Cascade Manor
65 West 30th Avenue, Eugene, OR 97405 · Lane County · 32 certified beds · avg 9 residents/day · certified since Nov 26, 2012
Part of chain: PACIFIC RETIREMENT SERVICES (10 facilities, chain avg rating 4.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 23, 2024 · F-0658 · triggered by a complaint
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 29, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 23, 2024 · F-0693 · triggered by a complaint
The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Why it matters: Unnecessary or poorly managed feeding tubes can cause serious complications like lung infections and take away the ability to eat normally.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Mar 27, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 23, 2024 | ▲ G · Actual harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 23, 2024 | ▲ G · Actual harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Feb 23, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Feb 23, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 2 | G ▲ |
| 2025 | 3 | 0 | F |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,033.
| Date | Type | Amount / length |
|---|---|---|
| Feb 23, 2024 | Fine | $10,033 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oregon avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 9.72 | 5.42 | 3.95 | top 2% in Oregon; top 1% in the U.S. |
| Registered Nurse hours | 2.26 | 0.78 | 0.69 | top 2% in Oregon; top 1% in the U.S. |
| Weekend total nurse staffing | 8.84 | 4.85 | 3.50 | top 2% in Oregon; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.15 | 0.48 | 0.48 | top 4% in Oregon; top 4% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 47.4 | 45.8 | — |
| RN turnover (%) | 0.0 | 51.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 8.31, RN 1.93, weekend 7.56. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dean, Hannah | Individual | Corporate Director | NOT APPLICABLE | 10/01/2023 |
| Dean, Hannah | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2023 |
| Flores, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Flores, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Hirst, Donald | Individual | Corporate Director | NOT APPLICABLE | 10/01/2019 |
| Kiernan, Janet | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/16/2023 |
| Kiernan, Janet | Individual | ADP of the SNF | NOT APPLICABLE | 07/16/2023 |
| Pacific Retirement Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2026 |
| Sabatini, Anthony | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/17/2024 |
| Sabatini, Anthony | Individual | ADP of the SNF | NOT APPLICABLE | 10/17/2024 |
| Sorenson, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 07/10/2023 |
| Sorenson, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/10/2023 |
| Sorenson, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 07/10/2023 |
| Vanvactor, William | Individual | Corporate Director | NOT APPLICABLE | 07/01/2011 |
| Vanvactor, William | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| South Hills Rehabilitation Center | 0.5 mi | Eugene, OR | ★☆☆☆☆ | 1/5 | abuseSFF |
| Creekside Health and Rehabilitation of Cascadia | 0.6 mi | Eugene, OR | ★★★★★ | 4/5 | |
| Hillside Heights Rehabilitation Center | 1.0 mi | Eugene, OR | ★★★☆☆ | 3/5 | |
| Avamere Rehabilitation of Eugene | 1.6 mi | Eugene, OR | ★☆☆☆☆ | 1/5 | |
| Valley West Health Care Center | 3.0 mi | Eugene, OR | ★★☆☆☆ | 2/5 | |
| Avamere Riverpark of Eugene | 3.9 mi | Eugene, OR | ★★☆☆☆ | 2/5 | |
| Green Valley Rehabilitation Health Center | 4.2 mi | Eugene, OR | ★☆☆☆☆ | 1/5 | |
| Marquis Springfield | 4.6 mi | Springfield, OR | ★★★★☆ | 3/5 | |
| Creswell Post Acute | 8.4 mi | Creswell, OR | ★★☆☆☆ | 2/5 | |
| Avamere Rehabilitation of Junction City | 14.5 mi | Junction City, OR | ★★★★☆ | 3/5 | |
| Cottage Grove Post Acute | 16.8 mi | Cottage Grove, OR | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385276.