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Fernwood Supportive Living at Madrona Grove
13505 SE River Road, Portland, OR 97222 (opens Google Maps) · Clackamas County · (503) 654-3171· 16 certified beds · avg 15 residents/day · certified since Dec 31, 2012 · Medicaid only — not Medicare certified
Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Jun 4, 2026
0
Serious findings on record
$0
Fines, last 3 years
8.53
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. F-0868
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. F-0882
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. F-0578
View all 19 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | F · Potential for more than minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
| Jun 4, 2026 | F · Potential for more than minimal harm, widespread | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Aug 7, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Aug 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Aug 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Aug 7, 2025 | E · Potential for more than minimal harm, pattern | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0881 |
| Aug 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Aug 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Apr 19, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Apr 19, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0881 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
All citationsSerious citations (G–L)
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 11
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 11 | 0 | F |
| 2026 | 5 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOregon averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 8.53
Oregon average: 5.42
U.S. average: 3.95
Registered Nurse hours
This facility: 2.38
Oregon average: 0.78
U.S. average: 0.69
Weekend total nurse staffing
This facility: 7.58
Oregon average: 4.85
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Oregon avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 8.53 | 5.42 | 3.95 | top 2% in Oregon; top 1% in the U.S. |
| Registered Nurse hours | 2.38 | 0.78 | 0.69 | top 2% in Oregon; top 1% in the U.S. |
| Weekend total nurse staffing | 7.58 | 4.85 | 3.50 | top 2% in Oregon; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.28 | 0.48 | 0.48 | top 3% in Oregon; top 3% in the U.S. |
| Total nursing staff turnover (%) | — | 47.4 | 45.8 | — |
| RN turnover (%) | — | 51.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 6.29, RN 1.76, weekend 5.59.Comparing with Medicare Care Compare? Care Compare shows the raw figure (6.29 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Fernwood Supportive Living at Madrona Grove. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
All 1 owning or managing party CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "Who is your infection preventionist, and what training do they have?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 60 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Willamette View Health Center | 0.1 mi | Milwaukie, OR | ★★★★★ | 5/5 | |
| Stanley Post Acute | 2.5 mi | Milwaukie, OR | ★★★☆☆ | 3/5 | |
| The Pearl at Kruse Way | 3.4 mi | Lake Oswego, OR | ★★★★☆ | 4/5 | |
| Avamere Rehabilitation of Clackamas | 4.1 mi | Gladstone, OR | ★★★★☆ | 3/5 | |
| Avamere Crestview of Portland | 4.6 mi | Portland, OR | ★★★★☆ | 3/5 | |
| The Creston Health & Rehabilitation | 4.6 mi | Portland, OR | ★☆☆☆☆ | 1/5 | |
| Reedwood Post Acute | 4.9 mi | Portland, OR | ★★★★★ | 5/5 | |
| Rose Linn Care Center | 5.0 mi | West Linn, OR | ★★★☆☆ | 4/5 | |
| Mirabella Portland | 5.1 mi | Portland, OR | ★★★★★ | 5/5 | |
| West Hills Health & Rehabilitation | 5.2 mi | Portland, OR | ★★★★☆ | 3/5 | |
| Avamere Rehabilitation of Oregon City | 5.7 mi | Oregon City, OR | ★★☆☆☆ | 2/5 | |
| Marquis Vermont Hills | 5.8 mi | Portland, OR | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Clackamas, OR — 13 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Marquis Hope Village — Canby, OR · overall 4/5
- Marquis Oregon City Post Acute Rehab — Oregon City, OR · overall 5/5
- Marquis Tualatin Post Acute Rehab — Tualatin, OR · overall 5/5
- Marquis Wilsonville Post Acute Rehab — Wilsonville, OR · overall 5/5
- Rivercrest Post Acute — Oregon City, OR · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 38A031.
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