Oregon Veterans Home
700 Veterans Drive, The Dalles, OR 97058 · Wasco County · (541) 296-7190
151 certified beds, about 111 residents a day · Non profit - Corporation · Medicare and Medicaid since 1998
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385257 · 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 5 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 13 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $13,065 in the last three years; the largest was $13,065, and the latest is dated June 26, 2026.
Nurses and nurse aides worked 5.03 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
41.2% of nursing staff left within the year CMS measured (Oregon average 47.4%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
311/23
503/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
3E
0F
Potential for minimal harm
0A
0B
0C
June 26, 2026Standard inspection, Complaint inspection · 5 citations
- 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 physical abuse for 1 of 10 sampled residents (#26) reviewed for abuse. This placed residents at risk for physical harm.
- E 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 administer medications according to physician orders and failed to notify the physician of continued missed medication for 2 of 5 sampled residents (#s 62 and 115) reviewed for medications. This placed residents at risk for adverse side effects of medications and worsening medical conditions.
- 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.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure proper labeling of biologicals for 2 of 7 treatment carts and failed to ensure treatment carts were properly secured during observations. This placed residents at risk for receiving medications with reduced efficacy and unauthorized access to medications.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure flu and pneumonia vaccines were provided for 3 of 5 sampled residents (#s 2, 3 and 66) reviewed for immunizations. This placed residents at risk for illness.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on interview and record review it was determined the facility failed to offer Covid-19 vaccines for 3 of 5 sampled residents (#s 2, 3 and 155) reviewed for vaccines. This placed residents at risk for respiratory illness.
March 14, 2025Standard inspection, Complaint inspection · 5 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review it was determined the facility failed to accurately code MDS assessments for 5 of 5 sampled residents (#s 10, 23, 84, 97, and 103) reviewed for use of anticoagulants. This placed residents at risk for inaccurate medication assessments.
- 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 protect the resident's right to be free from physical abuse by Resident 76 for 1 of 3 sampled residents (#106) reviewed for physical abuse. This placed residents at risk for physical, mental, or psychosocial harm.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, it was determined the facility failed to report an allegation of sexual abuse to the State Survey Agency for 2 of 3 residents (#s 54 and 307) reviewed for sexual abuse. This placed residents at risk for a lack of protective measures to prevent further abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review, it was determined the facility failed to thoroughly investigate an allegation of abuse for 3 of 6 sampled residents (#s 54, 106, and 307) reviewed for abuse. This placed residents at risk for lack of protective measures to prevent a reoccurrence.
- 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 related to bowel care were followed for 1 of 5 sampled residents (#79) reviewed for unnecessary medications. This placed residents at risk for adverse side effects of medications.
November 3, 2023Standard inspection, Complaint inspection · 3 citations
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were assessed after significant weight loss was identified for 2 of 3 sampled residents (#s 62 and 74) reviewed for weight loss. This placed residents at risk for severe weight loss.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to obtain a physician's order for supplemental oxygen, ensure oxygen tubing was changed and oxygen equipment was maintained for 1 of 1 sampled resident (#25) reviewed for respiratory care. This placed residents at risk for respiratory complications.
- 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 ensure care and services were in place to treat an emergency related to a resident's dialysis port for 1 of 1 sampled resident (#62) reviewed for dialysis. This placed residents at risk for blood loss.
Fire safety inspections
12 fire safety citations on file: 1 on June 26, 2026, 10 on March 14, 2025, 1 on November 3, 2023.
Every fire safety citation12 citations
- F Have simulated fire drills held at unexpected times.
- F Develop Emergency Preparedness policies and procedures.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 26, 2026 | Fine | $13,065 |
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) | 5.03 | 5.03 | 3.86 |
| Registered nurses | 0.99 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.31 | 4.51 | 3.42 |
| Nurse aides | 3.76 | ||
| Licensed practical nurses | 0.28 | ||
| Nursing staff turnover (share who left in a year) | 41.2% | 47.4% | 45.8% |
| Registered nurse turnover | 25.0% | 51.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.35 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 5.33 on weekdays and 4.31 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.06 in April to June 2025 to 5.03 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 | 5.03 | 0.99 | 5.33 | 4.31 | 15.7% | 0 of 90 | 111 |
| Oct to Dec 2025 | 5.03 | 0.96 | 5.32 | 4.29 | 15.1% | 0 of 92 | 104 |
| Jul to Sep 2025 | 5.27 | 0.82 | 5.62 | 4.40 | 15.4% | 2 of 92 | 101 |
| Apr to Jun 2025 | 5.06 | 0.84 | 5.44 | 4.09 | 14.2% | 0 of 91 | 105 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.7 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.2 | 20.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.7 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.5 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 0.0 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.8 | 16.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.4 | 1.8 |
Owners and operators
Legal business name: STATE OF OREGON DEPARTMENT OF VETERANS AFFAIRS.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| State of Oregon Department of Veterans Affairs | 5% or greater direct ownership interest | Organization | 100% | 10/01/2003 |
| Pray, Tara | W-2 managing employee | Individual | 06/14/2022 | |
| Haole Valenzuela, Donna | Corporate officer | Individual | 03/01/2022 | |
| Veterans Care Centers of Oregon | Operational/managerial control | Organization | 10/01/2003 | |
| Westcare Management Inc | Operational/managerial control | Organization | 10/01/2003 | |
| Decker, Bryan | Operational/managerial control | Individual | 10/01/2003 |
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 5 problems in this area, most recently on June 26, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on June 26, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 26, 2026: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem 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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.31 hours per resident per day, below the Oregon average of 4.51.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- The Dalles Health and Rehabilitation The Dalles, 3.9 mi · 4 of 5 stars · 17 citations
- Columbia Basin Care Facility The Dalles, 3.9 mi · 1 of 5 stars · 35 citations
- Hood River Post Acute Hood River, 20.9 mi · 3 of 5 stars · 29 citations
Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Oregon Veterans Home's Medicare star rating?
- CMS rates Oregon Veterans Home 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Oregon Veterans Home get at its last inspection?
- 5 health deficiencies at the standard inspection on June 26, 2026. The Oregon average is 9.2.
- Has Oregon Veterans Home been fined?
- Yes. CMS lists 1 fine totaling $13,065 in the last three years.
- Does Oregon Veterans Home 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 Oregon Veterans Home?
- CMS lists 6 owners and managers. Legal business name: STATE OF OREGON DEPARTMENT OF VETERANS AFFAIRS.
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.