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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MILTON FREEWATER HEALTH & REHABILITATION CENTER
MILTON FREEWATER, OR · Medicare-certified · 70 beds
Needs attention
Abuse citationFor-profitChain member
3 of 5 overall
3 out of 5 stars overall. Health inspection and quality measures are both low at 2 stars, staffing is strong at 5 stars with 5.90 nurse hours per resident per day above the 4.1 federal benchmark, and the home had $8,278 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.9034 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $8,278recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.9034.
Staffing detail
- Registered nurses
- 1.20
- Licensed practical nurses
- 0.18
- Nurse aides
- 4.53
- Weekend nursing
- 5.34
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20%Steady
Residents with a fall causing major injury
2.2%Improving
Residents with pressure ulcers (bedsores)
1.1%Improving
Residents with a urinary tract infection
4.9%Worsening
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
15.6%Steady
Residents with depressive symptoms
2.5%Improving
Long-stay residents given the seasonal flu vaccine
91.3%Steady
Long-stay residents given the pneumonia vaccine
98.9%Steady
Short-stay residents given the seasonal flu vaccine
60.6%Steady
Short-stay residents given the pneumonia vaccine
88.6%Improving
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.
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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.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
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.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — 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
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 43 homes · 2.4 stars avg
- Occupancy
- 29.2 residents on an average day (42% 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.