Cascade Manor
Eugene, Oregon · CCN 385276
9 surveys since 2012. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 43
- Surveys
- 9
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 32
- Ownership
- Non profit - Corporation
- Chain
- PACIFIC RETIREMENT SERVICES
- County
- Lane
- Medicare-certified since
- 2012
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- —
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 41 facilities with fewer than 66 beds in Oregon.
Last survey on record
Apr 23, 2026
200 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 8.31 | 6.29 |
| Registered-nurse hours per resident day | 1.93 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $10,033 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G212.5% | H— | I— |
| No harm, potential for more than minimal | D850.0% | E425.0% | F212.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Cascade Manor, in the surveyor’s own words.
- Actual harm, isolatedF658Feb 23, 2024
Based on interview and record review it was determined facility staff failed to meet professional standards related to care and services for a feeding tube for 1 of 1 sampled resident (#165) reviewed for a feeding tube. Resident 165 required hospitalization and surgery for feeding tube replacement. Findings include: Resident 165 admitted to the facility in 2023 with diagnoses including dysphagia (difficulty swallowing) and a newly acquired feeding tube placement. On 5/8/23 a FRI was received which alleged on 5/6/23 Staff 12 (Former RNCM) provided enteral feeding through Resident 165's feeding tube, had difficulty with the feeding tube and cut off the port (opening to access the feeding tube) for easier administration of the feeding. […]
- Actual harm, isolatedF693Feb 23, 2024
Based on interview and record review it was determined the facility failed to ensure a resident received appropriate care and services related to a feeding tube for 1 of 1 unsampled resident (#165) reviewed for a feeding tube. Resident 165 required surgery for feeding tube replacement. Findings include: Resident 165 admitted to the facility in 2023 with diagnoses including dysphagia (difficulty swallowing) and a feeding tube. On 5/8/23 a FRI was received which alleged on 5/6/23 Staff 12 (Former RNCM) had difficulty with Resident 165's feeding tube while providing enteral feeding, and cut off the port (opening to access the feeding tube) for improved administration of the feeding. Staff 12 indicated there was no equipment to care for the tube feeding and the present equipment was dirty. […]
- No harm, potential for more than minimal, widespreadF812Mar 27, 2025
Based on observation, interview and record review it was determined the facility failed to ensure kitchen staff wore appropriate beard restraints during meal preparation and failed to ensure food was stored appropriately and discarded in a timely manner for 1 of 1 facility kitchen reviewed for sanitation and food storage. This placed residents at risk for unsanitary foods and food-borne illness. Findings include: 1. Review of the US FDA Food Code 2022 revealed: -Food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food. […]
- No harm, potential for more than minimal, widespreadF812Feb 23, 2024
Based on observation, interview and record review it was determined the facility failed to ensure proper handwashing practices were in place and food was prepared and stored to meet food safety standards for 1 of 1 kitchen. This placed residents at risk for foodborne illness. Findings include: An undated Anytime Menu for breakfast indicated eggs were available poached, soft boiled, fried or scrambled for residents. An undated handwritten meal service count provided on 2/22/24 at 6:00 PM by Staff 7 (Certified Dietary Manager) indicated undercooked eggs were served 49 times to residents during the last 35 days. […]
- No harm, potential for more than minimal, widespreadF880Dec 20, 2022
Based on interview and record review it was determined the facility failed to develop and implement a water management program and conduct a risk analysis assessment for potential areas of growth and spread of potentially hazardous microorganisms for 1 of 1 facility reviewed for infection control. This placed residents at risk for water borne infections. Findings include: On 12/16/22 at 12:24 PM Staff 5 (Director of Facility Services) was asked about the facility's water management program including a risk assessment related to potential areas of Legionella growth. […]
Read 20 findings in full →The most serious and the most recent: 20 of 43 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 23, 2026Standard3 findings
- Mar 27, 2025Standard3 findings
- Feb 23, 2024Standard and complaint10 findings · 2 harm
- Dec 20, 2022Standard6 findings
- Mar 8, 2021Complaint2 findings
- Mar 24, 2020Complaint1 finding
- Aug 2, 2018Standard10 findings
- Jun 30, 2016Standard3 findings
Show the 1 earlier survey
- Sep 27, 2012—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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