The home failed to have enough qualified staff to meet residents’ behavioral health needs. Cited July 2019 — isolated incident, immediate jeopardy to residents.
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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
4 of 5 overall
Forest Grove Post Acute has a 4 out of 5 overall rating, with 4-star ratings for health inspections, staffing, and quality measures. It reports 4.44 nurse staffing hours per resident per day, above the 4.1 federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4403 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 4.4403.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.11
- Nurse aides
- 3.00
- Weekend nursing
- 3.99
Hours per resident per day.
Total staff turnover: 20%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.2%Worsening
Residents with a fall causing major injury
0.9%Improving
Residents with pressure ulcers (bedsores)
8.3%Worsening
Residents with a urinary tract infection
3.3%Improving
Residents who lost too much weight
4.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.4%Worsening
Residents whose ability to walk got worse
33.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.9%Steady
Short-stay residents newly given an antipsychotic
1.6%Improving
Residents with a long-term catheter
1.7%Improving
Residents with new or worsening incontinence
23.3%Improving
Residents with depressive symptoms
8.2%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.1%Improving
Short-stay residents given the seasonal flu vaccine
88.1%Steady
Short-stay residents given the pneumonia vaccine
86.9%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.
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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.
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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.
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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.
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- INSPECTION
Health inspection found 7 health deficiencies.
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Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 82.4 residents on an average day (72% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 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.