Cascade Terrace Post Acute
Portland, Oregon · CCN 385187
23 surveys since 2013, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 96
- Surveys
- 23
- Harm or worse
- 7
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 105
- Ownership
- For profit - Limited Liability company
- Chain
- PACS GROUP
- County
- Multnomah
- Medicare-certified since
- 1988
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 4
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 26 for-profit facilities of 100–127 beds in Oregon.
Last survey on record
Feb 18, 2026
264 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 | 4.69 | 4.88 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 47.1% | 47.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $185,923 across 2 penalties
- Special focus
- SFF Candidate
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 | J36.5% | K— | L— |
| Actual harm | G12.2% | H— | I— |
| No harm, potential for more than minimal | D2963.0% | E1021.7% | F36.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
In the surveyor’s words
From the most serious findings on record at Cascade Terrace Post Acute, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Apr 28, 2025
Based on observation, interview, and record review it was determined the facility failed to keep residents free from hazards, provide appropriate monitoring and supervision for residents with known substance use disorder and a history of illicit drug use, ensure staff possessed adequate knowledge and training regarding substance use, and follow up on recommendations from a fall investigation for 2 of 8 sampled residents (#s 3 and 217) reviewed for accidents and positioning/mobility. This failure was determined to be an immediate jeopardy situation which resulted in a serious adverse outcome for Resident 217, and placed residents at risk for injury, drug overdose, and death. […]
- Immediate jeopardy, isolatedF689Jan 31, 2024
1. Based on observation, interview and record review it was determined the facility failed to ensure safety interventions and supervision were in place and followed to protect residents from elopement from the facility for 1 of 1 sampled resident (# 56) reviewed for elopement. This failure, determined to be an immediate jeopardy situation, resulted in Resident 56 eloping from the facility into heavily trafficked areas and placed residents at risk of avoidable accidents and death. […]
- Immediate jeopardy, isolatedF740Jan 31, 2024
Based on observation, interview and record review it was determined the facility failed to ensure a resident with a diagnosed mental disorder and documented history of suicide attempts received the necessary behavioral health care and services needed to prevent suicide attempts for 1 of 5 sampled residents (# 52) reviewed for unnecessary medications. This failure, determined to be an immediate jeopardy situation, resulted in Resident 52 attempting suicide and placed residents at risk for avoidable accidents and death. […]
- Actual harm, isolatedF757Nov 6, 2025
Based on observation, interview and record review it was determined the facility failed to ensure chemotherapy medications were administered as ordered for 1 of 1 resident (#2) reviewed for chemotherapy medications. This failure resulted in Resident 2 experiencing thrombocytopenia (a medical condition characterized by a lower-than-normal number of platelets in the blood), pancytopenia (a medical condition characterized by a low number red blood cells, white blood cells and platelets) and neutropenia (a condition where there is an abnormally low number of neutrophils in the blood which are a type of white blood cell that plays a crucial role in fighting infections), which caused the resident to require numerous blood transfusions, emergency department visits and hospitalizations. […]
- No harm, potential for more than minimal, widespreadF812Sep 4, 2026
Based on observation, interview and record review it was determined the facility failed to follow proper cleaning and sanitization of dishes and cookware for 1 of 1 kitchen reviewed. This placed residents at risk for food-borne illnesses. Findings include: The facility's dishwashing policy, dated 9/1/24, indicated not to run dishes until the dishwasher reached the proper temperature for the specific machine's manufacturer's guideline. In addition, staff were to check for proper temperatures and pressure, follow manufacturer's recommendations, log temperatures, and if deficient, tell the Food and Nutritional Services manager and/or Maintenance Director. […]
Read 25 findings in full →The most serious and the most recent: 25 of 96 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 4, 2026Standard8 findings
- Feb 18, 2026Complaint3 findings
- Dec 26, 2025Complaint1 finding
- Nov 6, 2025Complaint1 finding · 1 harm
- Apr 28, 2025Standard and complaint17 findings · 1 harm
- Jan 23, 2025Complaint2 findings
- Jan 31, 2024Standard and complaint18 findings · 2 harm
- Dec 16, 2022Standard and complaint4 findings
Show the 15 earlier surveys
- Aug 18, 2022Complaint1 finding
- Dec 16, 2021Infection control1 finding
- Jul 14, 2021Complaint1 finding
- Feb 19, 2021Complaint2 findings
- Dec 4, 2018Standard and complaint15 findings
- Jul 17, 2018Complaint1 finding
- Mar 9, 2018Complaint2 findings
- Apr 17, 2017Complaint4 findings
- Dec 16, 2016Complaint3 findings
- Jun 6, 2016Standard and complaint1 finding
- Jan 29, 2016Complaint1 finding
- May 1, 2015Standard6 findings
- Feb 21, 2014Standard and complaint2 findings · 2 harm
- Oct 30, 2013—1 finding
- Jul 2, 2013—1 finding · 1 harm
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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