CASCADE TERRACE POST ACUTE

PORTLAND, OR · 105 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 3 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $185,923 in fines over 3 years

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
19
1.8x state avg
Deficiencies
$185,923
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

December 25, 2025

1 deficiency
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

November 5, 2025

1 deficiency
F0757 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

April 27, 2025

17 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0727 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0732 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0800 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0851 Potential Harm Scope/Severity: F

Administration Deficiencies

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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0944 Potential Harm Scope/Severity: F

Administration Deficiencies

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Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

January 22, 2025

1 deficiency
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

See full violation history →

Staffing

0.55
RN hrs/res/day
0.91
LPN hrs/res/day
3.66
CNA hrs/res/day
4.50
Weekend hrs/res/day
52%
Total nurse turnover
67%
RN turnover

A nurse checks on each resident roughly every 4.7 hours on average.

Fines & Penalties

  • Fine Apr 27, 2025
    $149,783
  • Fine Jan 30, 2024
    $36,140
Total $185,923

Ownership

For profit - Limited Liability company Chain: PACS GROUP
  • PORTLAND 5601 REALTY LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    NO PERCENTAGE PROVIDED Organization
  • PROVIDENCE GROUP NH, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    NO PERCENTAGE PROVIDED Organization
  • PACS GROUP, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    NO PERCENTAGE PROVIDED Organization
  • PACS HOLDINGS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    NO PERCENTAGE PROVIDED Organization
  • HANCOCK, MARK

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 05/10/2024

    NO PERCENTAGE PROVIDED Individual
  • APT, FREDERICK

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/10/2024

    Individual
  • EPP, BLAKE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual
  • LARSON, DAVID

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual
  • MITCHELL, JOHN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/10/2024

    Individual
  • NAZEM, JINAN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual
  • APT, FREDERICK

    CORPORATE OFFICER

    Since since 09/01/2024

    Individual
  • JERGENSEN, JOSHUA

    CORPORATE OFFICER

    Since since 09/01/2024

    Individual
  • MITCHELL, JOHN

    CORPORATE OFFICER

    Since since 09/01/2024

    Individual

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