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Home / Oregon / Portland

Laurelhurst Post Acute & Rehabilitation

3060 Se Stark Street, Portland, OR 97214 · Multnomah County · (503) 535-4700

159 certified beds, about 104 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967

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 385010 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 26, 2026, inspectors cited 13 health deficiencies (the Oregon average is 9.2, the national average 9.2).

Of 49 health citations since November 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $33,319 in the last three years; the largest was $33,319, and the latest is dated November 3, 2023.

Nurses and nurse aides worked 4.91 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

47.1% of nursing staff left within the year CMS measured (Oregon average 47.4%).

CMS links it to Hill Valley Healthcare, an affiliated group of 43 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.

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 49 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
31D
15E
0F
Potential for minimal harm
0A
0B
0C
June 26, 2026Standard inspection, Complaint inspection · 13 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation and interview it was determined the facility failed to maintain resident rooms and equipment for 2 of 2 rooms (Room #s 361 and 370) and 1 of 2 Units (ICF-Intermediate Care Facility) reviewed for environment and resident council. This placed residents at risk for injury.
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to monitor temperatures in the medication refrigerators for 3 of 3 medication refrigerators. This placed residents at risk for receiving medications with reduced efficacy.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to prepare and handle food in a sanitary manner in 3 of 4 resident refrigerators reviewed for food service. This placed residents at risk for foodborne illness.
  4. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's grievance was completed timely for 1 of 13 sampled residents (#39) who attended resident council meeting. This placed residents at risk for unresolved concerns.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders and clarify physician orders for 3 of 7 sampled residents (#s 6, 90, and 136) reviewed for dialysis and nutrition. This placed residents at risk for worsening conditions.
  6. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents received appropriate pain management for 1 of 5 sampled residents (#78) reviewed for pain. This placed residents at risk for pain and discomfort.
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview, and record review it was determined the facility failed to monitor dialysis port and failed to care plan dialysis port for 1 of 1 sampled resident (#131) reviewed for dialysis. This placed residents at risk for dialysis related complications.
  8. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to assess a resident prior to implementing bedrails for 1 of 4 sampled residents (#54) reviewed for accidents. This placed residents at risk for entrapment.
  9. D
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    F776 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure x-rays were obtained as ordered for 1 of 2 sampled residents (#128) reviewed for change of condition. This placed residents at risk for delayed treatment.
  10. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure menus were followed for 1 of 5 sampled residents (#78) observed during dining observations. This place residents at risk for lack of honored preferences and nutrition.
  11. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide palatable food to 2 of 5 residents (#s 19 and 78) reviewed for food. This placed residents at risk for weight loss and reduced quality of life.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure EBP (Enhance Barrier Precautions) were followed for 2 of 4 sampled residents (#s 9 and 28) reviewed for tube feeding and pressure ulcers. This placed residents at risk for cross contamination.
  13. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 30, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a call light was accessible to a resident for 1 of 13 residents (#54) reviewed for staffing. This placed residents at risk for delayed care.
November 4, 2025Complaint inspection · 2 citations
  1. E
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide nutritional supplements as ordered for 4 of 5 residents (#s 305, 306, 307 and 308) reviewed for nutritional supplements. This placed residents at risk for weight loss and inadequate nutrition.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide care in a timely manner for 1 of 3 residents (#303) reviewed for ADLs and transfers. This placed residents at risk for pain and discomfort related to delayed care.
September 8, 2025Complaint inspection · 1 citation
  1. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 14, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a safe discharge for 1 of 3 sampled residents (#1) reviewed for discharges. This placed residents at risk for an unsafe discharge and potential rehospitalization.
March 14, 2025Standard inspection, Complaint inspection · 7 citations
  1. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to properly dispose of expired medications for 3 of 3 medication storage rooms, 4 of 5 medication carts, and 1 of 3 medication storage refrigerators. This placed residents at risk for lack of medication efficacy and adverse reactions from expired medications.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure food was labeled and stored in a manner to minimize spoilage and cross contamination for 1 of 1 kitchen and 3 of 3 dining room refrigerator units and freezers reviewed for sanitary conditions. This placed residents at risk for foodborne illness and unappetizing meals.
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to assess residents for safe self-administration of medication for 2 of 2 sampled residents (#s 65 and 69) reviewed for self-administering medication. This placed residents at risk for an unsafe medication regimen.
  4. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from misappropriation for 1 of 1 residents (#357) reviewed for misappropriation. This placed residents at risk for lack of medication efficacy and loss of property.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to report timely to the State Agency an incident of alleged misappropriation of medications for 1 of 1 sampled residents (#357) reviewed for misappropriation. This placed residents at risk for diversion of medications and misappropriation of property.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents who were unable to carry out ADLs independently received transfer assistance for 1 of 3 sampled residents (#90) reviewed for activities. This placed residents at risk for lack of transfer assistance and isolation.
  7. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing program to support individual activity interests and preferences for 2 of 3 sampled residents (#s 72 and 90) reviewed for activities. This placed residents at risk for isolation, lack of social interaction and engagement.
October 31, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide dignified and respectful care for 1 of 3 residents (# 101) reviewed for respect and dignity. This placed residents at risk of loss of dignity.
November 6, 2023Standard inspection, Complaint inspection · 25 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to protect the resident's right to be free from abuse by staff for 1 of 3 residents (#40) reviewed for abuse. This resulted in skin tears, increased anxiety and post-traumatic stress disorder (PTSD) for Resident 40. Findings Include: Resident 40 was admitted to the facility in 2019 with diagnoses including depression. Resident 40's 9/27/22 cognitive assessment indicated normal cognitive function. An incident report dated 12/6/22 indicated Resident 40 was upset regarding the noise early in the morning and asked Staff 27 (Agency LPN) and Staff 29 (Agency CNA) to be quiet while looking through the curtain to her/his roommate's side. [...]
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to follow care plan interventions, assess for care plan effectiveness, identify and implement new fall interventions and provide adequate supervision needed to prevent falls for 1 of 1 sampled resident (#57) reviewed for falls. This failure resulted in the resident having eight falls in ten months, one with serious injury, which resulted in the resident sustaining a fractured hip requiring surgery.
  3. G
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wrote1. Based on observation, interview and record review it was determined the facility failed to ensure sufficient staffing to meet resident care needs for 1 of 1 facility reviewed for sufficient and competent staffing. This failure resulted in Resident 57 having eight falls in ten months, one with serious injury which resulted in the resident sustaining a fractured hip requiring surgery.
  4. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents had access to petty cash on an ongoing basis for 3 of 3 sampled residents (#s 17, 42 and 242). This placed residents at risk for lack of access to personal funds.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    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.
  6. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure transfer notices with appeal rights were provided in writing to residents and their representatives and to ensure the Office of the State Long-Term Care Ombudsman was notified of resident hospitalizations for 3 of 3 residents (#s 19, 46 and 193) reviewed for hospitalizations. This placed residents at risk of inappropriate transfers, lack of access to an advocate to inform them of their options and rights and a decreased quality of life.
  7. E
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide residents with a written notice of the facility's bed-hold policy at the time of transfer to the hospital for 3 of 3 sampled residents (#s 19, 46 and 193) reviewed for hospitalization. This placed residents at risk for lack of knowledge regarding their choices and potential financial responsibilities.
  8. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 4 of 5 sampled CNA staff (#s 7, 43, 53 and 54) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of care by competent staff.
  9. E
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure the Direct Care Staff Daily Reports (DCSDR) were posted in a prominent place readily accessible to residents and visitors for 1 of 1 facility. This placed residents at risk for incorrect staffing information.
  10. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure medications and biologicals where secured and accessible only to authorized personnel for 1 of 1 facility observed for secure medication and treatment carts. This placed residents at risk for misappropriation of medications and adverse medication consequences.
  11. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure food was labeled and stored in a manner to minimize spoilage and cross contamination for 1 of 1 kitchen and 3 of 3 dining room/snack refrigerators reviewed for sanitary conditions. This placed residents at risk for foodborne illness and unappetizing meals.
  12. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure nurse aides completed 12 hours of annual training for 3 of 5 sampled CNAs (#s 7, 52 and 53) reviewed for sufficient and competent nurse staffing. This placed residents at risk for lack of care by competent staff.
  13. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a consent was obtained prior to administering antipsychotic medications to residents for 1 of 5 sampled residents (#60) reviewed for unnecessary medications. This placed residents at risk for being uninformed about their medications.
  14. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure resident needs and preferences related to lighting were accommodated for 1 of 1 sampled resident (#60) reviewed for accommodation of needs. This placed residents at risk for lack of access to lighting and an unhomelike environment.
  15. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure narcotic medications were properly secured for 1 of 1 resident (# 342) reviewed for pain medications. This placed residents at risk for loss of property and drug diversion.
  16. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to accurately assess residents for dialysis and cognition for 2 of 5 sampled residents (#s 6 and 39) reviewed for dialysis and nutrition. This placed residents at risk for inaccurate assessments and unmet care needs.
  17. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an ongoing program of activities designed to meet the interests and psychosocial well-being for 1 of 2 sampled residents (#57) reviewed for activities. This placed residents at risk for unmet psychosocial needs and isolation.
  18. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wrote1. Based on interview and record review it was determined the facility failed to provide treatment for non-pressure skin impairment for 1 of 3 sampled residents (#192) reviewed for pressure ulcers. This placed residents at risk for infection and delayed healing.
  19. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents received restorative services for 1 of 2 sampled residents (#17) reviewed for therapy services. This placed residents at risk for decreased ROM and mobility.
  20. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure oxygen was administered as ordered for 1 of 1 sampled resident (#42) reviewed for respiratory care. This placed residents at risk for adverse respiratory outcomes and discomfort.
  21. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure appropriate provisions for dialysis care were implemented and to ensure post-dialysis communication with the dialysis center was received for 1 of 1 sampled residents (#39) reviewed for dialysis. This placed residents at risk for delayed treatment.
  22. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide trauma-informed care for 1 of 1 resident (#40) reviewed for abuse. This placed residents at risk for re-traumatization, unidentified triggers and unmet care needs.
  23. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure pharmacist recommendations were addressed for 1 of 5 sampled residents (#6) reviewed for unnecessary medications. This placed residents at risk for increased depression.
  24. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were free from medication error rates of five percent or greater for 2 of 7 sampled residents (#s 494 and 495) reviewed for medication administration. The facility's medication administration error rate was 6.7 percent. This placed residents at risk for adverse medication consequences.
  25. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure waste was properly contained in dumpsters and garbage storage areas were maintained in a sanitary condition for 1 of 1 garbage area reviewed for kitchen sanitation. This placed residents at risk for potential exposure to pathogens related to the harborage and feeding of pests.

Fire safety inspections

10 fire safety citations on file: 8 on June 26, 2026, 1 on March 14, 2025, 1 on November 6, 2023.

Every fire safety citation10 citations
  1. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 26, 2026 · Corrected (the home has a date of correction)
  2. F
    Have properly located and lighted "Exit" signs.
    K 293 · June 26, 2026 · Corrected (the home has a date of correction)
  3. F
    Provide properly protected cooking facilities.
    K 324 · June 26, 2026 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 26, 2026 · Corrected (the home has a date of correction)
  5. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 26, 2026 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 26, 2026 · Corrected (the home has a date of correction)
  7. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 26, 2026 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 26, 2026 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 14, 2025 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 6, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 3, 2023Fine $33,319

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.

MeasureThis homeOregonUnited States
All nursing staff (RN, LPN and aides)4.915.033.86
Registered nurses0.740.720.69
All nursing staff on weekends4.524.513.42
Nurse aides3.41
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)47.1%47.4%45.8%
Registered nurse turnover60.0%51.6%42.9%
Administrators who left1

CMS expects 3.73 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 5.06 on weekdays and 4.52 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.12 in April to June 2025 to 4.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.910.745.064.52 5.6%0 of 90104
Oct to Dec 20254.780.784.934.38 2.0%0 of 9292
Jul to Sep 20255.120.965.344.55 0.0%0 of 9294
Apr to Jun 20255.120.865.334.61 0.0%0 of 91105
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oregon, Jan to Mar 20264.910.645.124.406.2%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.

Official wage estimates for Oregon

JobMedianMiddle halfEmployed
Oregon, all employers
CNAs (nursing assistants)$23.96$22.83 to $28.4014,800
LPNs and LVNs$38.69$35.11 to $43.604,260
Registered nurses$62.02$51.55 to $64.6339,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOregonUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.014.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.71.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.22.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.22.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.320.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.25.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.313.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.821.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.616.112.0

Owners and operators

Legal business name: LAURELHURST SNF OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Oregon Healthcare Holdco LLC5% or greater direct ownership interestOrganization100%07/01/2025
Laurelhurst Operations Holdings LLC5% or greater indirect ownership interestOrganization100%07/01/2025
Delilah 2626 Holdings LLCIndirect ownership interestOrganization07/01/2025
Jml 1836 Holdings LLCIndirect ownership interestOrganization07/01/2025
Jnl 2024 Fam TrIndirect ownership interestOrganization07/01/2025
Lansilh Irrv TrIndirect ownership interestOrganization07/01/2025
Mjl 2024 Family TrustIndirect ownership interestOrganization07/01/2025
Oeb 94 Holdings LLCIndirect ownership interestOrganization07/01/2025
Idels, ShimonCorporate officerIndividual07/01/2025
Oregon Healthcare Holdco LLCOperational/managerial controlOrganization07/01/2025
Idels, ShimonOperational/managerial controlIndividual07/01/2025
Misili, LeumaOperational/managerial controlIndividual07/01/2025
Poirier, TracieOperational/managerial controlIndividual07/01/2025
Tatiriq Irrevocable TrustTrustee of the SNFOrganization07/01/2025
Lion 26 Holdings LLCAdp of the SNFOrganization07/01/2025
Sabrina 1818 Holdings LLCAdp of the SNFOrganization07/01/2025
Saessy Irrevocable TrustAdp of the SNFOrganization07/01/2025
Tatiriq Irrevocable TrustAdp of the SNFOrganization07/01/2025
Idels, ShimonAdp of the SNFIndividual07/01/2025
Misili, LeumaAdp of the SNFIndividual07/01/2025
Poirier, TracieAdp of the SNFIndividual07/01/2025

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.

  1. 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 June 26, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on June 26, 2026: "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."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on June 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 26, 2026: "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."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Oregon contacts for a concern about a nursing home

These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.

Common questions

What is Laurelhurst Post Acute & Rehabilitation's Medicare star rating?
CMS rates Laurelhurst Post Acute & Rehabilitation 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 Laurelhurst Post Acute & Rehabilitation get at its last inspection?
13 health deficiencies at the standard inspection on June 26, 2026. The Oregon average is 9.2.
Has Laurelhurst Post Acute & Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $33,319 in the last three years.
Does Laurelhurst Post Acute & Rehabilitation 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 Laurelhurst Post Acute & Rehabilitation?
CMS lists 21 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: LAURELHURST SNF OPERATIONS LLC.

Sources

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