Find a nursing home

Home / Oregon / Gresham

Village Health Care

3955 Se 182nd Avenue, Gresham, OR 97030 · Multnomah County · (503) 665-0183

106 certified beds, about 71 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

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 385068 · 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 8 health deficiencies (the Oregon average is 9.2, the national average 9.2).

Of 44 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $22,695 in the last three years; the largest was $18,470, and the latest is dated June 5, 2026.

Nurses and nurse aides worked 4.96 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

CMS links it to Evergreen Healthcare Group, 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
2G
0H
0I
Potential for more than minimal harm
31D
8E
2F
Potential for minimal harm
0A
0B
1C
June 5, 2026Standard inspection · 8 citations
  1. 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 · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to comprehensively assess a resident for the use of an electric wheelchair and develop new interventions to reduce the risk of falls for 2 of 4 sampled residents (#s 3 and 73) reviewed for accidents. This failure resulted in Resident 73 sustaining a five-centimeter laceration (a jagged wound or cut in the flesh) to her/his right anterior (toward the front) lower leg, multiple leg fractures and a brief syncopal episode (fainting or passing out) secondary to blood loss.
  2. F
    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, widespread · Corrected (the home has a date of correction) June 29, 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 places residents at risk for receiving ineffective medications or vaccinations.
  3. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were allowed to retain and use personal possessions for 1 of 1 sampled resident (#50) reviewed for edema. This placed residents at risk for diminished quality of life.
  4. 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) June 29, 2026
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents could access their closets independently for 1 of 1 sampled residents (#23) reviewed for accommodation of needs. This placed residents at risk for inability to access personal belongings.
  5. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on interview and record review, it was determined the facility failed to provide a written bed-hold notice at the time of hospital transfer for 1 of 1 resident (#76), provide residents with the necessary written documentation related to hospital transfer and discharge and did not notify the Long-Term Care Ombudsman for 2 of 3 residents (#s76 and 78) reviewed for hospitalization and discharge. This placed residents at risk for lack of being informed, financial responsibilities and Ombudsman advocacy.
  6. 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) June 29, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for 1 of 5 sampled residents (#7) reviewed for unnecessary medications. This placed residents at risk for adverse side effects to medications.
  7. 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 · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's ordered pain medication was available to the resident 17 out 186 dose administration opportunities for 1 of 1 sampled residents (#56) reviewed for pain management. This placed residents at risk for uncontrolled pain.
  8. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2026
    Inspectors wroteBased on interview and record review it was determined the facility failed to offer pneumococcal immunizations for 2 of 5 sampled residents (#s 7 and 56) reviewed for immunizations. This placed residents at risk for pneumonia.
February 4, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 19, 2026
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to implement proper safety protocols for bathing equipment, which contributed to a fall for 1 of 3 sampled resident (#1) reviewed for falls. This placed resident at risk for injury.
November 21, 2025Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 1, 2025
    Inspectors wroteBased on interview and record review, it was determined the facility failed to re-evaluate preventative interventions in the presence of new pressure ulcers for 1 of 3 (#1) sampled residents reviewed for skin issues. This placed residents at risk for developing new pressure ulcers.
May 22, 2025Complaint inspection · 1 citation
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from significant medication errors for 1 of 3 sampled residents (#3) reviewed for medications. As a result, Resident 3 experienced significant clinical symptoms (increased swelling of the extremities, lowered oxygen levels and shortness of breath) related to the medication error and had a 10-day hospitalization stay.
February 3, 2025Standard inspection, Complaint inspection · 26 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure proper hand hygiene and infection control practices were followed during CBG monitoring for 1 of 1 sampled resident (#22) reviewed for dialysis and failed to ensure enhanced barrier and transmission based precautions were followed for 1 of 1 facility reviewed for infection control precautions. This placed residents at risk for infections, communicable diseases and cross-contamination.
  2. E
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were notified their of rights both orally and in writing on an ongoing basis for 1 of 1 facility reviewed for Resident Council. This placed residents at risk for not being informed of their rights.
  3. E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to have a system in place to deliver mail on Saturdays for 1 of 1 Resident Council reviewed. This placed residents at risk for lack of timely written communications.
  4. 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) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to comprehensively assess 3 of 7 sampled residents (#s 15, 18 and 33) reviewed for medications, ROM and behaviors. This placed residents at risk for unassessed needs and a lack of a person-centered care plan.
  5. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wrote2. Resident 17 was admitted to the facility in 2021 with diagnoses including stroke and Aphasia (language disorder that affects a person's ability to communicate). Resident 17's 10/13/24 Annual MDS revealed the resident experienced severely impaired cognition. Resident 17 liked listening to music, doing things in groups of people, pets, participating in favorite activities and participating in religious activities or practices. On 1/27/25 at 1:11 PM Witness 4 (Family) stated Resident 17 enjoyed watching television, listening to music, especially jazz, classical and the oldies. Witness 4 stated Resident 17 had a radio in her/his room but they had not seen the radio since last spring. A review of Resident 17's current care plan directed staff to complete the following: - Assist patient to/from activity area. -Coordinate with nursing/therapy staff to get patient up for activities of choice. [...]
  6. 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 · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide evidence a designated licensed nurse (LN) served as a charge nurse to provide the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 1 of 1 facility reviewed for staffing. This placed the residents at risk for unmet needs.
  7. E
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure an RN was available for at least eight consecutive hours per day seven days per week for 9 of 27 days reviewed for staffing. This placed residents at risk for lack of timely RN assessments and care.
  8. 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) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure residents were treated with dignity for 1 of 1 sampled resident (# 3) and 1 of 1 facility reviewed for dignity and dining. This placed residents at risk for lack of dignity.
  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 · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to inform residents and/or the residents' responsible party of the risks and benefits, and to ensure consent was obtained for the use of psychotropic medications for 1 of 5 sampled residents (# 220) reviewed for unnecessary medications. This placed residents at risk for lack of informed consent.
  10. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were included in care planning for 1 of 4 sampled residents (#28) reviewed for care planning. This placed residents at risk for not being involved in the care planning process.
  11. 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) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to determine the appropriateness for the self-administration of medication for 2 of 2 sampled residents (#s 18 and 60) reviewed for self-administering medication. This placed residents at risk for unsafe medication administration.
  12. 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) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure the call light was within reach for 1 of 1 sampled resident (#17) reviewed for call lights. This placed residents at risk for accidents and the inability to call for assistance.
  13. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to provide SNF ABN (Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage) notifications to 1 of 3 sampled residents (#34) reviewed for Beneficiary Notification. This placed residents and their representatives at risk for unknown financial liabilities.
  14. 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) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure accurate assessments for 2 of 5 sampled residents (#s 25 and 45) reviewed for medications. This placed residents at risk for unmet care needs.
  15. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to conduct a new/accurate Level I PASARR (Pre-admission Screening and Resident Review) when the facility became aware of indicators of a serious mental illness diagnosis and failed to complete a referral for a Level ll PASARR for 1 of 2 sampled residents (# 24) reviewed for PASARR coordination of care. This placed residents with a mental health disorder at risk for delayed care, emotional distress related to mental illness and lack of services to attain their highest practicable well-being.
  16. 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 · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to comprehensively develop a resident-centered baseline care plan within 48 hours of a resident's admission for 2 of 3 sampled residents (#s 41 and 220) reviewed for choices and accidents. This placed residents at risk for unmet care needs.
  17. 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 · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to develop a plan of care to address resident centered medication management or need for PASARR (Pre-admission Screening and Resident Review) for 2 of 3 residents (#s 24 and 118) reviewed for implementation of physician orders or PASSAR. This placed the residents at risk for emotional distress related to lack of services to attain their highest practicable well-being.
  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) March 21, 2025
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to provide care and treatment as care planned for 1 of 3 sampled residents (# 25) reviewed for skin conditions and failed to ensure person-centered medication management for 1 of 1 sampled resident (# 118) reviewed for implementation of physician orders. This placed residents at risk for delayed treatment and unmet needs.
  19. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to provide glasses repair assistance for 1 of 1 sampled resident (# 45) reviewed for vision. This placed residents at risk for decreased visual abilities.
  20. 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) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to regularly provide restorative nursing services to ensure residents maintained or improved their current level of ROM or mobility for 2 of 2 residents (#s 18 and 33) reviewed for mobility. This placed residents at risk for decline in physical functioning.
  21. 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 · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to update pain medication instructions to include resident centered dosing for 1 of 3 residents (#26) reviewed for pain. This placed the resident at risk for increased pain and anxiety related to inconsistent interpretation of PRN orders.
  22. 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) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure dialysis services were in place including monitoring and communication with the dialysis provider for 1 of 1 sampled resident (# 22) reviewed for dialysis. This placed residents at risk for dialysis complications and delayed treatment.
  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 · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on interview and record review it was determined the facility failed to respond to pharmacy recommendations for limiting use of PRN antipsychotic to 14 days for 1 of 5 residents (#15) reviewed for medication regimen.
  24. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on Interview and record review it was determined the facility failed ensure PRN use of an antipsychotic was limited to 14 days for 1 of 5 residents (#15) for whom medications were reviewed. This placed the resident at increased risk for unnecessary use of psychotropic medications.
  25. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to accurately document physician orders for 2 of 4 sampled residents (#s 220 and 269 ) reviewed for choices and pain. This placed residents at risk for inaccurate medical records and risk for injury and/or decreased ability for recovery.
  26. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to post accurate and complete staffing information for 1 of 1 facility reviewed for staffing. This placed residents and the public at risk for incomplete and inaccurate staffing information.
September 8, 2023Standard inspection, Complaint inspection · 7 citations
  1. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · 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) October 28, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a periodic review regarding advance directives was completed for 4 of 4 sampled residents (#s 1, 2, 29 and 32) reviewed for advance directives. This placed residents at risk for not having their health care wishes honored.
  2. 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) October 28, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the Direct Care Staff Daily Report (DCSDR) postings were accurate for 17 of 36 days reviewed for staffing. This placed residents at risk for incorrect staffing information.
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 28, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's missing personal property was addressed for 1 of 1 sampled resident (#34) reviewed for personal property. This placed residents at risk for loss of personal items.
  4. 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) October 28, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure physician orders were followed for 1 of 5 sampled residents (#20) reviewed for unnecessary medications. This placed residents at risk for adverse medication consequences.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · 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) October 28, 2023
    Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from unnecessary bowel medications for 1 of 5 sampled residents (#20) reviewed for unnecessary medications. This placed residents at risk for loose stools and diarrhea.
  6. 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) October 28, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure a medication pass error rate of less than five percent. There were three errors in 26 opportunities resulting in a 11.54% error rate. This placed residents at risk for reduced medication efficacy and adverse medication side effects.
  7. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · 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) October 28, 2023
    Inspectors wroteBased on observation, interview and record review it was determined the facility failed to store drugs and biologicals in locked compartments for 2 of 3 treatment carts observed during this survey. This placed residents at risk for medication diversion and accidents.

Fire safety inspections

6 fire safety citations on file: 2 on June 5, 2026, 4 on February 3, 2025.

Every fire safety citation6 citations
  1. 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 · June 5, 2026 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · June 5, 2026 · Corrected (the home has a date of correction)
  3. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · February 3, 2025 · Corrected (the home has a date of correction)
  4. F
    Establish policies and procedures including evacuation.
    E 20 · February 3, 2025 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 3, 2025 · Corrected (the home has a date of correction)
  6. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 3, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 5, 2026Fine $18,470
May 22, 2025Fine $4,225

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)4.965.033.86
Registered nurses0.520.720.69
All nursing staff on weekends4.444.513.42
Nurse aides3.64
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)not reported47.4%45.8%
Registered nurse turnovernot reported51.6%42.9%
Administrators who leftnot reported

CMS expects 3.37 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 5.17 on weekdays and 4.44 on weekends, 14% 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 4.92 in April to June 2025 to 4.96 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.960.525.174.44 5.6%1 of 9071
Oct to Dec 20255.080.575.224.73 2.6%0 of 9267
Jul to Sep 20254.900.485.044.55 11.8%0 of 9273
Apr to Jun 20254.920.675.104.46 11.3%0 of 9166
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Village Health Care. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
19.214.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.41.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.42.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.12.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
39.120.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.95.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.613.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.321.423.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.216.112.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Village Health Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.0% 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

55.0% this home

No different from 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. 153 eligible stays.

Potentially preventable readmissions

11.3% 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. 139 eligible stays.

Infections that led to a hospital stay

7.1% 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. 78 eligible stays.

Self-care and mobility at discharge

41.5% 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. 65 residents counted.

Falls with major injury

1.3% 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. 79 residents counted.

New or worsened pressure ulcers

2.5% 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. 79 residents counted.

Medication list given at discharge

100.0% 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. 30 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: VILLAGE SNF OPERATIONS LLC. CMS links this home to Evergreen Healthcare Group, a group of 43 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Village SNF Operations Holdings LLCDirect ownership interestOrganization12/01/2024
Ch Village Holdings LLCIndirect ownership interestOrganization12/01/2024
Czh Village Operations Holdings LLCIndirect ownership interestOrganization12/01/2024
Gefen Village LLCIndirect ownership interestOrganization12/01/2024
Js Village LLCIndirect ownership interestOrganization12/01/2024
Mb Village Operations Holdings LLCIndirect ownership interestOrganization12/01/2024
Village SNF Operations LLCIndirect ownership interestOrganization08/31/2023
Witzcorp LLCIndirect ownership interestOrganization12/01/2024
Yh Village Holdings LLCIndirect ownership interestOrganization12/01/2024
Apfel, StephenIndirect ownership interestIndividual12/01/2024
Herz, YehudaIndirect ownership interestIndividual12/01/2024
Herzka, ChaimIndirect ownership interestIndividual12/01/2024
Herzka, YisroelIndirect ownership interestIndividual12/01/2024
Spielman, ShimonIndirect ownership interestIndividual12/01/2024
Strulovics, JoelIndirect ownership interestIndividual12/01/2024
Yenowitz, YitzchokIndirect ownership interestIndividual12/01/2024
Odenthal, JasonManaging control - governing bodyIndividual12/01/2024
Couve Financial Services LLCOperational/managerial controlOrganization12/01/2024
Couve Healthcare Consulting LLCOperational/managerial controlOrganization12/01/2024
Village Opco Manager LLCOperational/managerial controlOrganization12/01/2024
Village SNF Consulting LLCOperational/managerial controlOrganization12/01/2024
Village SNF Operations LLCOperational/managerial controlOrganization12/01/2024
Morris, ChristopherOperational/managerial controlIndividual12/01/2024
Odenthal, JasonOperational/managerial controlIndividual12/01/2024
Rutledge, MargoOperational/managerial controlIndividual03/31/2025
Spielman, ShimonOperational/managerial controlIndividual12/01/2024
Veach, DakotaOperational/managerial controlIndividual02/10/2025
Yenowitz, YitzchokOperational/managerial controlIndividual12/01/2024
Ch Village Holdings LLCAdp of the SNFOrganization12/01/2024
Couve Financial Services LLCAdp of the SNFOrganization06/27/2025
Couve Healthcare Consulting LLCAdp of the SNFOrganization06/27/2025
Village Opco Manager LLCAdp of the SNFOrganization12/01/2024
Village SNF Consulting LLCAdp of the SNFOrganization12/01/2024
Village SNF Operations LLCAdp of the SNFOrganization06/27/2025
Village SNF Realty Holdings LLCAdp of the SNFOrganization12/01/2024
Village SNF Realty LLCAdp of the SNFOrganization06/27/2025
Witzcorp LLCAdp of the SNFOrganization12/01/2024
Herzka, YisroelAdp of the SNFIndividual12/01/2024
Morris, ChristopherAdp of the SNFIndividual12/01/2024
Odenthal, JasonAdp of the SNFIndividual12/01/2024
Rutledge, MargoAdp of the SNFIndividual03/31/2025
Spielman, ShimonAdp of the SNFIndividual12/01/2024
Veach, DakotaAdp of the SNFIndividual02/10/2025
Yenowitz, YitzchokAdp of the SNFIndividual12/01/2024

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on June 5, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on June 5, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on June 5, 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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on February 3, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 4.44 hours per resident per day, below the Oregon average of 4.51.

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 Village Health Care's Medicare star rating?
CMS rates Village Health Care 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 Village Health Care get at its last inspection?
8 health deficiencies at the standard inspection on June 5, 2026. The Oregon average is 9.2.
Has Village Health Care been fined?
Yes. CMS lists 2 fines totaling $22,695 in the last three years.
Does Village Health Care 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 Village Health Care?
CMS lists 44 owners and managers, and links the home to Evergreen Healthcare Group. Legal business name: VILLAGE SNF OPERATIONS LLC.

Sources

Find a nursing home Read an inspection