FERNWOOD SUPPORTIVE LIVING AT MADRONA GROVE
13505 SE RIVER ROAD, PORTLAND, OR 97222 · CCN 38A031
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 16
- Avg residents/day
- 15.6
- Phone
- 5036543171
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 | 2025-08-07 | 11 | 10.4 | 9.5 | +0.6 worse |
| 2 | 2024-04-19 | 3 | 12.7 | 9.8 | -9.7 better |
| 3 | 2023-02-13 | 10 | 10.9 | 9.3 | -0.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident rights | 2 |
| Pharmacy service | 1 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | — |
| RN staffing (reported) | — | — |
| Total nurse staffing (adjusted) | — | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (24)2 immediate jeopardy
- 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.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-08-07 · Health · corrected 2025-09-22
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.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-07 · Health · corrected 2025-09-22
Potential for more than minimal harm
- EF0887Educate 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.2025-08-07 · Health · corrected 2025-09-22
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.2024-08-06 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0578Honor 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.2024-04-19 · Health · corrected 2024-06-08
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-04-19 · Health · corrected 2024-06-08
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-06-09 · Health · corrected 2023-07-29
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-09 · Health · corrected 2023-07-29
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-13 · Health · corrected 2023-03-07
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-02-13 · Health · corrected 2023-03-07
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-02-13 · Health · corrected 2023-03-07
Potential for more than minimal harm
- DF0727Have 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.2023-02-13 · Health · corrected 2023-03-07
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-13 · Health · corrected 2023-03-07
Potential for more than minimal harm
- DF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2023-02-13 · Health · corrected 2023-03-07
Potential for more than minimal harm
- DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-02-13 · Health · corrected 2023-03-07
Potential for more than minimal harm
- KF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-02-13 · Health · corrected 2023-03-07
Immediate jeopardy
Ownership
No ownership records.
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.