Starfile

Starfile / Oregon

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.

CycleInspection dateThis facilityOregon avgNational avgvs state
12025-03-282710.49.5+16.6 worse
22023-12-042412.79.8+11.3 worse
32022-10-21710.99.3-3.9 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident assessment and care planning2
Nursing and physician services4
Resident rights6
Pharmacy service3
Administration4
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
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

  1. 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

  2. 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

  3. EF0583Keep residents' personal and medical records private and confidential.2025-08-13 · Health · corrected 2025-08-26

    Potential for more than minimal harm

  4. 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

  5. EF0583Keep residents' personal and medical records private and confidential.2025-03-28 · Health · corrected 2025-04-29

    Potential for more than minimal harm

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. CF0732Post nurse staffing information every day.2025-03-28 · Health · corrected 2025-04-29

    Potential for minimal harm

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. EF0880Provide and implement an infection prevention and control program.2025-03-28 · Health · corrected 2025-04-29

    Potential for more than minimal harm

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. EF0732Post nurse staffing information every day.2023-12-04 · Health · corrected 2024-01-23

    Potential for more than minimal harm

  43. 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

  44. 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

  45. 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

  46. DF0759Ensure medication error rates are not 5 percent or greater.2023-12-04 · Health · corrected 2024-01-23

    Potential for more than minimal harm

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-10-21 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  53. 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

  54. 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

  55. 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

  56. 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

  57. FF0880Provide and implement an infection prevention and control program.2022-10-21 · Health · corrected 2022-11-15

    Potential for more than minimal harm

  58. DF0908Keep all essential equipment working safely.2022-10-21 · Health · corrected 2022-11-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-05-10
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-10
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-05-10
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-09-01
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-09-01
APT, FREDERICKIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-10
JERGENSEN, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-10
MITCHELL, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-10
MORRIS, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL2024-09-01
NYSSEN, SARAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-09-01
PARK, TREVORIndividualOPERATIONAL/MANAGERIAL CONTROL2024-10-09
TRUIST BANKOrganization5% OR GREATER SECURITY INTEREST2024-09-01

Other facilities in NEWBERG

NameOverallBeds
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.