Mt Angel Health and Rehabilitation
540 South Main Street, Mount Angel, OR 97362 · Marion County · (503) 845-6841
93 certified beds, about 74 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385018 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 5, 2026, inspectors cited 5 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 22 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $27,967 in the last three years; the largest was $17,934, and the latest is dated September 19, 2024.
Nurses and nurse aides worked 5.23 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
60.4% of nursing staff left within the year CMS measured (Oregon average 47.4%).
CMS links it to The Ensign Group, an affiliated group of 344 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.
909/23
203/24
104/24
209/24
202/25
106/25
506/26
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 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
15D
3E
1F
Potential for minimal harm
0A
1B
0C
June 5, 2026Standard inspection · 5 citations
- 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 CNA staff annual performance reviews were completed for 3 of 3 sampled CNA staff (#s 11, 12, 23) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of 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 properly disinfect a shared glucometer for 1 of 3 facility staff (#5) reviewed for infection control. This placed residents at risk for exposure to blood-borne pathogens.
- 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 to revise a resident's care plan for 1 of 1 sampled resident (#3) reviewed for hospice. This placed residents at risk for unmet hospice needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to implement bowel care interventions for 2 of 5 sampled residents (#s 12 and 19) reviewed for medications. This placed residents at risk for constipation.
- 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide services to prevent further decrease in ROM for 1 of 2 sampled residents (#17) reviewed for positioning. This placed residents at risk for decrease in range of motion.
June 20, 2025Complaint inspection · 1 citation
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on interview and record review it was determined the facility failed to protect residents' right to be free from misappropriation of property by staff for 1 of 1 sampled resident (#4) reviewed for misappropriation of property. This placed residents at risk for financial loss.
February 14, 2025Standard 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 physician orders were followed for 1 of 6 sampled residents (#10) reviewed for medications. This placed residents at risk for adverse medication side effects.
- B 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to provide residents with a written bed hold notification at the time of transfer to the hospital for 2 of 2 sampled residents (#s 30 and 38) reviewed for hospitalization. This placed residents at risk for lack of knowledge regarding their choices and potential financial responsibilities.
September 19, 2024Complaint inspection · 2 citations
- G 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 the facility failed to prevent an avoidable fall related to fall safety for 1 of 3 sampled residents (#1) reviewed for accidents. Resident 1 fell out of bed and sustained a right shoulder fracture.
- 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 identify and reflect risk factors in the care plan related to pressure ulcers for 1 of 3 sampled residents (#2) reviewed for pressure ulcers. This placed residents at risk for pressure injuries and skin breakdown.
April 3, 2024Complaint inspection · 1 citation
- G 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 sexual abuse by another resident for 1 of 2 sampled residents (#1) reviewed for sexual abuse. This resulted in Resident 1 experiencing psychosocial harm and increased distress.
March 22, 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 interview and record review it was determined the facility failed to ensure a resident was free from verbal abuse for a resident-to-resident altercation for 1 of 4 sampled residents (#8) reviewed for abuse. This placed residents at risk for isolation.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure physician orders were followed for 1 of 3 sampled residents (#3) reviewed for medication administration. This placed residents at risk for adverse side effects of medications.
September 22, 2023Standard inspection, Complaint inspection · 9 citations
- F 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 protect resident identifiable information and ensure resident records were accurate for 1 of 1 facility and for 1 of 2 sampled residents (#466) reviewed for record management and insulin. This placed residents at risk for unauthorized use of their personal information and inaccurate medical records.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure resident rooms, bathrooms, ceiling fans, toilets/commodes and floor mats were sanitized and cleaned timely for 10 of 11 sampled residents (#s 3, 24, 27, 32, 35, 40, 46, 47, 51 and 52) and 2 of 4 halls (Harmony and Cedar) reviewed for environment. This placed residents at risk for an unsanitary environment.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure staff treated residents with dignity and respect for 1 of 1 sampled resident (#56) reviewed for abuse. This placed residents at risk for lack of dignity.
- 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 a person-centered care plan for 1 of 1 sampled resident (#21) reviewed for foot care. This placed residents at risk for skin breakdown.
- 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 care and services to maintain good grooming and personal hygiene for 2 of 7 sampled residents (#s 21 and 41) reviewed for ADLs. This placed residents at risk for skin breakdown and quality of care.
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide appropriate foot care for 1 of 1 sampled resident (#21) reviewed for foot care. This placed residents at risk for lack of nail care and infections.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide an emergency kit in the resident's for 1 of 1 sampled resident (#317) reviewed for dialysis. This placed the resident at risk for complications related to dialysis.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview and record review the facility failed to provide sufficient nursing staff to ensure call lights were answered timely for 3 of 4 sampled residents (#s 21, 53 and 466) and 2 of 4 halls (Harmony and Cedar) reviewed for call light wait times and staffing. This placed residents at risk for delays in treatment and lessened quality of care.
- 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 pharmacy recommendations in a timely manner for 1 of 5 sampled residents (#53) reviewed for unnecessary medications. This placed residents at risk for unnecessary medication administration.
Fire safety inspections
16 fire safety citations on file: 4 on June 5, 2026, 2 on February 14, 2025, 10 on September 22, 2023.
Every fire safety citation16 citations
- F Establish policies and procedures for volunteers.
- F Have simulated fire drills held at unexpected times.
- D Provide properly protected cooking facilities.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure proper usage of power strips and extension cords.
- F Have an alternate power supply for its alarm system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 19, 2024 | Fine | $10,033 |
| March 22, 2024 | Fine | $17,934 |
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) | 5.23 | 5.03 | 3.86 |
| Registered nurses | 0.76 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.68 | 4.51 | 3.42 |
| Nurse aides | 3.51 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 60.4% | 47.4% | 45.8% |
| Registered nurse turnover | 74.2% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.76 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 5.45 on weekdays and 4.68 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.50 in April to June 2025 to 5.23 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 | 5.23 | 0.76 | 5.45 | 4.68 | 6.0% | 0 of 90 | 74 |
| Oct to Dec 2025 | 5.31 | 0.84 | 5.52 | 4.79 | 8.8% | 0 of 92 | 72 |
| Jul to Sep 2025 | 5.38 | 0.77 | 5.66 | 4.68 | 18.7% | 0 of 92 | 73 |
| Apr to Jun 2025 | 5.50 | 0.94 | 5.81 | 4.72 | 17.9% | 0 of 91 | 69 |
| 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.
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 | 16.3 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.5 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.6 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.9 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.7 | 16.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.4 | 1.8 |
Owners and operators
Legal business name: REX ROAD HEALTHCARE LLC. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Horn, David | Managing control - governing body | Individual | 04/01/2025 | |
| Jamil, Fahad | Managing control - governing body | Individual | 04/01/2025 | |
| Burnam, Soon | Corporate officer | Individual | 09/12/2024 | |
| Farnsworth, Stephen | Corporate officer | Individual | 09/12/2024 | |
| Ross, Steve | Corporate officer | Individual | 09/12/2024 | |
| Sato, Ami | Corporate officer | Individual | 09/12/2024 | |
| Horn, David | Operational/managerial control | Individual | 04/01/2025 | |
| Horn, David | Adp of the SNF | Individual | 04/01/2025 | |
| Jamil, Fahad | Adp of the SNF | Individual | 04/01/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on June 5, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 5, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- 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 June 20, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 14, 2025: "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."
Other nursing homes nearby
- French Prairie Nursing & Rehabilitation Center Woodburn, 6.9 mi · 1 of 5 stars · 62 citations
- Woodside Post Acute Molalla, 11.8 mi · 2 of 5 stars · 28 citations
- Tierra Rose Care Center Salem, 12 mi · 5 of 5 stars · 20 citations
- Avamere Court at Keizer Keizer, 12.1 mi · 4 of 5 stars · 18 citations
- Keizer Nursing and Rehabilitation Keizer, 12.1 mi · 3 of 5 stars · 33 citations
- Marquis Hope Village Canby, 13.8 mi · 4 of 5 stars · 14 citations
- Windsor Health and Rehabilitation Salem, 13.9 mi · 1 of 5 stars · 36 citations
- Salem Transitional Care Salem, 15.6 mi · 2 of 5 stars · 35 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 Mt Angel Health and Rehabilitation's Medicare star rating?
- CMS rates Mt Angel Health and Rehabilitation 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mt Angel Health and Rehabilitation get at its last inspection?
- 5 health deficiencies at the standard inspection on June 5, 2026. The Oregon average is 9.2.
- Has Mt Angel Health and Rehabilitation been fined?
- Yes. CMS lists 2 fines totaling $27,967 in the last three years.
- Does Mt Angel Health and 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 Mt Angel Health and Rehabilitation?
- CMS lists 9 owners and managers, and links the home to The Ensign Group. Legal business name: REX ROAD HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.