GRACELEN CARE CENTER
PORTLAND, OR · 80 beds · For profit - Corporation
Red Flags
- ⚠ 1-star health inspection rating (lowest possible)
- ⚠ 1 citation(s) at the highest severity level — immediate risk to residents
- ⚠ 9 citation(s) where residents suffered actual harm
Green Flags
- ✓ No fines or penalties on record
Quick Facts
Violation Timeline
October 19, 2025
2 deficiencyiesQuality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
August 27, 2025
1 deficiencyQuality 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.
July 24, 2025
8 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
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.
Pharmacy Service Deficiencies
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Ensure medication error rates are not 5 percent or greater.
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.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
December 18, 2024
2 deficiencyiesFreedom from Abuse, Neglect, and Exploitation Deficiencies
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
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Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
April 7, 2024
7 deficiencyiesResident 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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Resident Rights Deficiencies
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Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
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Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Staffing
A nurse checks on each resident roughly every 5.0 hours on average.
Fines & Penalties
No fines or penalties on record.
Ownership
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Ownership Data Not Available