The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
BLUE MOUNTAIN CARE CENTER
PRAIRIE CITY, OR · Medicare-certified · 40 beds
Needs attention
Non-profit
1 of 5 overall
BLUE MOUNTAIN CARE CENTER in Prairie City, OR has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It is flagged for the lowest overall rating; reported nurse staffing is 5.72 hours per resident per day, above the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.7223 hrs/resident/day
Quality measures
Last inspection: October 17, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.7223.
Staffing detail
- Registered nurses
- 1.48
- Licensed practical nurses
- 0.69
- Nurse aides
- 3.56
- Weekend nursing
- 4.82
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—16.7%—
Residents with a fall causing major injury
—8.6%—
Residents with pressure ulcers (bedsores)
—6.3%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—5.7%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—16.3%—
Long-stay residents on antianxiety or sleep medication
—1.9%—
Residents with a long-term catheter
—4.2%—
Residents with new or worsening incontinence
—26.2%—
Residents with depressive symptoms
—9.4%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
—84.5%—
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 15.1 residents on an average day (38% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.