Village Manor of Cascadia

Name: Village Manor of Cascadia
Address: 2060 NE 238TH DRIVE, Wood Village, OR, 97060, US
Telephone: 5034910553

2060 NE 238th Drive, Wood Village, OR 97060 · Multnomah County · 60 certified beds · avg 58 residents/day · certified since Feb 23, 1976

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.14

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 · Aug 12, 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 1, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (24)

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
Aug 12, 2025	▲ 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
May 9, 2025	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.
May 9, 2025	D · Potential for harm, one-off	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.
May 9, 2025	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.
May 9, 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.
May 9, 2025	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.
May 9, 2025	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.
May 9, 2025	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.
May 9, 2025	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.
May 9, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
May 9, 2025	D · Potential for 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
May 9, 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
Jan 17, 2024	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. · from a complaint
Jan 17, 2024	E · Potential for harm, repeated	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. · from a complaint
Jan 17, 2024	D · Potential for harm, one-off	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
Jan 17, 2024	D · Potential for harm, one-off	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
Jan 17, 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
Jan 17, 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
Dec 7, 2022	E · Potential for harm, repeated	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.
Dec 7, 2022	D · Potential for 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.
Dec 7, 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.
Dec 7, 2022	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.
Dec 7, 2022	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Dec 7, 2022	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2022	6	0	E
2024	6	0	E
2025	12	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)

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)	6.14	5.42	3.95	top 11% in Oregon; top 4% in the U.S.
Registered Nurse hours	0.74	0.78	0.69	top 42% in Oregon; top 33% in the U.S.
Weekend total nurse staffing	5.64	4.85	3.50	top 8% in Oregon; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.48	0.48	bottom 15% in Oregon; bottom 22% in the U.S.
Total nursing staff turnover (%)	20.9	47.4	45.8	top 1% in Oregon; top 3% in the U.S.
RN turnover (%)	0.0	51.6	42.9	top 1% in Oregon; top 1% 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 4.52, RN 0.54, weekend 4.15. 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: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

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?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"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
Marquis Centennial Post Acute Rehab	2.4 mi	Portland, OR	★★★★★	4/5
Fairlawn Health and Rehabilitation of Cascadia	2.5 mi	Gresham, OR	★★★★★	4/5
Gresham Post Acute Care and Rehabilitation	2.6 mi	Gresham, OR	★★☆☆☆	2/5
Lacamas Creek Post Acute	3.5 mi	Camas, WA	★★★★★	5/5
Regency Gresham Nursing & Rehabilitation Center	4.2 mi	Gresham, OR	★★★★★	4/5
Village Health Care	4.2 mi	Gresham, OR	★★☆☆☆	2/5
Menlo Park Post Acute	5.8 mi	Portland, OR	★★☆☆☆	2/5
Portland Health and Rehabilitation	6.0 mi	Portland, OR	★☆☆☆☆	1/5
Avalon Care Center - Portland	6.1 mi	Portland, OR	★★★☆☆	2/5	abuse
Rose City Nursing and Rehabilitation	6.3 mi	Portland, OR	★★★☆☆	3/5
Cedar Crossings	6.3 mi	Portland, OR	★★★☆☆	2/5
Glisan Post Acute	6.8 mi	Portland, OR	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Wood Village →

Facility data as of CMS processing date 2026-08-01. CCN 38E174.

The Care File

Visit checklist — Village Manor of Cascadia

2060 NE 238th Drive, Wood Village, OR 97060 · 5034910553

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

Most serious findings on record:

▲ Aug 12, 2025 (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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "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 38E174 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)