GRACELEN CARE CENTER
GRACELEN CARE CENTER is a 80-bed nursing home in PORTLAND, Oregon. CMS has certified it for Medicare and Medicaid since 1976-12-06. It averages 64.2 residents a day.
What harm was found in the violations cited at GRACELEN CARE CENTER?
CMS lists 58 health-inspection deficiencies for GRACELEN CARE CENTER since 2023-01-19, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-13 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-03-10 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-10-20 | F0684, F0686 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-08-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-07-25 | F0727 | 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. | F |
| 2025-07-25 | F0609, F0610, F0656, F0689, F0759, F0761, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-12-19 | F0600, F0622 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| 2024-04-08 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F |
| 2024-04-08 | F0726, F0730, F0880, F0947 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Observe each nurse aide's job performance and give regular training. / Provide and implement an infection prevention and control program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-04-08 | F0550, F0552, F0558, F0600, F0604, F0657, F0661, F0684, F0757, F0584, F0609 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-09-21 | F0580, F0604, F0684, F0692 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. | G |
| 2023-09-21 | F0686, F0689, F0777 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D |
| 2023-01-19 | F0880 | Provide and implement an infection prevention and control program. | K |
| 2023-01-19 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H |
| 2023-01-19 | F0684, F0689, F0825 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or get specialized rehabilitative services as required for a resident. | G |
| 2023-01-19 | F0801, F0882 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2023-01-19 | F0727 | 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. | E |
| 2023-01-19 | F0550, F0580, F0584, F0604, F0656, F0657, F0677, F0679, F0690, F0757, F0759, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
How is GRACELEN CARE CENTER staffed relative to the OR average?
| Measure | This facility | OR average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.51671 | 5.03143 |
| Average number of residents per day | 64.2 | 58.1 |
Who owns GRACELEN CARE CENTER?
GRACELEN CARE CENTER is registered with CMS as For profit - Corporation.