Laurelhurst Post Acute & Rehabilitation
3060 SE Stark Street, Portland, OR 97214 · Multnomah County · 159 certified beds · avg 104 residents/day · certified since Jan 1, 1967
Part of chain: HILL VALLEY HEALTHCARE (43 facilities, chain avg rating 1.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Nov 6, 2023 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Dec 20, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 6, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Dec 20, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 6, 2023 · F-0725 · triggered by a complaint
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Why it matters: Understaffing means longer waits for help, missed care, and higher risk of falls and other harm.
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: Dec 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (45)
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 |
|---|---|---|
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jun 26, 2026 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint |
| Nov 4, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Nov 4, 2025 | 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 |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Mar 14, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 14, 2025 | 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. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 14, 2025 | 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. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 6, 2023 | ▲ G · Actual harm, one-off | 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 |
| Nov 6, 2023 | ▲ G · Actual 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. · from a complaint |
| Nov 6, 2023 | ▲ G · Actual harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Nov 6, 2023 | 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. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Nov 6, 2023 | 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. · from a complaint |
| Nov 6, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Nov 6, 2023 | 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. · from a complaint |
| Nov 6, 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 |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Nov 6, 2023 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Oct 21, 2022 | 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. |
| Oct 21, 2022 | 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. |
| Oct 21, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 21, 2022 | 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. |
| Oct 21, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 21, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Oct 21, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (25 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | F |
| 2023 | 25 | 3 | G ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 10 | 0 | E |
| 2026 | 2 | 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 $33,319.
| Date | Type | Amount / length |
|---|---|---|
| Nov 3, 2023 | Fine | $33,319 |
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) | 5.05 | 5.42 | 3.95 | bottom 27% in Oregon; top 13% in the U.S. |
| Registered Nurse hours | 0.76 | 0.78 | 0.69 | top 38% in Oregon; top 31% in the U.S. |
| Weekend total nurse staffing | 4.65 | 4.85 | 3.50 | bottom 38% in Oregon; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.48 | 0.48 | top 20% in Oregon; top 22% in the U.S. |
| Total nursing staff turnover (%) | 47.1 | 47.4 | 45.8 | bottom 47% in Oregon; bottom 44% in the U.S. |
| RN turnover (%) | 60.0 | 51.6 | 42.9 | bottom 38% in Oregon; bottom 22% 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 4.91, RN 0.74, weekend 4.52. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Delilah 2626 Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| JML 1836 Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| JNL 2024 Fam Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Lansilh Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Laurelhurst Operations Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 07/01/2025 |
| MJL 2024 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Oeb 94 Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Oregon Healthcare Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2025 |
| Idels, Shimon | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Idels, Shimon | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Idels, Shimon | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Lion 26 Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Misili, Leuma | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Misili, Leuma | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Oregon Healthcare Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Poirier, Tracie | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Poirier, Tracie | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Sabrina 1818 Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Saessy Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Tatiriq Irrevocable Trust | Organization | Trustee of the SNF | NOT APPLICABLE | 07/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "If a resident needs an x-ray, how is it done and how long does it usually take?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "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 |
|---|---|---|---|---|---|
| Belmont Care and Rehabilitation | 1.0 mi | Portland, OR | ★☆☆☆☆ | 2/5 | |
| Providence Child Center | 1.2 mi | Portland, OR | ★★★★★ | 5/5 | |
| Holladay Park Plaza | 1.3 mi | Portland, OR | ★★★★★ | 5/5 | |
| Mt. Tabor Health & Rehabilitation | 1.5 mi | Portland, OR | ★★☆☆☆ | 2/5 | |
| Reedwood Post Acute | 1.7 mi | Portland, OR | ★★★★★ | 5/5 | |
| The Creston Health & Rehabilitation | 2.0 mi | Portland, OR | ★☆☆☆☆ | 1/5 | |
| Mirabella Portland | 2.5 mi | Portland, OR | ★★★★★ | 5/5 | |
| Porthaven Post Acute | 2.7 mi | Portland, OR | ★★★☆☆ | 2/5 | |
| Fernhill Rehabilitation and Care | 3.1 mi | Portland, OR | ★★☆☆☆ | 2/5 | abuse |
| Gateway Care and Retirement | 3.4 mi | Portland, OR | ★★★☆☆ | 3/5 | |
| Glisan Post Acute | 3.4 mi | Portland, OR | ★★☆☆☆ | 2/5 | |
| Marquis Mill Park | 3.4 mi | Portland, OR | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 385010.