The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MILTON FREEWATER HEALTH AND REHABILITATION
MILTON FREEWATER, OR · Medicare-certified · 70 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
5 of 5 stars overall. Staffing is strong at 5.34 hours per resident per day versus the 4.1 federal benchmark, but quality measures are lower at 2 of 5 stars, there was a recent federal penalty with $8,278 in fines, and recent citations included accident hazards, staffing coverage, and medical records/privacy issues.
Facility ratings
Health inspections
Staffing
5.3387 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.3387.
Staffing detail
- Registered nurses
- 1.16
- Licensed practical nurses
- 0.14
- Nurse aides
- 4.04
- Weekend nursing
- 4.69
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 46%
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
14.3%14.3%No change
Residents with a fall causing major injury
4.8%0%Improving
Residents with pressure ulcers (bedsores)
3.5%6.3%Worsening
Residents with a urinary tract infection
0%4%Worsening
Residents who lost too much weight
0%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.7%12.5%Improving
Long-stay residents on antianxiety or sleep medication
9.5%12%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%6.6%Worsening
Residents with new or worsening incontinence
—16.8%—
Residents with depressive symptoms
10%0%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
—91.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—60.6%—
Short-stay residents given the pneumonia vaccine
91.9%88.5%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to protect residents from the wrongful use of their belongings or money. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Aug 7, 2025
Operator & ownership
Recent ownership change · Aug 31, 2023
Now operated by Milton Freewater Health & Rehabilitation Center, previously Milton Freewater Health and Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
- Occupancy
- 31.8 residents on an average day (45% of 70 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.