Starfile

Starfile / Oregon

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.

CycleInspection dateThis facilityOregon avgNational avgvs state
12025-08-071110.49.5+0.6 worse
22024-04-19312.79.8-9.7 better
32023-02-131010.99.3-0.9 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident rights2
Pharmacy service1
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. FF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-09-22

    Potential for more than minimal harm

  9. DF0881Implement a program that monitors antibiotic use.2025-08-07 · Health · corrected 2025-09-22

    Potential for more than minimal harm

  10. 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

  11. 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

  12. 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

  13. 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

  14. DF0881Implement a program that monitors antibiotic use.2024-04-19 · Health · corrected 2024-06-08

    Potential for more than minimal harm

  15. 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

  16. 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

  17. 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

  18. 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

  19. DF0610Respond appropriately to all alleged violations.2023-02-13 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

NameOverallBeds
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.