Columbia Basin Care Facility
1015 Webber Street, The Dalles, OR 97058 · Wasco County · (541) 296-2156
90 certified beds, about 41 residents a day · Government - City/county · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385049 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 2, 2026, inspectors cited 8 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 35 health citations since May 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $52,030 in the last three years; the largest was $52,030, and the latest is dated February 2, 2026.
Nurses and nurse aides worked 4.13 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
68.2% of nursing staff left within the year CMS measured (Oregon average 47.4%).
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.
1105/23
1608/24
802/26
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 35 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
27D
4E
1F
Potential for minimal harm
0A
0B
0C
February 2, 2026Standard inspection, Complaint inspection · 8 citations
- K Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to properly disinfect glucose monitors with approved disinfectant wipes between resident uses for 3 of 3 halls reviewed for CBG monitoring. This failure placed residents at risk for blood borne infection. The deficient practice was determined to be an Immediate Jeopardy (IJ) situation. Resident 1 had an active diagnosis of Hepatitis C, and received CBG checks from a community use glucometer, which was not properly sanitized before use with other residents.
- G Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide necessary care and services for ileostomy (surgical opening in the abdominal wall that provides a way for the end of the small intestine to release stool) care for 1 of 1 sampled resident (#13) reviewed for bladder and bowel incontinence. This failure resulted in the Resident 13 experiencing excoriation (a skin injury involving the removal of skin), increased pain and discomfort, unmet ileostomy care needs, a delay in medical care and psychosocial harm.
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 3 of 3 sampled residents (#s 1, 2 and 45) reviewed for binding arbitration agreement. This placed residents at risk of being uninformed regarding their legal rights.
- 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 the facility failed to timely report an allegation of physical abuse for 1 of 2 sampled residents (#24) reviewed for abuse. This placed residents at risk for potential abuse.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure dependent residents received assistance with shaving for 1 of 4 sampled residents (#24) reviewed for ADLs. This placed residents at risk for lack of personal hygiene and loss of dignity.
- 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 physician orders for 1 of 5 sampled residents (# 3) reviewed for unnecessary medications. This placed residents at risk for adverse side effects.
- D 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 ensure physician orders and interventions were followed to reduce the risk of accidents for 1 of 1 sampled resident (#24) reviewed for food. This placed residents at risk for choking and aspiration.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow physician orders related to enteral (tube) feeding for 1 of 1 sampled resident (#13) reviewed for tube feeding. This placed residents at risk for complications related to the use of a feeding tube.
August 30, 2024Standard inspection, Complaint inspection · 16 citations
- F 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 to store and handle food in a manner to minimize cross contamination in 1 of 1 kitchen and 1 of 2 snack refrigerators reviewed for sanitary conditions. This placed residents at risk for foodborne illness.
- E Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's total program of care was reviewed and documented for 3 of 5 sampled residents (#s 4, 21 and 23) reviewed for medications. This placed residents at risk for unassessed medical needs and adverse side effects of medication.
- E Post nurse staffing information every day.
Inspectors wroteBased on interview and record review it was determined the facility failed to the ensure the Direct Care Staff Daily Report (DCSDR) postings were accurate for 16 of 27 days reviewed for staffing. This placed residents and visitors at risk for inaccurate staffing information.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to implement appropriate Enhanced Barrier Precautions (EBP) and failed to ensure appropriate use of PPE for 3 of 3 sampled residents (#s 3, 146, and 296) reviewed for infection control. This placed residents at risk for the spread of infection.
- D 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 ensure resident care equipment was in good repair for 1 of 4 sampled residents (#3) reviewed for environment. This placed residents at risk for uncomfortable and unsanitary care equipment.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on interview and record review it was determined the facility failed to document and conduct a significant change MDS assessment for 1 of 5 sampled residents (#13) reviewed for medications. This placed residents at risk for unassessed care needs.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure PASARR I (Pre-admission Screening/Resident Review) screening was completed prior to admission for 1 of 1 sampled resident (#25) reviewed for PASARR. This placed residents at risk for inappropriate placement in a nursing facility and lack of needed services.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review it was determined facility staff failed to follow professional standards of practice for a diagnosis for 1 of 5 (#13) sampled residents reviewed for medications.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure dependent residents received required assistance with ADLs for 1 of 2 sampled residents (#13) reviewed for ADLs. This placed residents at risk for unmet needs.
- D 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 ensure implementation of care plan interventions for 1 of 1 sampled resident (#23) reviewed for falls. This placed residents at risk for injury.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain a physician order and provide PICC (peripherally inserted central catheter) dressing care for 1 of 1 sampled resident (#146) reviewed for intravenous (IV) medications. This placed residents at risk for central catheter-related infections.
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were seen by a physician for 1 of 5 sampled residents (#13) reviewed for medications. This placed residents at risk for unmet medical needs.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure the provision of prescribed medications for 1 of 8 sampled residents (#147) reviewed for medications. This placed residents at risk for not receiving prescribed medications.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow up on pharmacy recommendations for 1 of 5 sampled residents (#13) reviewed for medications. This placed residents at risk for adverse medication reactions.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review it was determined the facility failed to adequately monitor psychotropic medications for 1 of 5 sampled residents (#13) reviewed for medications. This placed residents at risk for lack of effective medication management.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interviews and record review, it was determined the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 3 sampled residents (#16) reviewed for abuse. This placed residents at risk for abuse.
May 8, 2023Standard inspection · 11 citations
- G 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 ensure residents did not experience an injury during a transfer for 2 of 4 sampled residents (#s 14 and 160) reviewed for accidents. This failure resulted in major injury and hospitalization.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to protect the resident's right to be free from physical abuse by a resident for 2 of 5 sampled residents (#s 159 and 23) reviewed for 4 allegations of resident-to-resident abuse. This placed residents at risk for abuse.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review it was determined the facility failed to complete a comprehensive assessment for 1 of 3 sampled residents (#51) reviewed for accidents. This placed residents at risk for unmet needs.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review it was determined the facility failed to accurately code behaviors in resident MDS assessments for 1 of 3 sampled residents (#51) reviewed for accidents. This placed residents at risk for inaccurate assessments and unmet care needs.
- 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 develop a care plan for the use of a table tray for 1 of 2 sampled residents (#1) reviewed for physical restraints. This placed residents at risk for unmet needs.
- 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 interview and record review, it was determined the facility failed to revise care plans in the areas of safety and fall prevention for 1 of 4 sampled residents (#51) reviewed for accidents. This placed residents at risk for repeated falls.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the services provided met professional standards of practice related to prescribing antipsychotic medication for 1 of 5 sampled residents (#10) reviewed for unnecessary medications. This placed residents at risk for unnecessary antipsychotic medications and adverse medication side effects.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to assess the root cause, notify the physician, obtain a treatment order, update the care plan, routinely monitor and implement a plan of care for a facility acquired pressure ulcer for 1 of 1 sampled resident (#10) reviewed for pressure ulcers. This placed residents at risk for worsening pressure ulcers.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review it was determined the facility failed to identify and comprehensively assess weight loss and ensure weights were monitored for 2 of 3 sampled residents (#s 42 and 51) reviewed for nutrition. This placed residents at risk for unidentified weight changes.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were assessed appropriately before administration of an anti-psychotic medication for 1 of 5 sampled residents (# 10) reviewed for unnecessary medications. This placed residents at risk for unnecessary medication adverse side effects.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide routine dental services for 1 of 1 sampled resident (#6) reviewed for dental needs. This placed residents at risk of unmet dental needs.
Fire safety inspections
9 fire safety citations on file: 4 on February 2, 2026, 1 on August 30, 2024, 4 on May 8, 2023.
Every fire safety citation9 citations
- F Develop Emergency Preparedness policies and procedures.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 2, 2026 | Fine | $52,030 |
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) | 4.13 | 5.03 | 3.86 |
| Registered nurses | 0.77 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.59 | 4.51 | 3.42 |
| Nurse aides | 2.92 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 68.2% | 47.4% | 45.8% |
| Registered nurse turnover | 50.0% | 51.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.56 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 4.35 on weekdays and 3.59 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.86 in April to June 2025 to 4.13 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 | 4.13 | 0.77 | 4.35 | 3.59 | 3.7% | 5 of 90 | 41 |
| Oct to Dec 2025 | 4.86 | 0.86 | 5.02 | 4.46 | 2.8% | 1 of 92 | 46 |
| Jul to Sep 2025 | 5.28 | 1.03 | 5.57 | 4.55 | 22.1% | 1 of 92 | 40 |
| Apr to Jun 2025 | 4.86 | 0.93 | 5.07 | 4.34 | 25.5% | 0 of 91 | 40 |
| 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 | 25.2 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 6.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.1 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.0 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.8 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.5 | 16.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.4 | 1.8 |
Owners and operators
Legal business name: WASCO COUNTY NURSING CARE, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wasco County Nursing Care, Inc. | 5% or greater direct ownership interest | Organization | 100% | 03/11/1997 |
| Olmstead, Aubree | Corporate director | Individual | 06/13/2016 | |
| Courtney, David | Corporate officer | Individual | 03/11/1997 | |
| Omeg, Linda | Corporate officer | Individual | 03/11/1997 | |
| Trautz, Linda | Corporate officer | Individual | 03/01/2018 | |
| Wasco County Nursing Care, Inc. | Operational/managerial control | Organization | 07/01/1997 | |
| Snyder, Kimberly | Operational/managerial control | Individual | 02/01/2015 |
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 February 2, 2026: "Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services."
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on August 30, 2024: "Assess the resident when there is a significant change in condition"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 30, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on February 2, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.59 hours per resident per day, below the Oregon average of 4.51.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- The Dalles Health and Rehabilitation The Dalles, 0.9 mi · 4 of 5 stars · 17 citations
- Oregon Veterans Home The Dalles, 3.9 mi · 3 of 5 stars · 13 citations
- Hood River Post Acute Hood River, 17.2 mi · 3 of 5 stars · 29 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 Columbia Basin Care Facility's Medicare star rating?
- CMS rates Columbia Basin Care Facility 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Columbia Basin Care Facility get at its last inspection?
- 8 health deficiencies at the standard inspection on February 2, 2026. The Oregon average is 9.2.
- Has Columbia Basin Care Facility been fined?
- Yes. CMS lists 1 fine totaling $52,030 in the last three years.
- Does Columbia Basin Care Facility 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 Columbia Basin Care Facility?
- CMS lists 7 owners and managers. Legal business name: WASCO COUNTY NURSING CARE, INC..
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.