CareSentinel

Compiled from official CMS federal data

CASCADE TERRACE POST ACUTE, PORTLAND, OR — Violations & Inspection Reports

CCN 385187 · 5601 SE 122ND AVENUE, PORTLAND, OR, 97236

Record as of Jun 2026 · Updated monthly from CMS

Does CASCADE TERRACE POST ACUTE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), CASCADE TERRACE POST ACUTE (CCN 385187), in PORTLAND, OR, has federal inspection findings. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list.

In its current inspection cycle, CMS cited the facility for 22 deficiencies; the most severe is rated J, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. The latest standard health inspection on file is dated 2025-04-28. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $185,923 in civil money penalties on file against the facility. The record also includes 4 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Feb 2026). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 4 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Feb 2026.
  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2025.
  • 25 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

At its most recent federal inspection, CMS cited this facility at the Immediate Jeopardy level — the most serious category CMS uses, for situations it found likely to cause serious harm or death.

Below is this facility's federal inspection record as on file with CMS.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

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.

Civil money penalties on file

$185,923

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2025-04-28
CURRENT CYCLE
F689S/S J

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

2024-01-31
HISTORICAL
F689S/S J

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

2024-01-31
HISTORICAL
F740S/S J

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

43 more citations on file — Abuse & neglect 4 · Medication & pharmacy 5 · Resident rights 8 · Other citations 25 (expand)
2026-02-18
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.

2026-02-18
CURRENT CYCLE
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2026-02-18
CURRENT CYCLE
F609S/S D

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

2025-12-26
CURRENT CYCLE
F684S/S D

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

2025-11-06
CURRENT CYCLE
F757S/S G

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

2025-04-28
CURRENT CYCLE
F944S/S F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2025-04-28
CURRENT CYCLE
F851S/S F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

2025-04-28
CURRENT CYCLE
F761S/S E

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.

2025-04-28
CURRENT CYCLE
F800S/S E

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

2025-04-28
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-04-28
CURRENT CYCLE
F732S/S E

Post nurse staffing information every day.

2025-04-28
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.

2025-04-28
CURRENT CYCLE
F757S/S D

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

2025-04-28
CURRENT CYCLE
F554S/S D

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

2025-04-28
CURRENT CYCLE
F583S/S D

Keep residents' personal and medical records private and confidential.

2025-04-28
CURRENT CYCLE
F636S/S D

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

2025-04-28
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-04-28
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-04-28
CURRENT CYCLE
F679S/S D

Provide activities to meet all resident's needs.

2025-04-28
CURRENT CYCLE
F684S/S D

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

2025-04-28
CURRENT CYCLE
F698S/S D

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

2025-01-23
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-01-23
HISTORICAL
F684S/S D

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

2024-01-31
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2024-01-31
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-01-31
HISTORICAL
F847S/S E

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

2024-01-31
HISTORICAL
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.

2024-01-31
HISTORICAL
F584S/S E

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.

2024-01-31
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-01-31
HISTORICAL
F684S/S D

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

2024-01-31
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.

2024-01-31
HISTORICAL
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.

2024-01-31
HISTORICAL
F730S/S D

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

2024-01-31
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-01-31
HISTORICAL
F609S/S D

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

2024-01-31
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-01-31
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-01-31
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-01-31
HISTORICAL
F552S/S D

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

2022-12-16
HISTORICAL
F732S/S E

Post nurse staffing information every day.

2022-12-16
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2022-12-16
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2022-12-16
HISTORICAL
F550S/S D

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

Overall CMS star rating

This facility: 1  ·  CMS state average: 3.1

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

CASCADE TERRACE POST ACUTE — Federal Record

CMS overall 1/5 · 22 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

Add what you saw at CASCADE TERRACE POST ACUTE to this record

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Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

What happened

What happened? Tap a category to see options — select all that apply. 'Other / I'm not sure' is fine.

No personal details on this step.

If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

Compare this facility on CMS’s own Care Compare →

Download the full federal record (PDF) →