The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
COTTAGE GROVE POST ACUTE
COTTAGE GROVE, OR · Medicare-certified · 80 beds
Needs attention
For-profitChain member
3 of 5 overall
Cottage Grove Post Acute has a 3-star overall rating, with 3 stars for health inspections and staffing and 4 stars for quality measures. Reported nurse staffing is 4.31 hours per resident per day, slightly above the federal benchmark of 4.1, and the facility had $20,670 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.308 hrs/resident/day
Quality measures
Last inspection: June 27, 2025Penalties, last 24 months: $20,670recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.308.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.96
- Nurse aides
- 3.01
- Weekend nursing
- 3.86
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 83%
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
0%18.8%Worsening
Residents with a fall causing major injury
2.5%3.9%Worsening
Residents with pressure ulcers (bedsores)
10.6%2.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.1%6.8%Worsening
Residents whose ability to walk got worse
—5.2%—
Long-stay residents on antianxiety or sleep medication
11.4%14.9%Worsening
Short-stay residents newly given an antipsychotic
4.3%0%Improving
Residents with a long-term catheter
2.4%0%Improving
Residents with new or worsening incontinence
33.4%16.6%Improving
Residents with depressive symptoms
15.6%11.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—89.6%—
Short-stay residents given the pneumonia vaccine
97.9%100%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $20,670 was recorded.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $20,670 in total fines.
- $20,670
Federal fine
Jun 27, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 65.5 residents on an average day (82% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.