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Home / Oregon / Portland

Mt. Tabor Health & Rehabilitation

6040 Se Belmont Street, Portland, OR 97215 · Multnomah County · (503) 231-7166

120 certified beds, about 68 residents a day · For profit - Corporation · Medicare and Medicaid since 1978

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 385141 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 6, 2025, inspectors cited 9 health deficiencies (the Oregon average is 9.2, the national average 9.2).

None of its 44 health citations since November 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.85 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

70.8% 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 44 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
32D
12E
0F
Potential for minimal harm
0A
0B
0C
July 10, 2026Complaint inspection · 6 citations
  1. 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 · deficient, provider has August 24, 2026
    Inspectors wroteBased on interview and record review, it was determined the facility failed to report an allegation of verbal abuse within two hours to the State Agency for 1 of 4 sampled residents (#14) reviewed for abuse. This placed residents at risk for ongoing verbal abuse.
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 24, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to fully develop a baseline care plan related to falls within 48 hours for 1 of 3 sampled residents (#13) reviewed for care plans. This placed residents at risk for falls.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 24, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to implement care plan interventions for 1 of 3 sampled residents (#6) reviewed for ADLs. This placed residents at risk for not receiving showers.
  4. 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 · found on a complaint visit · deficient, provider has August 24, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide showers or bed baths for 1 of 3 sampled residents (# 11) reviewed for ADLs. This placed residents at risk for not receiving adequate assistance with ADLs.
  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 · found on a complaint visit · deficient, provider has August 24, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for 3 of 4 sampled residents (#s 2, 4, and 13) reviewed for medications. This placed residents at risk for medication errors.
  6. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 24, 2026
    Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to provide meals according to preferences and according to recommendations made by a clinician for 1 of 3 sampled residents (#12) reviewed for food preferences. This placed residents at risk for weight loss.
February 24, 2026Complaint inspection · 1 citation
  1. 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) April 1, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide transportation for dialysis treatments for 1 of 3 sampled residents (#1) reviewed for dialysis care. This placed residents at risk for not receiving their dialysis services according to their schedules.
November 20, 2025Complaint inspection · 4 citations
  1. 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.
    F726 · 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) January 2, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure licensed nursing staff had the necessary competencies to care for residents with feeding tubes for 1 of 1 licensed staff (#25) reviewed for tube feedings. This placed residents at risk for incorrect tube feed and water flush administration.
  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) January 2, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for 1 of 3 sampled residents (#1) reviewed for physician orders. This placed residents at risk for adverse health consequences.
  3. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · 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) January 2, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide necessary care and services for tube feeding nutrition for 1 of 2 sampled residents (#1) reviewed for tube feedings. This placed residents at risk for dehydration and declining nutritional status.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to adhere to Enhance Barrier Precautions related to feeding tubes for 1 of 2 sampled residents (#1) reviewed for infection control. This placed residents at risk for infection.
June 6, 2025Standard inspection, Complaint inspection · 10 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a system was in place to receive and resolve resident and/or resident representative grievances for 1 of 1 sampled facility reviewed for Resident Council. This placed residents at risk for unreported and unresolved grievances.
  2. E
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to complete a comprehensive assessment for 4 of 8 sampled resident (#s 3, 254, 355 and 404) who were reviewed for accidents, ADLs, pain and food. This placed residents at risk for unidentified care needs.
  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 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to properly store food and failed to maintain sanitary conditions in 1 of 1 kitchen and 1 of 3 unit refrigerators. This placed residents at risk for food borne illness and contaminated food.
  4. 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 · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to respect resident rights for 1 of 1 sampled resident (#8) reviewed for personal property. This placed residents at risk for diminished quality of life.
  5. 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) July 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were assessed for safe self-administration of medications for 1 of 1 sampled resident (#44) reviewed for self-administration of medications. This placed residents at risk for unsafe medication administration and adverse medication side effects.
  6. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation and interview it was determined the facility failed to provide maintenance to maintain a safe, comfortable and homelike environment for 1 of 1 facility reviewed for physical environment. This placed residents at risk for an unsafe and unkempt interior building.
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on record review and interview it was determined the facility failed to complete MDS assessments which reflected accurate mental health diagnoses for 1 of 5 sampled residents (#45) reviewed for medications. This placed residents at risk for inaccurate assessment and care.
  8. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · 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) July 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure Staff 17 (Former Agency LPN) adhered to professional standards for medication management and licensed nurse oversight of assigned residents. This placed residents at risk for adverse side effects of medication and unmet medical needs.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to implement fall interventions to reduce hazards and risks for 1 of 3 sampled resident (#3) reviewed for accidents. This placed residents at risk for injury.
  10. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure Staff 17 (Former Agency LPN) adhered to medication administration and treatment management for 7 of 7 sampled residents (#s 5, 17, 21, 27, 31, 36, and 155) reviewed for failure to follow physician orders. This placed residents at risk for adverse side effects and unmet medical needs.
April 11, 2024Complaint inspection · 2 citations
  1. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were free from sexual abuse for 1 of 3 sampled residents (#202) reviewed for abuse. This placed residents at risk for abuse.
  2. 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 19, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to timely report allegations of abuse to the State Survey Agency for 2 of 3 sampled residents (#s 201 and 202) reviewed for abuse. This placed residents at risk for delayed and incomplete investigations.
February 23, 2024Standard inspection, Complaint inspection · 11 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) April 13, 2024
    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.
  2. E
    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 · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure timely call light responses on 2 of 2 sampled units and for 1 of 3 sampled residents (#15) reviewed for sufficient staffing. This placed residents at risk for delayed and unmet needs.
  3. 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 · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNAs received annual performance reviews for 5 of 5 randomly selected CNA staff (#s 7, 13, 28, 29 and 30) reviewed for staffing. This placed residents at risk for lack of care by competent staff.
  4. 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) April 13, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure medications were secured, maintain and log appropriate medication storage temperatures and ensure proper labeling of biologicals for 3 of 3 floors reviewed for safe medication storage. This placed residents at risk for receiving medications with reduced efficacy and access to potentially harmful medications.
  5. 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 13, 2024
    Inspectors wroteBased on observation and interview it was determined the facility failed to prepare and serve food in a safe and sanitary environment for 1 of 1 kitchen observed for food service. This placed residents at risk for foodborne illness.
  6. 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 · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide a restorative program to maintain or improve ROM for 1 of 2 sampled residents (#14) reviewed for ROM. This placed residents at risk for decline in ROM.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to assess for care plan effectiveness, identify and implement new fall interventions or provide adequate supervision needed to prevent falls for 1 of 3 sampled residents (#36) reviewed for falls. This placed residents at risk for avoidable falls.
  8. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 13, 2024
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to maintain a medication error rate of less than 5%. There were 2 errors with 35 opportunities resulting in an 5.71% medication error rate. This placed residents at risk for adverse drug reactions.
  9. 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) April 13, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure consent was obtained prior to administering psychotropic medications to residents for 1 of 5 sampled residents (#305) reviewed for unnecessary medications. This placed residents at risk for being uninformed about their medications.
  10. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · 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) April 13, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to notify the physician and the resident's responsible party of a change of condition for 1 of 1 sampled resident (#153) reviewed for change of condition. This placed residents at risk for delayed treatment and uniformed responsible parties.
  11. 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 13, 2024
    Inspectors wroteBased on interview and record review it was determined the facility failed to properly secure controlled medications for 1 of 1 sampled resident (#11) reviewed for misappropriation. This placed residents at risk for loss of medications.
November 18, 2022Standard inspection · 10 citations
  1. 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) January 7, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to store food in a sanitary manner and ensure dietary staff wore facial hair restraints for 1 of 1 kitchen staff serving all residents within the facility and 1 of 1 steam carts. This placed residents at risk for food borne illness and contaminated food.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a common-use glucometer (a device used to obtain blood glucose levels) was appropriately disinfected between uses for 3 of 3 sampled residents (#s 10, 24 and 29) reviewed for CBG monitoring. This placed residents at risk for bloodborne infections.
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure residents received reasonable accommodation of needs for 1 of 1 sampled resident (#10) reviewed for accommodation of needs. This placed residents at risk for not meeting resident's individualized needs.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation and interview it was determined the facility failed to ensure resident privacy was provided for 1 of 1 sampled resident (#10) reviewed for dignity. This placed residents at risk for lack of privacy.
  5. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were free from physical restraints for 1 of 1 sampled resident (#15) reviewed for restraints. This placed residents at risk for being physically restrained.
  6. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to comprehensively assess restraints for 1 of 1 sampled resident (#15) reviewed for physical restraints. This placed residents at risk for unassessed physical restraints.
  7. 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) January 7, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide nail care for 1 of 3 sampled residents (#17) reviewed for ADL care. This placed residents at risk for unmet care needs.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to implement interventions to prevent pressure ulcers and skin breakdown for 1 of 1 sampled resident (#17) reviewed for positioning. This placed residents at risk for the development of pressure ulcers and skin breakdown.
  9. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide routine diabetic foot care for 1 of 1 sampled resident (#17) reviewed for foot care. This placed residents at risk for infection and pain.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure safety interventions were in place to prevent elopement for 1 of 2 sampled residents (#23) reviewed for elopement. This put residents at risk for potentially avoidable accidents.

Fire safety inspections

18 fire safety citations on file: 2 on November 26, 2025, 3 on June 6, 2025, 1 on July 17, 2024, 8 on February 23, 2024, 4 on November 18, 2022.

Every fire safety citation18 citations
  1. F
    Establish emergency prep training and testing.
    E 36 · November 26, 2025 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 26, 2025 · Corrected (the home has a date of correction)
  3. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · June 6, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 6, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 6, 2025 · Corrected (the home has a date of correction)
  6. D
    Meet other general requirements that are deficient.
    K 500 · July 17, 2024 · Past noncompliance: already fixed when inspectors found it
  7. F
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · February 23, 2024 · Corrected (the home has a date of correction)
  8. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 23, 2024 · Corrected (the home has a date of correction)
  9. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 23, 2024 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 23, 2024 · Corrected (the home has a date of correction)
  11. D
    Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
    K 255 · February 23, 2024 · Corrected (the home has a date of correction)
  12. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 23, 2024 · Corrected (the home has a date of correction)
  13. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 23, 2024 · Corrected (the home has a date of correction)
  14. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 23, 2024 · Corrected (the home has a date of correction)
  15. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 18, 2022 · Corrected (the home has a date of correction)
  16. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 18, 2022 · Corrected (the home has a date of correction)
  17. D
    Install noncombustible or limited-combustible interior walls.
    K 163 · November 18, 2022 · Corrected (the home has a date of correction)
  18. D
    Provide properly protected cooking facilities.
    K 324 · November 18, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeOregonUnited States
All nursing staff (RN, LPN and aides)4.855.033.86
Registered nurses0.490.720.69
All nursing staff on weekends4.534.513.42
Nurse aides3.49
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)70.8%47.4%45.8%
Registered nurse turnover87.5%51.6%42.9%
Administrators who left1

CMS expects 3.63 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 4.98 on weekdays and 4.53 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.41 in April to June 2025 to 4.85 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.850.494.984.53 26.2%0 of 9068
Oct to Dec 20254.860.874.984.56 21.1%0 of 9259
Jul to Sep 20255.050.875.264.52 23.7%0 of 9257
Apr to Jun 20255.411.035.644.84 15.0%0 of 9159
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
14.014.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.41.40.8
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
5.42.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.51.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.920.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.55.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.213.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.621.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.916.112.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Mt. Tabor Health & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (71.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

71.6% this home

Better than the national rate

US median of homes 51.5% · Oregon: 52 better, 3 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 139 eligible stays.

Potentially preventable readmissions

8.1% this home

No different from the national rate

US median of homes 10.7% · Oregon: 3 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 130 eligible stays.

Infections that led to a hospital stay

6.4% this home

No different from the national rate

US median of homes 7.1% · Oregon: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 95 eligible stays.

Self-care and mobility at discharge

43.9% this home

Median of homes: Oregon59.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 66 residents counted.

Falls with major injury

1.1% this home

Median of homes: Oregon0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 92 residents counted.

New or worsened pressure ulcers

3.2% this home

Median of homes: Oregon2.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 92 residents counted.

Medication list given at discharge

96.8% this home

Median of homes: Oregon98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 62 residents counted.

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

NameRoleTypeShareSince
Mt Tabor SNF Operations Holdings LLC5% or greater direct ownership interestOrganization100%06/01/2025
Delilah 2626 Holdings LLCIndirect ownership interestOrganization06/01/2025
Jml 1836 Holdings LLCIndirect ownership interestOrganization06/01/2025
Lansilh Irrv TrIndirect ownership interestOrganization06/01/2025
Idels, ShimonCorporate officerIndividual06/01/2025
Delilah 2626 Holdings LLCOperational/managerial controlOrganization06/01/2025
Jml 1836 Holdings LLCOperational/managerial controlOrganization06/01/2025
Lion 26 Holdings LLCOperational/managerial controlOrganization06/01/2025
Mt Tabor SNF Operations Holdings LLCOperational/managerial controlOrganization06/01/2025
Sabrina 1818 Holdings LLCOperational/managerial controlOrganization06/01/2025
Saessy Irrevocable TrustOperational/managerial controlOrganization06/01/2025
Tatiriq Irrevocable TrustOperational/managerial controlOrganization06/01/2025
Idels, ShimonOperational/managerial controlIndividual06/01/2025
Olum, AprilOperational/managerial controlIndividual06/01/2025
Slavik, LisaOperational/managerial controlIndividual06/01/2025
Lion 26 Holdings LLCAdp of the SNFOrganization04/08/2025
Mt Tabor SNF Operations Holdings LLCAdp of the SNFOrganization04/08/2025
Sabrina 1818 Holdings LLCAdp of the SNFOrganization04/08/2025
Idels, ShimonAdp of the SNFIndividual06/01/2025
Olum, AprilAdp of the SNFIndividual06/01/2025
Slavik, LisaAdp of the SNFIndividual06/01/2025

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 13 problems in this area, most recently on July 10, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. 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 June 6, 2025: "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."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 10, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on July 10, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Mt. Tabor Health & Rehabilitation's Medicare star rating?
CMS rates Mt. Tabor Health & Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Mt. Tabor Health & Rehabilitation get at its last inspection?
9 health deficiencies at the standard inspection on June 6, 2025. The Oregon average is 9.2.
Has Mt. Tabor Health & Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Mt. Tabor Health & 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. Tabor Health & Rehabilitation?
CMS lists 21 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: MT TABOR SNF OPERATIONS LLC.

Sources

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