Fairlawn Health and Rehabilitation of Cascadia

Name: Fairlawn Health and Rehabilitation of Cascadia
Address: 3457 NE DIVISION STREET, Gresham, OR, 97030, US
Telephone: 5036671965

3457 NE Division Street, Gresham, OR 97030 · Multnomah County · 82 certified beds · avg 75 residents/day · certified since Jun 14, 1976

Part of chain: CASCADIA HEALTHCARE (46 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.11

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 · Jan 21, 2020 · F-0760

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

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 11, 2020 (Deficient, Provider has date of correction)

All citations in the current public record (27)

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
Mar 27, 2026	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, 2026	F · Potential for harm, facility-wide	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.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 6, 2024	E · Potential for harm, repeated	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.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Dec 6, 2024	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.
Dec 6, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 21, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint
Nov 21, 2024	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. · from a complaint
May 24, 2024	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. · from a complaint
Oct 18, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Aug 29, 2023	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. · from a complaint
Jan 21, 2020	▲ G · Actual harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jan 21, 2020	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.
Jan 21, 2020	E · Potential for harm, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Jan 21, 2020	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 21, 2020	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 21, 2020	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.
Jan 21, 2020	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jan 21, 2020	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jan 21, 2020	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.
Jan 21, 2020	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jan 21, 2020	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.
Jan 21, 2020	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 21, 2020	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.
Jan 21, 2020	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 (4 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2020	14	1	G ▲
2023	2	0	D
2024	8	0	E
2026	3	0	F

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)

No fines or payment denials in the published 3-year window.

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)	5.11	5.42	3.95	bottom 30% in Oregon; top 12% in the U.S.
Registered Nurse hours	0.91	0.78	0.69	top 23% in Oregon; top 20% in the U.S.
Weekend total nurse staffing	4.61	4.85	3.50	bottom 36% in Oregon; top 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.66	0.48	0.48	top 17% in Oregon; top 19% in the U.S.
Total nursing staff turnover (%)	33.7	47.4	45.8	top 14% in Oregon; top 21% in the U.S.
RN turnover (%)	30.8	51.6	42.9	top 19% in Oregon; top 30% in the U.S.

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 4.76, RN 0.84, weekend 4.29. Staffing rating: 5/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Cascadia HC Group LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia Healthcare LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2023
Cascadia Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia Oregon Operations LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2023
Hammond, Owen	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2023
Laforte, Stephen	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/05/2025
Cascadia HC Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Cascadia Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2023
Cascadia Holdco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Cascadia Oregon Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2023
Cascadia Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/30/2022
Cascadia Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/10/2025
Gresham 3457 Realty, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	06/05/2025
Gresham 3457 Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/05/2025
Hammond, Owen	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2023
Laforte, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Nelson, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	06/05/2025
Vellody, Nita	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2024
Vellody, Nita	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Gresham Post Acute Care and Rehabilitation	1.5 mi	Gresham, OR	★★☆☆☆	2/5
Regency Gresham Nursing & Rehabilitation Center	1.9 mi	Gresham, OR	★★★★★	4/5
Village Manor of Cascadia	2.5 mi	Wood Village, OR	★★★★☆	3/5
Marquis Centennial Post Acute Rehab	3.0 mi	Portland, OR	★★★★★	4/5
Village Health Care	4.0 mi	Gresham, OR	★★☆☆☆	2/5
Lacamas Creek Post Acute	5.8 mi	Camas, WA	★★★★★	5/5
Cedar Crossings	6.1 mi	Portland, OR	★★★☆☆	2/5
Avalon Care Center - Portland	6.3 mi	Portland, OR	★★★☆☆	2/5	abuse
Portland Health and Rehabilitation	6.8 mi	Portland, OR	★☆☆☆☆	1/5
Cascade Terrace Post Acute	7.0 mi	Portland, OR	★☆☆☆☆	1/5	SFF
Menlo Park Post Acute	7.0 mi	Portland, OR	★★☆☆☆	2/5
Rose City Nursing and Rehabilitation	7.5 mi	Portland, OR	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Gresham →

Facility data as of CMS processing date 2026-08-01. CCN 385133.

The Care File

Visit checklist — Fairlawn Health and Rehabilitation of Cascadia

3457 NE Division Street, Gresham, OR 97030 · 5036671965

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 21, 2020 (F-0760, Actual harm, one-off): The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 385133 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)