Gracelen Care Center
10948 S.e. Boise, Portland, OR 97266 · Multnomah County · (503) 760-1727
80 certified beds, about 64 residents a day · For profit - Corporation · Medicaid since 1976
Certified for Medicaid
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 38E188 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 25, 2025, inspectors cited 8 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 58 health citations since January 2023, 10 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.52 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
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.
2001/23
709/23
1604/24
212/24
807/25
108/25
210/25
103/26
105/26
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 58 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
8G
1H
0I
Potential for more than minimal harm
39D
5E
4F
Potential for minimal harm
0A
0B
0C
May 13, 2026Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to accurately document an elopement assessment for 1 of 1 sampled resident (#1) reviewed for elopement. This placed residents at risk for inaccurate medical records.
March 10, 2026Complaint inspection · 1 citation
- 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 incident of suspected physical abuse in a timely manner for 2 of 4 sampled residents (#s 6 and 7) reviewed for abuse. This placed residents at risk for abuse.
October 20, 2025Complaint inspection · 2 citations
- 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 a resident's change of condition was assessed in a timely manner for 1 of 1 sampled resident (#7) reviewed for accidents. This placed residents at risk for a delay of care and unmet treatment needs. Findngs include:Resident 7 was admitted to the facility in 11/2024 with diagnoses including end stage kidney disease and diabetes. Provider Notes dated 11/15/24 and 11/29/24 indicated Resident 7 was alert but tired on exam. Resident 7 was able to answer questions appropriately. Resident 7's 11/29/24 admission MDS indicated the resident had moderate cognitive impairment. [...]
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review it was determined the facility failed to assess, monitor, and treat pressure ulcers for 1 of 1 sampled resident (#7) reviewed for wound care. This placed residents at risk for unassessed wounds, unmet treatment needs and worsening pressure ulcers.
August 28, 2025Complaint inspection · 1 citation
- 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 equipment was properly secure to prevent falls for 1 of 1 sampled resident (#1) reviewed for accidents. This failure resulted in Resident 1 experiencing an avoidable fall, resulting with a fractured hip which required surgery. The facility identified the failed practice; an avoidable accident related to improper use of a shower gurney (a specialized piece of equipment designed to bathe individuals who are unable to sit upright during a shower). The facility removed the device from use until staff were trained, and competency was demonstrated. Corrective actions were completed on 1/17/25. This failed practice was identified as past noncompliance.
July 25, 2025Standard inspection · 8 citations
- F 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 8 consecutive hours 7 days per week for 8 of 62 days reviewed for staffing. This placed residents at risk for lack of care.
- 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 incident of potential abuse to the State Agency within the required timeframe for 1 of 1 sampled resident (#1) reviewed for abuse. This placed residents at risk for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review it was determined the facility failed to complete a thorough investigation of an allegation of abuse for 1 of 1 sampled resident (#1) reviewed for abuse. This placed residents at risk for abuse and inaccurate investigations.
- 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 the care plan for 2 of 5 sampled residents (#s 3 and 59) reviewed for accidents. This placed residents at risk for avoidable injury.
- 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 provide care planned interventions to prevent falls for 1 of 4 sampled residents (#48) reviewed for falls. This placed residents at risk for injury from falls.
- 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 5%. There were three errors in 25 opportunities resulting in a 12% error rate. This placed residents at risk for reduced medication efficacy and adverse medication side effects.
- D 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, interview and record review it was determined the facility failed to ensure medication storage was free from expired biologicals for 1 of 1 medication rooms and treatment carts were locked and secured appropriately for 2 of 2 treatment carts observed (West Hall and East Hall) during random observations for medication and treatment cart storage and medication rooms. This placed residents at risk for unsafe access to stored medications and diminished treatment efficacy.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to perform hand hygiene for 1 of 1 sampled resident (#11) reviewed for wound care. This placed residents at an increased risk of infected wounds.
December 19, 2024Complaint inspection · 2 citations
- 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 a resident's right to be free from mental abuse by staff for 1 of 5 sampled residents (#8) reviewed for abuse. This placed residents at risk for further mental abuse.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on interview and record review it was determined the facility failed to document the basis for transfer and failed to include code and health status to the receiving provider for 1 of 3 sampled residents (#7) reviewed for hospitalization. This placed residents at risk for inaccurate health care.
April 8, 2024Standard inspection, Complaint inspection · 16 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on observation and interview it was determined the Dietary Manager failed to obtain the required certification to provide dietary management services for 1 of 1 facility reviewed for qualified dietary staff. This placed residents at risk for unmet dietary needs.
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure nursing staff competencies for 5 of 5 sampled staff (#s 14, 22, 23, 24 and 25) reviewed for competencies. This placed residents at risk for poor quality of care.
- E 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 4 of 5 randomly selected CNA staff (#s 8, 17, 18 and 19) reviewed for staffing. This placed residents at risk for lack of care by competent staff.
- 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 ensure appropriate infection control practices for 3 of 11 sampled staff (#s 8, 14 and 15) observed during medication administration and dining. This placed residents at risk for the spread of infection.
- 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 4 of 5 randomly selected staff members (#s 16, 17, 18, and 19) reviewed for evidence of in-service training. This placed residents at risk for lack of quality care.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were treated with dignity related to dining needs for 1 of 2 sampled dining rooms reviewed for dining. This placed residents at risk for lack of a dignity.
- 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 administering psychotropic and antiviral medications to 2 of 5 sampled residents (#s 12 and 29) reviewed for medications. This placed residents at risk for being uninformed about their medications.
- 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 provide reasonable accommodations for 1 of 1 sampled resident (#37) reviewed for wheelchair accommodations. This placed residents at risk for unmet 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 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 1 of 4 sampled residents (#5) reviewed for abuse. This placed residents at risk for abuse.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain consent, assess, monitor and reevaluate for use of a restraint for 1 of 1 sampled resident (#5) reviewed for restraints. This placed residents at risk for inappropriate use of a restraint.
- 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 2 sampled residents (#8) reviewed for ADLs. This placed residents at risk for unmet needs.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on interview and record review it was determined the facility failed to complete a discharge summary for 1 of 1 sampled resident (#53) reviewed for discharge. This placed residents at risk for unmet discharge needs.
- 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 follow physician orders for 2 of 3 sampled residents (#s 8 and 19) reviewed for edema and hospice services. This placed residents at risk for unmet care needs.
- 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 ensure residents were not prescribed unnecessary medications for 1 of 5 sampled residents (#29) reviewed for medications. This placed residents at risk for experiencing adverse medication effects.
- 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 maintain a homelike environment for 1 of 1 facility reviewed for environment. This placed residents at risk for living in an unkempt environment.
- 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 incident of suspected abuse in a timely manner for 2 of 4 sampled residents (#s 3 and 18) reviewed for abuse. This placed residents at risk for abuse.
September 21, 2023Complaint inspection · 7 citations
- G 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 immediately notify the physician of a significant change in condition and head injury for 2 of 3 sampled residents (#s 1 and 3) reviewed for change in condition. This resulted in delayed treatment for Resident 3's significant change in condition and placed residents at risk for unmet needs and delayed treatment.
- G Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on interview and record reviewed it was determined the facility failed to ensure residents were free from physical restraints for 1 of 3 sampled residents (#6) reviewed for use of physical restraints. This failure resulted in Resident 6 displaying signs of emotional distress and verbalizing feelings of having been raped.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wrote1. Based on interview and record review it was determined the facility failed to promptly transfer a resident to the hospital related to a significant change in condition for 1 of 3 sampled residents (#3) reviewed for change in condition. This resulted in a subsequent decline in condition and delayed treatment for Resident 3.
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents maintained acceptable parameters for nutrition for 2 of 3 sampled residents (#s 1 and 3) reviewed for weight loss. This resulted in Resident 1 and Resident 3 having severe weight loss and placed residents at risk for weight loss.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review it was determined the facility failed to assess a pressure ulcer for 1 of 3 sampled residents (#3) reviewed for skin impairment. This placed residents at risk for worsening pressure ulcers and delayed healing.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review it was determined the facility to ensure safe transfers were performed for 1 of 3 sampled residents (#4) reviewed for transfer safety. This placed residents at risk for accidents and falls.
- D Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide timely lab services for 1 of 3 sampled residents (#1) reviewed for change in condition. This placed residents at risk for delayed treatment.
January 19, 2023Standard inspection · 20 citations
- K Provide and implement an infection prevention and control program.
Inspectors wrote2. Based on observation, interview and record review it was determined the facility failed to ensure proper infection control practices were followed during meal service for 2 of 3 hallways. This placed residents at risk for infections.
- H Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on interview and record review it was determined the facility's quality assessment and assurance committee (QAA) failed to systematically identify and correct deficiencies in the areas of dignity, quality of care, accidents, nursing services, staffing and infection control. This placed residents at risk for adverse consequences, injury and contracting infectious diseases and resulted in a hip fracture for Resident 41 and a worsening wound for Resident 27.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wrote1. Based on observation, interview and record review it was determined the facility failed to comprehensively assess/measure resident wounds, monitor wounds for signs/symptoms of infection and document the effectiveness of wound treatment for 1 of 1 sampled resident (#27) reviewed for skin conditions. This failure resulted in Resident 27's worsening wound as evidenced by two emergency room trips and three antibiotic courses.
- 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 adequate supervision and a safe environment for 2 of 3 sampled residents (#s 41 and 58) reviewed for accidents. This failure placed residents at increased risk for injuries and resulted in Resident 41 sustaining a hip fracture from a fall.
- G Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents received timely specialized rehabilitative services (PT and OT services) for 2 of 3 sampled residents (#s15 and 59) reviewed for therapy. This failure resulted in Resident 59 displaying signs of distress, depressed mood, a decline from former social patterns and repeatedly verbalizing feelings of frustration.
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on observation and interview it was determined the Dietary Manager (DM) did not obtain the required certification to provide dietary management services for 1 of 1 facility reviewed for qualified dietary staff. This placed residents at risk for unmet dietary needs.
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview and record review it was determined the facility failed to designate a qualified and trained Infection Preventionist for 1 of 1 facility reviewed for infection prevention and control. This placed residents at risk for inadequate care related to infection control.
- 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 per day 7 days per week for 9 out of 100 days reviewed for staffing. This placed residents at risk for lack of timely assessments and care.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure dignity for 1 of 3 sampled residents (#59) reviewed for dignity. This placed residents at risk for lack of dignity.
- 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 in a timely manner regarding a resident-to-resident incident for 1 of 3 sampled residents (# 32) reviewed for accidents. This placed residents and responsible parties at risk for lack of timely notification.
- 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, interview and record review the facility failed to ensure a personalized, homelike environment for 1 of 1 sampled resident (#41) reviewed for personal property. This placed residents at risk for living in an unhomelike environment.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain consent, assess, monitor and reevaluate for use of a restraint for 3 of 4 sampled residents (#s 22, 41 and 50) reviewed for restraints. This placed residents at risk for inappropriate use of a restraint.
- 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 and implement a comprehensive person-centered care plan for 1 of 2 sampled residents (#59) reviewed for aspiration precautions (practices to help prevent food or fluids from entering the lungs). This placed residents at risk for choking or developing lung infections.
- 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 ensure resident care plans were revised to accurately reflect the resident needs for 2 of 9 sampled residents (#s 26 and 41) reviewed for ADLs and accidents. This placed residents at risk for unmet needs.
- 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 provide necessary care and services related to bathing/showering and nail care for 1 of 6 sampled residents (#59) reviewed for ADLs. This placed residents at risk for unmet hygiene needs.
- 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 activities program for 3 of 4 sampled residents (#s 22, 28 and 50) reviewed for activities. This placed residents at risk for a decline in psychosocial well-being and diminished quality of life.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents received care and services related to the use of an indwelling catheter for 1 of 1 sampled resident (#15) reviewed for catheter care. This placed residents at risk for unmet catheter needs.
- 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 ensure residents were free from unnecessary bowel medications for 2 of 5 sampled residents (#s12 and 32) reviewed for unnecessary medications. This placed residents at risk for loose stools and diarrhea.
- 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 pass error rate of less than 5%. There were six errors in 33 opportunities resulting in an 18.18% error rate. This placed residents at risk for adverse medication side effects.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure provision of education related to risks and benefits, informed consent and the opportunity to receive administration of pneumococcal immunizations for 1 of 5 sampled residents (#55) reviewed for immunizations. This placed residents at risk for being uninformed of their healthcare options and for contracting infectious diseases.
Fire safety inspections
7 fire safety citations on file: 2 on July 25, 2025, 3 on April 8, 2024, 2 on January 19, 2023.
Every fire safety citation7 citations
- F Meet other general requirements.
- F Meet other general requirements that are deficient.
- F Conduct testing and exercise requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.52 | 5.03 | 3.86 |
| Registered nurses | 0.49 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.11 | 4.51 | 3.42 |
| Nurse aides | 3.35 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | not reported | 47.4% | 45.8% |
| Registered nurse turnover | not reported | 51.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.05 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 4.68 on weekdays and 4.11 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.23 in April to June 2025 to 4.52 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 | 4.52 | 0.49 | 4.68 | 4.11 | 0.6% | 0 of 90 | 64 |
| Oct to Dec 2025 | 4.37 | 0.48 | 4.49 | 4.05 | 4.0% | 0 of 92 | 64 |
| Jul to Sep 2025 | 4.22 | 0.42 | 4.34 | 3.92 | 11.2% | 0 of 92 | 64 |
| Apr to Jun 2025 | 4.23 | 0.42 | 4.44 | 3.70 | 7.2% | 0 of 91 | 66 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Oregon
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Oregon, all employers | |||
| CNAs (nursing assistants) | $23.96 | $22.83 to $28.40 | 14,800 |
| LPNs and LVNs | $38.69 | $35.11 to $43.60 | 4,260 |
| Registered nurses | $62.02 | $51.55 to $64.63 | 39,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 17.3 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.1 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.9 | 13.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.4 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Gracelen Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 15 problems in this area, most recently on October 20, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 9 problems in this area, most recently on March 10, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on December 19, 2024: "Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on May 13, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.11 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
- Secora Rehabilitation of Cascadia Portland, 0.4 mi · 3 of 5 stars · 37 citations
- Cascade Terrace Post Acute Portland, 1 mi · 1 of 5 stars · 46 citations
- Avalon Care Center - Portland Portland, 1.6 mi · 3 of 5 stars · 32 citations
- Marquis Mill Park Portland, 1.9 mi · 3 of 5 stars · 17 citations
- Cedar Crossings Portland, 2 mi · 3 of 5 stars · 57 citations
- Portland Health and Rehabilitation Portland, 2.5 mi · 1 of 5 stars · 55 citations
- Gateway Care and Retirement Portland, 2.6 mi · 3 of 5 stars · 34 citations
- Glisan Post Acute Portland, 2.9 mi · 3 of 5 stars · 34 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 Gracelen Care Center's Medicare star rating?
- CMS rates Gracelen Care Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gracelen Care Center get at its last inspection?
- 8 health deficiencies at the standard inspection on July 25, 2025. The Oregon average is 9.2.
- Has Gracelen Care Center been fined?
- CMS lists no fines in the last three years.
- Does Gracelen Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Gracelen Care Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.