The nursing home failed to ensure residents were free from significant medication errors. Cited August 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
EVERGREEN POST ACUTE
PORTLAND, OR · Medicare-certified · 55 beds
In good standing
For-profitChain member
2 of 5 overall
Evergreen Post Acute in Portland has a 2-star overall rating, with 2 stars for health inspections and quality measures and 3 stars for staffing. Reported nurse staffing is 5.20 hours per resident per day, above the 4.1 federal benchmark, and there were no fines in the last 24 months; recent inspection issues included medication errors, infection control, and food handling.
Facility ratings
Health inspections
Staffing
5.2043 hrs/resident/day
Quality measures
Last inspection: November 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2043.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.30
- Nurse aides
- 3.59
- Weekend nursing
- 4.62
Hours per resident per day.
Total staff turnover: 61%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.5%Worsening
Residents with a fall causing major injury
5.2%Worsening
Residents with pressure ulcers (bedsores)
8.9%Improving
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
3.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.1%Improving
Residents whose ability to walk got worse
32.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
6.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.8%Improving
Residents with new or worsening incontinence
25.9%Worsening
Residents with depressive symptoms
5.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.1%Worsening
Short-stay residents given the seasonal flu vaccine
60.9%Steady
Short-stay residents given the pneumonia vaccine
69.7%Improving
What the inspectors found
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 October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly watch nurse aides' work and provide regular training. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F
The home failed to provide activities that met all residents’ needs. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,194 in total fines.
- $4,194
Federal fine
Dec 11, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 52.7 residents on an average day (96% of 55 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.