Oregon ›Milton Freewater

Milton Freewater Health and Rehabilitation

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120 Elzora Street, Milton Freewater, OR 97862 (opens Google Maps) · Umatilla County · (541) 938-3318· 70 certified beds · avg 32 residents/day · certified since Jan 20, 1984 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)

4/5
Health inspection rating (on-site)
inspected Jan 15, 2026
1
Serious findings on record
most recent Aug 7, 2025
$8,278
Fines, last 3 years
5.63
Nurse hours/resident/day (adjusted)

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: ★★★★☆4/5 · CMS overall rating: 5/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Aug 7, 2025 · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 28, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0602

  2. 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. · from a complaint F-0684

  3. D · Potential for more than minimal harm, isolated

    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. F-0690

View all 26 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.

DateSeverityWhat the facility was cited for
Jan 15, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0602
Jan 15, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Jan 15, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Jan 15, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0725
Jan 15, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0757
Aug 7, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe 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
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0609
Aug 7, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Jun 28, 2024E · Potential for more than minimal harm, patternThe 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 · F-0725
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jun 28, 2024D · Potential for more than minimal harm, isolatedThe 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 7, 2023E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0602
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0757
Apr 7, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 1
2026
All citations: 5
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202390E
202480E
202541G ▲
202650D

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)

How to file a complaint about care →

1 fine totaling $8,278.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 7, 2025Fine$8,278

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityOregon averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.63
Oregon average: 5.42
U.S. average: 3.95
Registered Nurse hours
This facility: 1.23
Oregon average: 0.78
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.95
Oregon average: 4.85
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityOregon avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.635.423.95top 30% in Oregon; top 6% in the U.S.
Registered Nurse hours1.230.780.69top 9% in Oregon; top 9% in the U.S.
Weekend total nurse staffing4.954.853.50top 37% in Oregon; top 7% in the U.S.
Weekend RN hours (not acuity-adjusted)0.790.480.48top 11% in Oregon; top 12% in the U.S.
Total nursing staff turnover (%)34.147.445.8top 15% in Oregon; top 22% in the U.S.
RN turnover (%)45.551.642.9top 34% in Oregon; bottom 43% in the U.S.

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 5.34, RN 1.16, weekend 4.69.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Milton Freewater Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

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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 →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Ashby, WilliamIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
CH PNW 12 Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Chambers, RandyIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Couve Healthcare Consulting LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Freewater Oregon LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Herzka, YisroelIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Hyde, DeidreIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Milton Freewater SNF Operations, LLCOrganizationDirect Ownership InterestNOT APPLICABLE08/31/2023
Odenthal, JasonIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Pacific Northwest 12 Leased Operations Holdings LLCOrganizationDirect Ownership InterestNOT APPLICABLE08/31/2023
PNW 12 Opco Management LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
PNW 12 SNF Consulting LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Spielman, ShimonIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Witzcorp PNW 12 LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Yenowitz, YitzchokIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Ashby, WilliamIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Ashby, WilliamIndividualADP of the SNFNOT APPLICABLE08/31/2023
Chambers, RandyIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Chambers, RandyIndividualADP of the SNFNOT APPLICABLE08/31/2023

Showing 20 of 39 parties CMS has on file for this facility; 19 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Evergreen Healthcare Group — 44 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 43 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"

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?"
  • "CMS reports 34% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 39 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Regency at the Park7.3 miCollege Place, WA★★★★★4/5
Park Manor Rehabilitation Ctr7.8 miWalla Walla, WA★★★★★5/5
Washington State Walla Walla Veterans Home8.4 miWalla Walla, WA★★★★☆3/5
Washington Odd Fellows Home9.6 miWalla Walla, WA★★★★☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Umatilla, OR — 3 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Milton Freewater →

Facility data as of CMS processing date 2026-08-01. CCN 385161.

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