Starfile / Oregon

GRACELEN CARE CENTER

10948 S.E. BOISE, PORTLAND, OR 97266 · CCN 38E188

Inspection history vs Oregon & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Inspection citations (56)1 immediate jeopardy9 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-20 · Health · corrected 2025-11-25

   Potential for more than minimal harm

2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-20 · Health · corrected 2025-11-25

   Potential for more than minimal harm

3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-28 · Health · corrected 2025-08-18

   Actual harm

4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-25 · Health · corrected 2025-08-26

   Potential for more than minimal harm

5. DF0610Respond appropriately to all alleged violations.2025-07-25 · Health · corrected 2025-08-26

   Potential for more than minimal harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-25 · Health · corrected 2025-08-26

   Potential for more than minimal harm

7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-25 · Health · corrected 2025-08-26

   Potential for more than minimal harm

8. 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.2025-07-25 · Health · corrected 2025-08-26

   Potential for more than minimal harm

9. DF0759Ensure medication error rates are not 5 percent or greater.2025-07-25 · Health · corrected 2025-08-26

   Potential for more than minimal harm

10. DF0761Ensure 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.2025-07-25 · Health · corrected 2025-08-26

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2025-07-25 · Health · corrected 2025-08-26

    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.2024-12-19 · Health · corrected 2025-01-28

    Potential for more than minimal harm

13. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-12-19 · Health · corrected 2025-01-28

    Potential for more than minimal harm

14. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

15. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

16. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

17. 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.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-08 · Health · corrected 2024-07-02

    Potential for more than minimal harm

19. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

21. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

22. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

24. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

25. EF0730Observe each nurse aide's job performance and give regular training.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

26. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

27. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

28. EF0880Provide and implement an infection prevention and control program.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

29. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-04-08 · Health · corrected 2024-05-14

    Potential for more than minimal harm

30. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-21 · Health · corrected 2023-11-10

    Actual harm

31. GF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-09-21 · Health · corrected 2023-11-10

    Actual harm

32. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-11-10

    Actual harm

33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

34. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

35. GF0692Provide enough food/fluids to maintain a resident's health.2023-09-21 · Health · corrected 2023-11-10

    Actual harm

36. DF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

37. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

39. 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.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

40. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

43. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

44. DF0679Provide activities to meet all resident's needs.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

45. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-19 · Health · corrected 2023-03-10

    Actual harm

46. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-19 · Health · corrected 2023-03-10

    Actual harm

47. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

48. 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.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

49. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

50. DF0759Ensure medication error rates are not 5 percent or greater.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

51. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

52. GF0825Provide or get specialized rehabilitative services as required for a resident.2023-01-19 · Health · corrected 2023-03-10

    Actual harm

53. HF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-01-19 · Health · corrected 2023-03-10

    Actual harm

54. KF0880Provide and implement an infection prevention and control program.2023-01-19 · Health · corrected 2023-03-10

    Immediate jeopardy

55. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

56. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-01-19 · Health · corrected 2023-03-10

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in PORTLAND

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.