The home failed to have enough qualified staff to meet residents’ behavioral health needs. Cited July 2019 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 741 — 42 CFR §483.40 — S/S: J
Nursing home report
FOREST GROVE POST ACUTE
FOREST GROVE, OR · Medicare-certified · 114 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Forest Grove Post Acute has an overall 4 out of 5 stars, with 4-star ratings for health inspections, staffing, and quality measures. It reports 4.53 nurse staffing hours per resident per day, above the federal benchmark of 4.1, and has had no fines in the last 24 months; recent inspection citations included staffing competencies, pressure ulcer care, and meeting professional standards.
Facility ratings
Health inspections
Staffing
4.5305 hrs/resident/day
Quality measures
Last inspection: July 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5305.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 1.15
- Nurse aides
- 3.07
- Weekend nursing
- 4.13
Hours per resident per day.
Total staff turnover: 22%
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
6.1%10.5%Worsening
Residents with a fall causing major injury
2%0%Improving
Residents with pressure ulcers (bedsores)
5.4%6.4%Worsening
Residents with a urinary tract infection
6%1.8%Improving
Residents who lost too much weight
4.4%4.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%19.1%Worsening
Residents whose ability to walk got worse
—35.9%—
Long-stay residents on antianxiety or sleep medication
6.7%6.1%Improving
Short-stay residents newly given an antipsychotic
2.1%0.9%Improving
Residents with a long-term catheter
1.5%0%Improving
Residents with new or worsening incontinence
17.5%24.6%Worsening
Residents with depressive symptoms
7%4.1%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.1%—
Short-stay residents given the pneumonia vaccine
90%88.2%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to provide services that met professional standards of quality. Cited July 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The home failed to properly watch nurse aides' work and provide regular training. Cited June 2024 — 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Sep 1, 2024
Now operated by Forest Grove Post Acute, previously Forest Grove Rehabilitation and Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 82.3 residents on an average day (72% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 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.