The Dalles Health and Rehabilitation

Name: The Dalles Health and Rehabilitation
Address: 1023 W. 25TH STREET, The Dalles, OR, 97058, US
Telephone: 5412985158

1023 W. 25th Street, The Dalles, OR 97058 · Wasco County · 121 certified beds · avg 37 residents/day · certified since Jul 1, 1986

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

3/5

Health inspection rating (on-site)

Serious findings on record

$14,380

Fines, last 3 years

5.29

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 · Apr 27, 2026 · 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 19, 2025 (Past Non-Compliance)

▲ Actual harm, one-off · Dec 20, 2024 · 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: Aug 3, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Jul 15, 2022 · F-0688

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.

Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.

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: Aug 24, 2022 (Deficient, Provider has date of correction)

All citations in the current public record (21)

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 27, 2026	▲ 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
Dec 20, 2024	▲ 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
Dec 20, 2024	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
Dec 20, 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
Dec 20, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
May 17, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Oct 5, 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
Oct 5, 2023	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. · from a complaint
Oct 5, 2023	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. · from a complaint
Oct 5, 2023	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. · from a complaint
Oct 5, 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
Oct 5, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 15, 2022	▲ G · Actual 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.
Jul 15, 2022	E · Potential for harm, repeated	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.
Jul 15, 2022	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.
Jul 15, 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.
Jul 15, 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.
Jul 15, 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.
Jul 15, 2022	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.
Jul 15, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jul 15, 2022	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2022	9	1	G ▲
2023	6	0	E
2024	5	1	G ▲
2026	1	1	G ▲

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 $14,380.

Date	Type	Amount / length
Apr 27, 2026	Fine	$14,380

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)	5.29	5.42	3.95	bottom 46% in Oregon; top 9% in the U.S.
Registered Nurse hours	1.00	0.78	0.69	top 17% in Oregon; top 16% in the U.S.
Weekend total nurse staffing	4.60	4.85	3.50	bottom 35% in Oregon; top 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.74	0.48	0.48	top 14% in Oregon; top 14% in the U.S.
Total nursing staff turnover (%)	48.1	47.4	45.8	bottom 45% in Oregon; bottom 42% in the U.S.
RN turnover (%)	37.5	51.6	42.9	top 23% in Oregon; top 42% 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 5.06, RN 0.96, weekend 4.40. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
CH PNW 12 Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Herzka, Yisroel	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Pacific Northwest 12 Leased Operations Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/31/2023
PNW 12 Opco Management LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
PNW 12 SNF Consulting LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Spielman, Shimon	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
The Dalles SNF Operations LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	08/31/2023
Washington-Oregon Associates LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Witzcorp PNW 12 LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Yenowitz, Yitzchok	Individual	Indirect Ownership Interest	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Financial Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/11/2025
Couve Healthcare Consulting LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Couve Healthcare Consulting LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/09/2025
Curry, Danielle	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Curry, Danielle	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023
Curry, Danielle	Individual	ADP of the SNF	NOT APPLICABLE	08/31/2023
Nagle, Jordan	Individual	Operational/Managerial Control	NOT APPLICABLE	08/31/2023

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"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
Columbia Basin Care Facility	0.9 mi	The Dalles, OR	★☆☆☆☆	1/5
Oregon Veterans Home	3.9 mi	The Dalles, OR	★★★☆☆	2/5	abuse
Hood River Post Acute	17.5 mi	Hood River, OR	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in The Dalles →

Facility data as of CMS processing date 2026-08-01. CCN 385172.

The Care File

Visit checklist — The Dalles Health and Rehabilitation

1023 W. 25th Street, The Dalles, OR 97058 · 5412985158

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $14,380

Most serious findings on record:

▲ Apr 27, 2026 (F-0689, 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.
▲ Dec 20, 2024 (F-0689, 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.
▲ Jul 15, 2022 (F-0688, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "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 385172 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)