FOREST GROVE POST ACUTE

FOREST GROVE, OR · 114 beds · For profit - Corporation

40 Trust Score
Grade: D HIGH Risk → Stable

Red Flags

  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • RN hours significantly below state average

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (2 vs 10 state avg)
  • No fines or penalties on record

Quick Facts

★★★★☆
CMS Overall
★★★★☆
Health Inspection
2
0.2x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

July 24, 2025

2 deficiencyies
F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0689 Potential Harm Scope/Severity: D

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.

December 17, 2024

1 deficiency
F0695 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

June 13, 2024

7 deficiencyies
F0550 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0730 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Observe each nurse aide's job performance and give regular training.

F0732 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

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.

October 5, 2023

1 deficiency
F0624 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Prepare residents for a safe transfer or discharge from the nursing home.

July 15, 2019

9 deficiencyies
F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F0658 Actual Harm Scope/Severity: G

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

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.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0741 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

F0742 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

F0812 Potential Harm Scope/Severity: F

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.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

See full violation history →

Staffing

0.41
RN hrs/res/day
1.23
LPN hrs/res/day
3.22
CNA hrs/res/day
4.39
Weekend hrs/res/day
33%
Total nurse turnover
33%
RN turnover

A nurse checks on each resident roughly every 4.9 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: PACS GROUP
  • PROVIDENCE GROUP NH, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2024

    100% 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 05/10/2024

    NO PERCENTAGE PROVIDED Organization
  • HANCOCK, MARK

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 05/10/2024

    NO PERCENTAGE PROVIDED Individual
  • MURRAY, JASON

    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
  • JERGENSEN, JOSHUA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/10/2024

    Individual
  • LARSON, DAVID

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual
  • MITCHELL, JOHN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/10/2024

    Individual
  • ROEKEL, KAYLA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2024

    Individual
  • TRUIST BANK

    5% OR GREATER SECURITY INTEREST

    Since since 09/01/2024

    Organization

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