CareSentinel

Federal Nursing-Home Survey Record

VILLAGE HEALTH CARE

CCN 385068 · 3955 SE 182ND AVENUE, GRESHAM, OR, 97030 · Operated within the EVERGREEN HEALTHCARE GROUP chain

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does VILLAGE HEALTH CARE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), VILLAGE HEALTH CARE (CCN 385068), in GRESHAM, OR, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 29 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-02-03. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $4,225 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$4,225

CMS has $4,225 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.1

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-04
CURRENT CYCLE
F689S/S D

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

2025-11-21
CURRENT CYCLE
F686S/S D

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

2025-05-22
CURRENT CYCLE
F760S/S G

Ensure that residents are free from significant medication errors.

2025-02-03
CURRENT CYCLE
F880S/S F

Provide and implement an infection prevention and control program.

2025-02-03
CURRENT CYCLE
F727S/S E

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.

2025-02-03
CURRENT CYCLE
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-02-03
CURRENT CYCLE
F636S/S E

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

2025-02-03
CURRENT CYCLE
F576S/S E

Ensure residents have reasonable access to and privacy in their use of communication methods.

2025-02-03
CURRENT CYCLE
F572S/S E

Give residents a notice of rights, rules, services and charges.

2025-02-03
CURRENT CYCLE
F679S/S E

Provide activities to meet all resident's needs.

2025-02-03
CURRENT CYCLE
F550S/S D

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

2025-02-03
CURRENT CYCLE
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2025-02-03
CURRENT CYCLE
F684S/S D

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

2025-02-03
CURRENT CYCLE
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2025-02-03
CURRENT CYCLE
F553S/S D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2025-02-03
CURRENT CYCLE
F554S/S D

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

2025-02-03
CURRENT CYCLE
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-02-03
CURRENT CYCLE
F582S/S D

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

2025-02-03
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-02-03
CURRENT CYCLE
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-02-03
CURRENT CYCLE
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-02-03
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-02-03
CURRENT CYCLE
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2025-02-03
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2025-02-03
CURRENT CYCLE
F698S/S D

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

2025-02-03
CURRENT CYCLE
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2025-02-03
CURRENT CYCLE
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2025-02-03
CURRENT CYCLE
F842S/S D

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

2025-02-03
CURRENT CYCLE
F732S/S C

Post nurse staffing information every day.

2023-09-08
HISTORICAL
F578S/S E

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.

2023-09-08
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2023-09-08
HISTORICAL
F684S/S D

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

2023-09-08
HISTORICAL
F584S/S D

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.

2023-09-08
HISTORICAL
F761S/S D

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.

2023-09-08
HISTORICAL
F757S/S D

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

2023-09-08
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2019-11-14
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2019-11-14
HISTORICAL
F695S/S D

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

2019-11-14
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2019-11-14
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at VILLAGE HEALTH CARE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…