Operational/managerial control | Individual | 05/10/2024 | |
| Epp, Blake | Operational/managerial control | Individual | 09/01/2024 | |
| Larson, David | Operational/managerial control | Individual | 09/01/2024 | |
| Mitchell, John | Operational/managerial control | Individual | 05/10/2024 | |
| Nazem, Jinan | Operational/managerial control | Individual | 09/01/2024 | |
| Providence Administrative Consulting Services Inc | Adp of the SNF | Organization | 09/01/2024 | |
| Providence Group Inc | Adp of the SNF | Organization | 04/03/2025 | |
| Truist Bank | Adp of the SNF | Organization | 04/03/2025 | |
| Murray, Jason | Adp of the SNF | Individual | 04/03/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on December 26, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on February 18, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 6 problems in this area, most recently on April 28, 2025: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 18, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.35 hours per resident per day, below the Oregon average of 4.51.
Other nursing homes nearby
- Avalon Care Center - Portland Portland, 1 mi · 3 of 5 stars · 32 citations
- Gracelen Care Center Portland, 1 mi · 1 of 5 stars · 58 citations
- Cedar Crossings Portland, 1 mi · 3 of 5 stars · 57 citations
- Secora Rehabilitation of Cascadia Portland, 1.1 mi · 3 of 5 stars · 37 citations
- Marquis Mill Park Portland, 2.3 mi · 3 of 5 stars · 17 citations
- Portland Health and Rehabilitation Portland, 2.5 mi · 1 of 5 stars · 55 citations
- Gateway Care and Retirement Portland, 3 mi · 3 of 5 stars · 34 citations
- Village Health Care Gresham, 3 mi · 2 of 5 stars · 44 citations
Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Cascade Terrace Post Acute's Medicare star rating?
- CMS rates Cascade Terrace Post Acute 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cascade Terrace Post Acute get at its last inspection?
- 17 health deficiencies at the standard inspection on April 28, 2025. The Oregon average is 9.2.
- Has Cascade Terrace Post Acute been fined?
- Yes. CMS lists 2 fines totaling $185,923 in the last three years.
- Does Cascade Terrace Post Acute accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Cascade Terrace Post Acute?
- CMS lists 13 owners and managers, and links the home to PACS Group. Legal business name: CASCADE TERRACE SNF HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.