The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
EVAN TERRACE POST ACUTE
MCMINNVILLE, OR · Medicare-certified · 96 beds
Needs attention
For-profitChain member
1 of 5 overall
EVAN TERRACE POST ACUTE (MCMINNVILLE, OR) has a 1 of 5 overall rating, with a 1-star health inspection rating, a recent federal penalty, and $25,116 in fines over the last 24 months. Staffing is 4.65 hours per resident day, above the federal benchmark of 4.1, while quality measures are rated 3 of 5 stars.
Facility ratings
Health inspections
Staffing
4.6517 hrs/resident/day
Quality measures
Last inspection: March 16, 2026Penalties, last 24 months: $25,116recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6517.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.83
- Nurse aides
- 3.43
- Weekend nursing
- 4.23
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 67%
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
12.5%7.8%Improving
Residents with a fall causing major injury
2.3%0%Improving
Residents with pressure ulcers (bedsores)
14.4%2.9%Improving
Residents with a urinary tract infection
9.1%0%Improving
Residents who lost too much weight
2.4%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%12.7%Worsening
Residents whose ability to walk got worse
—17.8%—
Long-stay residents on antianxiety or sleep medication
2.4%8.3%Worsening
Short-stay residents newly given an antipsychotic
0%2.5%Worsening
Residents with a long-term catheter
1.5%3.2%Worsening
Residents with new or worsening incontinence
27.5%32%Worsening
Residents with depressive symptoms
12.9%6.1%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
—89.1%—
Long-stay residents given the pneumonia vaccine
97.7%66.2%Worsening
Short-stay residents given the seasonal flu vaccine
—77.2%—
Short-stay residents given the pneumonia vaccine
73.3%41.3%Worsening
What the inspectors found
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $25,116 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $25,116 in total fines.
- $25,116
Federal fine
Jun 9, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 87 residents on an average day (91% of 96 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.