CareSentinel

Compiled from official CMS federal data

CEDAR CROSSINGS, PORTLAND, OR — Violations & Inspection Reports

CCN 385284 · 6003 SE 136TH AVENUE, PORTLAND, OR, 97236

Record as of Jun 2026 · Updated monthly from CMS

Does CEDAR CROSSINGS have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), CEDAR CROSSINGS (CCN 385284), in PORTLAND, OR, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 16 deficiencies; the most severe is rated E — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2025-01-17. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $32,383 in civil money penalties on file against the facility. The record also includes 1 abuse- or neglect-related citation in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Aug 2023). This page restates the federal record and draws no conclusion of its own.

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

  • 1 citation in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Aug 2023.
  • 5 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2026.
  • 30 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

CMS has $32,383 in civil money penalties on file against this facility.

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

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

$32,383

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.

2024-06-17
HISTORICAL
F689S/S J

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

2023-11-09
HISTORICAL
F689S/S G

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

2025-01-17
CURRENT CYCLE
F689S/S E

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

55 more citations on file — Abuse & neglect 1 · Accidents & supervision 2 · Medication & pharmacy 8 · Resident rights 7 · Other citations 34 (expand)
2026-04-03
CURRENT CYCLE
F689S/S D

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

2025-01-17
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.

2025-01-17
CURRENT CYCLE
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.

2025-01-17
CURRENT CYCLE
F730S/S E

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

2025-01-17
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.

2025-01-17
CURRENT CYCLE
F695S/S D

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

2025-01-17
CURRENT CYCLE
F791S/S D

Provide or obtain dental services for each resident.

2025-01-17
CURRENT CYCLE
F814S/S D

Dispose of garbage and refuse properly.

2025-01-17
CURRENT CYCLE
F698S/S D

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

2025-01-17
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.

2025-01-17
CURRENT CYCLE
F947S/S D

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

2025-01-17
CURRENT CYCLE
F684S/S D

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

2025-01-17
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-01-17
CURRENT CYCLE
F625S/S B

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

2025-01-17
CURRENT CYCLE
F623S/S B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-10-03
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-10-03
HISTORICAL
F626S/S D

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

2024-10-03
HISTORICAL
F660S/S D

Plan the resident's discharge to meet the resident's goals and needs.

2024-07-17
HISTORICAL
F791S/S D

Provide or obtain dental services for each resident.

2024-07-17
HISTORICAL
F684S/S D

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

2024-06-17
HISTORICAL
F868S/S F

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2024-06-17
HISTORICAL
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2024-03-22
HISTORICAL
F557S/S D

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

2024-03-22
HISTORICAL
F677S/S D

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

2023-11-09
HISTORICAL
F842S/S D

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

2023-11-09
HISTORICAL
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2023-08-14
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-08-14
HISTORICAL
F919S/S E

Make sure that a working call system is available in each resident's bathroom and bathing area.

2023-08-14
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.

2023-08-14
HISTORICAL
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.

2023-08-14
HISTORICAL
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.

2023-08-14
HISTORICAL
F552S/S D

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

2023-08-14
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2023-08-14
HISTORICAL
F609S/S D

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

2023-08-14
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-08-14
HISTORICAL
F655S/S D

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

2023-08-14
HISTORICAL
F677S/S D

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

2023-08-14
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2023-08-14
HISTORICAL
F685S/S D

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

2023-08-14
HISTORICAL
F689S/S D

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

2023-08-14
HISTORICAL
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.

2023-08-14
HISTORICAL
F757S/S D

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

2023-08-14
HISTORICAL
F550S/S D

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

2023-08-14
HISTORICAL
F790S/S D

Provide routine and 24-hour emergency dental care for each resident.

2023-08-14
HISTORICAL
F791S/S D

Provide or obtain dental services for each resident.

2023-08-14
HISTORICAL
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2022-06-01
HISTORICAL
F732S/S F

Post nurse staffing information every day.

2022-06-01
HISTORICAL
F730S/S F

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

2022-06-01
HISTORICAL
F812S/S F

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

2022-06-01
HISTORICAL
F727S/S F

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.

2022-06-01
HISTORICAL
F842S/S E

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

2022-06-01
HISTORICAL
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.

2022-06-01
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2022-06-01
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2022-06-01
HISTORICAL
F684S/S D

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

Overall CMS star rating

This facility: 2  ·  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

CEDAR CROSSINGS — Federal Record

CMS overall 2/5 · 16 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

Add what you saw at CEDAR CROSSINGS to this record

No call centers, no auctions. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. The federal record is a point-in-time inspection record and may understate what actually occurred. CareSentinel is operated by Nodal Logics LLC.

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) →