CHEHALEM POST ACUTE
1900 E. FULTON STREET, NEWBERG, OR 97132 · CCN 385199
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 84
- Avg residents/day
- 65.1
- Phone
- 5035382108
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 | 2025-03-28 | 27 | 10.4 | 9.5 | +16.6 worse |
| 2 | 2023-12-04 | 24 | 12.7 | 9.8 | +11.3 worse |
| 3 | 2022-10-21 | 7 | 10.9 | 9.3 | -3.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 4 |
| Resident rights | 6 |
| Pharmacy service | 3 |
| Administration | 4 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.92 | — |
| RN staffing (reported) | 0.46 | — |
| Total nurse staffing (adjusted) | 5.44 | — |
Fines & penalties
- Total fines
- $54,581
- 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 (58)1 immediate jeopardy2 actual harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2026-01-15 · Health · corrected 2026-02-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-15 · Health · corrected 2026-02-03
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2025-08-13 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0584Honor 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.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-28 · Health · corrected 2025-04-29
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- FF0727Have 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.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-03-28 · Health · corrected 2025-04-29
Potential for minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0758Implement 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.2025-03-28 · Health · corrected 2025-04-29
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.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0887Educate 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.2025-03-28 · Health · corrected 2025-04-29
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-01-07 · Health · corrected 2025-01-30
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-07 · Health · corrected 2025-01-30
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-07 · Health · corrected 2025-01-30
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.2024-09-19 · Health · corrected 2024-10-07
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-12-04 · Health · corrected 2024-01-23
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.2023-12-04 · Health · corrected 2024-01-23
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.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-04 · Health · corrected 2024-01-23
Immediate jeopardy
- DF0693Ensure 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.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-12-04 · Health · corrected 2024-01-23
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.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-12-04 · Health · corrected 2024-01-23
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.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-04 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-10-21 · Health · corrected 2022-11-15
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.2022-10-21 · Health · corrected 2022-11-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-21 · Health · corrected 2022-11-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-21 · Health · corrected 2022-11-15
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-21 · Health · corrected 2022-11-15
Actual harm
- FF0880Provide and implement an infection prevention and control program.2022-10-21 · Health · corrected 2022-11-15
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2022-10-21 · Health · corrected 2022-11-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-05-10 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-10 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-10 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| APT, FREDERICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-10 |
| JERGENSEN, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-10 |
| MITCHELL, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-10 |
| MORRIS, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| NYSSEN, SARA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| PARK, TREVOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-09 |
| TRUIST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2024-09-01 |
Other facilities in NEWBERG
| Name | Overall | Beds |
|---|---|---|
| MARQUIS NEWBERG | ★★★★★ | 54 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.