CASCADE TERRACE POST ACUTE
5601 SE 122ND AVENUE, PORTLAND, OR 97236 · CCN 385187
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 105
- Avg residents/day
- 80.2
- Phone
- 5037613181
Inspection history vs Oregon & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Oregon avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-28 | 19 | 10.4 | 9.5 | +8.6 worse |
| 2 | 2024-01-31 | 20 | 12.7 | 9.8 | +7.3 worse |
| 3 | 2022-12-16 | 4 | 10.9 | 9.3 | -6.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Administration | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.81 | 52.1% |
| RN staffing (reported) | 0.52 | 66.7% |
| Total nurse staffing (adjusted) | 5.13 | — |
Fines & penalties
- Total fines
- $185,923
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (43)3 immediate jeopardy1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-26 · Health · corrected 2026-01-14
Potential for more than minimal harm
- GF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-11-06 · Health
Actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-28 · Health · corrected 2025-04-28
Immediate jeopardy
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- EF0727Have 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.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- EF0761Ensure 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.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-04-28 · Health · corrected 2025-05-29
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-23 · Health · corrected 2025-02-17
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0584Honor 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.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-31 · Health · corrected 2024-03-26
Immediate jeopardy
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-31 · Health · corrected 2024-03-26
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-01-31 · Health · corrected 2024-02-16
Immediate jeopardy
- DF0760Ensure that residents are free from significant medication errors.2024-01-31 · Health · corrected 2023-09-30
Potential for more than minimal harm
- EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-31 · Health · corrected 2024-02-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-16 · Health · corrected 2022-06-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-16 · Health · corrected 2023-01-18
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2022-12-16 · Health · corrected 2023-01-18
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-12-16 · Health · corrected 2023-01-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PORTLAND 5601 REALTY LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-10 |
| APT, FREDERICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-10 |
| EPP, BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| LARSON, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| MITCHELL, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-10 |
| NAZEM, JINAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-09-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-09-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-09-01 |
Other facilities in PORTLAND
| Name | Overall | Beds |
|---|---|---|
| HOLLADAY PARK PLAZA | ★★★★★ | 51 |
| MARQUIS VERMONT HILLS | ★★★★★ | 73 |
| MARQUIS CENTENNIAL POST ACUTE REHAB | ★★★★★ | 80 |
| REEDWOOD POST ACUTE | ★★★★★ | 64 |
| MIRABELLA PORTLAND | ★★★★★ | 44 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.